Skip to main content

Modulation of airway hyperresponsiveness by rhinovirus exposure

Abstract

Rhinovirus (RV) exposure has been implicated in childhood development of wheeze evoking asthma and exacerbations of underlying airways disease. Studies such as the Copenhagen Prospective Studies on Asthma in Childhood (COPSAC) and Childhood Origins of ASThma (COAST) have identified RV as a pathogen inducing severe respiratory disease. RVs also modulate airway hyperresponsiveness (AHR), a key characteristic of such diseases. Although potential factors underlying mechanisms by which RV induces AHR have been postulated, the precise mechanisms of AHR following RV exposure remain elusive.

A challenge to RV-related research stems from inadequate models for study. While human models raise ethical concerns and are relatively difficult in terms of subject recruitment, murine models are limited by susceptibility of infection to the relatively uncommon minor group (RV-B) serotypes, strains that are generally associated with infrequent clinical respiratory virus infections. Although a transgenic mouse strain that has been developed has enhanced susceptibility for infection with the common major group (RV-A) serotypes, few studies have focused on RV in the context of allergic airways disease rather than understanding RV-induced AHR. Recently, the receptor for the virulent RV-C CDHR3, was identified, but a dearth of studies have examined RV-C-induced effects in humans.

Currently, the mechanisms by which RV infections modulate airway smooth muscle (ASM) shortening or excitation-contraction coupling remain elusive. Further, only one study has investigated the effects of RV on bronchodilatory mechanisms, with only speculation as to mechanisms underlying RV-mediated modulation of bronchoconstriction.

Background

In vitro studies - mechanisms of airway hyperresponsiveness

Airway hyperresponsiveness (AHR) is characterized by inflammation and bronchoconstriction in response to nonspecific stimuli [1] and is a key characteristic of chronic lung disorders such as asthma and chronic obstructive pulmonary disease (COPD). Exposure to environmental toxins has been an important area of study with respect to AHR. For instance, findings by Jude et al. [2] suggested that formaldehyde, an air pollutant, induced AHR in human airway smooth muscle (HASM) cells by altering contractile pathways in the cell. Ozone, another common pollutant, can induce AHR in human lung explants and ASM cells [3,4,5]. After toxicant exposure, cytokines liberated from airway structural cells or trafficking leukocytes modulate bronchomotor tone. Cooper et al. [6] demonstrated that human lung explants incubated with interleukin (IL)-13 exhibited AHR; other studies similarly found enhanced contractility after IL-13 exposure in HASM [7,8,9]. Studies by Amrani et al. [10] and Hotta et al. [11] have also implicated tumor necrosis factor-α (TNF-α) in the induction of enhanced ASM contractility. Respiratory pathogens have also gained attention as inducers of AHR. However, unlike for inflammatory cytokines, mechanisms whereby viral infection, specifically rhinovirus (RV), does this is subject to debate and largely have not been elucidated.

Evidence of RV-induced AHR

Over the past few decades, RVs, the viruses precipitating the common cold, have been recognized as important pathogens in the development of wheeze leading to asthma and exacerbation of chronic respiratory disease. Evidence supports that RVs are the most prevalent respiratory viruses among patients with wheeze and asthma, especially in children [12,13,14]. Additionally, data from the Childhood Origins of ASThma (COAST) and Copenhagen Prospective Studies on Asthma in Childhood (COPSAC), which are high-risk birth cohort studies, established a link between RV-induced wheeze in children and risk/development of asthma [15, 16]. RV infections have also been implicated in exacerbations of asthma [17,18,19,20]. RV infection in vivo induces AHR, which is characterized by bronchoconstriction and inflammation of the airways [21,22,23,24,25]. Accordingly, investigators have pursued studies of AHR in non-diseased and asthma/COPD subjects after RV exposure.

Studying molecular mechanisms underlying RV-induced AHR

Current models of RV-induced AHR include murine, single cell culture, cellular co-culture, and human models. Most studies have focused on in vitro systems to characterize inflammatory responses to RV. Infections of epithelial cell monolayers are useful for studying a single cell type, and epithelial cell co-cultures with other cell types have been successfully used to study the immune response [26]. However, even both approaches are incapable of capturing an integrated ex vivo model of cell-cell interaction critical to modeling infection and AHR that have been observed in vivo.

Murine studies provide a platform to study RV infections and AHR, but these studies are limited by species selectivity to minor group RV serotypes. Despite the development of a mouse strain expressing a chimeric intercellular adhesion molecule 1 (ICAM-1) for mouse recognition of RV-A16 [27, 28], what little experimental data exists is framed within the context of an allergic airways disease model rather than focusing on the direct effects of RV-A16 on AHR.

Obtaining approval for experimental RV studies in humans has been challenging, and disease context for asthma is limited to mild severity, leaving many questions left unanswered. Several prospective cross-sectional studies have shown associations between RV infection and asthma inception and exacerbations. However, these studies are limited in their ability to provide mechanisms that lead to AHR. Experimental challenge models in humans provide some opportunity to study AHR in the correct host and in the context of disease. In this review, we will discuss the current models and approaches to evaluate AHR during viral infection and speculate on potential mechanisms of RV-induced AHR as outlined in the known literature to date.

Models of RV-induced AHR

Animal models of RV infection

While human models of RV infection are most relevant, ethical concerns and practical limitations exist where investigators have chosen to use animal models. Yin and Lomax [29] developed a murine model of RV infection that mimics the effects of RV regarding inflammation, AHR, and exacerbations of allergic airways disease. Notable advantages to this model include an intact immune system, ability to genetically manipulate aspects of the immune response to determine the specific role in response to RV, and easy handling [30]. However, limitations lie in the inability to sustain RV titers after 24 h, as well as lack of responsiveness of murine ASM to a variety of bronchoconstrictors [31]. Additionally, many studies regarding acute RV-induced effects in vivo examine RV-B serotypes in mice since RV-A serotypes do not bind mouse ICAM-1 [27, 32] due to lack of homology with human ICAM-1. Studies on RV-B serotypes, however, are not may not be readily translational to human disease given that RV-A and RV-C serotypes have been associated with more severe symptoms in comparison to RV-B serotypes [33,34,35,36] and that many clinical studies of RV infection are proportionally skewed towards greater detection of RV-A and RV-C serotypes [20, 37,38,39,40].

In 2003, Tuthill et al. [28] developed an in vitro murine model suitable for major group RV (including RV-A16) infection. They achieved infection and replication of RV-A16 in a murine lower epithelial cell line expressing chimeric ICAM-1 with human domains for EC1 and 2. Similarly, Bartlett et al. [27] developed a BALB/c mouse strain transgenic for EC1 and 2 of human ICAM-1 that supports RV-A16 infection, thereby serving as a model that supports both RV-A and RV-B infection [41]. After viral infection, the transgenic mice exhibited replication-dependent features similar to those seen following RV-1B exposure, including airway inflammation, mucin production, and cytokine induction. Further, OVA-sensitized and challenged mice infected with RV-1B showed enhanced airway inflammation and hyper-responsiveness, serving as a murine model for RV-1B-induced allergic asthma exacerbations. A murine model for RV-induced COPD exacerbation was also developed by Singanayagam et al. [42]. Increases in TNF-α, interferon-γ-induced protein-10 (IP-10), and regulated on activation, normal T cell expressed and secreted (RANTES) expression were observed after a single elastase treatment followed by RV-1B infection. However, the translation of these models to human disease is tenuous.

While murine models are useful in elucidating some RV-induced effects in vivo, numerous immunologic differences exist between mice and humans that include differences in proportions of neutrophils and lymphocytes in peripheral blood and differences in Th1 differentiation [43]. Others have elegantly described the difference between murine and human lymphocytes: human lymphocytes demonstrate greater overlap in Th1 and Th2 cytokine profiles compared to murine lymphocytes [44]. Irvin and Bates [45] described anatomical differences between the murine and human lung, including those in lung branching pattern, airway caliber, thickness of epithelium, presence of submucosal glands, etc. Such factors could play a significant role in interpretation and extrapolation of results obtained from murine RV studies to RV studies in humans, making the findings of these studies challenging to translate to humans.

Recently, a cell culture system for RV-C serotypes was developed [46] and the receptor for RV-C serotypes, cadherin-related family member 3 (CDHR3), was identified [47]. The next step is exploring the pathogenic mechanism of RV-C infection in a murine model, possibly through transgenic mice expressing CDHR3. This new model may offer new opportunities in the study of virus-induced AHR.

Airway cell co-culture models of RV infection

Studies have utilized an epithelial cell/airway smooth muscle co-culture model to examine cell-cell interactions in precipitating AHR. Damera et al. [48] found enhanced prostaglandin E2 in a co-culture of differentiated human airway epithelial and HASM cells after ozone exposure. Others found a 2.5-fold increase in HASM cell numbers in a co-culture with human airway epithelial cells (HAEC) compared to the HASM monolayer [49]. Although these single cell cultures are suitable for investigating secretion of inflammatory or contractile mediators, the monolayer model fails to reproduce the complex interactions of different airway cells in vivo. A co-culture cell model offers perhaps a more appropriate experimental design to study AHR.

Few studies have explored airway co-culture models to study RV infection (Table 1). However, the effects of RV-conditioned media on airway cells has been studied. Van Ly et al. [50] infected primary HAECs with RV for 24 h and observed β2 adrenoceptor (β2AR) desensitization in primary HASM after exposure to the RV-induced medium. Similarly, Rajan et al. [51] co-cultured human peripheral blood mononuclear cells (PBMCs) and RV-infected HAEC in a two-chamber trans-well tissue culture system and found increased levels of interferon (IFN) λ2 (also known as IL-28A), IFN-α, monocyte chemoattractant protein (MCP)-2, and macrophage inflammatory protein (MIP)-1β. The synergistic effects of the co-culture model showed elevated levels of IP-10 and MCP-1 in a primary HAEC/human monocyte co-culture after RV exposure [52]. Shariff et al. [53] identified that exposure of medium from RV-infected primary HAECs led to primary ASM chemotaxis, primarily modulated by RANTES. However, the number of studies using co-cultures to study airways disease has been limited due to the necessity of air-liquid interface culture as well as primary HAECs. A study by Pezzulo et al. [54] confirmed that the transcriptional profile of differentiated HAECs more closely resembles the human airway epithelium than transformed airway epithelial cell lines. Therefore, the use of primary epithelial cells in co-cultures rather than utilizing transformed epithelial cell lines is the most physiologically relevant system to study the effects of RV.

Table 1 Rhinovirus Studies

Ex vivo tissue models of AHR and respiratory virus exposure

Primary airway cell culture and precision cut lung slices (PCLS) are currently used to study effects of a number of lung insults ex vivo (Table 1). While primary cell culture and in vitro co-culture consist of only a few cell types, human PCLS prepared from organ donors consist of many relevant cell types of the respiratory tract situated within their native micro-anatomical environment. Maintaining the in vivo properties of the cultured cells, such as structure, promotes PCLS as an especially suitable model for studying airways disease [26]. For instance, this system also maintains ciliary motility and responsiveness to contractile agonists, including carbachol (CCh), a cholinergic agonist much like methacholine. Kennedy et al. [24] assessed carbachol responsiveness after infection with RV39 in PCLS from donors with a history of asthma. Other viruses have also been studied using this approach. Sun et al. [55] studied the human respiratory syncytial virus (RSV) and found a response to RSV immunostimulatory defective viral genomes (iDVG) in PCLS. Avgousti et al. [56] found that protein VII, a highly basic cellular histone-like protein encoded by adenoviruses, alters cellular chromatin in human PCLS. Furthermore, Kim et al. [57] found that deficiency in melanoma differentiation-associated protein (MDA)-5, a protein that detects motifs in viral oligonucleotides, enhanced constriction in mruine PCLS after infection with Sendai virus. Another study showed incubation of human PCLS with high-concentration poly (I:C) had little effect on contractility but induced secretion of cytokines and chemokines [6].

Despite the relevance of the human PCLS in studying RV-induced AHR, the limited availability of human lung tissue makes animal PCLS a viable alternative. Ressmeyer et al. [58] studied bronchoconstriction in guinea pig PCLS and found similar responsiveness to endogenous mediators when compared to humans. Henjakovic et al. [59] reported that murine PCLS exposed to trimellitic anhydride and DNCB, two allergenic sensitizers, exhibited the same effects as observed in vivo. Furthermore, Fox [60] observed that porcine PCLS shared similar contractile agonist sensitivity with human airways and studied inflammatory mediator secretion by PCLS from the murine model of allergic airways disease.

Clinical models of RV infection

A number of studies have investigated the clinical effects of RV exposure in human subjects in both cross-sectional studies and in human challenge models (Table 1). An early RV challenge study by Grunberg et al. [22] found a decrease in the provocation concentration for a 20% decrease in forced expiratory volume in 1 s (FEV1) and increases in IL-8 levels in atopic asthmatic subjects with RV-A16. A cross-sectional clinical study found increased AHR to methacholine in children (ages 7–12 with intermittent asthma) with RV-induced asthma during the course of reported colds [61]. These studies confirmed the findings of earlier work by Zambrano et al. [25], which showed increased methacholine sensitivity in highly atopic individuals (ages 18–30, total IgE > 371 IU/mL) during RV-A16 experimental challenge. Proud et al. [62] found significantly increased symptom scores in RV-infected subjects compared to sham-infected controls (in 20 year old subjects), and others have shown increased IL-25 and IL-33 in human subjects (ages 26–36, and ages birth to 6 years old) after experimental RV-A16 infection [63, 64]. Since majority of studies have investigated RV in the context of underlying airways disease, the fundamental mechanisms through which RV modulates AHR remains elusive.

There is evidence for neurogenic inflammation playing a part in both asthma and rhinitis, a hallmark of respiratory tract infections with virus. Such findings suggest that neurokinins and innervation of the airways may play a role in modulating RV-induced AHR via changing the responses of nerves in the airways [65, 66]. A single study of five subjects with colds noted that inhalation of substance P, which stimulates cough responses in guinea pigs following release from the nerves [67], induced cough in normal subjects infected with RV but had little effect on subjects without RV infection [68]. The therapeutic that was effective at diminishing these effects was procaterol, a β2 adrenergic receptor agonist, which mainly targets airway smooth muscle to induce bronchodilation of the airways. However, this study did not directly test the idea that RV infection induces release of neurokinins into the airways to induce AHR. Thus far, there have been no studies linking neurokinin receptor agonists like substance P to RV-induced AHR, only a putative role for receptors for these agents in respiratory syncytial virus infection in rats [69, 70]. A study by Abdullah et al. shows that RV upregulates transient receptor potential (TRP) channels, which are known to modulate neurogenic signals and have been implicated in cough [71], in neurons. To date no other studies have been performed to expand upon this study, so it is unclear as to whether TRP channels play a role in RV-induced AHR. Additionally, an experimental RV infection model in human subjects noted that RV infection enhanced responsiveness to histamine rather than bradykinin, thereby suggesting that airway sensory nerves may not play much of a role in RV-induced asthma exacerbations [22]. The findings of all of these studies that suggest a role for neurogenic inflammation in RV-induced AHR are difficult to use to establish clinical relevance for the paradigm because: (1) there is significant interspecies variation between human and animal models, and (2) there is a significant amount of afferent sensory innervation variability among human subjects [72].

Understanding mechanisms of RV-induced AHR and ASM cell function

Currently, there is limited understanding of mechanisms by which RV modulates airway contractility. Given that ASM is the pivotal cell modulating bronchomotor tone and hyperreactivity, modulation of contraction and relaxation of this tissue is a logical starting point to discover mechanisms of RV-induced AHR. Upon finding that RV enhanced airway contractile responsiveness and reduced β-agonist isoproterenol efficacy in isolated rabbit and human ASM, Hakonarson et al. [73] found diminished cAMP levels, increased Gαi expression, and enhanced ICAM-1 expression on the cell surface of ASM. While an increase in ICAM-1 density on the cell surface can enhance RV binding to improve infection rates, higher Gαi expression and lower cAMP level could then contribute to RV-induced airway hyperresponsiveness. As Gαi inhibits adenylyl cyclase, cAMP levels diminish and subsequently, Protein Kinase A (PKA) fails to inactivate myosin light chain kinase (MLCK) to induce bronchodilation. According to McGraw et al. [7], increased Gαi decreased β2AR-mediated bronchodilation and M3-muscarinic receptor (M3R)-mediated bronchoconstriction in murine ASM. Interestingly, this finding translates to a protective effect with regard to bronchoconstriction in conjunction with reduced effect of ß2AR-agonists. Others postulated that Gαi upregulation activates Rho via Rho guanine nucleotide exchange factors (GEFs), that then evokes actin polymerization in ASM (as described in [74,75,76,77]). Croxton et al. [78] found that modulation of Gαi contributes to Ca2+ sensitization in tracheal smooth muscle, thereby potentially increasing airway contractility.

RV-induced effects on ASM excitation-contraction (E-C) coupling

To date, few studies have been conducted examining mechanisms of RV-induced modulation of airway contractility. Hakonarson et al. [79] identified IL-1β to be involved in rabbit and HASM responsiveness following RV exposure. After pretreatment of rabbit tissue with an IL-1 recombinant human receptor antagonist, RV-induced changes in responsiveness were attenuated. Additionally, RV exposure induced IL-1β expression, which was ICAM-1 dependent. According to Van Ly et al. [50], HAECs exposed to RV secreted factors into the media that induced β2AR desensitization in human ASM through TLR activation of cyclooxygenase-2-induced prostaglandins. Kennedy et al. [24] found that RV39 exposure of non-asthma-derived human precision cut lung slices failed to induce hyperresponsiveness to a contractile agonist, but exposure of asthma-derived lung slices induced hyperresponsiveness of the small airways. Overall some studies suggest potential mechanisms underlying RV-induced AHR; however, more work is needed to thoroughly examine mechanisms of this phenomenon.

Clinical studies: RV and the development of wheeze and AHR

Rhinoviruses have been implicated in the development of wheeze that evokes childhood asthma. Johnston et al. [13] identified RVs induce two thirds of upper respiratory viral infections in children (ages 9–11) with cough/wheeze through a community based longitudinal study. Similarly, RVs were detected in 33% of nasopharyngeal aspirates in children hospitalized for wheezing. In the same study, RV-positive cases were associated with development of asthma (OR = 4.14) while RV-negative cases were not [80]. Notably, it was reported that ~ 90% of children with RV wheezing illness in the third year had developed asthma by the sixth year [64]. The COAST birth cohort study revealed a significant role of RVs in pediatric wheezing illness and development of asthma [81,82,83,84]. RV was associated with asthma at 13 years as well as significantly reduced lung function measures compared to measures observed with exposure to other respiratory viruses. In another high-risk cohort study, a statistically significant association between wheezy lower respiratory infection by RV and current asthma, persistent wheeze, and current wheeze was reported [85]. Recently, findings from a meta-analysis confirmed a possible association between RV-induced wheeze in the first 3 years and development of wheeze or asthma [86]. Other factors may co-influence the association between RV and the inception of asthma. Lukkarinen and colleagues studied 127 steroid-naive children with a first episode of wheeze [87]. Subjects were enrolled around 11 months of age and re-evaluated for asthma at age 7 years. The authors found that 37 of these children maintained an asthma diagnosis and were atopic at the follow-up. The risk factors discovered at study enrollment for future atopic asthma included allergic sensitization (OR 12; p < 0.001), eczema (OR 4.8; p = 0.014), and wheezing with rhinovirus (OR 5.0; p = 0.035). Although the above studies provide strong evidence for a relationship between RV and the development of wheeze/asthma, it was not possible to determine whether RV-induced wheezing precipitates asthma. While the causation relationship is a possibility, another plausible hypothesis is that RV-induced wheeze in infancy is only a sign of predisposition to development of asthma.

Atopy, RV, and wheezing

Atopy is a risk factor that has been implicated in the development of RV-induced exacerbations of asthma. A positive association between IgE sensitization and RV wheezing illness in hospitalized wheezing children was found [88]. In another study, RV-infected children sensitized to allergens exhibited higher odds of wheezing compared to controls [20]. A genetic predisposition toward developing wheeze leading to asthma has also been impugned. A susceptibility locus on the 17q21 chromosome in COAST and COPSAC cohorts was discovered [89]. The 17q21 genotypes were found to have significant association with children with RV wheezing illness but not with those without RV wheezing illness. Interestingly, previous studies (genome-wide association studies in particular) have identified the locus in the 17q21 chromosome to be linked to the development of asthma [90, 91]. However, since the birth cohort study encompassed subjects of primarily European descent, the findings may not be applicable to the general population. Bochkov et al. [47] similarly identified an asthma susceptibility gene product in CDHR3 and proposed that the Tyr529 variant at rs6967330 (rs6967330-A) in the CDHR3 gene is a potential risk factor for RV-C wheezing illness. The COPSAC2010 and COAST birth cohorts confirmed the association of the rs6967330-A variant with respiratory episodes with RV-C detection [92]. The 1000 Genomes Projects found rs6967330-A to be most predominant in African populations [92], which report high asthma incidence and morbidity [93].

RV-induced AHR in asthma, COPD, and healthy subjects

RVs have been found to play an important role in the context of chronic respiratory disease. Studies have demonstrated that although healthy patients respond to RV with respiratory symptoms, those with an underlying airways disorder respond to a greater degree when exposed to the same virus/amount of virus. RV RNA was detected in nasopharyngeal swabs of 32.4% of asymptomatic asthmatic children compared to none in controls, implying the persistent presence of RV in asthmatics [94]. Others found that subjects with asthma were not more susceptible to RV infection than controls but exhibited more severe and longer-lasting lower respiratory symptoms [95]. Similarly, elevated baseline cytokine levels in primary COPD-derived epithelial cells appeared to increase susceptibility of COPD epithelial cells to RV infection due to significantly increased viral titer and copy number post infection [96]. Thus, an important area of focus examines the effects of RV infection in normal compared to diseased subjects due to the role of RVs in the exacerbation of respiratory symptoms.

One key feature observed in RV-infected asthma subjects is the possibility of an impaired innate immune response in the host. In vitro studies by Wark et al. [97] found that apoptotic responses were impaired and IFN-β secretion was > 2.5 times lower in primary HAECs from asthmatic subjects compared to healthy controls. This clearly demonstrated the compromised host innate immune response in asthma and susceptibility to viral replication. Asthma subjects also exhibited eosinophilic inflammation in addition to significant reduction in FEV1, peak expiratory flow, provocative concentration of histamine, and total blood lymphocytes after RV infection [98]. Such changes were associated with reduced production of Th1 cytokines IFN-γ and IL-10 as well as increased production of Th2 cytokines IL-4, IL-5, and IL-13. Similarly, Sykes et al. [99] determined significantly diminished concentrations of type I interferon proteins IFN-α, IFN-α2, and IFN-β in BAL cells of RV-infected asthmatic subjects. Additionally, deficient type I interferon production was associated with AHR and more positive skin prick test responses, and was associated with more severe childhood asthma [100,101,102]. Baraldo et al. [103] and Pritchard et al. [104] have also found diminished levels of type I interferons after RV infection in bronchial biopsies from asthmatic children and from media in which PBMCs from asthmatic subjects were cultured, respectively. It is important to mention that others have seen similar levels of type I interferons and IL-15 in asthmatics during RV-induced exacerbations of asthma [18, 105], suggesting that innate immune deficiency may only be relevant in specific patient subtypes.

A notable factor contributing to severity of RV-induced AHR is atopy, although there are conflicting findings. In a study of allergic and non-allergic subjects, Gern et al. [106] found that RV infection induced an increase in airway responsiveness to histamine in allergic subjects and no change in controls. Others found that allergic children experienced more upper respiratory symptoms and asthma exacerbations as well as prolonged duration of AHR compared to controls [61]. Furthermore, in a case-control study the combination of sensitization and exposure to allergen and detection of respiratory virus heightened the risk of hospitalization for asthma [107]. However, chronic low-dose house dust mite allergen exposure did not exert a synergistic effect with RV infection in mild to moderate allergic asthma [108]. Mild allergic subjects with asthma did not exhibit more severe symptoms compared to healthy subjects [109]. Interestingly, treatment with CNTO3157, an inhibitory monoclonal antibody to Toll-like receptor 3 (TLR3), failed to prevent an RV-induced fall in FEV1 and airway symptoms in subjects with asthma but ameliorated symptoms in healthy subjects [110]. This finding implies that inflammation may be unchecked in asthma due to viral infection. Additionally, the use of non-specific anti-inflammatories like corticosteriods has been limited in its efficacy in certain subsets of RV-infected individuals. This is supported by evidence demonstrating that inhaled corticosteroids provide limited protection against virus-induced asthma exacerbations [111, 112].

Rhinovirus in the context of air pollution

Several studies have examined the effects of air pollutants on airway reactivity and inflammation, as well as the effects of cigarette smoke. However, there has been a paucity of studies examining the effects of air pollutants on RV-induced inflammation or AHR, or how RV infection impacts the effects of air pollutant exposure. Many of the studies have been in vitro studies of single cell types. Some studies of cigarette smoke (CS) exposure in the context of RV in airway epithelial cells note that RV replication is increased following CS exposure [113, 114], but others have found that there was little effect on viral titer [115, 116]. CS exposure has also been found to modulate RV-induced gene expression and inflammatory mediator release from airway cells, decreasing innate inflammatory gene expression and release of IP-10 [113,114,115,116] while increasing release of IL-8 from epithelial cells [117]. Capistrano et al. noted that exposure to biomass smoke had no effect on viral load, but enhanced RV-A16-induced IL-8 production but not IL-6 production from human lung fibroblasts [118]. Oxidant pollutant exposure, particularly NO2 and O3, alone can induce release of inflammatory mediators from airway epithelial cells. When combined with RV-A16 it was noted that IL-8 release from BEAS-2B cells was significantly augmented over RV-A16, NO2, or O3 alone [119]. However, a study of experimental RV exposure with exposure to O3 following virus inoculation noted that there were no differences in the following parameters: RV titers, recruitment of neutrophils, interferon levels in nasal lavage, or changes in serum neutralizing antibody to RV [120]. The disconnect between the aforementioned studies could be due the different parameters that were studied, or could be due to an in vitro versus an in vivo study.

Exposure to particulate matter (PM2.5) alone induces wheezing and inflammation in individuals exposed to it. An observational study noted that there was a significant interaction between PM2.5 and RV infection in asthmatics that caused a significant decrease in both FEF25–75 and FEV1% predicted values compared to asthmatics with no RV infection [121]. Interestingly, a study in rat lung epithelial cells noted that exposure to diesel exhaust particles upregulated expression of ICAM-1 and LDL, both receptors for different RV serotypes [122], suggesting that exposure to diesel exhaust particles may serve to enhance sensitivity of the airways to RV infection. These findings suggest that the effect of air pollution on RV-induced AHR and inflammation appear to be dependent on the type of pollution that the individual is exposed to, and whether or not the individual has underlying lung disease. Overall, there seems to be an additive effect of air pollution on top of what RV infection already elicits.

Summary

Although significant work has been performed studying the effects of RV exposure/infection on modulation of lung inflammation alone, or in the context of asthma and COPD, molecular mechanisms underlying RV-induced AHR remain unclear. Additionally, whether alterations in these mechanisms in subjects with asthma or COPD is what drives more severe AHR and respiratory symptoms is also uncertain. New and novel models of the lung will provide insight into targets to abrogate RV-induced AHR in ASM, as well as to abrogate RV-induced exacerbations of underlying airways disease.

The use of antivirals in treatment of RV infection clinically has failed, and it is unlikely that a targeted RV therapy will be developed due to the large diversity of serotypes. Targeting structural cells of the airways presents a unique approach to abrogate RV effects on AHR and inflammation. Identification of inflammatory mediators inducing sustained AHR and novel pathways involved in alterations in contractility of the airways may serve as targets for therapeutics in subjects both with and without lung disease. Traditional therapy for RV-induced exacerbations, mainly the use of corticosteroids, has been shown to be ineffective in the treatment of RV-induced AHR and inflammation. Conversion of an exacerbation of asthma to nothing more than a common could would be a new paradigm that would decrease asthma morbidity and mortality. A more focused approach targeting soluble mediators that enhance excitation-contraction coupling in airway smooth muscle may provide a more precise approach in treatment of RV-induced exacerbations of asthma.

Abbreviations

AHR:

Airway Hyperresponsiveness

ASM:

Airway Smooth Muscle

cAMP:

Cyclic Adenosine Monophosphate

Cch:

Carbachol

CDHR3:

Cadherin-related family member 3

COAST:

Childhood Origins of ASThma

COPD:

Chronic Obstructive Pulmonary Disease

COPSAC:

Copenhagen Prospective Studies on Asthma in Childhood

E-C:

Excitation-Contraction

FEV1 :

Forced Expiratory Volume in 1 s

GEF:

Guanine nucleotide Exchange Factors

HAEC:

Human Airway Epithelial Cells

ICAM-1:

Intracellular Adhesion Molecule 1

iDVG:

Immunostimulatory Defective Viral Genomes

IFN:

Interferon

IgE:

Immunoglobulin E

IL:

Interleukin

IP-10:

Interferon gamma-induced protein 10

M3R:

Muscarinic Receptor 3

MCP:

Monocyte Chemoattractant Protein

MIP:

Macrophage Inhibitory Protein

OR:

Odds Ratio

OVA:

Ovalbumin

PBMC:

Peripheral Blood Mononuclear Cells

PCLS:

Precision Cut Lung Slices

RANTES:

Regulated on activation, normal T cell expressed and secreted

RNA:

Ribonucleic Acid

RSV:

Respiratory Syncytial Virus

RV:

Rhinovirus

Th:

T helper cell

TNFα:

Tumor Necrosis Factor α

TRP:

Transient receptor potential

Tyr:

Tyrosine

β2AR:

Beta 2 Adrenergic Receptor

References

  1. Postma DS, Kerstjens HA. Characteristics of airway hyperresponsiveness in asthma and chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 1998;158:S187–92.

    Article  PubMed  CAS  Google Scholar 

  2. Jude J, Koziol-White C, Scala J, Yoo E, Jester W, Maute C, Dalton P, Panettieri R Jr. Formaldehyde induces rho-associated kinase activity to evoke airway Hyperresponsiveness. Am J Respir Cell Mol Biol. 2016;55:542–53.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  3. Cho HY, Zhang LY, Kleeberger SR. Ozone-induced lung inflammation and hyperreactivity are mediated via tumor necrosis factor-alpha receptors. Am J Physiol Lung Cell Mol Physiol. 2001;280:L537–46.

    Article  PubMed  CAS  Google Scholar 

  4. Roux E, Guibert C, Crevel H, Savineau JP, Marthan R. Human and rat airway smooth muscle responsiveness after ozone exposure in vitro. Am J Phys. 1996;271:L631–6.

    CAS  Google Scholar 

  5. Seltzer J, Bigby BG, Stulbarg M, Holtzman MJ, Nadel JA, Ueki IF, Leikauf GD, Goetzl EJ, Boushey HA. O3-induced change in bronchial reactivity to methacholine and airway inflammation in humans. J Appl Physiol (1985). 1986;60:1321–6.

    Article  CAS  Google Scholar 

  6. Cooper PR, Lamb R, Day ND, Branigan PJ, Kajekar R, San Mateo L, Hornby PJ, Panettieri RA Jr. TLR3 activation stimulates cytokine secretion without altering agonist-induced human small airway contraction or relaxation. Am J Physiol Lung Cell Mol Physiol. 2009;297:L530–7.

    Article  PubMed  CAS  Google Scholar 

  7. McGraw DW, Elwing JM, Fogel KM, Wang WC, Glinka CB, Mihlbachler KA, Rothenberg ME, Liggett SB. Crosstalk between Gi and Gq/Gs pathways in airway smooth muscle regulates bronchial contractility and relaxation. J Clin Invest. 2007;117:1391–8.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  8. Risse PA, Jo T, Suarez F, Hirota N, Tolloczko B, Ferraro P, Grutter P, Martin JG. Interleukin-13 inhibits proliferation and enhances contractility of human airway smooth muscle cells without change in contractile phenotype. Am J Physiol Lung Cell Mol Physiol. 2011;300:L958–66.

    Article  PubMed  CAS  Google Scholar 

  9. Tliba O, Deshpande D, Chen H, Van Besien C, Kannan M, Panettieri RA Jr, Amrani Y. IL-13 enhances agonist-evoked calcium signals and contractile responses in airway smooth muscle. Br J Pharmacol. 2003;140:1159–62.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  10. Amrani Y, Martinet N, Bronner C. Potentiation by tumour necrosis factor-alpha of calcium signals induced by bradykinin and carbachol in human tracheal smooth muscle cells. Br J Pharmacol. 1995;114:4–5.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  11. Hotta K, Emala CW, Hirshman CA. TNF-alpha upregulates Gialpha and Gqalpha protein expression and function in human airway smooth muscle cells. Am J Phys. 1999;276:L405–11.

    CAS  Google Scholar 

  12. Freymuth F, Vabret A, Brouard J, Toutain F, Verdon R, Petitjean J, Gouarin S, Duhamel JF, Guillois B. Detection of viral, chlamydia pneumoniae and mycoplasma pneumoniae infections in exacerbations of asthma in children. J Clin Virol. 1999;13:131–9.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  13. Johnston SL, Pattemore PK, Sanderson G, Smith S, Lampe F, Josephs L, Symington P, O'Toole S, Myint SH, Tyrrell DA, et al. Community study of role of viral infections in exacerbations of asthma in 9-11 year old children. BMJ. 1995;310:1225–9.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  14. Miller EK, Lu X, Erdman DD, Poehling KA, Zhu Y, Griffin MR, Hartert TV, Anderson LJ, Weinberg GA, Hall CB, et al. Rhinovirus-associated hospitalizations in young children. J Infect Dis. 2007;195:773–81.

    Article  PubMed  Google Scholar 

  15. Bisgaard H. The Copenhagen prospective study on asthma in childhood (COPSAC): design, rationale, and baseline data from a longitudinal birth cohort study. Ann Allergy Asthma Immunol. 2004;93:381–9.

    Article  PubMed  Google Scholar 

  16. Lemanske RF Jr. The childhood origins of asthma (COAST) study. Pediatr Allergy Immunol. 2002;13(Suppl 15):38–43.

    Article  PubMed  Google Scholar 

  17. Heymann PW, Carper HT, Murphy DD, Platts-Mills TA, Patrie J, McLaughlin AP, Erwin EA, Shaker MS, Hellems M, Peerzada J, et al. Viral infections in relation to age, atopy, and season of admission among children hospitalized for wheezing. J Allergy Clin Immunol. 2004;114:239–47.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Kennedy JL, Shaker M, McMeen V, Gern J, Carper H, Murphy D, Lee WM, Bochkov YA, Vrtis RF, Platts-Mills T, et al. Comparison of viral load in individuals with and without asthma during infections with rhinovirus. Am J Respir Crit Care Med. 2014;189:532–9.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Rakes GP, Arruda E, Ingram JM, Hoover GE, Zambrano JC, Hayden FG, Platts-Mills TA, Heymann PW. Rhinovirus and respiratory syncytial virus in wheezing children requiring emergency care. IgE and eosinophil analyses. Am J Respir Crit Care Med. 1999;159:785–90.

    Article  PubMed  CAS  Google Scholar 

  20. Soto-Quiros M, Avila L, Platts-Mills TA, Hunt JF, Erdman DD, Carper H, Murphy DD, Odio S, James HR, Patrie JT, et al. High titers of IgE antibody to dust mite allergen and risk for wheezing among asthmatic children infected with rhinovirus. J Allergy Clin Immunol. 2012;129:1499–505 e1495.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  21. de Kluijver J, Grunberg K, Sont JK, Hoogeveen M, van Schadewijk WA, de Klerk EP, Dick CR, van Krieken JH, Sterk PJ. Rhinovirus infection in nonasthmatic subjects: effects on intrapulmonary airways. Eur Respir J. 2002;20:274–9.

    Article  PubMed  CAS  Google Scholar 

  22. Grunberg K, Timmers MC, Smits HH, de Klerk EP, Dick EC, Spaan WJ, Hiemstra PS, Sterk PJ. Effect of experimental rhinovirus 16 colds on airway hyperresponsiveness to histamine and interleukin-8 in nasal lavage in asthmatic subjects in vivo. Clin Exp Allergy. 1997;27:36–45.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  23. Grunstein MM, Hakonarson H, Whelan R, Yu Z, Grunstein JS, Chuang S. Rhinovirus elicits proasthmatic changes in airway responsiveness independently of viral infection. J Allergy Clin Immunol. 2001;108:997–1004.

    Article  PubMed  CAS  Google Scholar 

  24. Kennedy JL, Koziol-White CJ, Jeffus S, Rettiganti MR, Fisher P, Kurten M, Eze A, House S, Sikes JD, Askew E, et al. Effects of rhinovirus 39 infection on airway hyperresponsiveness to carbachol in human airways precision cut lung slices. J Allergy Clin Immunol. 2018;141:1887–90 e1881.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  25. Zambrano JC, Carper HT, Rakes GP, Patrie J, Murphy DD, Platts-Mills TA, Hayden FG, Gwaltney JM Jr, Hatley TK, Owens AM, Heymann PW. Experimental rhinovirus challenges in adults with mild asthma: response to infection in relation to IgE. J Allergy Clin Immunol. 2003;111:1008–16.

    Article  PubMed  CAS  Google Scholar 

  26. Mertens TCJ, Karmouty-Quintana H, Taube C, Hiemstra PS. Use of airway epithelial cell culture to unravel the pathogenesis and study treatment in obstructive airway diseases. Pulm Pharmacol Ther. 2017;45:101–13.

    Article  PubMed  CAS  Google Scholar 

  27. Bartlett NW, Walton RP, Edwards MR, Aniscenko J, Caramori G, Zhu J, Glanville N, Choy KJ, Jourdan P, Burnet J, et al. Mouse models of rhinovirus-induced disease and exacerbation of allergic airway inflammation. Nat Med. 2008;14:199–204.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  28. Tuthill TJ, Papadopoulos NG, Jourdan P, Challinor LJ, Sharp NA, Plumpton C, Shah K, Barnard S, Dash L, Burnet J, et al. Mouse respiratory epithelial cells support efficient replication of human rhinovirus. J Gen Virol. 2003;84:2829–36.

    Article  PubMed  CAS  Google Scholar 

  29. Yin FH, Lomax NB. Establishment of a mouse model for human rhinovirus infection. J Gen Virol. 1986;67(Pt 11):2335–40.

    Article  PubMed  CAS  Google Scholar 

  30. Saturni S, Contoli M, Spanevello A, Papi A. Models of respiratory infections: virus-induced asthma exacerbations and beyond. Allergy Asthma Immunol Res. 2015;7:525–33.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  31. Meurs H, Gosens R, Zaagsma J. Airway hyperresponsiveness in asthma: lessons from in vitro model systems and animal models. Eur Respir J. 2008;32:487–502.

    Article  PubMed  CAS  Google Scholar 

  32. Register RB, Uncapher CR, Naylor AM, Lineberger DW, Colonno RJ. Human-murine chimeras of ICAM-1 identify amino acid residues critical for rhinovirus and antibody binding. J Virol. 1991;65:6589–96.

    PubMed  PubMed Central  CAS  Google Scholar 

  33. Bizzintino J, Lee WM, Laing IA, Vang F, Pappas T, Zhang G, Martin AC, Khoo SK, Cox DW, Geelhoed GC, et al. Association between human rhinovirus C and severity of acute asthma in children. Eur Respir J. 2011;37:1037–42.

    Article  PubMed  CAS  Google Scholar 

  34. Calvo C, Garcia ML, Pozo F, Reyes N, Perez-Brena P, Casas I. Role of rhinovirus C in apparently life-threatening events in infants, Spain. Emerg Infect Dis. 2009;15:1506–8.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Lau SK, Yip CC, Lin AW, Lee RA, So LY, Lau YL, Chan KH, Woo PC, Yuen KY. Clinical and molecular epidemiology of human rhinovirus C in children and adults in Hong Kong reveals a possible distinct human rhinovirus C subgroup. J Infect Dis. 2009;200:1096–103.

    Article  PubMed  CAS  Google Scholar 

  36. Miller EK, Edwards KM, Weinberg GA, Iwane MK, Griffin MR, Hall CB, Zhu Y, Szilagyi PG, Morin LL, Heil LH, et al. A novel group of rhinoviruses is associated with asthma hospitalizations. J Allergy Clin Immunol. 2009;123:98–104 e101.

    Article  PubMed  Google Scholar 

  37. Iwane MK, Prill MM, Lu X, Miller EK, Edwards KM, Hall CB, Griffin MR, Staat MA, Anderson LJ, Williams JV, et al. Human rhinovirus species associated with hospitalizations for acute respiratory illness in young US children. J Infect Dis. 2011;204:1702–10.

    Article  PubMed  Google Scholar 

  38. Lee WM, Lemanske RF Jr, Evans MD, Vang F, Pappas T, Gangnon R, Jackson DJ, Gern JE. Human rhinovirus species and season of infection determine illness severity. Am J Respir Crit Care Med. 2012;186:886–91.

    Article  PubMed  PubMed Central  Google Scholar 

  39. Linsuwanon P, Payungporn S, Samransamruajkit R, Posuwan N, Makkoch J, Theanboonlers A, Poovorawan Y. High prevalence of human rhinovirus C infection in Thai children with acute lower respiratory tract disease. J Inf Secur. 2009;59:115–21.

    Google Scholar 

  40. Xiang Z, Gonzalez R, Xie Z, Xiao Y, Liu J, Chen L, Liu C, Zhang J, Ren L, Vernet G, et al. Human rhinovirus C infections mirror those of human rhinovirus a in children with community-acquired pneumonia. J Clin Virol. 2010;49:94–9.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Bartlett NW, Singanayagam A, Johnston SL. Mouse models of rhinovirus infection and airways disease. Methods Mol Biol. 2015;1221:181–8.

    Article  PubMed  CAS  Google Scholar 

  42. Singanayagam A, Glanville N, Walton RP, Aniscenko J, Pearson RM, Pinkerton JW, Horvat JC, Hansbro PM, Bartlett NW, Johnston SL. A short-term mouse model that reproduces the immunopathological features of rhinovirus-induced exacerbation of COPD. Clin Sci (Lond). 2015;129:245–58.

    Article  CAS  Google Scholar 

  43. Mestas J, Hughes CC. Of mice and not men: differences between mouse and human immunology. J Immunol. 2004;172:2731–8.

    Article  PubMed  CAS  Google Scholar 

  44. Borish L, Rosenwasser LJ. Update on cytokines. J Allergy Clin Immunol. 1996;97:719–33 quiz 734.

    Article  PubMed  CAS  Google Scholar 

  45. Bates JH, Irvin CG. Measuring lung function in mice: the phenotyping uncertainty principle. J Appl Physiol (1985). 2003;94:1297–306.

    Article  Google Scholar 

  46. Hao W, Bernard K, Patel N, Ulbrandt N, Feng H, Svabek C, Wilson S, Stracener C, Wang K, Suzich J, et al. Infection and propagation of human rhinovirus C in human airway epithelial cells. J Virol. 2012;86:13524–32.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  47. Bochkov YA, Watters K, Ashraf S, Griggs TF, Devries MK, Jackson DJ, Palmenberg AC, Gern JE. Cadherin-related family member 3, a childhood asthma susceptibility gene product, mediates rhinovirus C binding and replication. Proc Natl Acad Sci U S A. 2015;112:5485–90.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  48. Damera G, Zhao H, Wang M, Smith M, Kirby C, Jester WF, Lawson JA, Panettieri RA Jr. Ozone modulates IL-6 secretion in human airway epithelial and smooth muscle cells. Am J Physiol Lung Cell Mol Physiol. 2009;296:L674–83.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  49. Malavia NK, Raub CB, Mahon SB, Brenner M, Panettieri RA Jr, George SC. Airway epithelium stimulates smooth muscle proliferation. Am J Respir Cell Mol Biol. 2009;41:297–304.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  50. Van Ly D, Faiz A, Jenkins C, Crossett B, Black JL, McParland B, Burgess JK, Oliver BG. Characterising the mechanism of airway smooth muscle beta2 adrenoceptor desensitization by rhinovirus infected bronchial epithelial cells. PLoS One. 2013;8:e56058.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  51. Rajan D, Gaston KA, McCracken CE, Erdman DD, Anderson LJ. Response to rhinovirus infection by human airway epithelial cells and peripheral blood mononuclear cells in an in vitro two-chamber tissue culture system. PLoS One. 2013;8:e66600.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  52. Korpi-Steiner NL, Valkenaar SM, Bates ME, Evans MD, Gern JE, Bertics PJ. Human monocytic cells direct the robust release of CXCL10 by bronchial epithelial cells during rhinovirus infection. Clin Exp Allergy. 2010;40:1203–13.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  53. Shariff S, Shelfoon C, Holden NS, Traves SL, Wiehler S, Kooi C, Proud D, Leigh R. Human rhinovirus infection of epithelial cells modulates airway smooth muscle migration. Am J Respir Cell Mol Biol. 2017;56:796–803.

    Article  PubMed  CAS  Google Scholar 

  54. Pezzulo AA, Starner TD, Scheetz TE, Traver GL, Tilley AE, Harvey BG, Crystal RG, McCray PB Jr, Zabner J. The air-liquid interface and use of primary cell cultures are important to recapitulate the transcriptional profile of in vivo airway epithelia. Am J Physiol Lung Cell Mol Physiol. 2011;300:L25–31.

    Article  PubMed  CAS  Google Scholar 

  55. Sun Y, Jain D, Koziol-White CJ, Genoyer E, Gilbert M, Tapia K, Panettieri RA Jr, Hodinka RL, Lopez CB. Immunostimulatory defective viral genomes from respiratory syncytial virus promote a strong innate antiviral response during infection in mice and humans. PLoS Pathog. 2015;11:e1005122.

    Article  PubMed  PubMed Central  Google Scholar 

  56. Avgousti DC, Herrmann C, Kulej K, Pancholi NJ, Sekulic N, Petrescu J, Molden RC, Blumenthal D, Paris AJ, Reyes ED, et al. A core viral protein binds host nucleosomes to sequester immune danger signals. Nature. 2016;535:173–7.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  57. Kim WK, Jain D, Sanchez MD, Koziol-White CJ, Matthews K, Ge MQ, Haczku A, Panettieri RA Jr, Frieman MB, Lopez CB. Deficiency of melanoma differentiation-associated protein 5 results in exacerbated chronic postviral lung inflammation. Am J Respir Crit Care Med. 2014;189:437–48.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  58. Ressmeyer AR, Larsson AK, Vollmer E, Dahlen SE, Uhlig S, Martin C. Characterisation of Guinea pig precision-cut lung slices: comparison with human tissues. Eur Respir J. 2006;28:603–11.

    Article  PubMed  CAS  Google Scholar 

  59. Henjakovic M, Martin C, Hoymann HG, Sewald K, Ressmeyer AR, Dassow C, Pohlmann G, Krug N, Uhlig S, Braun A. Ex vivo lung function measurements in precision-cut lung slices (PCLS) from chemical allergen-sensitized mice represent a suitable alternative to in vivo studies. Toxicol Sci. 2008;106:444–53.

    Article  PubMed  CAS  Google Scholar 

  60. Fox J: Utility of the precision cut lung slice model to investigate airway smooth muscle contraction. University of Nottingham, 2011.

  61. Xepapadaki P, Papadopoulos NG, Bossios A, Manoussakis E, Manousakas T, Saxoni-Papageorgiou P. Duration of postviral airway hyperresponsiveness in children with asthma: effect of atopy. J Allergy Clin Immunol. 2005;116:299–304.

    Article  PubMed  PubMed Central  Google Scholar 

  62. Proud D, Turner RB, Winther B, Wiehler S, Tiesman JP, Reichling TD, Juhlin KD, Fulmer AW, Ho BY, Walanski AA, et al. Gene expression profiles during in vivo human rhinovirus infection: insights into the host response. Am J Respir Crit Care Med. 2008;178:962–8.

    Article  PubMed  CAS  Google Scholar 

  63. Beale J, Jayaraman A, Jackson DJ, Macintyre JDR, Edwards MR, Walton RP, Zhu J, Man Ching Y, Shamji B, Edwards M, et al. Rhinovirus-induced IL-25 in asthma exacerbation drives type 2 immunity and allergic pulmonary inflammation. Sci Transl Med. 2014;6:256ra134.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  64. Jackson DJ, Gangnon RE, Evans MD, Roberg KA, Anderson EL, Pappas TE, Printz MC, Lee WM, Shult PA, Reisdorf E, et al. Wheezing rhinovirus illnesses in early life predict asthma development in high-risk children. Am J Respir Crit Care Med. 2008;178:667–72.

    Article  PubMed  PubMed Central  Google Scholar 

  65. Barnes PJ. Neurogenic inflammation in the airways. Respir Physiol. 2001;125:145–54.

    Article  PubMed  CAS  Google Scholar 

  66. Gentile DA, Skoner DP. Viral rhinitis. Curr Allergy Asthma Rep. 2001;1:227–34.

    Article  PubMed  CAS  Google Scholar 

  67. Kohrogi H, Graf PD, Sekizawa K, Borson DB, Nadel JA. Neutral endopeptidase inhibitors potentiate substance P- and capsaicin-induced cough in awake Guinea pigs. J Clin Invest. 1988;82:2063–8.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  68. Katsumata U, Sekizawa K, Inoue H, Sasaki H, Takishima T. Inhibitory actions of procaterol, a beta-2 stimulant, on substance P-induced cough in normal subjects during upper respiratory tract infection. Tohoku J Exp Med. 1989;158:105–6.

    Article  PubMed  CAS  Google Scholar 

  69. Hu C, Wedde-Beer K, Auais A, Rodriguez MM, Piedimonte G. Nerve growth factor and nerve growth factor receptors in respiratory syncytial virus-infected lungs. Am J Physiol Lung Cell Mol Physiol. 2002;283:L494–502.

    Article  PubMed  CAS  Google Scholar 

  70. Piedimonte G, Rodriguez MM, King KA, McLean S, Jiang X. Respiratory syncytial virus upregulates expression of the substance P receptor in rat lungs. Am J Phys. 1999;277:L831–40.

    CAS  Google Scholar 

  71. Abdullah H, Heaney LG, Cosby SL, McGarvey LP. Rhinovirus upregulates transient receptor potential channels in a human neuronal cell line: implications for respiratory virus-induced cough reflex sensitivity. Thorax. 2014;69:46–54.

    Article  PubMed  CAS  Google Scholar 

  72. Atkinson SK, Sadofsky LR, Morice AH. How does rhinovirus cause the common cold cough? BMJ Open Respir Res. 2016;3:e000118.

    Article  PubMed  PubMed Central  Google Scholar 

  73. Hakonarson H, Maskeri N, Carter C, Hodinka RL, Campbell D, Grunstein MM. Mechanism of rhinovirus-induced changes in airway smooth muscle responsiveness. J Clin Invest. 1998;102:1732–41.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  74. Billington CK, Penn RB. Signaling and regulation of G protein-coupled receptors in airway smooth muscle. Respir Res. 2003;4:2.

    Article  PubMed  PubMed Central  Google Scholar 

  75. Chiba Y, Sakai H, Misawa M. Possible involvement of G(i3) protein in augmented contraction of bronchial smooth muscle from antigen-induced airway hyperresponsive rats. Biochem Pharmacol. 2001;61:921–4.

    Article  PubMed  CAS  Google Scholar 

  76. Hirshman CA, Emala CW. Actin reorganization in airway smooth muscle cells involves Gq and Gi-2 activation of rho. Am J Phys. 1999;277:L653–61.

    CAS  Google Scholar 

  77. van Unen J, Reinhard NR, Yin T, Wu YI, Postma M, Gadella TW, Goedhart J. Plasma membrane restricted RhoGEF activity is sufficient for RhoA-mediated actin polymerization. Sci Rep. 2015;5:14693.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  78. Croxton TL, Lande B, Hirshman CA. Role of G proteins in agonist-induced Ca2+ sensitization of tracheal smooth muscle. Am J Phys. 1998;275:L748–55.

    Article  CAS  Google Scholar 

  79. Hakonarson H, Carter C, Maskeri N, Hodinka R, Grunstein MM. Rhinovirus-mediated changes in airway smooth muscle responsiveness: induced autocrine role of interleukin-1beta. Am J Phys. 1999;277:L13–21.

    CAS  Google Scholar 

  80. Kotaniemi-Syrjanen A, Vainionpaa R, Reijonen TM, Waris M, Korhonen K, Korppi M. Rhinovirus-induced wheezing in infancy--the first sign of childhood asthma? J Allergy Clin Immunol. 2003;111:66–71.

    Article  PubMed  PubMed Central  Google Scholar 

  81. Anderson HM, Lemanske RF Jr, Evans MD, Gangnon RE, Pappas T, Grindle K, Bochkov YA, Gern JE, Jackson DJ. Assessment of wheezing frequency and viral etiology on childhood and adolescent asthma risk. J Allergy Clin Immunol. 2017;139:692–4.

    Article  PubMed  Google Scholar 

  82. Guilbert TW, Singh AM, Danov Z, Evans MD, Jackson DJ, Burton R, Roberg KA, Anderson EL, Pappas TE, Gangnon R, et al. Decreased lung function after preschool wheezing rhinovirus illnesses in children at risk to develop asthma. J Allergy Clin Immunol. 2011;128:532–538 e531–510.

    Article  PubMed  PubMed Central  Google Scholar 

  83. Lemanske RF Jr, Jackson DJ, Gangnon RE, Evans MD, Li Z, Shult PA, Kirk CJ, Reisdorf E, Roberg KA, Anderson EL, et al. Rhinovirus illnesses during infancy predict subsequent childhood wheezing. J Allergy Clin Immunol. 2005;116:571–7.

    Article  PubMed  Google Scholar 

  84. Rubner FJ, Jackson DJ, Evans MD, Gangnon RE, Tisler CJ, Pappas TE, Gern JE, Lemanske RF Jr. Early life rhinovirus wheezing, allergic sensitization, and asthma risk at adolescence. J Allergy Clin Immunol. 2017;139:501–7.

    Article  PubMed  Google Scholar 

  85. Kusel MM, de Klerk NH, Kebadze T, Vohma V, Holt PG, Johnston SL, Sly PD. Early-life respiratory viral infections, atopic sensitization, and risk of subsequent development of persistent asthma. J Allergy Clin Immunol. 2007;119:1105–10.

    Article  PubMed  PubMed Central  Google Scholar 

  86. Liu L, Pan Y, Zhu Y, Song Y, Su X, Yang L, Li M. Association between rhinovirus wheezing illness and the development of childhood asthma: a meta-analysis. BMJ Open. 2017;7:e013034.

    Article  PubMed  PubMed Central  Google Scholar 

  87. Lukkarinen M, Koistinen A, Turunen R, Lehtinen P, Vuorinen T, Jartti T. Rhinovirus-induced first wheezing episode predicts atopic but not nonatopic asthma at school age. J Allergy Clin Immunol. 2017;140:988–95.

    Article  PubMed  PubMed Central  Google Scholar 

  88. Jartti T, Kuusipalo H, Vuorinen T, Soderlund-Venermo M, Allander T, Waris M, Hartiala J, Ruuskanen O. Allergic sensitization is associated with rhinovirus-, but not other virus-, induced wheezing in children. Pediatr Allergy Immunol. 2010;21:1008–14.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  89. Caliskan M, Bochkov YA, Kreiner-Moller E, Bonnelykke K, Stein MM, Du G, Bisgaard H, Jackson DJ, Gern JE, Lemanske RF Jr, et al. Rhinovirus wheezing illness and genetic risk of childhood-onset asthma. N Engl J Med. 2013;368:1398–407.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  90. Binia A, Khorasani N, Bhavsar PK, Adcock I, Brightling CE, Chung KF, Cookson WO, Moffatt MF. Chromosome 17q21 SNP and severe asthma. J Hum Genet. 2011;56:97–8.

    Article  PubMed  Google Scholar 

  91. Moffatt MF, Kabesch M, Liang L, Dixon AL, Strachan D, Heath S, Depner M, von Berg A, Bufe A, Rietschel E, et al. Genetic variants regulating ORMDL3 expression contribute to the risk of childhood asthma. Nature. 2007;448:470–3.

    Article  CAS  PubMed  Google Scholar 

  92. Bonnelykke K, Coleman AT, Evans MD, Thorsen J, Waage J, Vissing NH, Carlsson CJ, Stokholm J, Chawes BL, Jessen LE, et al. Cadherin-related family member 3 genetics and rhinovirus C respiratory illnesses. Am J Respir Crit Care Med. 2018;197:589–94.

    Article  PubMed  PubMed Central  Google Scholar 

  93. Barnes KC, Grant AV, Hansel NN, Gao P, Dunston GM. African Americans with asthma: genetic insights. Proc Am Thorac Soc. 2007;4:58–68.

    Article  PubMed  PubMed Central  Google Scholar 

  94. Marin J, Jeler-Kacar D, Levstek V, Macek V. Persistence of viruses in upper respiratory tract of children with asthma. J Inf Secur. 2000;41:69–72.

    CAS  Google Scholar 

  95. Corne JM, Marshall C, Smith S, Schreiber J, Sanderson G, Holgate ST, Johnston SL. Frequency, severity, and duration of rhinovirus infections in asthmatic and non-asthmatic individuals: a longitudinal cohort study. Lancet. 2002;359:831–4.

    Article  PubMed  Google Scholar 

  96. Schneider D, Ganesan S, Comstock AT, Meldrum CA, Mahidhara R, Goldsmith AM, Curtis JL, Martinez FJ, Hershenson MB, Sajjan U. Increased cytokine response of rhinovirus-infected airway epithelial cells in chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2010;182:332–40.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  97. Wark PA, Johnston SL, Bucchieri F, Powell R, Puddicombe S, Laza-Stanca V, Holgate ST, Davies DE. Asthmatic bronchial epithelial cells have a deficient innate immune response to infection with rhinovirus. J Exp Med. 2005;201:937–47.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  98. Message SD, Laza-Stanca V, Mallia P, Parker HL, Zhu J, Kebadze T, Contoli M, Sanderson G, Kon OM, Papi A, et al. Rhinovirus-induced lower respiratory illness is increased in asthma and related to virus load and Th1/2 cytokine and IL-10 production. Proc Natl Acad Sci U S A. 2008;105:13562–7.

    Article  PubMed  PubMed Central  Google Scholar 

  99. Sykes A, Edwards MR, Macintyre J, del Rosario A, Bakhsoliani E, Trujillo-Torralbo MB, Kon OM, Mallia P, McHale M, Johnston SL. Rhinovirus 16-induced IFN-alpha and IFN-beta are deficient in bronchoalveolar lavage cells in asthmatic patients. J Allergy Clin Immunol. 2012;129:1506–14 e1506.

    Article  PubMed  CAS  Google Scholar 

  100. Arroyave WD, Rabito FA, Carlson JC, Sever ML, Lefante J. Asthma severity, not asthma control, is worse in atopic compared with nonatopic adolescents with asthma. Ann Allergy Asthma Immunol. 2016;116:18–25.

    Article  PubMed  Google Scholar 

  101. Carroll WD, Lenney W, Child F, Strange RC, Jones PW, Whyte MK, Primhak RA, Fryer AA. Asthma severity and atopy: how clear is the relationship? Arch Dis Child. 2006;91:405–9.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  102. Sarria EE, Mattiello R, Yao W, Chakr V, Tiller CJ, Kisling J, Tabbey R, Yu Z, Kaplan MH, Tepper RS. Atopy, cytokine production, and airway reactivity as predictors of pre-school asthma and airway responsiveness. Pediatr Pulmonol. 2014;49:132–9.

    Article  PubMed  Google Scholar 

  103. Baraldo S, Contoli M, Bazzan E, Turato G, Padovani A, Marku B, Calabrese F, Caramori G, Ballarin A, Snijders D, et al. Deficient antiviral immune responses in childhood: distinct roles of atopy and asthma. J Allergy Clin Immunol. 2012;130:1307–14.

    Article  PubMed  CAS  Google Scholar 

  104. Pritchard AL, White OJ, Burel JG, Carroll ML, Phipps S, Upham JW. Asthma is associated with multiple alterations in anti-viral innate signalling pathways. PLoS One. 2014;9:e106501.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  105. Miller EK, Hernandez JZ, Wimmenauer V, Shepherd BE, Hijano D, Libster R, Serra ME, Bhat N, Batalle JP, Mohamed Y, et al. A mechanistic role for type III IFN-lambda1 in asthma exacerbations mediated by human rhinoviruses. Am J Respir Crit Care Med. 2012;185:508–16.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  106. Gern JE, Calhoun W, Swenson C, Shen G, Busse WW. Rhinovirus infection preferentially increases lower airway responsiveness in allergic subjects. Am J Respir Crit Care Med. 1997;155:1872–6.

    Article  PubMed  CAS  Google Scholar 

  107. Green RM, Custovic A, Sanderson G, Hunter J, Johnston SL, Woodcock A. Synergism between allergens and viruses and risk of hospital admission with asthma: case-control study. BMJ. 2002;324:763.

    Article  PubMed  PubMed Central  Google Scholar 

  108. de Kluijver J, Evertse CE, Sont JK, Schrumpf JA, van Zeijl-van der Ham CJ, Dick CR, Rabe KF, Hiemstra PS, Sterk PJ. Are rhinovirus-induced airway responses in asthma aggravated by chronic allergen exposure? Am J Respir Crit Care Med. 2003;168:1174–80.

    Article  PubMed  Google Scholar 

  109. DeMore JP, Weisshaar EH, Vrtis RF, Swenson CA, Evans MD, Morin A, Hazel E, Bork JA, Kakumanu S, Sorkness R, et al. Similar colds in subjects with allergic asthma and nonatopic subjects after inoculation with rhinovirus-16. J Allergy Clin Immunol. 2009;124:245–52 252 e241–243.

    Article  PubMed  PubMed Central  Google Scholar 

  110. Silkoff PE, Flavin S, Gordon R, Loza MJ, Sterk PJ, Lutter R, Diamant Z, Turner RB, Lipworth BJ, Proud D, et al. Toll-like receptor 3 blockade in rhinovirus-induced experimental asthma exacerbations: a randomized controlled study. J Allergy Clin Immunol. 2018;141:1220–30.

    Article  PubMed  CAS  Google Scholar 

  111. Grunberg K, Sharon RF, Hiltermann TJ, Brahim JJ, Dick EC, Sterk PJ, Van Krieken JH. Experimental rhinovirus 16 infection increases intercellular adhesion molecule-1 expression in bronchial epithelium of asthmatics regardless of inhaled steroid treatment. Clin Exp Allergy. 2000;30:1015–23.

    Article  PubMed  CAS  Google Scholar 

  112. Grunberg K, Sharon RF, Sont JK, In't Veen JC, Van Schadewijk WA, De Klerk EP, Dick CR, Van Krieken JH, Sterk PJ. Rhinovirus-induced airway inflammation in asthma: effect of treatment with inhaled corticosteroids before and during experimental infection. Am J Respir Crit Care Med. 2001;164:1816–22.

    Article  PubMed  CAS  Google Scholar 

  113. Eddleston J, Lee RU, Doerner AM, Herschbach J, Zuraw BL. Cigarette smoke decreases innate responses of epithelial cells to rhinovirus infection. Am J Respir Cell Mol Biol. 2011;44:118–26.

    Article  PubMed  CAS  Google Scholar 

  114. Logan J, Chen L, Gangell C, Sly PD, Fantino E, Liu K. Brief exposure to cigarette smoke impairs airway epithelial cell innate anti-viral defence. Toxicol in Vitro. 2014;28:1430–5.

    Article  PubMed  CAS  Google Scholar 

  115. Hudy MH, Traves SL, Wiehler S, Proud D. Cigarette smoke modulates rhinovirus-induced airway epithelial cell chemokine production. Eur Respir J. 2010;35:1256–63.

    Article  PubMed  CAS  Google Scholar 

  116. Proud D, Hudy MH, Wiehler S, Zaheer RS, Amin MA, Pelikan JB, Tacon CE, Tonsaker TO, Walker BL, Kooi C, et al. Cigarette smoke modulates expression of human rhinovirus-induced airway epithelial host defense genes. PLoS One. 2012;7:e40762.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  117. Hudy MH, Proud D. Cigarette smoke enhances human rhinovirus-induced CXCL8 production via HuR-mediated mRNA stabilization in human airway epithelial cells. Respir Res. 2013;14:88.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  118. Capistrano SJ, Zakarya R, Chen H, Oliver BG. Biomass smoke exposure enhances rhinovirus-induced inflammation in primary lung fibroblasts. Int J Mol Sci. 2016;17.

    Article  PubMed Central  CAS  Google Scholar 

  119. Spannhake EW, Reddy SP, Jacoby DB, Yu XY, Saatian B, Tian J. Synergism between rhinovirus infection and oxidant pollutant exposure enhances airway epithelial cell cytokine production. Environ Health Perspect. 2002;110:665–70.

    Article  PubMed  PubMed Central  Google Scholar 

  120. Henderson FW, Dubovi EJ, Harder S, Seal E Jr, Graham D. Experimental rhinovirus infection in human volunteers exposed to ozone. Am Rev Respir Dis. 1988;137:1124–8.

    Article  PubMed  CAS  Google Scholar 

  121. Vempilly J, Abejie B, Diep V, Gushiken M, Rawat M, Tyner TR. The synergetic effect of ambient PM2.5 exposure and rhinovirus infection in airway dysfunction in asthma: a pilot observational study from the Central Valley of California. Exp Lung Res. 2013;39:434–40.

    Article  PubMed  CAS  Google Scholar 

  122. Ito T, Okumura H, Tsukue N, Kobayashi T, Honda K, Sekizawa K. Effect of diesel exhaust particles on mRNA expression of viral and bacterial receptors in rat lung epithelial L2 cells. Toxicol Lett. 2006;165:66–70.

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgements

Not applicable.

Funding

This review was supported by NIH P01-HL114471–03 (RAP and RCK) and 1K08A1121345-01A1, KL2TR000063, UL1TR000039, P20GM121293, and P20GM103625 (JLK).

Availability of data and materials

Not applicable.

Author information

Authors and Affiliations

Authors

Contributions

DL, JLK and CK-W conception and design of the manuscript, drafting of the manuscript; RAP, RCK and JLK critical review and editing of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Cynthia J. Koziol-White.

Ethics declarations

Ethics approval and consent to participate

Not applicable.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Lo, D., Kennedy, J.L., Kurten, R.C. et al. Modulation of airway hyperresponsiveness by rhinovirus exposure. Respir Res 19, 208 (2018). https://doi.org/10.1186/s12931-018-0914-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1186/s12931-018-0914-9

Keywords