Childhood viral infection and the pathogenesis of asthma and chronic obstructive lung disease

被引:59
作者
Hogg, JC [1 ]
机构
[1] Univ British Columbia, Pulm Res Lab, St Pauls Hosp, Vancouver, BC V6Z 1Y6, Canada
关键词
D O I
10.1164/ajrccm.160.5.8
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Many epidemiologic studies have implicated childhood respiratory infections as an independent risk factor for the subsequent development of persistent asthma and chronic obstructive pulmonary disease (COPD). The majority of these childhood infections are viral in origin, and great strides are being made in understanding their pathogenesis at the molecular level. Some viruses, such as respiratory syncytial virus-a common cause of childhood bronchiolitis-stimulate the helper T cell type 2 (Th2) pattern of immune responses associated with allergic inflammation. Other viruses, such as adenovirus, appear to persist as latent infections in the airways of patients with COPD, and adenoviral E1A protein is capable of amplifying host genes, possibly including those involved in cigarette smoke-induced lung inflammation. Studies of the chronic, low-grade peripheral lung inflammation caused by adenoviral infection of guinea pigs will enable examination of the possibility that latent infection may induce resistance to the antiinflammatory actions of corticosteroids. Studies of the molecular mechanisms of viral infections of the airways could provide important insights into the nature of the inflammatory process involved in asthma and COPD.
引用
收藏
页码:S26 / S28
页数:3
相关论文
共 38 条
[1]   VIRAL ETIOLOGY IN ACUTE LOWER RESPIRATORY-INFECTIONS IN CHILDREN FROM A CLOSED COMMUNITY [J].
AVILA, MM ;
CARBALLAL, G ;
ROVALETTI, H ;
EBEKIAN, B ;
CUSMINSKY, M ;
WEISSENBACHER, M .
AMERICAN REVIEW OF RESPIRATORY DISEASE, 1989, 140 (03) :634-637
[2]   VIRUS INDUCES AIRWAY HYPERRESPONSIVENESS TO TACHYKININS - ROLE OF NEUTRAL ENDOPEPTIDASE [J].
DUSSER, DJ ;
JACOBY, DB ;
DJOKIC, TD ;
RUBINSTEIN, I ;
BORSON, DB ;
NADEL, JA .
JOURNAL OF APPLIED PHYSIOLOGY, 1989, 67 (04) :1504-1511
[3]   IMMUNODETECTION OF ADENOVIRAL E1A PROTEINS IN HUMAN LUNG-TISSUE [J].
ELLIOTT, WM ;
HAYASHI, S ;
HOGG, JC .
AMERICAN JOURNAL OF RESPIRATORY CELL AND MOLECULAR BIOLOGY, 1995, 12 (06) :642-648
[4]  
EMPEY DW, 1976, AM REV RESPIR DIS, V113, P131
[5]   2 TYPES OF MOUSE T-HELPER CELL .4. TH2 CLONES SECRETE A FACTOR THAT INHIBITS CYTOKINE PRODUCTION BY TH1 CLONES [J].
FIORENTINO, DF ;
BOND, MW ;
MOSMANN, TR .
JOURNAL OF EXPERIMENTAL MEDICINE, 1989, 170 (06) :2081-2095
[6]  
FONG TAT, 1989, J IMMUNOL, V143, P2887
[7]  
GLEZEN WP, 1984, CLIN CHEST MED, V5, P635
[8]   Inflammation of small airways in asthma [J].
Hamid, Q ;
Song, YL ;
Kotsimbos, TC ;
Minshall, E ;
Bai, TR ;
Hegele, RG ;
Hogg, JC .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 1997, 100 (01) :44-51
[9]  
HARRISON SC, 1996, VIROLOGY, V1, P59
[10]   CD8+ T cells control Th2-driven pathology during pulmonary respiratory syncytial virus infection [J].
Hussell, T ;
Baldwin, CJ ;
O'Garra, A ;
Openshaw, PJM .
EUROPEAN JOURNAL OF IMMUNOLOGY, 1997, 27 (12) :3341-3349