A Durable Relationship: Respiratory Syncytial Virus Bronchiolitis and Asthma past Their Golden Anniversary

被引:25
作者
Esteban, Ignacio [1 ,2 ]
Stein, Renato T. [3 ]
Polack, Fernando P. [1 ,4 ]
机构
[1] Fdn INFANT, RA-1406 Buenos Aires, DF, Argentina
[2] Hosp Pediat Prof Dr Juan P Garrahan, RA-1245 Buenos Aires, DF, Argentina
[3] Pontificia Univ Catolica Rio Grande do Sul, Ctr INFANT, BR-90610000 Porto Alegre, RS, Brazil
[4] Vanderbilt Univ, Dept Pediat, Nashville, TN 37240 USA
关键词
respiratory syncytial virus; bronchiolitis; asthma; wheezing; LUNG-FUNCTION; PALIVIZUMAB PROPHYLAXIS; EARLY-LIFE; CHILDHOOD ASTHMA; IMMUNE-RESPONSE; FUNCTION ABNORMALITIES; BRONCHIAL REACTIVITY; VIRAL BRONCHIOLITIS; PULMONARY-FUNCTION; PERIPHERAL-BLOOD;
D O I
10.3390/vaccines8020201
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Numerous preventive strategies against respiratory syncytial virus (RSV) are undergoing late stage evaluation in humans and, in addition to their intended benefit for acute illness, may impact long term consequences of infection in infants. Severe RSV infection has been repeatedly associated in the literature with long term complications, including impaired lung function, recurrent wheezing, and asthma. However, whether RSV lower respiratory tract infection (LRTI) causally affects the odds for developing wheezing and/or asthma during childhood requires further study, and the biological mechanisms underlying this hypothetical progression from viral illness to chronic lung disease are poorly characterized. In this review, we summarize the literature exploring the association between RSV LRTI in infancy and subsequent recurrent wheezing and pediatric asthma.
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页数:10
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