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