Role of epithelial barrier function in inducing type 2 immunity following early-life viral infection
Author(s)
Type
Journal Article
Abstract
BACKGROUND: Preschool wheeze attacks triggered by recurrent viral infections, including respiratory syncytial virus (RSV), are associated with an increased risk of childhood asthma. However, mechanisms that lead to asthma following early-life viral wheezing remain uncertain. METHODS: To investigate a causal relationship between early-life RSV infections and onset of type 2 immunity, we developed a neonatal murine model of recurrent RSV infection, in vivo and in silico, and evaluated the dynamical changes of altered airway barrier function and downstream immune responses, including eosinophilia, mucus secretion and type 2 immunity. RESULTS: RSV infection of neonatal BALB/c mice at 5 and 15 days of age induced robust airway eosinophilia, increased pulmonary CD4+ IL-13+ and CD4+ IL-5+ cells, elevated levels of IL-13 and IL-5 and increased airway mucus at 20 days of age. Increased bronchoalveolar lavage albumin levels, suggesting epithelial barrier damage, were present and persisted following the second RSV infection. Computational in silico simulations demonstrated that recurrent RSV infection resulted in severe damage of the airway barrier (epithelium), triggering the onset of type 2 immunity. The in silico results also demonstrated that recurrent infection is not always necessary for the development of type 2 immunity, which could also be triggered with single infection of high viral load or when the epithelial barrier repair is compromised. CONCLUSIONS: The neonatal murine model demonstrated that recurrent RSV infection in early life alters airway barrier function and promotes type 2 immunity. A causal relationship between airway barrier function and type 2 immunity was suggested using in silico model simulations.
Date Issued
2024-02
Date Acceptance
2023-11-07
Citation
Clinical and Experimental Allergy, 2024, 54 (2), pp.109-119
ISSN
0954-7894
Publisher
Wiley
Start Page
109
End Page
119
Journal / Book Title
Clinical and Experimental Allergy
Volume
54
Issue
2
Copyright Statement
© 2023 The Authors. Clinical & Experimental Allergy published by John Wiley & Sons Ltd.
This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
License URL
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/38011856
Subjects
Animals
Asthma
Child, Preschool
Disease Models, Animal
Eosinophilia
Humans
Infant, Newborn
Interleukin-13
Interleukin-5
Lung
Mice
Mice, Inbred BALB C
Respiratory Syncytial Virus Infections
in silico modelling
neonatal murine model
pre-school wheeze
recurrent viral infections
respiratory syncytial virus
Publication Status
Published
Coverage Spatial
England
Date Publish Online
2023-11-27