The results revealed that the frequency of SIRT1 expression in me

The results revealed that the frequency of SIRT1 expression in medulloblastoma tissues was 64.17% (77/120), while only

one out of seven tumor-surrounding noncancerous cerebellar tissues showed restricted SIRT1 expression in the cells within the granule layer. Of the three morphological subtypes, the rates of SIRT1 detection in the large cell/anaplastic cell (79.07%; 34/43) and the classic medulloblastomas (60.29%; 41/68) are higher than that (22.22%; 2/9) in nodular/desmoplastic medulloblastomas find more (P < 0.01 and P < 0.05, respectively). Heterogeneous SIRT1 expression was commonly observed in classic medulloblastoma. Inhibition of SIRT1 expression by siRNA arrested 64.96% of UW228-3 medulloblastoma cells in the gap 1 (G1) phase and induced 14.53% of cells to apoptosis at the 48-h time point. Similarly, inhibition of SIRT1 enzymatic activity with nicotinamide brought about G1 arrest and apoptosis in a dose-related fashion. Our data thus indicate: (i) that SIRT1 may

act as a G1-phase promoter and a survival factor in medulloblastoma cells; and (ii) that SIRT1 expression is correlated with the formation and prognosis of human medulloblastomas. In this context, SIRT1 would be a potential therapeutic target of medulloblastomas. “
“Both chordoma and Rathke’s cleft cyst are relatively rare diseases in the central nervous system. In this paper we report the first case of Cobimetinib purchase a chordoma coexisting with a Rathke’s cleft cyst. A 49-year-old man presented with a 19-month history of distending pain, movement dysfunction and diplopia of the left eye. The preoperative diagnosis was consistent with chordoma with cystic change. Final pathological diagnosis of chordoma coexisting

with Rathke’s cleft cyst was made according to histological and immunohistochemical studies and the clinical and radiological features are discussed. Considering the close relationship between the notochordal tissue and Rathke’s pouch during early embryogenic development, a possible mechanism is Nabilone also discussed with the literature review. “
“Optineurin is a gene associated with normal tension glaucoma and primary open-angle glaucoma, one of the major causes of irreversible bilateral blindness. Recently, mutations in the gene encoding optineurin were found in patients with amyotrophic lateral sclerosis (ALS). Immunohistochemical analysis showed aggregation of optineurin in skein-like inclusions and round hyaline inclusions in the spinal cord, suggesting that optineurin appears to be a more general marker for ALS.

Although Tamoxifen injection promoted Ag presentation by only 4–8

Although Tamoxifen injection promoted Ag presentation by only 4–8% of DCs in DIETER mice, it induced robust CD8+ T-cell tolerance that could not be broken by a subsequent LCMV infection. Importantly, the resulting CD8+ T-cell

tolerance was entirely Ag specific, as it did not affect T-cell responses against LCMV epitopes other than the ones expressed by the transgene. This suggested that a T-cell-intrinsic mechanism, such as inactivation or deletion of Ag-specific T cells, rather Ceritinib in vitro than a dominant mechanism is involved in the induction of peripheral tolerance by steady-state DCs in this model. Indeed, naïve T cells that were adoptively transferred into previously tolerized DIETER mice remained responsive [17]. Negative costimulation through inhibitory cell-surface receptors of the CD28 family Protein Tyrosine Kinase inhibitor seems to be crucial for induction of T-cell tolerance by steady-state DCs. When coinhibitory signaling through programmed cell death 1 (PD1) or CTL protein 4 (CTLA4) was inhibited in DIETER mice, steady-state DCs failed to tolerize T cells, and CTLs were found to be massively primed when both receptors were blocked [17]. These findings demonstrated that PD1 and CTLA4 have nonredundant and complementary functions in T-cell tolerance induction by steady-state DCs. Interestingly, the costimulatory ligands CD80 and

CD86, which engage CTLA4, as well as the PD1 ligands PD-L1 and PD-L2, are expressed to higher levels on activated DCs than on steady-state DCs [18].

Thus, although ligation of PD1 and CTLA4 on T cells is crucial for tolerance induction by steady-state DCs, the expression level of their ligands on DCs does not govern the decision between tolerance and immunity. Another mechanism of induction of cell-intrinsic peripheral tolerance by steady-state DCs involves tryptophan metabolism. The rate-limiting enzyme of tryptophan catabolism indoleamine 2,3-dioxygenase (IDO) is expressed by steady-state DCs. DC-derived IDO promotes T-cell tolerance not only through mechanisms that depend on the catalytic function of IDO — such as local tryptophan depletion [19] and not knyureine production [20] — but also through signaling events that involve IDO but are independent of its catalytic activity [21]. Together these different mechanisms of inducing T-cell intrinsic tolerance allow steady-state DCs to purge the naïve-T-cell repertoire in an Ag-specific manner of autoreactive T cells that have escaped negative selection in the thymus. In addition to promoting T-cell-intrinsic mechanisms of peripheral tolerance, steady-state DCs have been found to be essential for dominant peripheral tolerance, which mainly depends on the function of CD4+FOXP3+ regulatory T (Treg) cells.

Further studies are needed to reveal the underlying

Further studies are needed to reveal the underlying BI 2536 purchase mechanisms. MORI DAISUKE1, INOUE KAZUNORI1, HAMANO TAKAYUKI2, MATSUI ISAO1, SHIMOMURA AKIHIRO1, KUSUNOKI YASUO1, NAKANO CHIKAKO1, OBI YOSHITSUGU1, TSUBAKIHARA YOSHIHARU2, ISAKA YOSHITAKA1, RAKUGI HIROMI1 1Department of Geriatric Medicine and Nephrology, Osaka University Graduate School of Medicine; 2Department of Comprehensive Kidney Disease Research, Osaka University Graduate School of Medicine Introduction: Left ventricular

hypertrophy (LVH) and a resultant heart failure are the leading causes of death in patients with chronic kidney disease (CKD). Therefore, it is important to establish novel strategies to prevent LVH in CKD. Studies on vitamin D receptor knockout mice have revealed that active vitamin D may be one of the promising agents that ameliorate LVH. Therefore, in the current study, we examined preventive C646 research buy effects of maxacalcitol (22-oxacalcitriol (OCT)), a clinically used less calcemic analogue of active vitamin D, on LVH in hemi-nephrectomized rats. Methods: Six-week-old male Wister rats were subjected to heminephrectomy and then divided into four groups; normal saline + vehicle (N+V), normal saline + OCT (N+O), angiotensin II (Ang II) + vehicle (A+V), and Ang II + OCT (A+O). Vehicle or OCT at a dose of 0.15 μg/kg BW was administered subcutaneously twice a day. We also

examined the effects of OCT on hypertrophy using cultured neonatal rat ventricular Suplatast tosilate myocytes (NRVM). Results: In comparison with groups N+V and N+O, group A+V had increased heart weight, cross sectional area of cardiomyocytes, and LVH-associated genes. Because it is well established that an activation of calcineurin A

(CnA)-NFAT pathway in cardiomyocyte causes pathological LVH, we examined the status of this pathway in these rats. In comparison with groups N+V and N+O, group A+V had higher activity of CnA. Elevated expression of moderately calcineurin interacting protein 1 (MCIP-1), a down-stream component of CnA-NFAT pathway, in group A+V also confirmed the activation of CnA-NFAT pathway in group A+V. All of these changes were suppressed in group A+O in a blood-pressure-independent manner. To understand the underlying mechanism more precisely how OCT suppressed LVH, we performed in vitro examinations using NRVM. An overexpression of constitutive-active form CnA in the NRVM induced MCIP-1 expression and hypertrophy. OCT suppressed these changes in a dose dependent manner. Conclusion: Our findings may provide a novel approach for the suppression of pathological LVH in CKD. HAN SEUNG SEOK1, PARK JAE YOON1, KIM MYOUNGHEE2, JOO KWON WOOK1, KIM YON SU1, KIM DONG KI1 1Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea; 2Department of Dental Hygiene, College of Health Science, Eulji University, Gyeonggi-do, Korea Introduction: The elderly constitutes a substantial proportion of patients suffering from the end-stage renal disease.

These differences might be the cause of the observed distinct cyt

These differences might be the cause of the observed distinct cytokine expression patterns (Hackstadt, 1995; Stephens et al., 1998; Greub et al., 2005b, 2009; Corsaro & Greub, 2006). Here, it should be stressed that major differences exist

in the biology of the classical Chlamydiae and the so-called Chlamydia-related organisms including a threefold larger genome size of Parachlamydia (Stephens et al., 1998; Greub et al., 2009) and its Cabozantinib nmr ability to resist to the microbicidal effectors of free-living amoebae (Greub et al., 2003b). Immune cells can also be infected by Chlamydiales although not all do so with the same efficiency. For example C. pneumoniae can infect freshly derived monocytes, but cannot replicate in them and is degraded (Airenne et al., 1999; Wolf et al., 2005).

Chlamydia pneumoniae replicated to a lower extent in macrophages derived from human peripheral blood mononuclear cells (PBMC) as compared with HeLa cells or not at all in freshly derived PBMCs (Kaukoranta-Tolvanen et al., 1996; Wolf et al., 2005). To some degree, growth inhibition is probably due to TNF-α, because interference with antibodies causes increased bacterial growth in alveolar macrophages, although the late gene omcB was still poorly transcribed (Haranaga et al., 2003). Thus, in vivo macrophages seem to be refractory to C. pneumoniae replication compared with other Chlamydiales. Chlamydia trachomatis’ ability to perform a productive replication in macrophages depends on the biovar. Only the LGV biovars were able to replicate within macrophages, while

ZD1839 others generally form persistent forms when infecting these phagocytic cells (reviewed in Beagley et al., 2009). Nonetheless, the persistent C. trachomatis are still metabolically active and can induce apoptosis of other immune cells (Jendro et al., 2004). Indeed, C. trachomatis-infected macrophages release TNF-α that with other components induces apoptosis of T cells, but not of the infected macrophages. Moreover, the factors released during apoptosis of T cells induce an immunosuppressing environment (transforming growth factor-β), thus creating a favorable environment for chlamydial persistence (Jendro et al., 2004). Controlled apoptosis may not only be from a mechanism used by some Chlamydiales to prevent bacterial clearance but might also provide enough time to complete a replication cycle or induce persistence. Waddlia chondrophila has a direct cytopathic effect on macrophages, suggesting that they are not the primary host cells for replication (Goy et al., 2008). This characteristic could help the bacteria prevent early infection recognition, display of antigens and attraction of other immune cells. Several Chlamydiales differ in their ability to induce cytokines after exposure to detrimental conditions such as heat or UV light. Thus, P.

The authors conclude, though, that despite a growing body of lite

The authors conclude, though, that despite a growing body of literature

on the topic, more efforts are needed to standardize both sampling methods and assays of female genital tract immunity. They stress that there is an urgent need to develop prevention strategies and that to do so, consensus standard operating procedures for testing immunity of the female lower genital tract will need to be utilized. An earlier review by Coombs et al.3 provides detailed anatomic instruction for collection of a variety of sample types. There are a number of clinical characteristics that are known to alter genital immunity. These should be considered when planning studies that involve the genital tract with regard to mucosal immunity and prevention of or influence on HIV infection. The clinical characteristics Idasanutlin datasheet LY2109761 cost specific to individual patients as well as those specific to HIV infection are summarized in Table I. Whether the phase of the menstrual cycle impacts on genital shedding of HIV or susceptibility to HIV infection remains unclear. Data are conflicting with some studies showing an association between changes

in the concentration of genital tract HIV RNA4 and others failing to show such an association.5–7 A review by Wira and Fahey8 points out, though, that there are many immunologic changes that occur during the course of the menstrual cycle. There are changes in migration of macrophages, B cells, neutrophils, and dendritic cells across the cycle.9–11 Lactoferrin, an antiviral peptide produced by neutrophils, is depressed mid-cycle.12 In the same study examining women across a menstrual cycle, a number of other immune mediators were depressed midcycle and returned to proliferative stage at approximately day 21.12 Normal values at Branched chain aminotransferase various points in

the menstrual cycle have not been established and would be expected to vary by the stage of the cycle. Therefore, it is important that studies designed to examine the female genital tract immune response should consider the phase of the menstrual cycle. Possible strategies to minimize the variation owing to immune changes caused by the menstrual cycle include planning sampling during a single phase of the cycle, secretory, ovulatory, or proliferative in cycling women. Another strategy might include sampling longitudinally across the cycle for all studied women so that such differences can be considered in analyses. Menopause is an understudied area of reproductive immunology as it relates to risk of HIV acquisition. One aspect of menopause that is certain, however, is the change in the systemic and local hormonal milieu. There is a marked drop in estrogen levels and the loss of the cyclic hormonal changes in the lower genital tract. Several reports have shown that a number of genital immune functions are impacted by hormonal regulation as detailed earlier.

037) and mortality (P = 0 001) GM assay is adjunctive to clinica

037) and mortality (P = 0.001). GM assay is adjunctive to clinical/radiological evidence. A negative GM assay may not reassure the physician against the use of amphotericin in patients with febrile neutropenia, as it does not exclude the diagnosis of clinically relevant other fungal infections, particular mucormycosis. “
“Novel treatment schedules of induction therapy for acute lympoblastic leukaemia (ALL) use combinations of immunosuppressive and cytotoxic

drugs that are associated with neutropenia and acquisition of invasive fungal infections. It has been described that posaconazole, a triazole antifungal drug, is active against a variety of Candida and Aspergillus species in vitro. Moreover, large clinical trials using posaconazole in severely immunosuppressed patients provided data on efficacy against Aspergillus in vivo. As patients with ALL are also affected

by difficult-to-treat Palbociclib research buy Aspergillus infections, we conducted a pilot study to prove the safety of posaconazole in patients undergoing intensified induction phase treatment. We report on eight patients receiving prophylactic (200 mg t.i.d.) dose of posaconazole and demonstrate good tolerability of the drug. The most obvious side effect was liver toxicity as defined by abnormal serum glutamic pyruvic transaminase, serum glutamic oxaloacetic transaminase and bilirubin levels (this website clear relationship to posaconazole applications. During the study, one patient Doxacurium chloride developed possible aspergillosis of the lung. Therefore,

the observations indicate a favourable toxicity profile of posaconazole in ALL therapy. Efficacy of the drug has to be further validated in prospective clinical trials. “
“Among fungi, Curvularia inaequalis is a rare pathogen. We report the first case of non-invasive fungal rhinosinusitis caused by this species. Endoscopic sinus surgery revealed massive polyposis and the presence of viscous eosinophilic mucus that allowed the growth of the fungus. We diagnosed eosinophilic fungal rhinosinusitis based on the histological findings of fungal hyphae in association with degranulating eosinophils in the sinus mucus. After polypectomy and clearance of the affected sinuses, oral itraconazole was administered to prevent the recurrence. Given the ever-increasing list of opportunistic fungi that cause human infection, the case reported here provides further evidence that proper identification of the infective agents remains crucial for the patient’s management. “
“Onychomycosis is defined as a fungal infection of the nail bed and/or nail plate. The prevalence of onychomycosis has increased dramatically as a worldwide condition in the twentieth century due to occlusive footwear, global wars and natural migration.

Treatment of immature DCs

Treatment of immature DCs Temsirolimus with surface-displayed ApxIIA#5 expressed on S. cerevisiae or vector-only S. cerevisiae (1:1) induced significant upregulation of surface MHC class II molecules and CD40 and CD86 activation markers (P < 0.05; Table 1). The DC-stimulatory potential of the surface-displayed

ApxIIA#5 expressed on S. cerevisiae was also shown by induction of the cytokines TNF-α, IL-12p70, IL-1β and IL-10 (Fig. 1). Compared with vector-only S. cerevisiae, surface-displayed ApxIIA#5 expressed on S. cerevisiae was sufficient to induce strong secretion of the proinflammatory cytokines TNF-α, IL-12p70 and IL-1β and the Th2-inducing cytokine IL-10. Dendritic cells were stimulated with recombinant ApxIIA to produce ApxIIA-activated DCs and then presented to T cells from the experimental mice. T-cell proliferation was analyzed by examining the CFSE division X-396 mw profiles. The mock control and the vector control groups appeared to have similar percentages of CFSE-low cells, 51.4% and 51.6%, respectively; however, the vaccinated group showed enhanced CD4+ T-cell proliferation, with 81.8% CFSE-low cells. CD4+ T-cell proliferation was four times greater in the vaccinated group than in the control groups (P < 0.001). Presentation of ApxIIA on activated DCs to T cells taken from the experimental

mice after the third immunization elicited specific proliferation of CD4+ T cells (Fig. 2). To assess the potential of the surface-displayed antigen expressed on S. cerevisiae in an oral delivery system, antigen-specific antibody responses were determined in sera and cell suspensions from the SP, LP and PP of mice orally immunized with vector-only S. cerevisiae and surface-displayed

ApxIIA#5 expressed on S. cerevisiae. Tau-protein kinase As shown in Figure 3, high IgG and IgA antibody activities were maintained in the sera of the vaccinated group after the final immunization. The group immunized with surface-displayed ApxIIA#5 expressed on S. cerevisiae showed higher specific IgA responses to ApxIIA in sera than did those treated with vector-only S. cerevisiae (P < 0.05). The numbers of antigen-specific IgG and IgA antibody-producing B cells increased significantly in the SP, PP and LP of the vaccinated group (P < 0.05; Fig. 4). In particular, the numbers of antigen-specific IgA antibody-producing cells in the PP were significantly higher than those in the LP and SP. IgG subclasses were assessed to determine the basis of the Th1- and Th2-type immune responses induced in the serum of the mice immunized via the oral route with surface-displayed ApxIIA#5 expressed on S. cerevisiae. There were no differences among the experimental groups in the ApxIIA-specific IgG1 (Th2) subclass, whereas the ApxIIA-specific IgG2a (Th1) subclass increased significantly in the vaccinated group (P < 0.01; Fig. 3). In the SP and CD4+ T cells, IL-4 producing cells were more numerous in the vaccinated mice than in the control mice.

The association was not explained by sociodemographic characteris

The association was not explained by sociodemographic characteristics of the family, the mother’s mental state, or by the quantity or acoustic properties of her speech. However, variability in pitch of maternal speech was an independent predictor of the infants’ later joint attention skills. Taken together, these findings suggest that mothers’ infant-directed speech fosters infants’ attentive participation in topic-sharing interactions, which in turn provide an important arena in which joint attention skills develop over the first year of life. Small molecule library in vivo
“The role of contingency learning was examined in 3-month-old infants’ reaching movements. Infants in the experimental

group experienced 9 min of active training during which they could move their arms in a reach-like Selleckchem INCB024360 fashion to pull and move a mobile. Infants in the control group experienced 9 min of passive training during which they watched a mobile move. Prior

to (pre-training) and following the mobile experience (post-training), infants in both conditions were given an opportunity to interact with a rattle placed within and out of their reach. Compared with infants in the control condition, infants in the experimental condition produced reach-like movements more frequently during the mobile experience; they also showed a greater increase in reaching attempts from pre- to post-training assessments with the rattle. These findings show that reinforcement of arm extensions and retractions increases the frequency of infants’ reaching behaviors. This result suggests that the reinforcement

of components of infants’ behaviors may contribute to the successful assembly of these behaviors. This process could help keep infants engaged during the lengthy transition from prereaching to independent reaching. “
“The relations among infant anger reactivity, approach behavior, and frontal electroencephalogram (EEG) asymmetry, and their relations to inhibitory control and behavior next problems in early childhood were examined within the context of a longitudinal study of temperament. Two hundred nine infants’ anger expressions to arm restraint were observed at 4 months of age. Infants’ approach behaviors during play with an unpredictable toy and baseline frontal EEG asymmetry were assessed at 9 months of age. Inhibitory control during a Go/No-Go task and parent report of behavior problems were evaluated at 4 years of age. High anger-prone infants with left, but not right, frontal EEG asymmetry showed significantly more approach behaviors and less inhibitory control relative to less anger-prone infants. Although a link between anger proneness in infancy and behavior problems in early childhood was not found, a combination of low approach behaviors and poor inhibitory control was predictive of internalizing behaviors.

In both systems, considerably higher cytotoxicity was elicited ag

In both systems, considerably higher cytotoxicity was elicited against respective B7-H3-transfected tumour cells (Fig. 3b), suggesting that B7-H3 on tumour cells augments the cytolytic effector function of antigen-specific CD8+ T cells in vivo during JAK inhibitor the effector phase. We obtained five types of in vivo transplantable tumour cells including mastocytoma (P815), T lymphoma (EL4), plasmacytoma (J558L), squamous

cell carcinoma (SCCVII) and melanoma (B16) to investigate the effects of B7-H3 transduction on anti-tumour immunity. All tumour cells expressed endogenous cell surface B7-H3, although the levels were low (Fig. S1). Four tumours, but not the B16 melanoma, expressed substantial levels of MHC class I, but none of the tumours expressed endogenous CD80 or CD86. P815 and J558L cells expressed CD54. We established respective B7-H3 transfectants that stably expressed B7-H3 at high levels. B7-H3 transduction did not affect other cell-surface expression including MHC class

I, CD54, CD80 and CD86 (Fig. S1). All B7-H3-transduced tumour cell lines showed comparable growth in culture and the selleck addition of anti-B7-H3 mAb did not clearly affect their growth (data not shown). Five B7-H3-transduced tumours and their respective parental tumours were injected subcutaneously into syngeneic mice, and tumour growth was monitored to examine tumorigenicity. All of the parental tumours grew progressively, whereas the growth of B7-H3-transduced

tumours was efficiently inhibited (Fig. 4). The inoculation of parental or B7-H3-transduced P815 cells into immunodeficient BALB/c nude mice showed a comparable growth curve (Fig. 4f), suggesting T-cell-dependent action in the rejection of B7-H3/P815 tumours. These results indicate that B7-H3 transduction into tumours markedly reduced tumorigenicity. To examine the requirements of CD8+ and Alanine-glyoxylate transaminase CD4+ T cells for tumour-associated B7-H3-induced anti-tumour immunity, we pre-treated with anti-CD4, anti-CD8 mAb, or a mixture of both mAbs to deplete CD4+, CD8+, or both T cells, and then B7-H3/SCCVII cells were inoculated. Depletion of either CD4+ or CD8+ T cells slightly enhanced mean tumour volume and four out of five mice failed to reject the tumours from CD4-depleted mice, whereas all of the mice failed to reject the tumours from CD8-depleted mice (Fig. 5a). The depletion of both CD4+ and CD8+ T cells dramatically promoted tumour growth, resulting in a reversal of the B7-H3 transduction effects. These results suggest that both CD4+ and CD8+ T cells are required, and that CD8+ T cells alone are insufficient for eradicating B7-H3/SCCVII tumours. We have recently reported that TLT-2 is a counter-receptor for B7-H3.

[60] Nanotechnology has brought new options for hRSV treatment an

[60] Nanotechnology has brought new options for hRSV treatment and prophylaxis,

using the anti-microbial activity of metals, such as silver and gold.[66] Although due to their toxicity, the clinical use of these metals in humans seems unfeasible, the development of silver or gold nanoparticles combined with polyvinylpyrrolidone have been shown to efficiently inhibit hRSV replication, showing low toxicity in cell Alvelestat mw lines. Further, gold nanoparticles fused with inhibitor peptides displayed a high inhibitory capacity against hRSV.[66] Human RSV F protein nanoparticle vaccines have recently initiated clinical and preclinical studies to evaluate safety.[67] Another interesting therapeutic approach is the use of interference RNA that targets different steps during the hRSV infective cycle. The small interfering RNA (siRNA) strategy was initially used to target the expression of NS2[68] and the P[69] proteins, the latter showing an efficient capacity to protect mice against hRSV infection. This approach was also used to target the F gene, showing inhibition of hRSV

infection.[70] Nanotechnology has also been applied in combination with the siRNA approach to target the NS1 gene, resulting in the increase of IFN-β production by DCs and stimulated the Th1 differentiation of CD4+ cells.[71] Such a strategy protected mice against RSV infection, because treated mice showed decreased viral loads in lungs and

reduced inflammation in this tissue. PF-01367338 concentration A new siRNA specific against NS1(ALN-RSV01) showed high antiviral activity that impaired nucleocapsid expression.[72] Studies in mice reported that administration of this molecule reduces RSV titres in the lungs.[73] This antiviral drug has also been evaluated in human clinical trials, demonstrating their safety and tolerance in healthy adults.[72] In addition, the effectiveness of ALN-RSV01 against hRSV infection was evaluated Cyclooxygenase (COX) in humans, with a 44% reduction of hRSV infection without adverse effects[74] and the phase IIb clinical trial has concluded. Further, this drug has been tested in lung transplant patients, where it has demonstrated safety and effectiveness.[74] Another strategy to combat the disease caused by hRSV is to target the harmful immune response elicited by hRSV infection. The exacerbated Th2 response associated with the hRSV bronchiolitis is characterized by high production of IL-4. Along these lines, a study generated an antisense oligomer to promote local silencing of il4 gene expression, which was delivered intranasally.[75] This approach was evaluated in neonatal murine models, showing a reduction of Th2 response and decreasing the airway damage caused by hRSV.[75] To improve the specificity of siRNA technology as an antiviral approach for hRSV, the use of phosphorodiamidatemorpholino oligomers (PMOs) has been proposed.