Title Virus and cystic fibrosis: rhinoviruses are associated with exacerbations in adult patients.
Author Goffard, Anne; Lambert, Valerie; Salleron, Julia; Herwegh, Stephanie; Engelmann, Ilka; Pinel, Claudine; Pin, Isabelle; Perrez, Thierry; Prevotat, Anne; Dewilde, Anny; Delhaes, Laurence
Journal J Clin Virol Publication Year/Month 2014-Jun
PMID 24637203 PMCID PMC7108260
Affiliation + expend 1.Department of Microbiology, Lille Hospital, Faculty of Medicine, Lille, France; Molecular & Cellular Virology of Hepatitis C, Center of Infection and Immunity of Lille (CIIL), Inserm U1019, CNRS UMR 8204, Univ. Lille North of France. Electronic address: anne.goffard@univ-lille2.fr.

BACKGROUND: Few studies have suggested the potential role of respiratory viruses in cystic fibrosis (CF) exacerbation, but their real impact is probably underestimated. METHOD: Sixty-four sputum samples collected from 46 adult patients were included in the study: 33 samples were collected during exacerbation of CF, and 31 during the stable phase. After extraction, nucleic acids were tested for the presence of respiratory viruses. When rhinovirus (HRV) was detected, the 5\'UTR and VP4/2 regions were sequenced, and phylogenetically analyzed. The characteristics of patients in exacerbation and stable phase were compared. RESULTS: Viruses were found in 25% of samples. The HRV viruses were the most frequently detected followed by coronaviruses. Only the HRV detection was significantly associated with the occurrence of CF pulmonary exacerbation (p<0.027). Characterization of 5\'UTR and VP4/2 regions of the HRV genome specified that HRV-A, -B, -C were detected. All HRV-C were recombinant HRV-Ca. CONCLUSIONS: HRV were the most frequently detected viruses; their detection was significantly associated with the occurrence of an exacerbation. The reality of viral recombination between HRV was demonstrated in CF patients for the first time, raising the role of viruses in lung microbiota. Further studies are now warranted to decipher virus impact in CF.

StrainID RV Species Serotype Length(nt) Country Year Strain Name
ANC06579 A None 397 France 2007 05-001
ANM06580 A None 515 France 2007 06-002
ANP06577 A None 292 France 2008 05-044
ANP06582 A None 513 France 2007 05-005
ANS06578 A None 395 France 2007 05-005
ANS06583 A None 509 France 2007 05-001
ANZ06576 A None 299 France 2007 06-002
ANZ06581 A None 515 France 2008 05-044
CNC04464 C None 251 France 2007 03-010
CNM04465 C None 465 France 2008 05-004
CNP04462 C None 397 France 2008 01-059
CNP04467 C None 458 France 2008 02-008
CNS04463 C None 301 France 2008 02-008
CNS04468 C None 458 France 2007 03-010
CNZ04461 C None 394 France 2008 05-004
CNZ04466 C None 450 France 2008 01-059
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