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RSV and COVID-19 Trigger Different Immune Responses in Infants

RSV suppresses key infant immune functions including natural killer cells and inflammatory signals, potentially explaining its greater severity compared to SARS-CoV-2, researchers found.

  • Published in Science Translational Medicine, the study reports that RSV and SARS-CoV-2 trigger different infant immune responses, with RSV seemingly suppressing immune activity, according to researchers.
  • Researchers found RSV appears to reprogram parts of the infant immune system at the epigenetic level and suppresses systemic inflammation via epigenetic regulators.
  • Using single-cell profiling, the team analyzed blood from 19 infants with RSV, 30 with SARS-CoV-2, and 17 healthy infants, finding RSV cases had fewer natural killer cells producing less interferon-gamma.
  • Because RSV is immunosuppressive, clinicians say steroids should not be routinely given to infants hospitalized with RSV, as distinct immune profiles require different treatment strategies.
  • The study provides a blueprint to guide future research and treatments worldwide, underscoring the urgent need given that five million children die before age 5, half in the first months due to infection, according to researchers.
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The Berkshire EagleThe Berkshire Eagle
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Differing immune responses in infants may explain increased severity of RSV over SARS-CoV-2

Study finds infants' immune systems respond very differently to the two viruses, with important treatment implications.

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Inside Precision Medicine broke the news in on Wednesday, February 25, 2026.
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