Host immune response to respiratory syncytial virus infection and its contribution to protection and susceptibility in adults: a systematic literature review.

IF 3.9 3区 医学 Q2 IMMUNOLOGY
Agnes Chaumont, Alison Martin, Johan Flamaing, Dexter J Wiseman, Corinne Vandermeulen, Erik Jongert, Timothy Mark Doherty, Philippe Buchy, Steven M Varga, Lucile Warter
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引用次数: 0

Abstract

Introduction: Respiratory syncytial virus (RSV) is an important pathogen in infants, children, older adults, and those with comorbidities. Mechanisms involving viral proteins appear to underlie the ability of RSV to evade and modulate host immunity. We aimed to understand virus- and host-dependent factors regulating the development and severity of RSV infection, as related to the prevention and treatment of RSV-associated disease in adults, through a systematic literature review (SLR).

Methods: An SLR was conducted to identify immune mechanisms involved in the protective response to RSV infection in adults, and responses that may contribute to the development of severe disease. Concurrent searches (MEDLINE/Embase) using embase.com identified relevant papers published between 1990 and 19 April 2023.

Results: Of 1813 records identified, 113 were selected for review. Inclusion criteria were based on relevant patient populations, outcomes, and study methodologies. RSV is common, recurrent, and associated with high morbidity and mortality in older adults and people with underlying chronic diseases. Immune responses differ between younger and older adults. The approval of effective vaccines may protect older individuals from symptomatic RSV infection.

Conclusions: We established the complexities of RSV immune response, but further research is required to fully understand anti-RSV immunology.

成人呼吸道合胞病毒感染的宿主免疫反应及其对保护和易感性的贡献:系统的文献综述。
呼吸道合胞病毒(RSV)是婴幼儿、儿童、老年人及合并症患者的重要病原体。涉及病毒蛋白的机制似乎是RSV逃避和调节宿主免疫能力的基础。我们旨在通过系统文献综述(SLR)了解调节RSV感染发展和严重程度的病毒和宿主依赖因子,以及与成人RSV相关疾病的预防和治疗相关的因素。方法:进行SLR研究,以确定成人对RSV感染的保护性反应中涉及的免疫机制,以及可能导致严重疾病发展的反应。同时检索(MEDLINE/Embase)使用embase.com确定了1990年至2023年4月19日之间发表的相关论文。结果:在1813份被识别的记录中,有113份被选中进行审查。纳入标准基于相关的患者群体、结果和研究方法。呼吸道合胞病毒在老年人和有潜在慢性疾病的人群中是常见的、反复发作的,并且与高发病率和死亡率相关。免疫反应在年轻人和老年人之间有所不同。有效疫苗的批准可以保护老年人免受有症状的呼吸道合胞病毒感染。结论:我们确定了RSV免疫反应的复杂性,但需要进一步的研究来充分了解抗RSV免疫学。
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来源期刊
CiteScore
7.60
自引率
2.30%
发文量
221
审稿时长
6-12 weeks
期刊介绍: Expert Review of Clinical Immunology (ISSN 1744-666X) provides expert analysis and commentary regarding the performance of new therapeutic and diagnostic modalities in clinical immunology. Members of the International Editorial Advisory Panel of Expert Review of Clinical Immunology are the forefront of their area of expertise. This panel works with our dedicated editorial team to identify the most important and topical review themes and the corresponding expert(s) most appropriate to provide commentary and analysis. All articles are subject to rigorous peer-review, and the finished reviews provide an essential contribution to decision-making in clinical immunology. Articles focus on the following key areas: • Therapeutic overviews of specific immunologic disorders highlighting optimal therapy and prospects for new medicines • Performance and benefits of newly approved therapeutic agents • New diagnostic approaches • Screening and patient stratification • Pharmacoeconomic studies • New therapeutic indications for existing therapies • Adverse effects, occurrence and reduction • Prospects for medicines in late-stage trials approaching regulatory approval • Novel treatment strategies • Epidemiological studies • Commentary and comparison of treatment guidelines Topics include infection and immunity, inflammation, host defense mechanisms, congenital and acquired immunodeficiencies, anaphylaxis and allergy, systemic immune diseases, organ-specific inflammatory diseases, transplantation immunology, endocrinology and diabetes, cancer immunology, neuroimmunology and hematological diseases.
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