Showing posts with label Viral infections. Show all posts
Showing posts with label Viral infections. Show all posts

Wednesday, June 20, 2012

The Very Common Cold

 

 image

Photo Credit – CDC PHIL

 


# 6396

 

 

Last Sunday I wrote about this week’s General Meeting of the American Society for Microbiology that was being held in San Francisco, and provided some links to live and archived webcasts (see Webcast: ASM Live San Francisco 2012).

 

As you might expect, a large number of scientific presentations have been made over the past few days - and we’ve seen a number of press releases highlighting that research - including the one that follows, on just how common the `common cold’ really is.

 

 

The surprise here is - that among college students tested over an 8 week period - asymptomatic infections led symptomatic infections by a factor of 4 to 1.

 

Which suggests that simply staying away from people with cold symptoms may not provide much in the way of protection against rhinoviruses, and makes common sense interventions - such as frequent handwashing - probably even more important.

 

A few excerpts from the release, but follow the link to read it in its entirety:

 

 

Asymptomatic rhinovirus infection outnumbers symptomatic infection 4 to 1 among university students

The common cold virus may be more common than previously thought in university students not reporting any symptoms. Rhinovirus, the virus responsible for the common cold was found at some point during an 8-week study period in an estimated 60% of university students that were asymptomatic. Researchers from Canada report their findings at the 2012 General Meeting of the American Society for Microbiology.

 

“A high occurrence of asymptomatic infections indicates that university students can spread infections to classmates, or individuals in the community without knowing they are infected,” says Andrea Granados of McMaster University in Hamilton, Ontario, a researcher on the study. The study was conducted at McMaster University and St. Joseph’s Healthcare in Hamilton, Ontario, Canada as part of the McFlu2 COLD3 clinical trial by Granados and colleagues Emma Goodall, Marek Smieja and James Mahony.

 

Rhinovirus, best known for causing the common cold can also cause bronchitis and trigger asthma attacks.

 

<SNIP details on how the study was done>

 

Based on these findings, the researchers estimate that as many as 60.5% of the asymptomatic student population was infected at some time with rhinovirus over an eight week study period.

 

They also used PCR to determine the viral load in symptomatic and asymptomatic students. Students with asymptomatic rhinovirus infections had significantly less virus than symptomatic infections. Decreased amounts of the virus may be responsible for the lack of symptoms, says Granados, however, larger studies are necessary to confirm this finding.

 

“In this study, we found that university students with rhinovirus infections who lacked symptoms outnumbered by a factor of 4 the number of infected students with symptoms. The virus particles can be spread by aerosols or direct contact with an asymptomatic individual. There is no treatment for the common cold; therefore, frequent hand-washing is important to prevent the spread of the common cold particularly in early fall,” says Granados.

 

 

It’s happened to all of us, I suppose. 


We come down with a cold, wrack our brains trying to remember coming in contact with someone with the sniffles - and come up with a blank - leaving us to wonder just where the heck we caught it.

 

Today’s study provides a plausible explanation.

 

Granted, those with asymptomatic infections showed lower viral loads than those displaying cold symptoms - suggesting that they may be less efficient spreaders of the virus – but we don’t have enough data to know how much of a viral load it takes to spread the virus.

 

The good news here, I suppose, is that we can sometimes (perhaps often) get one of the numerous rhinoviruses that circulate without necessarily enduring the misery of cold symptoms.


The bad news is, we may be spreading those cold viruses to others while looking, and feeling, perfectly healthy.

Monday, April 30, 2012

Study: Vitamin D And The Innate Immune System

 

 

 

# 6306

 

 

The theory that reduced levels of Vitamin D might lead to an increased likelihood of contracting viral infections – while not proven or universally accepted – has seen a fair amount of support in the medical field over the past few years.

 

While I don’t actively promote Vitamin D in this column, I have blogged on several flu-related Vitamin D studies over the years, Including:

 

Study: Vitamin D And Flu-Like Illnesses
Scientists To Study Vitamin D And The Flu
Vitamin D To Ward Off Flu?

 


Although intriguing, these studies have yet to settle the debate over Vitamin D’s benefits in warding off viral infections.  

 

 

In 2010, the IOM released a 999 page report on Vitamin D (see IOM Report On Vitamin D) finding - that while essential for promoting good bone health - insufficient evidence for its effects on other disease processes exists at this time.

 

The IOM granted that further studies were warranted, but found that those to date they have yielded conflicting and mixed results.

 

Which brings us to a new study, published in the May edition of the Journal of Leukocyte Biology that suggests that lower levels of Vitamin D – particularly in the elderly – may lead to autoimmune diseases and viral infections.

 

What these researchers found was a decrease in serum 25-hydroxy vitamin D in healthy adults as they aged, and a negative correlation between serum 25OHD levels and MFI (mean fluorescence intensity) expression of TLR7 on B cells, T cells, and monocytes.

 

TLR7 is one of a number of toll-like receptors, which are proteins that play an integral role in the innate (or non-specific) immune system

 

Our innate immune system  not only fights infections, it also buys time for our Adaptive Immune System to learn to recognize and fight specific pathogens.

 

First some excerpts from the press release, then a link to the abstract.

 

Vitamin D supplements may protect against viral infections during the winter

New research published in the Journal of Leukocyte Biology suggests that the older population could benefit from vitamin D supplementation in autumn and winter to protect against viral infections

Vitamin D may be known as the sunshine vitamin, but a new research report appearing in the Journal of Leukocyte Biology shows that it is more than that. According to the report, insufficient levels of vitamin D are related to a deficiency in our innate immune defenses that protect us from infections, neoplasias or autoimmune diseases. Since vitamin D levels decrease during autumn and winter when days are shorter and sunlight is relatively weak, this may explain why people are more prone to viral infection during these times. It also suggests that vitamin D supplementation, especially in older populations, could strengthen people's innate immunity against viral infections.

(Continue . . . )

Age and low levels of circulating vitamin D are associated with impaired innate immune function

Lorena Alvarez-Rodriguez, Marcos Lopez-Hoyos, Maite Garcia-Unzueta, Jose Antonio Amado, Pedro Muñoz Cacho and Victor Manuel Martinez-Taboada

 

 

This study adds incrementally to our knowledge, and suggests a mechanism by which low Vitamin D levels might impair immunity.

 

Not exactly proof that Vitamin D is protective against viral infections.

 

But it is another piece of data to consider.