Title | Comparison of rhinovirus antibody titers in children with asthma exacerbations and species-specific rhinovirus infection. | ||
Author | Iwasaki, Jua; Smith, Wendy-Anne; Khoo, Siew-Kim; Bizzintino, Joelene; Zhang, Guicheng; Cox, Des W; Laing, Ingrid A; Le Souef, Peter N; Thomas, Wayne R; Hales, Belinda J | ||
Journal | J Allergy Clin Immunol | Publication Year/Month | 2014-Jul |
PMID | 24767874 | PMCID | -N/A- |
Affiliation + expend | 1.Telethon Institute for Child Health Research, University of Western Australia, Perth, Australia. |
BACKGROUND: Asthma exacerbations are associated with human rhinovirus (HRV) infections, and more severe exacerbations are associated with HRV-C. We have previously shown that the HRV-C-specific antibody response is low in healthy adult sera and that most of the antibody to HRV-C is cross-reactive with HRV-A. OBJECTIVES: To compare the antibody response to each HRV species in asthmatic and nonasthmatic children in whom the type of HRV infection was known. METHODS: Total and specific IgG(1) binding to HRV viral capsid protein antigens of HRV-A, -B, and -C were tested in the plasma from nonasthmatic children (n = 47) and children presenting to the emergency department with asthma exacerbations (n = 96). HRV, found in most of the children at the time of their exacerbation (72%), was analyzed using molecular typing. RESULTS: Asthmatic children had higher antibody responses to HRV. The titers specific to HRV-A, and to a lesser extent HRV-B, were higher than in nonasthmatic controls. The species-specific responses to HRV-C were markedly lower than titers to HRV-A and HRV-B in both asthmatic and nonasthmatic children (P < .001). The titers both at presentation and after convalescence were not associated with the HRV genotype detected during the exacerbation. CONCLUSIONS: The higher total anti-HRV antibody titers of asthmatic children and their higher anti-HRV-A and -B titers show their development of a heightened antiviral immune response. The low species-specific HRV-C titers found in all groups, even when the virus was found, point to a different and possibly less efficacious immune response to this species.