2019
DOI: 10.3389/fimmu.2019.00810
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Immune-Modulation by the Human Respiratory Syncytial Virus: Focus on Dendritic Cells

Abstract: The human respiratory syncytial virus (hRSV) is the leading cause of pneumonia in infants and produces a significant burden in the elderly. It can also infect and produce disease in otherwise healthy adults and recurrently infect those previously exposed to the virus. Importantly, recurrent infections are not necessarily a consequence of antigenic variability, as described for other respiratory viruses, but most likely due to the capacity of this virus to interfere with the host's immune response and the estab… Show more

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Cited by 19 publications
(15 citation statements)
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“…Retrograde transport in the ICN axons delivers the virus to the trigeminal ganglion (TG) where the nerve cell bodies are located [73][74][75]. Acute HSV infection attracts and activates dendritic cells, neutrophils, monocytes, and macrophages leading to a so called "cytokine storm" at the TG and the ocular surface [75][76][77].…”
Section: Viral Keratitismentioning
confidence: 99%
“…Retrograde transport in the ICN axons delivers the virus to the trigeminal ganglion (TG) where the nerve cell bodies are located [73][74][75]. Acute HSV infection attracts and activates dendritic cells, neutrophils, monocytes, and macrophages leading to a so called "cytokine storm" at the TG and the ocular surface [75][76][77].…”
Section: Viral Keratitismentioning
confidence: 99%
“…These are the cells that present antigen material to MHC (major histocompatibility cells) molecules and activate T cells. They also act as a connecting link between adaptive and innate immunity by giving instructions either to Th1 (antiviral) or Th2 (antiparasitic or allergic reaction) or Th17 (autoimmunity or antibacterial) type of response 92. It elicits a Th1 immune response during viral infection and tries toclear the invading virus, but the respiratory virus can block the Th1 immune response.…”
mentioning
confidence: 99%
“…Reasons for this include competition with maternal antibody in infants under six months [ 155 ], history of disease enhancement from a formalin-inactivated vaccine tested in the 1960s [ 156 ], and lack of protective immunity following infection [ 157 ]. Reinfection with RSV is not due to antigenic variation but rather viral immune evasion and a suboptimal immune response characterised by low levels of mucosal IgA memory [ 158 ], a high proportion of non-neutralizing antibody responses in primary infection [ 159 ], compromised T helper 1 response [ 160 ], and dendritic cell function [ 161 ], all of which correlate with disease severity during primary infection. Disease enhancement by the formalin-inactivated vaccine was characterized by an excess of lung eosinophils and pulmonary immune complex formation upon challenge in naïve children.…”
Section: Factors Behind the Success/failure Of An Nsv Vaccinementioning
confidence: 99%