ASPECTS OF HUMAN RHINOVIRUS INFECTION IN HOSPITALIZED AND NON-HOSPITALIZED INDIVIDUALS

Abstract

<p>Human rhinovirus (HRV) is a single-stranded RNA virus responsible for causing the common cold and exacerbating chronic respiratory diseases. HRV is the most common cause of acute respiratory illness. Unfortunately, difficult culturing conditions and perceived mild symptoms have limited our understanding of HRV. This thesis characterizes fundamental aspects of HRV such as viral load in different patient populations, prevalence and diversity of HRV, and severity and duration of infection.</p> <p>We developed an HRV qPCR assay to quantitate HRV in clinical isolates. We used this assay to measure viral loads in hospitalized and community members. We found that HRV viral loads were similar regardless of age and need for hospitalization. Viral loads were significantly lower amongst individuals with asymptomatic HRV infection than symptomatic HRV infection. Next, we determined the prevalence and diversity of HRV in children and adults. We found that HRV is the most common respiratory pathogen in September-October in both children and adults. A broad range of HRV genotypes can be found circulating amongst children and adults; however HRV C is more prevalent in children. Furthermore, we investigated the association of HRV C duration and severity of illness. Among otherwise healthy individuals, HRV C did not persist longer than HRV A/B, nor was the viral load significantly different. In hospitalized children, HRV C was not more associated with an asthma or wheeze diagnosis. Overall, our data suggest that viral loads do not predict the severity of illness, HRV C commonly occurs in children, and behaves like other HRV species.</p>