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Rhinovirus-16 induced temporal interferon responses in nasal epithelium links with viral clearance and symptoms.


ABSTRACT: BACKGROUND:The temporal in vivo response of epithelial cells to a viral challenge and its association with viral clearance and clinical outcomes has been largely unexplored in asthma. OBJECTIVE:To determine gene expression profiles over time in nasal epithelial cells (NECs) challenged in vivo with rhinovirus-16 (RV16) and compare to nasal symptoms and viral clearance. METHODS:Patients with stable mild to moderate asthma (n = 20) were challenged intranasally with RV16. Nasal brush samples for RNA sequencing were taken 7 days prior to infection and 3, 6 and 14 days post-infection, and blood samples 4 days prior to infection and day 6 post-infection. Viral load was measured in nasal lavage fluid at day 3, 6 and 14. RESULTS:Top differentially (>2.5-fold increase) expressed gene sets in NECs post-RV16 at days 3 and 6, compared with baseline, were interferon alpha and gamma response genes. Patients clearing the virus within 6 days (early resolvers) had a significantly increased interferon response at day 6, whereas those having cleared the virus by day 14 (late resolvers) had significantly increased responses at day 3, 6 and 14. Interestingly, patients not having cleared the virus by day 14 (non-resolvers) had no enhanced interferon responses at any of these days. The daily Cold Symptom Scores (CSS) peaked at days 3 to 5 and correlated positively with interferon response genes at day 3 (R = 0.48), but not at other time-points. Interferon response genes were also enhanced in blood at day 6 after RV16 challenge. CONCLUSION AND CLINICAL RELEVANCE:This study shows that viral load and clearance varies markedly over time in mild to moderate asthma patients exposed to a fixed RV16 dose. The host's nasal interferon response to RV16 at day 3 is associated with upper respiratory tract symptoms. The temporal interferon response in nasal epithelium associates with viral clearance in the nasal compartment.

SUBMITTER: Ravi A 

PROVIDER: S-EPMC6972523 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature

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Rhinovirus-16 induced temporal interferon responses in nasal epithelium links with viral clearance and symptoms.

Ravi Abilash A   Chang Meiping M   van de Pol Marianne M   Yang Shan S   Aliprantis Antonios A   Thornton Bob B   Carayannopoulos Leonidas N LN   Bautmans An A   Robberechts Martine M   De Lepeleire Inge I   Singh Dave D   Hohlfeld Jens M JM   Sterk Peter J PJ   Krug Norbert N   Lutter René R  

Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology 20191031 12


<h4>Background</h4>The temporal in vivo response of epithelial cells to a viral challenge and its association with viral clearance and clinical outcomes has been largely unexplored in asthma.<h4>Objective</h4>To determine gene expression profiles over time in nasal epithelial cells (NECs) challenged in vivo with rhinovirus-16 (RV16) and compare to nasal symptoms and viral clearance.<h4>Methods</h4>Patients with stable mild to moderate asthma (n = 20) were challenged intranasally with RV16. Nasal  ...[more]

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