Schematic diagram of the study design for elastase and LPS (E/LPS) exposure and infection with respiratory syncytial virus (RSV). Mice were intranasally instilled with 1.2 U of elastase on Day 1 followed by 7 μg of LPS on Day 4; this treatment regimen was performed for 4 consecutive weeks. Mice repeatedly treated with PBS instead of E/LPS were used as controls. At 3 days after the last LPS or PBS instillation, mice were inoculated with RSV (106 pfu) or vehicle (Mock) by intranasal instillation, and lung tissues were analyzed on Days 1, 4, 7, 10, and 14 after infection. Lung tissues for the mock-infected groups were analyzed on Day 14 postinfection. Arrows denote necropsy of mice.