Abstract

Mechanisms of interaction between Bordetella pertussis and other viral agents are yet to be fully explored. We studied the inflammatory cytokine expression patterns among children with both viral-bacterial infections. Nasopharyngeal aspirate (NPA) samples were taken from children, aged < 1 year, positive for Rhinovirus, Bordetella pertussis and for Rhinovirus and Bordetella pertussis. Forty cytokines were evaluated in NPA by using human cytokine protein arrays and a quantitative analysis was performed on significantly altered cytokines. Forty cytokines were evaluated in NPA by using human cytokine protein arrays and a quantitative analysis was performed on significantly altered cytokines. Our results show that co-infections display a different inflammatory pattern compared to single infections, suggesting that a chronic inflammation caused by one of the two pathogens could be the trigger for exacerbation in co-infections.

Highlights

  • Mechanisms of interaction between Bordetella pertussis and other viral agents are yet to be fully explored

  • In order to identify potential inflammatory mediators displaying a different pattern of expression in the different group of infected patients, we evaluated a panel of 40 inflammatory molecules (Fig. 1A) in 6 control samples, and in Nasopharyngeal aspirate (NPA) from 13 children positive for RV; 11 children positive for Bordetella pertussis (Bp); 16 children positive for both Bp + RV

  • Our findings demonstrated that Bp and RV co-infection is clinically indistinguishable from Bp infection alone, with the exception of a higher use of antibiotics before admission

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Summary

Introduction

Mechanisms of interaction between Bordetella pertussis and other viral agents are yet to be fully explored. In order to gain additional insights into pathogenic mechanisms, we performed a study aimed at describing and comparing the clinical patterns and nasopharyngeal cytokine profiles in children < 12 months old with single or mixed Bp and RV infections.

Results
Conclusion

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