Rhinovirus Attributes that Contribute to Asthma Development

Immunol Allergy Clin North Am. 2019 Aug;39(3):345-359. doi: 10.1016/j.iac.2019.03.004. Epub 2019 May 7.

Abstract

Early-life wheezing-associated infections with human rhinovirus (HRV) are strongly associated with the inception of asthma. The immune system of immature mice and humans is skewed toward a type 2 cytokine response. Thus, HRV-infected 6-day-old mice but not adult mice develop augmented type 2 cytokine expression, eosinophilic inflammation, mucous metaplasia, and airway hyperresponsiveness. This asthma phenotype depends on interleukin (IL)-13-producing type 2 innate lymphoid cells, the expansion of which in turn depends on release of the innate cytokines IL-25, IL-33, and thymic stromal lymphopoietin from the airway epithelium. In humans, certain genetic variants may predispose to HRV-induced childhood asthma.

Keywords: Asthma; Innate lymphoid cells; Rhinovirus.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Animals
  • Asthma / diagnosis
  • Asthma / etiology*
  • Asthma / metabolism
  • Asthma / therapy
  • Disease Susceptibility
  • Host-Pathogen Interactions / genetics
  • Host-Pathogen Interactions / immunology
  • Humans
  • Immunity, Innate
  • Lymphocyte Subsets / immunology
  • Lymphocyte Subsets / metabolism
  • Picornaviridae Infections / complications*
  • Picornaviridae Infections / immunology
  • Picornaviridae Infections / virology*
  • Rhinovirus* / physiology