Immune interaction between respiratory syncytial virus infection and allergen sensitization critically depends on timing of challenges

J Infect Dis. 2001 Dec 1;184(11):1374-9. doi: 10.1086/324429. Epub 2001 Nov 13.

Abstract

Severe respiratory syncytial virus (RSV) infection has been hypothesized to be a risk factor for the development of allergy and asthma, but epidemiologic studies in humans have been inconclusive. By use of a well-characterized murine model of RSV infection and allergic sensitization with ovalbumin, the effect of a preceding severe RSV infection on the development of the pulmonary allergic inflammatory response and airway hyperresponsiveness (AHR) was tested. The impact of prior allergic sensitization on RSV-induced illness, as measured by weight loss, also was evaluated. RSV infection before allergic sensitization decreased allergen-induced AHR, production of interleukin-13 in lung tissue, and lung eosinophilia. In contrast, allergic sensitization before RSV infection increased AHR and decreased RSV-related weight loss and lung levels of interferon-gamma but did not alter viral clearance. These data provide evidence that RSV-associated AHR occurs in hosts with allergic responses and that allergic inflammation is diminished when preceded by RSV infection.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Allergens / immunology
  • Animals
  • Bronchial Hyperreactivity / diagnosis
  • Bronchial Hyperreactivity / virology
  • Bronchoconstrictor Agents
  • Female
  • Hypersensitivity / complications
  • Hypersensitivity / immunology*
  • Interferon-gamma / biosynthesis
  • Interleukin-13 / biosynthesis
  • Lung / immunology
  • Lung / virology
  • Lymphocyte Count
  • Methacholine Chloride
  • Mice
  • Mice, Inbred BALB C
  • Ovalbumin / immunology*
  • Pulmonary Eosinophilia / complications
  • Pulmonary Eosinophilia / immunology
  • Respiratory Syncytial Virus Infections / complications*
  • Respiratory Syncytial Virus Infections / immunology
  • Respiratory Syncytial Virus Infections / virology
  • Respiratory Syncytial Viruses / growth & development
  • Time Factors
  • Virus Replication
  • Weight Loss

Substances

  • Allergens
  • Bronchoconstrictor Agents
  • Interleukin-13
  • Methacholine Chloride
  • Interferon-gamma
  • Ovalbumin