Scientists have discovered a crucial part of the process by which one of the world's most common and dangerous early childhood infections, respiratory syncytial virus, causes disease.
By analysing samples taken from infected infants and data from laboratory-mouse experiments, scientists at the University of Texas Medical Branch at Galveston determined that RSV interferes with airway cells' ability to produce enzymes that keep highly damaging molecules known as reactive oxygen species under control.
The virus does this by preventing the activation of a single protein needed for the expression of a variety of detoxifying enzymes.
Reactive oxygen species then accumulate; causing cell-killing oxidative stress and inflammation in both infected and uninfected airway cells - a major factor in the damage done by RSV infection.
The discovery could lead to new therapies for RSV, which was estimated to have caused at least 3.4 million hospitalisations and 199,000 deaths among children under five worldwide in 2005.
"The role of oxidative stress has been studied in everything from aging to asthma, but this is really the first study to implicate it in lung inflammation associated with viral infections," said Antonella Casola, an associate professor at UTMB Health and lead author of the study.
The researchers followed up earlier studies in human cell cultures with experiments that showed a substantial reduction in the expression and activation of antioxidant enzymes in the lungs of RSV-infected mice.