Human Respiratory Syncytial Virus—Biology, Diagnosis and Prevention

A special issue of Microorganisms (ISSN 2076-2607). This special issue belongs to the section "Public Health Microbiology".

Deadline for manuscript submissions: 28 February 2025 | Viewed by 2066

Special Issue Editor

School of Basic Medical Science, Central South University, Changsha, China
Interests: medical microbiology; molecular virology

Special Issue Information

Dear Colleagues,

Human respiratory syncytial virus (RSV) is a common cause of lower respiratory tract infections (LRTIs) in all age groups worldwide. In infants and young children, the first infection can lead to severe and sometimes fatal bronchiolitis. Globally, RSV is estimated to cause more than 30 million cases of acute LRTI in young children each year, with more than 3 million severe cases requiring hospitalization, making it the most common cause of hospitalization in children under 5 years of age. In addition to the pediatric disease burden, RSV is increasingly recognized as an important pathogen in the elderly, with infections leading to increased hospitalization rates, increased mortality in people aged 65 years and older, and increased mortality in frail older adults close to the incidence of influenza.

Two FDA-approved monoclonal antibodies may help protect infants from RSV LRTD infection, but monoclonal antibodies are not vaccines. Monoclonal antibodies are laboratory-made proteins that mimic the immune system's ability to fight off harmful pathogens such as viruses. Among older adults, RSV infection can lead to LRTD, hospitalization, and death. Older adults with certain pre-existing health conditions (e.g., asthma, COPD, diabetes, and heart disease) are at increased risk of hospitalization, and those with weakened immune systems may have severe respiratory syncytial virus disease. There is an unmet need for RSV vaccines, and only two FDA-approved vaccines are available to prevent RSV LRTD in adults aged 60 years and older: Abrysvo and Arexvy. To date, 19 vaccine candidates and monoclonal antibodies (mAb) are in clinical trials in a variety of populations, and many more vaccines and monoclonal antibodies (mAb) are in preclinical development.

The purpose of this Special Issue is to invite scholars to discuss and share their latest research advances in human respiratory syncytial virus biology, diagnosis, and prevention. We warmly welcome submissions of original research articles, short communications, or review articles that convey research advances and findings relevant to the topic.

Dr. Yurong Tan
Guest Editor

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Keywords

  • human respiratory syncytial virus
  • medical microbiology
  • molecular biology
  • virus diagnosis
  • infection prevention

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Published Papers (2 papers)

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Research

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10 pages, 711 KiB  
Article
A Scoring System to Predict Severe Acute Lower Respiratory Infection in Children Caused by Respiratory Syncytial Virus
by Ri De, Mingli Jiang, Yu Sun, Siyuan Huang, Runan Zhu, Qi Guo, Yutong Zhou, Dong Qu, Ling Cao, Fengmin Lu and Linqing Zhao
Microorganisms 2024, 12(7), 1411; https://doi.org/10.3390/microorganisms12071411 - 12 Jul 2024
Cited by 1 | Viewed by 916
Abstract
There were several factors associated with respiratory syncytial virus (RSV) severe acute lower respiratory infection (RSV-sALRI) in infants and young children. It is vital to develop a convenient scoring system to predict RSV-sALRI in children. Pediatric patients with RSV-ALRI from January 2009 to [...] Read more.
There were several factors associated with respiratory syncytial virus (RSV) severe acute lower respiratory infection (RSV-sALRI) in infants and young children. It is vital to develop a convenient scoring system to predict RSV-sALRI in children. Pediatric patients with RSV-ALRI from January 2009 to December 2021 were recruited retrospectively. Two-third of them were randomly grouped into the development set and one-third to the validation set. In the development set, risk factors for RSV-sALRI were transferred into the logistic regression analysis, then their receiver operating characteristic (ROC) curves were built to obtain the area under the ROC curve (AUC), and regression coefficients for each predictor were converted to points. Finally, the value of the scoring system was evaluated in the validation set. A total of 1 066 children with RSV-ALRI were recruited, including 710 in the development set and 356 in the validation set. By logistic regression analysis, six factors (younger than 2 years, gestational age <37 weeks, have siblings, birth weight ≤2500 g, artificial/mix feeding, CHD) showed statistical difference and then were scored with points according to the coefficient value (OR) in the development set. In the validation set, the sensitivity of the scoring system was 70.25%, the specificity 85.53%, the positive predictive value 71.43%, the negative predictive value 84.81%, and coincidence rate 0.80. The Kolmogorov–Smirnov test showed the distribution of AUC 0.765 (SE = 0.027; 95% CI = 0.713–0.818; p < 0.001). A simplified scoring system was developed in the study with high prediction value for RSV-sALRI in children. Full article
(This article belongs to the Special Issue Human Respiratory Syncytial Virus—Biology, Diagnosis and Prevention)
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Review

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28 pages, 1184 KiB  
Review
Immune Responses to Respiratory Syncytial Virus Vaccines: Advances and Challenges
by Gabriela Souza da Silva, Sofia Giacomet Borges, Bruna Bastos Pozzebon and Ana Paula Duarte de Souza
Microorganisms 2024, 12(11), 2305; https://doi.org/10.3390/microorganisms12112305 - 13 Nov 2024
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Abstract
Respiratory Syncytial Virus (RSV) is a leading cause of acute respiratory infections, particularly in children and the elderly. This virus primarily infects ciliated epithelial cells and activates alveolar macrophages and dendritic cells, triggering an innate antiviral response that releases pro-inflammatory cytokines. However, immunity [...] Read more.
Respiratory Syncytial Virus (RSV) is a leading cause of acute respiratory infections, particularly in children and the elderly. This virus primarily infects ciliated epithelial cells and activates alveolar macrophages and dendritic cells, triggering an innate antiviral response that releases pro-inflammatory cytokines. However, immunity generated by infection is limited, often leading to reinfection throughout life. This review focuses on the immune response elicited by newly developed and approved vaccines against RSV. A comprehensive search of clinical studies on RSV vaccine candidates conducted between 2013 and 2024 was performed. There are three primary target groups for RSV vaccines: pediatric populations, infants through maternal immunization, and the elderly. Different vaccine approaches address these groups, including subunit, live attenuated or chimeric, vector-based, and mRNA vaccines. To date, subunit RSV vaccines and the mRNA vaccine have been approved using the pre-fusion conformation of the F protein, which has been shown to induce strong immune responses. Nevertheless, several other vaccine candidates face challenges, such as modest increases in antibody production, highlighting the need for further research. Despite the success of the approved vaccines for adults older than 60 years and pregnant women, there remains a critical need for vaccines that can protect children older than six months, who are still highly vulnerable to RSV infections. Full article
(This article belongs to the Special Issue Human Respiratory Syncytial Virus—Biology, Diagnosis and Prevention)
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