Electron microscopic studies of an egg-adapted virus isolated from a patient with a common cold.
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Two hundred young adults with common colds were studied during a 10-month period. Virus culture, antigen detection, PCR, and serology with paired samples were used to identify the infection. Viral etiology was established for 138 of the 200 patients (69%). Rhinoviruses were detected in 105 patients, coronavirus OC43 or 229E infection was detected in 17, influenza A or B virus was detected in 12, and single infections with parainfluenza virus, respiratory syncytial virus, adenovirus, and enterovirus were found in 14 patients. Evidence for bacterial infection was found in seven patients. Four patients had a rise in antibodies against Chlamydia pneumoniae, one had a rise in antibodies against Haemophilus influenzae, one had a rise in antibodies against Streptococcus pneumoniae, and one had immunoglobulin M antibodies against Mycoplasma pneumoniae. The results show that although approximately 50% of episodes of the common cold were caused by rhinoviruses, the etiology can vary depending on the epidemiological situation with regard to circulating viruses. Bacterial infections were rare, supporting the concept that the common cold is almost exclusively a viral disease.
Human beta-defensins (hBDs) are antimicrobial peptides that play important roles in host defense against infection, inflammation and immunity. Previous studies showed that micro-organisms and proinflammatory mediators regulate the expression of these peptides in airway epithelial cells. The aim of the present study was to investigate the modulation of expression of hBDs in cultured primary bronchial epithelial cells (PBEC) by rhinovirus-16 (RV16), a respiratory virus responsible for the common cold and associated with asthma exacerbations. RV16 was found to induce expression of hBD-2 and -3 mRNA in PBEC, but did not affect hBD-1 mRNA. Viral replication appeared essential for rhinovirus-induced beta-defensin mRNA expression, since UV-inactivated rhinovirus did not increase expression of hBD-2 and hBD-3 mRNA. Exposure to synthetic double-stranded RNA (dsRNA) molecule polyinosinic:polycytidylic acid had a similar effect as RV16 on mRNA expression of these peptides in PBEC. In line with this, PBEC were found to express TLR3, a Toll-like receptor involved in recognition of dsRNA. This study shows that rhinovirus infection of PBEC leads to increased hBD-2 and hBD-3 mRNA expression, which may play a role in both the uncomplicated common cold and in virus-associated exacerbations of asthma.
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Dick, Elliot C. (University of Wisconsin, Madison). Chimpanzee kidney tissue cultures for growth and isolation of viruses. J. Bacteriol. 86:573-576. 1963.-Chimpanzee kidney tissue cultures were employed for propagation of several laboratory strains of viruses that commonly inhabit the respiratory and intestinal tracts, or both, and for isolation of viruses from throat washings of persons with common colds and tonsillitis-pharyngitis. This tissue culture host was found to support the growth of approximately the same viruses as do Rhesus monkey kidney tissue cultures, with two exceptions: (i) chimpanzee kidney tissue culture was much more susceptible to herpes simplex infection, and (ii) cytopathic effects were not produced by either "M" or "H" strains of muriviruses (common cold viruses). The presence of adventitious viruses in some uninoculated chimpanzee kidney tissue cultures is suspected.
BACKGROUND: Many people seek medical care for cold symptoms. The cold-related knowledge and beliefs of adults seeking medical care for themselves or their children may not correspond with current medical opinion. METHODS: A total of 249 parents of symptomatic children and 257 symptomatic adults who sought medical advice in the spring of 1997 from 1 of 3 primary care clinics in the Minneapolis-St. Paul, Minnesota, area were surveyed by telephone 48 to 96 hours after contact with the medical system. RESULTS: Of the adults seeking care for a child or themselves, 44% believed viruses alone cause the common cold: an additional 42% believed both viruses and bacteria play a role. Most thought rest (97%) and nonprescription medications (63%) were helpful for colds, which was consistent with published reports. Contrary to medical reports, however, most felt vitamin C (67%) and the inhalation of steam (70%) reduced cold symptoms, and 44% believed antibiotics help colds (chi2=19.57; P=.0002). But 85% believed colds could resolve on their own. CONCLUSIONS: Those adults seeking medical care for uncomplicated colds are misinformed about the primary cause of the common cold, the use of prescription medications for treating cold symptoms, and the effectiveness of some palliative care techniques. Care providers should address these perceptions rather than enabling overuse of antibiotics.
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Influenza C virus was intranasally administered to volunteers; most were infected and nine developed symptoms of common cold.Increasing titres of serum haemagglutination-inhibiting antibody and complement-fixing antibody were detected. Virus neutralizing activity in nasal secretion was not correlated with either resistance to infection or the occurrence of overt illness. Interferon was detected in the nasal secretions of some subjects.
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Knowledge of the decubitus ulcer has made great progress in recent decades. No longer is the diagnosis of a bedsore, as it was in the iron lung days, almost a death warrant. One cannot cause to heal a patient who is in organ failure, nor can one necessarily prevent ulcers in a new spinal cord-injured patient. Reflecting on the common cold, one realizes that prevention is limited to covering the face when sneezing, and treatment is symptomatic. There is no way of eradicating the virus of the common cold, nor is there an appropriate treatment. The decubitus ulcer should be conceived of in a similar vein, until understanding is more complete and specific treatments are available.
It was shown many years ago that viruses can cause common cold but it is often forgotten that there were prolonged investigations and disagreements before this was agreed. It wa difficult to detect or propagate any virus in the laboratory and it has taken more than two decades of research to arrive at a reasonably complete list of the viruses that cause colds and related diseases. To do so, new techniques were developed by which these very specialized viruses can be grown and studied. Nevertheless unanswered questions remain on the relation between them and the diseases. This research has required finding answers to several different questions about the viruses and the diseases. The questions cannot all be answered in the same way for all virus infections, and recent research has shown that we can learn a great deal about certain viruses and diseases without answering all of the questions; for instance, the role of rotaviruses in diarrhoea was established though the viruses could not be effectively grown in the laboratory. In the light of these ideas I shall refer to the evidence that mental diseases may be due to virus infections and the recent finding that cerebrospinal fluid from such patients produced a cytopathic effect in tissue cultures that was apparently due to a virus-like agent.