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Epithelial cell responses to rhinovirus identify an early-life-onset asthma phenotype in adults.


ABSTRACT:

Background

The study of pathogenic mechanisms in adult asthma is often marred by a lack of precise information about the natural history of the disease. Children who have persistent wheezing (PW) during the first 6 years of life and whose symptoms start before age 3 years (PW+) are much more likely to have wheezing illnesses due to rhinovirus (RV) in infancy and to have asthma into adult life than are those who do not have PW (PW-).

Objective

Our aim was to determine whether nasal epithelial cells from PW+ asthmatic adults as compared with cells from PW- asthmatic adults show distinct biomechanistic processes activated by RV exposure.

Methods

Air-liquid interface cultures derived from nasal epithelial cells of 36-year old participants with active asthma with and without a history of PW in childhood (10 PW+ participants and 20 PW- participants) from the Tucson Children's Respiratory Study were challenged with a human RV-A strain (RV-A16) or control, and their RNA was sequenced.

Results

A total of 35 differentially expressed genes involved in extracellular remodeling and angiogenesis distinguished the PW+ group from the PW- group at baseline and after RV-A stimulation. Notably, 22 transcriptomic pathways showed PW-by-RV interactions; the pathways were invariably overactivated in PW+ patients, and were involved in Toll-like receptor- and cytokine-mediated responses, remodeling, and angiogenic processes.

Conclusions

Asthmatic adults with a history of persistent wheeze in the first 6 years of life have specific biomolecular alterations in response to RV-A that are not present in patients without such a history. Targeting these mechanisms may slow the progression of asthma in these patients.

SUBMITTER: Chang EH 

PROVIDER: S-EPMC9463086 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature

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Epithelial cell responses to rhinovirus identify an early-life-onset asthma phenotype in adults.

Chang Eugene H EH   Pouladi Nima N   Guerra Stefano S   Jandova Jana J   Kim Alexander A   Li Haiquan H   Li Jianrong J   Morgan Wayne W   Stern Debra A DA   Willis Amanda L AL   Lussier Yves A YA   Martinez Fernando D FD  

The Journal of allergy and clinical immunology 20220331 3


<h4>Background</h4>The study of pathogenic mechanisms in adult asthma is often marred by a lack of precise information about the natural history of the disease. Children who have persistent wheezing (PW) during the first 6 years of life and whose symptoms start before age 3 years (PW<sup>+</sup>) are much more likely to have wheezing illnesses due to rhinovirus (RV) in infancy and to have asthma into adult life than are those who do not have PW (PW<sup>-</sup>).<h4>Objective</h4>Our aim was to d  ...[more]

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