A2 Refereed review article in a scientific journal

Susceptibility to Rhinovirus-induced Early Wheezing as a Risk Factor for Subsequent Asthma Development




AuthorsMikkola Hannele, Honkila Minna, Tapiainen Terhi, Jartti Tuomas

PublisherBentham Science Publishers

Publication year2022

JournalCurrent Respiratory Medicine Reviews

Journal name in sourceCurrent Respiratory Medicine Reviews

Volume18

Issue2

First page 86

Last page94

eISSN1875-6387

DOIhttps://doi.org/10.2174/1573398X18666220103113813

Web address https://www.eurekaselect.com/article/119894


Abstract

Rhinovirus is one of the two most common viral agents that cause bronchiolitis in young children. During the first 12 months, it is second to the respiratory syncytial virus, but after 12 months, it begins dominating the statistics. Wheezing and dry cough are typical clinical symptoms indicative of rhinovirus-induced bronchiolitis, although overlap of symptoms with other virus infections is common. Several studies have shown that atopic predisposition and reduced interferon responses increase susceptibility to rhinovirus-induced wheezing. More recent studies have found that certain genetic variations at strong asthma loci also increase susceptibility. Rhinovirus-induced wheezing in the early years of life is known to increase the risk of subsequent asthma development and may be associated with airway remodeling. This risk is increased by aeroallergen sensitization. Currently, there are no clinically approved preventive treatments for asthma. However, studies show promising results indicating that children with rhinovirus-affected first-time wheezing respond to bronchodilators in terms of less short-term symptoms and that controlling airway inflammatory responses with anti-inflammatory medication may markedly decrease asthma development. Also, enhancing resistance to respiratory viruses has been a topic of discussion. Primary and secondary prevention strategies are being developed with the aim of decreasing the incidence of asthma. Here, we review the current knowledge on rhinovirus-induced early wheezing as a risk factor for subsequent asthma development and related asthma-prevention strategies.



Last updated on 2024-26-11 at 21:17