Key result
A second HRV-16 challenge one week after the first resulted in an attenuated innate immune response, characterized by decreased IP-10 and IL-6 levels in nasal wash despite similar viral loads.
Why the study?
Does repeated short-term exposure to HRV-16 attenuate the innate immune response in healthy adults?
RCT (n=40)
Placebo-controlled
Sealed envelope method
No
Does repeated short-term exposure to HRV-16 attenuate the innate immune response in healthy adults?
Short-term repeated exposure to HRV-16 in healthy humans leads to an attenuated innate immune response, suggesting a state of immunological tolerance.
Short-term HRV re-exposure may alter innate immunity in healthy adults; hypothesis-generating with no clinical implications yet.
INTRODUCTION: Naturally, development of adaptive immunity following HRV infection affects the immune response. However, it is currently unclear whether or not HRV re-exposure within a short time frame leads to an altered innate immune response. The "experimental cold model" is used to investigate the pathogenesis of HRV infection and allows us to investigate the effects of repeated exposure on both local and systemic innate immunity. METHODS: 40 healthy male and female (1:1) subjects were nasally inoculated with HRV-16 or placebo. One week later, all subjects received HRV-16. Baseline seronegative subjects (n = 18) were included for further analysis. RESULTS: Infection rate was 82%. Primary HRV infection induced a marked increase in viral load and IP-10 levels in nasal wash, while a similar trend was observed for IL-6 and IL-10. Apart from an increase in IP-10 plasma levels, HRV infection did not induce systemic immune effects nor lower respiratory tract inflammation. With similar viral load present during the second HRV challenge, IP-10 and IL-6 in nasal wash showed no increase, but gradually declined, with a similar trend for IL-10. CONCLUSION: Upon a second HRV challenge one week after the first, a less pronounced response for several innate immune parameters is observed. This could be the result of immunological tolerance and possibly increases vulnerability towards secondary infections.
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Koch et al. (2018) conducted an RCT in Healthy volunteers (Experimental HRV-16 infection) (n=40). HRV-16 vs. Placebo followed by HRV-16 was evaluated on Innate immune response (IP-10 and IL-6 levels in nasal wash). A second HRV-16 challenge one week after the first resulted in an attenuated innate immune response, characterized by decreased IP-10 and IL-6 levels in nasal wash despite similar viral loads.
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