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. 2009 Jun 19;3:52–59. doi: 10.2174/1874357900903010052

Table 1.

Inhibition of PMN Apoptosis during Viral Infections

Respiratory Syncitial Virus (RSV) Human Cytomegalovirus (HCMV)
Virus-induced Pathology
  • Lower respiratory tract disease in infants

  • Associated with respiratory distress

  • Belong to the Herpes family:

    persistence of the virus in a latent state and repeated reactivation

  • Subclinically in immunocompetent individuals but fatal disease for immunocompromized patients

Characteristics
  • Accumulation of PMN in lower airways

  • PMN production of IL-9 which increases mucus production by Goblet cells

  • Presence of activated-PMN

Mechanisms
  • Presence of the anti-apoptotic cytokine IL-6

  • Interaction of ssRNA from RSV with TLR7/8 ?

  • Activation of PI3K and NFκB signaling pathways

  • Increased expression of the anti-apoptotic protein Mcl1

  • Interaction of the viral protein UL36 with apoptotic pathways

  • Blockade of caspase 8 activation

  • Inhibition of Fas ligand-mediated apoptosis

Consequences
  • Immune evasion

  • Exacerbation of inflammatory responses e.g. in intestinal tissue