» Articles » PMID: 26611907

The Role of Viral Infections in Exacerbations of Chronic Obstructive Pulmonary Disease and Asthma

Overview
Publisher Sage Publications
Date 2015 Nov 28
PMID 26611907
Citations 88
Authors
Affiliations
Soon will be listed here.
Abstract

Asthma and chronic obstructive pulmonary disease (COPD) are major causes of global morbidity and mortality worldwide. The clinical course of both asthma and COPD are punctuated by the occurrence of exacerbations, acute events characterized by increased symptoms and airflow obstruction. Exacerbations contribute most of the morbidity, mortality and excess healthcare costs associated with both asthma and COPD. COPD and asthma exacerbations are frequently associated with respiratory virus infections and this has led to an intense research focus into the mechanisms of virus-induced exacerbations over the past decade. Current therapies are effective in reducing chronic symptoms but are less effective in preventing exacerbations, particularly in COPD. Understanding the mechanisms of virus-induced exacerbation will lead to the development of new targeted therapies that can reduce the burden of virus-induced exacerbations. In this review we discuss current knowledge of virus-induced exacerbations of asthma and COPD with a particular focus on mechanisms, human studies, virus-bacteria interactions and therapeutic advances.

Citing Articles

Social vulnerability and asthma-related emergency medical services in Illinois.

Geiger S, Khaium M, Gustafson E, Shapiro M, Keeley S, Johnson C Front Public Health. 2025; 13:1521545.

PMID: 40078769 PMC: 11897263. DOI: 10.3389/fpubh.2025.1521545.


Infectious diseases, cardio-cerebrovascular health and vaccines: pathways to prevention.

Ecarnot F, Amuthavalli Thiyagarajan J, Barbagallo M, Barratt J, Biering-Sorensen T, Botelho-Nevers E Aging Clin Exp Res. 2025; 37(1):80.

PMID: 40074946 PMC: 11903628. DOI: 10.1007/s40520-025-02968-y.


Incidence of acute exacerbations of chronic respiratory disease during pulmonary rehabilitation delivered at home or hospital.

Burge A, Cox N, Ponnudurai A, Holland A, Bondarenko J, Hill C ERJ Open Res. 2025; 11(1).

PMID: 40008175 PMC: 11849134. DOI: 10.1183/23120541.00209-2024.


Evaluation of intranasal TLR2/6 agonist INNA-051: safety, tolerability and proof of pharmacology.

Mercuri F, White S, McQuilten H, Lemech C, Mynhardt S, Hari R ERJ Open Res. 2024; 10(6).

PMID: 39655168 PMC: 11626610. DOI: 10.1183/23120541.00199-2024.


Interplay between Lung Diseases and Viral Infections: A Comprehensive Review.

Suri C, Pande B, Suhasini Sahithi L, Sahu T, Verma H Microorganisms. 2024; 12(10).

PMID: 39458339 PMC: 11510474. DOI: 10.3390/microorganisms12102030.


References
1.
Zhu Z, Tang W, Gwaltney Jr J, Wu Y, Elias J . Rhinovirus stimulation of interleukin-8 in vivo and in vitro: role of NF-kappaB. Am J Physiol. 1997; 273(4):L814-24. DOI: 10.1152/ajplung.1997.273.4.L814. View

2.
Baines K, Hsu A, Tooze M, Gunawardhana L, Gibson P, Wark P . Novel immune genes associated with excessive inflammatory and antiviral responses to rhinovirus in COPD. Respir Res. 2013; 14:15. PMC: 3570361. DOI: 10.1186/1465-9921-14-15. View

3.
Contoli M, Ito K, Padovani A, Poletti D, Marku B, Edwards M . Th2 cytokines impair innate immune responses to rhinovirus in respiratory epithelial cells. Allergy. 2015; 70(8):910-20. DOI: 10.1111/all.12627. View

4.
Sykes A, Macintyre J, Edwards M, Del Rosario A, Haas J, Gielen V . Rhinovirus-induced interferon production is not deficient in well controlled asthma. Thorax. 2013; 69(3):240-6. DOI: 10.1136/thoraxjnl-2012-202909. View

5.
Message S, Laza-Stanca V, Mallia P, Parker H, Zhu J, Kebadze T . Rhinovirus-induced lower respiratory illness is increased in asthma and related to virus load and Th1/2 cytokine and IL-10 production. Proc Natl Acad Sci U S A. 2008; 105(36):13562-7. PMC: 2528869. DOI: 10.1073/pnas.0804181105. View