Review Article

Human Type I Interferon Antiviral Effects in Respiratory and Reemerging Viral Infections

Table 1

Role of IFN-I in respiratory virus and flavivirus infections.

VirusModelEffectMain findingReferences

Human respiratory viruses
 Influenza virusHuman (in vivo)ProtectiveHospitalized subjects show enrichment for a minor IFITM3 allele that leads to reduced influenza virus restriction[70]
Human (in vivo)PathogenicHigh levels of IFN-α2 at enrollment predicted progression to severe disease[278]

 RSVHuman (in vitro)ProtectiveAge and premature birth were independently associated with attenuated RIG-I-dependent IFN-α responses[89]
Human (in vivo)ProtectiveInfants with severe RSV bronchiolitis have lower type-I IFN levels[90]

 hMPVMouse (in vivo)PathogenicIFN-I contributed to disease pathogenesis due to increased inflammatory lung disease during infection[102]

 PIVHuman (in vivo)ProtectiveMean quantities of the virus in the secretions of those children with interferon was significantly lower compared to those without detectable IFN[65, 117]

 HRVHuman (in vitro)
Human (in vivo)
ProtectiveExogenous IFN-α, IFN-β significantly reduce HRV replication[130, 131]

 HCoVHuman (in vivo)PathogenicHigh levels of IFN correlated with early sequelae[148]
Human (in vivo)ProtectivePatients treated with IFN show clinical response[289, 290]

Emerging flaviviruses
 DENVHuman (in vivo)ProtectiveHigher levels of IFN-α are observed in patients with milder dengue disease[77, 190, 193196]
Human (in vivo)PathogenicHigher levels of IFN-β in severe vs. nonsevere dengue children[197]
Human (in vivo)PathogenicHigher levels of IFN-β in primary DHF patients compared to those with primary DF[198]

 ZIKVHuman (in vivo)ProtectiveSNP at TLR-3 that decreased IFN-I response has been associated with microcephaly in newborns[232]
Human (in vitro)ProtectiveReplication of Asian ZIKV strain Brazil 2015 (associated with neurodevelopmental disorders) was less sensitive to IFN-I, compared to other ZIKV strains[233]

 WNVHuman (in vitro)ProtectivePI3K that induces IFN-I controls WNV infection[238]
Human (in vitro)ProtectiveEarly activation of RLR or IFN-I signaling could block WNV infection[239]
Human (in vivo)InconclusiveIFN-α treatment was well tolerated and might have potential beneficial effects, due to treatment or chance[293296]

 YFVHuman (in vitro)Protective/pathogenicISGs shown to inhibit or enhance viral replication[258]

 JEVHuman (in vitro)ProtectiveIFN-α at higher concentrations showed more efficacy in combating the replication of JEV[297]
Human (in vivo)InconclusiveNo benefits from IFN-α2a treatment against children with JEV infection[298]

 SLEVHuman (in vivo)ProtectiveIFN-α2b therapy for meningoencephalitis suggested a beneficial effect on the early neurologic course of the disease and clinical improvement[299, 300]