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1、JOURNALOFVIROLOGY,May2008,p.44204428Vol.82,No.90022-538X/08/$08.000doi:10.1128/JVI.02190-07Copyright?2008,AmericanSocietyforMicrobiology.AllRightsReserved.CytokineResponsesinPorcineRespiratoryCoronavirus-InfectedPigsTreatedwithCorticosteroidsasaMode
2、lforSevereAcuteRespiratorySyndromeXinshengZhang,KonstantinAlekseev,KwonilJung,AnastasiaVlasova,NageshHadya,andLindaJ.Saif*FoodAnimalHealthResearchProgram,OhioAgriculturalResearchandDevelopmentCenter,DepartmentofVeterinaryPreventiveMedicine,TheOhioSt
3、ateUniversity,Wooster,Ohio44691Received5October2007/Accepted13February2008Theeffectivenessandpotentialimmunosuppressiveeffectsofanti-in?ammatoryglucocorticoidsinthelungsofsevereacuterespiratorysyndrome(SARS)patientsareunde?ned.Wetreatedporcinerespira
4、torycorona-virus(PRCV)-infectedconventionalpigswiththecorticosteroiddexamethasone(DEX)asamodelforSARS.InnateandTh1cytokinesinbronchoalveolarlavage(BAL)andserumwereelevatedinPRCV-infectedpigscomparedtocontrols,butweredecreasedafterDEXtreatmentinthePRC
5、V-infected,DEX-treated(PRCV/DEX)pigs.AlthoughdecreasedinBAL,Th2cytokinelevelswerehigherinserumafterDEXtreatment.Levelsoftheproin?ammatorycytokineinterleukin-6inBALandserumweredecreasedinPRCV/DEXpigsearlybutincreasedlatercomparedtothoseinphosphate-buf
6、feredsaline-treated,PRCV-infectedpigs,correspondingtoasimilartrendforlunglesions.PRCVinfectionincreasedT-cellfrequenciesinBAL,butDEXtreatmentofPRCV-infectedpigsreducedfrequenciesofTcells;interestinglyBandSWC3a(monocytes/macrophages/granulocytes)cell
7、frequencieswereincreased.DEXreducednumbersofPRCV-stimulatedTh1gammainter-feron-secretingcellsinspleen,tracheobroncheolarlymphnodes,andblood.Our?ndingssuggestthatfutureglucocorticoidtreatmentofSARSpatientsshouldbereconsideredinthecontextofpotentialloc
8、alimmuno-suppressionofimmuneresponsesinlungandsystemicTh1cytokine-biasedsuppression.Thesevereacuterespiratorysyndrome(SARS)globalepi-naryviralspread,leadingtothemultiorganfailureseenindemicin2003to2004wascausedbyanewlyemergedSARSsomeSARSpatients(17).