PMID- 18640476 OWN - NLM STAT- MEDLINE DCOM- 20081022 LR - 20130118 IS - 0149-2918 (Print) IS - 0149-2918 (Linking) VI - 30 Spec No DP - 2008 TI - Respiratory virus and asthma: the role of immunoglobulin E. PG - 1017-24 LID - 10.1016/j.clinthera.2008.06.002 [doi] AB - BACKGROUND: Atopic diseases, including asthma, have increased to epidemic proportions in the westernized world. The reasons for this increase are not known, nor are the mechanisms behind the development of these diseases. An interesting aspect of atopic disease is the role of respiratory viruses in the development of asthma and atopy. In fact, severe respiratory viral infection in infancy has been associated with a greatly increased risk of asthma. OBJECTIVE: This paper explores potential mechanisms through which viruses impart an increased risk of asthma, focusing on new pathways in mouse models of atopy. METHODS: A search of MEDLINE (1950-March 2008) was conducted using terms that included viral-induced wheeze, respiratory virus, asthma, IgE, and dendritic cells. RESULTS: A total of 1643 publications were identified that contained > or = 1 of the search terms; however, only 7 of these focused on immunoglobulin E (IgE) and the viral risk of asthma, and only 1 of the 7 explored the role of dendritic cells in this process. The latter study suggested a mechanistic link between lung dendritic cells and the development of postviral atopic disease. Important in this pathway is the generation of IgE, its high-affinity receptor, and the T-cell chemoattractant CCL28. CONCLUSIONS: Data from recent mouse models suggest that the development of asthma after severe respiratory viral infection may be the result of a response generated by production of antiviral IgE, which is capable of engaging dendritic cells to form a chemoattractant for interleukin-13-producing T cells. This new paradigm points to a focus for development of future therapies to prevent or at least ameliorate post- viral atopic disease. FAU - Khan, Sadia Hayat AU - Khan SH AD - Division of Allergy and Immunology, Department of Internal Medicine, Washington University School of Medicine, Saint Louis, Missouri, USA. FAU - Park, Stephanie S AU - Park SS FAU - Sirajuddin, Iram A AU - Sirajuddin IA FAU - Grayson, Mitchell H AU - Grayson MH LA - eng PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - Clin Ther JT - Clinical therapeutics JID - 7706726 RN - 0 (Antibodies, Anti-Idiotypic) RN - 0 (anti-IgE antibodies) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Animals MH - Antibodies, Anti-Idiotypic/immunology MH - Asthma/etiology/*immunology/therapy MH - Dendritic Cells/immunology MH - Humans MH - Immunoglobulin E/*immunology MH - Lung/immunology MH - Respiratory Syncytial Virus Infections/*complications/immunology MH - Respiratory Tract Infections/*complications/immunology/virology EDAT- 2008/07/22 09:00 MHDA- 2008/10/23 09:00 CRDT- 2008/07/22 09:00 PHST- 2008/04/25 00:00 [received] PHST- 2008/07/22 09:00 [pubmed] PHST- 2008/10/23 09:00 [medline] PHST- 2008/07/22 09:00 [entrez] AID - S0149-2918(08)00203-8 [pii] AID - 10.1016/j.clinthera.2008.06.002 [doi] PST - ppublish SO - Clin Ther. 2008;30 Spec No:1017-24. doi: 10.1016/j.clinthera.2008.06.002.