J Virol, June 1998, p. 4756-4764, Vol. 72, No. 6
0022-538X/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
by
Lower Airway Epithelial Cells and Eosinophils Infected with
Respiratory Syncytial Virus
Departments of Pediatrics1 and Internal Medicine,2 University of Texas Medical Branch, Galveston, Texas 77555-0369
Received 15 January 1998/Accepted 2 March 1998
Respiratory syncytial virus (RSV) is the major cause of acute
bronchiolitis in infancy, a syndrome characterized by wheezing, respiratory distress, and the pathologic findings of peribronchial mononuclear cell infiltration and release of inflammatory
mediators by basophil and eosinophil leukocytes. Composition and
activation of this cellular response are thought to rely on the
discrete target cell selectivity of C-C chemokines. We
demonstrate that infection in vitro of human epithelial cells of
the lower respiratory tract by RSV induced dose- and time-dependent
increases in mRNA and protein secretion for RANTES (regulated upon
activation, normal T-cell expressed and presumably secreted), monocyte
chemotactic protein-1 (MCP-1), and macrophage inflammatory
protein-1
(MIP-1
). Production of MCP-1 and MIP-1
was
selectively localized only in epithelial cells of the small airways and
lung. Exposure of epithelial cells to gamma interferon (IFN-
), in
combination with RSV infection, induced a significant increase in
RANTES production that was synergistic with respect to that
obtained by RSV infection or IFN-
treatment alone. Epithelial
cell-derived chemokines exhibited a strong chemotactic activity for
normal human blood eosinophils. Furthermore, eosinophils were
susceptible to RSV and released RANTES and MIP-1
as a result of
infection. Therefore, the inflammatory process in RSV-induced
bronchiolitis appears to be triggered by the infection of epithelial
cells and further amplified via mechanisms driven by IFN-
and by the secretion of eosinophil chemokines.
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