single nucleotide polymorphisms SNPs IL 13 messenger RNA IL 8 IL 8 251T A SNPs A

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1 2013 Vol. 25No RS Respiratory syncytial virusrsv single nucleotide polymorphismssnps IL13 messenger RNA IL8 IL8251TA SNPs A RSV RSV RSV Respiratory syncytial virusrsv RSV Th1Th2 IgE 2 RSV tumor necrosis factor TNF interleukinil6 RSV in vitro 3 RSV TNF RSV 4,5 Key wordsrs SNPs

2 RSV RSV single nucleotide polymorphismssnps 1RSV SpO RSVrespiratory syncytial virus SNPssingle nucleotide polymorphisms ILinterleukin GCSFgranulocytecolony stimulating factor GMCSFgranulocyte macrophage colony stimulating factor IFNinterferon MCP1monocyte chemoattractant protein1 MIP1 macrophage inflammatory protein1 TNFtumor necrosis factor RSV 33 RSV RS ml 1 15, BioPlex BioRad LaboratoriesTokyoJapan3 IL8 monocyte chemoattractant protein MCP1 macrophage inflammatory protein MIP1 14 IL1 IL2IL4IL5IL6IL7IL10IL12 IL13IL17GCSFGMCSFIFNTNF messenger RNA IL6IL8IL QIAamp RNA extraction kit QIAGEN K.K., TokyoJapan RNA SearchLC GmbHHeidelberg PCR Light Cycler IL6IL8 IL13 messenger RNA actin 2 SNPs RSV SNPs SNPs 6,7 IL8251TA RSV Lu IL8251TA SNPs QIAamp DNA extraction kitqiagen K.K., TokyoJapan DNA Polymerase chain reaction Lu Statcel softwareomssaita-

3 2013 Vol. 25No majapan MannWhitney Utest p SNPs IL8GMCSF RSV INFIL4INFIL13IL8MCP1 2 IL13 IL6IL8IL13 messenger RNA 3 IL8 2 SNPs IL8251TA SNPs 3 7 TA 2 AA 5 7 TA 1 AA 6 10 TT 4 TA 3 AA 3 A CI CI IL13 messenger RNA IL8 IL p 0.05 IgEIUml p value 0.01 ns nsnot significant l 1 IL8 GMCSF

4 l l l p l l 2 aifnbil4ifncil13dil8emcp1 IL13 p 3Messenger RNA IL6IL8IL13 ail6bil8cil13 IL8 3IL8251TA SNPs Genotype, N TT TA AA Allele frequency T A OR 95CI A RSV

5 2013 Vol. 25No messenger RNA IL IL8251T A SNPs A RSV A Hull 9 RSV RSV RSV Emboriadou human neutrophil elastasehne RSV RSV 11 RSV eosinophil cationic proteinecp 12 mast cell leukotriene C4 LTC4 RSV 13 RSV mast cell 14 Sha Tolllike receptortlragonist TLR 15 RSV TLR3 TLR4 16,17 RSV TLR3 RSV single strand RNA double strand RNA necrosis aptoposis TLR3 IL8 16,18,19 TLR4 RSV F TLR4 NFB 17,20 LPSlipopolysaccharide HDMhouse dust mite IL8RANTESMIP RSV Th2 Th1 T Th1Th2 IFN Th1 IL12 25 Joshi RSV Th1 IFN Th2 IL10 RSV IFN 26 IL8 Th2 IL13 RSV 27 IL8 IL8251TA SNPs SNPs

6 Taguchi 252 AAAT 50.4TT IL13 RSV 7 29 IL13 messenger RNA RSV IL13 Arg130Gln Gln IL13 SNPs IL8IL13 SNPs RSV 31,32 SNPs IL4590T IL4R Glu551Arg RSV 33 TLR4 Asp299GlyThr399Ile LPS IL6 C CRP RSV 34 TLR4 RSV 35 RSV RSV 1 RS Sigurs N, et alsevere respiratory syncytial virus bronchiolitis in infancy and asthma and allergy at age 13. Am J Respir Crit Care Med , FrankeUllmann G, et alalteration of pulmonary macrophage function by respiratory syncytial virus infection in vitro. J Immunol , Neuzil KM, et alprotective role of TNFalpha in respiratory syncytial virus infection in vitro and in vivo. Am J Med Sci , Hornsleth A, et alcytokines and chemokines in respiratory secretion and severity of disease in infants with respiratory syncytial virus RSV infection. J Clin Virol , Janssen R, et algenetic susceptibility to respiratory syncytial virus bronchiolitis is predominantly associated with innate immune genes. J Infect Dis , Janssen R, et alhost transcription profiles upon primary respiratory syncytial virus infection. J Virol , Lu A, et alhaplotype of IL8251T and 781C is associated with the susceptibility to respiratory syncytial virus. J Trop Pediatr , Hull J, et alassociation of respiratory syncytial virus bronchiolitis with the interleukin 8 gene region in UK families. Thorax , Everard ML, et alanalysis of cells obtained by bronchial lavage of infants with respiratory syncytial virus infection. Arch Dis Child , Emboriadou M, et alhuman neutrophil elastase in RSV bronchiolitis. Ann Clin Lab Sci , Oymar K, et alserum eosinophil cationic protein and interleukin5 in children with bronchial

7 2013 Vol. 25No asthma and acute bronchiolitis. Pediatr Allergy Immunol , DimovaYaneva D, et aleosinophil activation and cysteinyl leukotriene production in infants with respiratory syncytial viris bronchiolitis. Clin Exp Allergy , Bataki EL, et alrespiratory syncytial virus and neutrophil activation. Clin Exp Immunol , Sha Q, et alactivation of airway epithelial cells by tolllike receptor agonists. Am J Respir Cell Mol Biol , Kato A, et altlr3 and Th2 cytokinedependent production of thymic stromal lymphopoietin in human airway epithelial cells. J Imminol , KurtJones EA, et alpattern recognition receptors TLR4 and CD14 mediate response to respiratory syncytial virus. Nature Immunol , Hewson CA, et altolllike receptor 3 is induced by and mediates antiviral activity against rhinovirus infection of human bronchial epithelial cells. J Virol , Groskreutz DJ, et alrespiratory syncytial virus induces TLR3 protein and protein kinase R, Leading to increased doublestranded RNA responsiveness in airway epithelial cells. J Immunol , Monick MM, et alrespiratory syncytial virus upregulates TLR4 and sensitizes airway epithelial cells to endotoxin. J Biol Chem , Takeuchi R, et alrespiratory syncytial virus infection of human alveolar epithelial cells enhances interferon regulatory factor 1 and interleukin1 converting enzyme gene expression but does not cause apoptosis. J Virol , Tsutsumi H, et alrespiratory syncytial virus infection of human respiratory epithelial cells enhances inducible nitric oxide synthase gene expression. J Leukoc Biol , Stark JM, et alimmune and functional role of nitric oxide in a mouse model of respiratory syncytial virus infection. J Infect Dis , RS Marodi LDownregulation of Th1 responses in human neonates. Clin Exp Immunol 12812, Joshi P, et alinterferongamma levels in nasopharyngeal secretions of infants with respiratory syncytial virus and other respiratory viral infections. Clin Exp Immunol , BermejoMartin JF, et alpredominance of Th2 cytokines, CXC chemokines and innate immunity mediators at the mucosal level during severe respiratory syncytial virus infection in children. Eur Cytokine Netw , Taguchi A, et alinterleukin8 promoter polymorphism increases the risk of atrophic gastritis and gastric cancer in Japan. Cancer Epidemiol Biomakers Prev , Sigurs N, et alrespiratory syncytial virus bronchiolitis in infancy is an important risk factor for asthma and allergy at age 7. Am J Respir Crit Care Med , Ermers MJ, et alil13 genetic polymorphism identifies children with late wheezing after respiratory syncytial virus infection. J Allergy Clin Immunol , Janssen R, et alhost transcription profiles upon primary respiratory syncytial virus infection. J Virol , Janssen R, et algenetic susceptibility to respiratory syncytial virus bronchiolitis is predominantly associated with innate immune genes. J Infect Dis , Hoebee B, et alassociation of severe respiratory syncytial virus bronchiolitis with interleukin 4 and interleukin4 receptor alpha polymorphisms. J Infect Dis , Tal G, et alassociation between common Toll like receptor 4 mutations and severe respiratory syncytial virus disease. J Infect Dis , KurtJones EA, et alpattern recognition receptors TLR4 and CD14 mediate response to respiratory syncytial virus. Nat Immunol , 2000

8 Nasal cytokine response to respiratory syncytial virus infection in childhood Taro MIURA, Yasuyo KASHIWAGI, Hisashi KAWASHIMA Department of Pediatrics, Tokyo Medical University Respiratory syncytial virusrsvinfection is a severe respiratory disease in infants. However, the levels of chemokines and cytokines in the nasal aspirate of patients remain unclear. This study determined the levels of chemokines and cytokines in order to elucidate the role of chemokine and cytokine production in serious and mild RSV infection. A total of 46 children were classified into 2 groups of patientsa seriousn147 boys, 7 girlsand mild groupn3218 boys, 14 girls. The average and standard deviation of age in the patients was months and months in the serious and mild group, respectively. The levels of 3 chemokines and 14 cytokines in the nasal aspirates of 46 RSV infections were determined. The level of the cytokine IL13 and messenger RNA in IL8 was elevated markedly and significantly in the serious group, respectively. The IL8251A allele tended to associate with increased IL8 production in RSV infection. Severity of the illness may be correlated with chemokine and cytokine production caused by not only RSV infection but also genetic factor

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