Document Detail

Novel pathways in the pathogenesis of respiratory syncytial virus disease.
MedLine Citation:
PMID:  10922135     Owner:  NLM     Status:  MEDLINE    
Respiratory syncytial virus (RSV) is a leading cause of severe respiratory infections in infants and children. Extensive research in past decades has expanded our knowledge regarding the specific mechanisms involved in the pathogenesis of RSV bronchiolitis and subsequent chronic obstructive airway disease. Studies of RSV infection are performed in humans, cell culture models, and animal models, each with their own specific limitations. A recently developed murine model in which pulmonary dysfunction can be monitored and quantified appears to add a powerful tool for the study of specific pathogenic mechanisms of experimental RSV infections. Both immunologic and nonimmunologic factors have been implicated in the pathogenesis of RSV-induced diseases. Recently, a hypothesis that RSV bronchiolitis may be the result of production of Th2-type cytokines has become popular. There are, however, studies in human infants with RSV as well as in RSV-infected mice that suggest this theory is incorrect, or at least an oversimplification. There is compelling evidence that cells producing interferon gamma may contribute to RSV-induced wheezing, possibly through induction of leukotriene release. Among the nonimmunologic factors, pulmonary surfactant has recently attracted attention, especially because of the therapeutic implications for infants with severe bronchiolitis. A better understanding of the pathogenesis of RSV-induced diseases will be of considerable help in developing specific therapeutic strategies and in vaccine development.
S M van Schaik; R C Welliver; J L Kimpen
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Pediatric pulmonology     Volume:  30     ISSN:  8755-6863     ISO Abbreviation:  Pediatr. Pulmonol.     Publication Date:  2000 Aug 
Date Detail:
Created Date:  2000-09-25     Completed Date:  2000-09-25     Revised Date:  2006-03-28    
Medline Journal Info:
Nlm Unique ID:  8510590     Medline TA:  Pediatr Pulmonol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  131-8     Citation Subset:  IM    
Copyright Information:
Copyright 2000 Wiley-Liss, Inc.
Division of Infectious Diseases, Children's Hospital and SUNY at Buffalo, Buffalo, New York, USA.
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MeSH Terms
Bronchiolitis / physiopathology
Child, Preschool
Disease Models, Animal
Infant, Newborn
Leukotrienes / secretion
Pulmonary Surfactants / metabolism
Respiratory Sounds / etiology
Respiratory Syncytial Virus Infections / immunology,  physiopathology*
Respiratory Syncytial Virus, Human / immunology,  pathogenicity*
Reg. No./Substance:
0/Leukotrienes; 0/Pulmonary Surfactants

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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