A Randomized Placebo Controlled Trial of Ibuprofen for Respiratory Syncytial Virus Infection in a Bovine Model

Autor: Mark L Anderson, Paul Walsh, Heather A. McEligot, John W. Newman, Nicole E. Behrens, Laurel J. Gershwin, Karan Agrawal, Francisco R. Carvallo Chaigneau
Přispěvatelé: Tregoning, John S
Rok vydání: 2016
Předmět:
0301 basic medicine
Male
Pulmonology
NSAIDs
Physiology
viruses
Placebo-controlled study
Anti-Inflammatory Agents
lcsh:Medicine
Respiratory Syncytial Virus
Bovine

Ibuprofen
Biochemistry
Immunoenzyme Techniques
0302 clinical medicine
Immune Physiology
Medicine and Health Sciences
Respiratory system
lcsh:Science
Lung
2. Zero hunger
Pediatric
Analgesics
Innate Immune System
Multidisciplinary
Anti-Inflammatory Agents
Non-Steroidal

Drugs
Bovine
respiratory system
Viral Load
Lipids
3. Good health
medicine.anatomical_structure
Infectious Diseases
Bronchiolitis
Cytokines
Anatomy
Infection
Non-Steroidal
Viral load
Research Article
Viral Release
Histology
General Science & Technology
Immunology
Clinical Trials and Supportive Activities
Cattle Diseases
Respiratory Syncytial Virus Infections
Biology
Microbiology
Virus
Lymphatic System
03 medical and health sciences
Lipid Mediators
Clinical Research
Virology
medicine
Animals
Adverse effect
Pharmacology
Animal
organic chemicals
lcsh:R
Biology and Life Sciences
Molecular Development
medicine.disease
Pain management
Disease Models
Animal

030104 developmental biology
Immune System
Respiratory Infections
Disease Models
biology.protein
lcsh:Q
Cattle
Cyclooxygenase
Lymph Nodes
Respiratory Syncytial Virus
030217 neurology & neurosurgery
Viral Transmission and Infection
Developmental Biology
Zdroj: PloS one, vol 11, iss 4
PLoS ONE, Vol 11, Iss 4, p e0152913 (2016)
PLoS ONE
Popis: Background Respiratory syncytial virus (RSV) is the most common cause of bronchiolitis and hospital admission in infants. An analogous disease occurs in cattle and costs US agriculture a billion dollars a year. RSV causes much of its morbidity indirectly via adverse effects of the host response to the virus. RSV is accompanied by elevated prostaglandin E2 (PGE2) which is followed by neutrophil led inflammation in the lung. Ibuprofen is a prototypical non-steroidal anti-inflammatory drug that decreases PGE2 levels by inhibiting cyclooxygenase. Hypotheses We hypothesized that treatment of RSV with ibuprofen would decrease PGE2 levels, modulate the immune response, decrease clinical illness, and decrease the histopathological lung changes in a bovine model of RSV. We further hypothesized that viral replication would be unaffected. Methods We performed a randomized placebo controlled trial of ibuprofen in 16 outbred Holstein calves that we infected with RSV. We measured clinical scores, cyclooxygenase, lipoxygenase and endocannabinoid products in plasma and mediastinal lymph nodes and interleukin (Il)-4, Il-13, Il-17 and interferon-γ in mediastinal lymph nodes. RSV shedding was measured daily and nasal Il-6, Il-8 and Il-17 every other day. The calves were necropsied on Day 10 post inoculation and histology performed. Results One calf in the ibuprofen group required euthanasia on Day 8 of infection for respiratory distress. Clinical scores (p
Databáze: OpenAIRE