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Journal article

A systematic review and meta-analysis of animal studies investigating the relationship between serum antibody, T lymphocytes, and respiratory syncytial virus disease

Abstract:

Background

Respiratory syncytial virus (RSV) infections occur in human populations around the globe, causing disease of variable severity, disproportionately affecting infants and older adults (>65 years of age). Immune responses can be protective but also contribute to disease. Experimental studies in animals enable detailed investigation of immune responses, provide insights into clinical questions, and accelerate the development of passive and active vaccination. We aimed to review the role of antibody and T-cell responses in relation to RSV disease severity in animals.

Methods

Systematic review and meta-analysis of animal studies examining the association between T-cell responses/phenotype or antibody titers and severity of RSV disease. The PubMed, Zoological Record, and Embase databases were screened from January 1980 to May 2018 to identify animal studies of RSV infection that assessed serum antibody titer or T lymphocytes with disease severity as an outcome. Sixty-three studies were included in the final review.

Results

RSV-specific antibody appears to protect from disease in mice, but such an effect was less evident in bovine RSV. Strong T-cell, Th1, Th2, Th17, CD4/CD8 responses, and weak Treg responses accompany severe disease in mice.

Conclusions

Murine studies suggest that measures of T-lymphocyte activity (particularly CD4 and CD8 T cells) may be predictive biomarkers of severity. Further inquiry is merited to validate these results and assess relevance as biomarkers for human disease.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1093/infdis/jiab370

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Publisher:
Oxford University Press
Journal:
Journal of Infectious Diseases More from this journal
Volume:
226
Issue:
S1
Pages:
S117-S129
Publication date:
2021-09-15
Acceptance date:
2021-07-15
DOI:
EISSN:
1537-6613
ISSN:
0022-1899
Pmid:
34522970


Language:
English
Keywords:
Pubs id:
1278853
Local pid:
pubs:1278853
Deposit date:
2022-09-15

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