Rhinovirus-Induced Exacerbations of Asthma and COPD

Over the past two decades, increasing evidence has shown that, in patients with chronic airways disease, viral infection is the most common cause of exacerbation. This review will examine the evidence for viral-induced exacerbations of asthma and chronic obstructive lung disease and the potential me...

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Main Author: Marc B. Hershenson
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Scientifica
Online Access:http://dx.doi.org/10.1155/2013/405876
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author Marc B. Hershenson
author_facet Marc B. Hershenson
author_sort Marc B. Hershenson
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description Over the past two decades, increasing evidence has shown that, in patients with chronic airways disease, viral infection is the most common cause of exacerbation. This review will examine the evidence for viral-induced exacerbations of asthma and chronic obstructive lung disease and the potential mechanisms by which viruses cause exacerbations. Attention will be focused on rhinovirus, the most common cause of respiratory exacerbations. Exacerbations due to rhinovirus, which infects relatively few cells in the airway and does not cause the cytotoxicity of other viruses such as influenza or respiratory syncytial virus, are particularly poorly understood. While the innate immune response likely plays a role in rhinovirus-induced exacerbations, its precise role, either adaptive or maladaptive, is debated. Because current treatment strategies are only partially effective, further research examining the cellular and molecular mechanisms underlying viral-induced exacerbations of chronic airways diseases is warranted.
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spelling doaj-art-a65682dd27ef493dadc2c1023a4ab92f2025-02-03T06:07:21ZengWileyScientifica2090-908X2013-01-01201310.1155/2013/405876405876Rhinovirus-Induced Exacerbations of Asthma and COPDMarc B. Hershenson0Departments of Pediatrics and Communicable Diseases and Molecular and Integrative Physiology, University of Michigan Medical School, 1150 W. Medical Center Drive, Room 3570B, Medical Science Research Building 2, Ann Arbor, MI 48109-5688, USAOver the past two decades, increasing evidence has shown that, in patients with chronic airways disease, viral infection is the most common cause of exacerbation. This review will examine the evidence for viral-induced exacerbations of asthma and chronic obstructive lung disease and the potential mechanisms by which viruses cause exacerbations. Attention will be focused on rhinovirus, the most common cause of respiratory exacerbations. Exacerbations due to rhinovirus, which infects relatively few cells in the airway and does not cause the cytotoxicity of other viruses such as influenza or respiratory syncytial virus, are particularly poorly understood. While the innate immune response likely plays a role in rhinovirus-induced exacerbations, its precise role, either adaptive or maladaptive, is debated. Because current treatment strategies are only partially effective, further research examining the cellular and molecular mechanisms underlying viral-induced exacerbations of chronic airways diseases is warranted.http://dx.doi.org/10.1155/2013/405876
spellingShingle Marc B. Hershenson
Rhinovirus-Induced Exacerbations of Asthma and COPD
Scientifica
title Rhinovirus-Induced Exacerbations of Asthma and COPD
title_full Rhinovirus-Induced Exacerbations of Asthma and COPD
title_fullStr Rhinovirus-Induced Exacerbations of Asthma and COPD
title_full_unstemmed Rhinovirus-Induced Exacerbations of Asthma and COPD
title_short Rhinovirus-Induced Exacerbations of Asthma and COPD
title_sort rhinovirus induced exacerbations of asthma and copd
url http://dx.doi.org/10.1155/2013/405876
work_keys_str_mv AT marcbhershenson rhinovirusinducedexacerbationsofasthmaandcopd