Differential effects of respiratory syncytial virus and adenovirus on mononuclear cell cytokine responses

Respiratory syncytial virus (RSV) and adenovirus (Advs) serotype 3 (Adv3) a nd 7h (Adv7h) are associated with mild to severe respiratory infection and are indistinguishable during the acute phases of the illnesses. However, ou tcome and long-term prognosis are different with both infections. RSV infec tion is associated with later development of asthma, and Adv, mainly Adv7h, with severe lung damage, bronchiectasis, and hyperlucent lung. We hypothes ized that this difference could be partly due to different immune responses induced by these viruses. To test this hypothesis we quantified TCD4+, TCD 8+, and BCD19+ expressing the interleukin-2 receptor-alpha chain (CD25) and interferon-gamma (IFN-gamma), interleukin (IL)-10, and IL-4 in the superna tant of peripheral blood mononuclear cells (PBMC) from school children infe cted in vitro with and without RSV, Adv7h, and Adv3 and after phytohemagglu tinin (PHA) stimulation in the presence or absence of these viruses at a mu ltiplicity of infection (MOI) of 1. PBMC from every child produced more IL- 10 (p less than or equal to 0.05) when infected with RSV than with Advs and noninfected control, and Adv induced more (p less than or equal to 0.05) I FN-gamma than did RSV and control. The IL-10/IFN-gamma ratio was significan tly higher (p less than or equal to 0.05) in RSV-infected and significantly lower (p less than or equal to 0.05) in Adv-infected PBMC, than in noninfe cted cells. PHA-stimulated BCD19+ RSV-infected cells expressed more (p less than or equal to 0.05) IL-2R than did Adv-infected cells. These results su ggest that Advs induce a Th-1-type immune response that is not seen with RS V. These patterns persist despite intersubject variation in the absolute qu antity of cytokine produced.