Interactions micro-organismes et voies aériennes distales : spécificités pédiatriques
Identifieur interne : 000281 ( France/Analysis ); précédent : 000280; suivant : 000282Interactions micro-organismes et voies aériennes distales : spécificités pédiatriques
Auteurs : J. De Blic [France] ; J. Brouard [France] ; A. Vabret [France] ; A. Deschildre [France]Source :
- Revue Des Maladies Respiratoires [ 0761-8425 ] ; 2017.
Abstract
Le spectre des virus à tropisme respiratoire s’élargit et des maladies émergentes sont régulièrement décrites depuis une quinzaine d’années. L’origine de ces virus respiratoires émergents peut être zoonotique (par franchissement de barrière d’espèce, après mutations pour les virus à ARN tels que les virus aviaires influenza de type A ou les coronavirus), ou liée aux nouvelles techniques d’identification (métapneumovirus, bocavirus). Les relations entre bronchiolite et asthme sont désormais mieux appréhendées grâce au suivi prospectif de cohortes de nouveau-nés. Le rôle des rhinovirus devient prépondérant par rapport au virus respiratoire syncytial. L’identification de facteurs de prédispositions immunologiques, fonctionnelles, atopiques et génétiques, pour la survenue de l’asthme après une infection à rhinovirus suggère que l’infection virale révèle un terrain prédisposé plutôt qu’elle est à l’origine de l’asthme. Le rôle des bactéries dans l’histoire naturelle de l’asthme commence également à être mieux cerné. Les résultats de la cohorte danoise COPSAC ont montré la fréquence des identifications bactériennes au cours des épisodes sifflants avant 3 ans, ainsi que l’impact de la colonisation bactérienne à l’âge de un mois sur la survenue de l’asthme à l’âge de 5 ans. Le rôle des infections bactériennes dans l’asthme sévère du jeune enfant est également discuté.
Url:
DOI: 10.1016/j.rmr.2016.02.012
PubMed: 28262277
PubMed Central: 7125672
Affiliations:
- France
- Basse-Normandie, Hauts-de-France, Nord-Pas-de-Calais, Région Normandie, Île-de-France
- Caen, Lille, Paris
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<p>Le spectre des virus à tropisme respiratoire s’élargit et des maladies émergentes sont régulièrement décrites depuis une quinzaine d’années. L’origine de ces virus respiratoires émergents peut être zoonotique (par franchissement de barrière d’espèce, après mutations pour les virus à ARN tels que les virus aviaires influenza de type A ou les coronavirus), ou liée aux nouvelles techniques d’identification (métapneumovirus, bocavirus). Les relations entre bronchiolite et asthme sont désormais mieux appréhendées grâce au suivi prospectif de cohortes de nouveau-nés. Le rôle des rhinovirus devient prépondérant par rapport au virus respiratoire syncytial. L’identification de facteurs de prédispositions immunologiques, fonctionnelles, atopiques et génétiques, pour la survenue de l’asthme après une infection à rhinovirus suggère que l’infection virale révèle un terrain prédisposé plutôt qu’elle est à l’origine de l’asthme. Le rôle des bactéries dans l’histoire naturelle de l’asthme commence également à être mieux cerné. Les résultats de la cohorte danoise COPSAC ont montré la fréquence des identifications bactériennes au cours des épisodes sifflants avant 3 ans, ainsi que l’impact de la colonisation bactérienne à l’âge de un mois sur la survenue de l’asthme à l’âge de 5 ans. Le rôle des infections bactériennes dans l’asthme sévère du jeune enfant est également discuté.</p>
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</listBibl>
</div1>
</back>
</TEI>
<affiliations><list><country><li>France</li>
</country>
<region><li>Basse-Normandie</li>
<li>Hauts-de-France</li>
<li>Nord-Pas-de-Calais</li>
<li>Région Normandie</li>
<li>Île-de-France</li>
</region>
<settlement><li>Caen</li>
<li>Lille</li>
<li>Paris</li>
</settlement>
</list>
<tree><country name="France"><region name="Île-de-France"><name sortKey="De Blic, J" sort="De Blic, J" uniqKey="De Blic J" first="J." last="De Blic">J. De Blic</name>
</region>
<name sortKey="Brouard, J" sort="Brouard, J" uniqKey="Brouard J" first="J." last="Brouard">J. Brouard</name>
<name sortKey="Deschildre, A" sort="Deschildre, A" uniqKey="Deschildre A" first="A." last="Deschildre">A. Deschildre</name>
<name sortKey="Vabret, A" sort="Vabret, A" uniqKey="Vabret A" first="A." last="Vabret">A. Vabret</name>
</country>
</tree>
</affiliations>
</record>
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