Differential Airway Inflammatory Responses in Asthma Exacerbations Induced by Respiratory Syncytial Virus and Influenza Virus A

Background: Although respiratory viral infections cause acute exacerbations of asthma, the inflammatory responses vary depending on the causative virus. The purpose of this study was to compare the inflammatory responses in the airways of acute exacerbations of asthma induced by respiratory syncytia...

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Veröffentlicht in:International archives of allergy and immunology 2013-01, Vol.161 (4), p.378-382
Hauptverfasser: Matsuse, Hiroto, Tsuchida, Tomoko, Fukahori, Susumu, Kawano, Tetsuya, Tomari, Shinya, Matsuo, Nobuko, Nishino, Tomoya, Fukushima, Chizu, Kohno, Shigeru
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container_end_page 382
container_issue 4
container_start_page 378
container_title International archives of allergy and immunology
container_volume 161
creator Matsuse, Hiroto
Tsuchida, Tomoko
Fukahori, Susumu
Kawano, Tetsuya
Tomari, Shinya
Matsuo, Nobuko
Nishino, Tomoya
Fukushima, Chizu
Kohno, Shigeru
description Background: Although respiratory viral infections cause acute exacerbations of asthma, the inflammatory responses vary depending on the causative virus. The purpose of this study was to compare the inflammatory responses in the airways of acute exacerbations of asthma induced by respiratory syncytial virus (RSV) and influenza A virus. Methods: Sputum induction was performed in asthmatic patients with acute exacerbations induced by RSV (n = 6), influenza A (n = 7), and non-upper respiratory infection (URI)-related factors (n = 8). Sputum concentrations of cysteinyl leukotrienes (cysLTs), TNF-α and IFN-γ were measured. Results: Sputum cysLTs were significantly higher in RSV-induced exacerbations than in influenza A- and non-URI-induced exacerbations. Sputum TNF-α was significantly higher in influenza A-induced exacerbations than in RSV- and non-URI-induced exacerbations. Sputum IFN-γ was significantly lower in RSV-induced exacerbations than in the others. Conclusions: RSV and influenza A cause acute exacerbations and have different effects on airway inflammation in asthmatic patients. RSV significantly increased cysLTs, while influenza A significantly increased TNF-α in the airway. The underlying mechanism in virus-induced asthma might depend on the viral species.
doi_str_mv 10.1159/000348381
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The purpose of this study was to compare the inflammatory responses in the airways of acute exacerbations of asthma induced by respiratory syncytial virus (RSV) and influenza A virus. Methods: Sputum induction was performed in asthmatic patients with acute exacerbations induced by RSV (n = 6), influenza A (n = 7), and non-upper respiratory infection (URI)-related factors (n = 8). Sputum concentrations of cysteinyl leukotrienes (cysLTs), TNF-α and IFN-γ were measured. Results: Sputum cysLTs were significantly higher in RSV-induced exacerbations than in influenza A- and non-URI-induced exacerbations. Sputum TNF-α was significantly higher in influenza A-induced exacerbations than in RSV- and non-URI-induced exacerbations. Sputum IFN-γ was significantly lower in RSV-induced exacerbations than in the others. Conclusions: RSV and influenza A cause acute exacerbations and have different effects on airway inflammation in asthmatic patients. RSV significantly increased cysLTs, while influenza A significantly increased TNF-α in the airway. The underlying mechanism in virus-induced asthma might depend on the viral species.</description><identifier>ISSN: 1018-2438</identifier><identifier>EISSN: 1423-0097</identifier><identifier>DOI: 10.1159/000348381</identifier><identifier>PMID: 23689185</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Adult ; Asthma ; Asthma - complications ; Asthma - immunology ; Disease Progression ; Female ; Humans ; Influenza ; Influenza A virus ; Influenza A virus - immunology ; Influenza A virus - pathogenicity ; Influenza, Human - complications ; Influenza, Human - immunology ; Interferon-gamma - metabolism ; Leukotriene D4 - metabolism ; Male ; Middle Aged ; Original Paper ; Respiratory syncytial virus ; Respiratory Syncytial Virus Infections - complications ; Respiratory Syncytial Virus Infections - immunology ; Respiratory Syncytial Viruses - immunology ; Respiratory Syncytial Viruses - pathogenicity ; Sputum - metabolism ; Tumor Necrosis Factor-alpha - metabolism ; Viruses</subject><ispartof>International archives of allergy and immunology, 2013-01, Vol.161 (4), p.378-382</ispartof><rights>2013 S. Karger AG, Basel</rights><rights>Copyright © 2013 S. Karger AG, Basel.</rights><rights>Copyright (c) 2013 S. Karger AG, Basel</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c433t-f69942e6876056512b91b9edefb6bda653fff79d5f2cac8f1e74eca30f11f2d63</citedby><cites>FETCH-LOGICAL-c433t-f69942e6876056512b91b9edefb6bda653fff79d5f2cac8f1e74eca30f11f2d63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,2423,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23689185$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Matsuse, Hiroto</creatorcontrib><creatorcontrib>Tsuchida, Tomoko</creatorcontrib><creatorcontrib>Fukahori, Susumu</creatorcontrib><creatorcontrib>Kawano, Tetsuya</creatorcontrib><creatorcontrib>Tomari, Shinya</creatorcontrib><creatorcontrib>Matsuo, Nobuko</creatorcontrib><creatorcontrib>Nishino, Tomoya</creatorcontrib><creatorcontrib>Fukushima, Chizu</creatorcontrib><creatorcontrib>Kohno, Shigeru</creatorcontrib><title>Differential Airway Inflammatory Responses in Asthma Exacerbations Induced by Respiratory Syncytial Virus and Influenza Virus A</title><title>International archives of allergy and immunology</title><addtitle>Int Arch Allergy Immunol</addtitle><description>Background: Although respiratory viral infections cause acute exacerbations of asthma, the inflammatory responses vary depending on the causative virus. 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RSV significantly increased cysLTs, while influenza A significantly increased TNF-α in the airway. 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The purpose of this study was to compare the inflammatory responses in the airways of acute exacerbations of asthma induced by respiratory syncytial virus (RSV) and influenza A virus. Methods: Sputum induction was performed in asthmatic patients with acute exacerbations induced by RSV (n = 6), influenza A (n = 7), and non-upper respiratory infection (URI)-related factors (n = 8). Sputum concentrations of cysteinyl leukotrienes (cysLTs), TNF-α and IFN-γ were measured. Results: Sputum cysLTs were significantly higher in RSV-induced exacerbations than in influenza A- and non-URI-induced exacerbations. Sputum TNF-α was significantly higher in influenza A-induced exacerbations than in RSV- and non-URI-induced exacerbations. Sputum IFN-γ was significantly lower in RSV-induced exacerbations than in the others. Conclusions: RSV and influenza A cause acute exacerbations and have different effects on airway inflammation in asthmatic patients. RSV significantly increased cysLTs, while influenza A significantly increased TNF-α in the airway. The underlying mechanism in virus-induced asthma might depend on the viral species.</abstract><cop>Basel, Switzerland</cop><pub>S. Karger AG</pub><pmid>23689185</pmid><doi>10.1159/000348381</doi><tpages>5</tpages></addata></record>
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subjects Adult
Asthma
Asthma - complications
Asthma - immunology
Disease Progression
Female
Humans
Influenza
Influenza A virus
Influenza A virus - immunology
Influenza A virus - pathogenicity
Influenza, Human - complications
Influenza, Human - immunology
Interferon-gamma - metabolism
Leukotriene D4 - metabolism
Male
Middle Aged
Original Paper
Respiratory syncytial virus
Respiratory Syncytial Virus Infections - complications
Respiratory Syncytial Virus Infections - immunology
Respiratory Syncytial Viruses - immunology
Respiratory Syncytial Viruses - pathogenicity
Sputum - metabolism
Tumor Necrosis Factor-alpha - metabolism
Viruses
title Differential Airway Inflammatory Responses in Asthma Exacerbations Induced by Respiratory Syncytial Virus and Influenza Virus A
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