Published ahead of print on May 13, 2005, doi:10.1164/rccm.200412-1621OC
American Journal of Respiratory and Critical Care Medicine Vol 172. pp. 433-439, (2005)
© 2005 American Thoracic Society
doi: 10.1164/rccm.200412-1621OC
Interleukin-10 Gene Expression in Acute Virus-induced Asthma
Terry V. Grissell,
Heather Powell,
Darren R. Shafren,
Michael J. Boyle,
Michael J. Hensley,
Peter D. Jones,
Bruce F. Whitehead and
Peter G. Gibson
School of Medical Practice and Population Health, University of Newcastle, Callaghan; Department of Respiratory and Sleep Medicine, Hunter Medical Research Institute, and Immunology and Infectious Diseases Unit, John Hunter Hospital, New Lambton; Picornaviral Research Unit, Royal Newcastle Hospital, Newcastle; and John Hunter Children's Hospital, Kaleidoscope, New Lambton, New South Wales, Australia
Correspondence and requests for reprints should be addressed to Peter G. Gibson, M.B.B.S., Level 3 HMRI, John Hunter Hospital, Locked Bag 1, Hunter Region Mail Centre, New Lambton, NSW 2310, Australia. E-mail: peter.gibson{at}hnehealth.nsw.gov.au
Rationale: Virus-induced asthma is characterized by marked neutrophil influx and eosinophil degranulation, suggesting a mode of immunopathogenesis different from that of allergen-induced asthma. Objectives: This study compared induced sputum cytokine responses in subjects with severe asthma exacerbation and respiratory virus infection with those of patients with stable asthma, healthy control subjects, and virus-infected nonasthmatic subjects. Methods: Subject infection status and pulmonary history were established on the basis of common cold and asthma questionnaires, and lung function and atopy tests were performed. Respiratory virus infection was diagnosed by cell culture and direct polymerase chain reaction, using induced sputum. The induced sputum cellular profile was examined and cytokine gene expression was assessed by quantitative real-time polymerase chain reaction. Results: A respiratory virus was detected in 78% of subjects with acute asthma. Specific viruses detected were rhinovirus (83%), influenza (15%), enterovirus (4%), and respiratory syncytial virus (2%). Virus-infected subjects with acute asthma or no asthma had increased RANTES (regulated on activation, normal T cell expressed and secreted) and macrophage inflammatory protein-1 messenger RNAs compared with other groups. Interleukin (IL)-10 mRNA was significantly increased in virus-infected acute asthma and reduced on recovery from acute asthma. IL-5, eotaxin, and IL-8 mRNA transcripts were similar across groups. Conclusions: Asthma exacerbation triggered by respiratory virus infection is characterized by increased IL-10 gene expression that may explain the suppressed eosinophil influx in acute asthma. Airway neutrophilia due to respiratory virus infection is associated with chemokine gene expression involving RANTES and macrophage inflammatory protein-1 .
Key Words: asthma cytokines gene expression viruses
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