How children fend off colds in the first three years of life, Research finds out

Clinical trial to test an efficient group-testing based approach for SARS-CoV-2 detection are underway. A liquid dispensing robot is used to assemble pools of samples that are then tested instead of testing individual samples

Researchers from Ben-Gurion University of the Negev and Columbia University  identify potential mechanism which help children recover from colds

August 10, 2023: Anyone who has had children remembers how many colds they got during their first three years of life. Whether novel respiratory viruses like SARS-CoV-2 or routine respiratory viruses, they lack repeated exposures that provide long-term immune protection. Nevertheless, they manage to recover remarkably well. How they do so has remained elusive, however.

Now, a team of scientists led by Columbia University in collaboration with Ben-Gurion University of the Negev and others, has identified what they believe could be the mechanism by which children recover from colds.

Their findings were published recently in the prestigious journal Nature Immunology​.

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The scientists, led by Prof. Donna L. Farber from Columbia University and Prof. Tomer Hertz from Ben-Gurion University, were given novel access to 63 pediatric organ donors, aged 0-13: 60 donors who died of non-infectious causes and 3 donors who died with ongoing symptomatic respiratory infection representing a racially and ethnically diverse population. The scientists then investigated immune cells in the lungs and lung-associated lymph nodes.

They identified bronchus-associated lymphoid tissue (BALT) – a novel immunological site, which develops during infancy and can be found around airways during childhood. While this has been previously demonstrated in mice, this study was the first to show that BALT exists in humans. The study found that BALT starts to decline around age 4 or 5 and are replaced by memory T cells. The BALT structures promote germinal center formation, B cell differentiation, class switching, and somatic hypermutation, which, in turn, promotes immune protection.

The Hertz lab used a novel antibody profiling assay to reveal distinct specificity profiles for antibodies produced in the lung and BALT compared to those in plasma of young children (1-3yrs). BALTs were enriched with antibodies against common respiratory viruses, while serum antibodies primarily targeted childhood vaccines and herpes viruses. These results suggest that BALT antibodies were secreted by local plasma cells in the lung and lung lymph nodes, independently of serum antibodies.

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“There are major implications for promoting respiratory immunity through vaccines. The presence of BALT in young children suggests that intranasal administration of vaccines may be particularly effective in children when priming outside lymphoid organs can occur. Moreover, induction of BALT could also be targeted in adults. Certain experimental vaccines were shown to induce BALT in adult mice and correlated with robust protection against bacterial and viral respiratory pathogens and could be targeted in future vaccines where systemic administration does not prevent infection or illness,” the researchers wrote.

Additional researchers include: Rei Matsumoto, Joshua Gray, Ksenia Rybkina, Rebecca S. Guyer, David Chen, Thomas J. Connors, and Peter A. Sims of Columbia University, Hanna Oppenheimer, Lior Levy, and Lilach M. Friedman of Ben-Gurion University, Muhammad Khamaisi and Uri Hershberg of the University of Haifa, Wenzhao Meng, Aaron M. Rosenfeld, Marissa Bradley and Eline T. Luning Prak of the University of Pennsylvania,  and Mark A. Atkinson, Todd M. Brusko,  and Maigan Brusko of the University of Florida.

The research was supported by NIH grants AI100119, AI106697, AI128949, NIH/NCI Cancer Center Support Grant P30CA013696, and grants from the Helmsley Charitable Trust.​

About Ben-Gurion University of the Negev

Ben-Gurion University of the Negev embraces the endless potential we have as individuals and as a commonality to adapt and to thrive in changing environments. Inspired by our location in the desert, we aim to discover, create, and develop solutions to dynamic challenges, to pose questions that have yet to be asked, and push beyond the boundaries of the commonly accepted and possible.

We are proud to be a central force for inclusion, diversity and innovation in Israel, and we strive to extend the Negev’s potential and our entrepreneurial spirit throughout the world. For example, the multi-disciplinary School for Sustainability and Climate Change at BGU leverages over 50 years of expertise on living and thriving in the desert into scalable solutions for people everywhere.

At a glance:

20,000 students | 800 senior faculty | 3 campuses | 6 faculties: humanities & social sciences, health sciences, engineering sciences, natural sciences, business & management, and desert research.

We invite you to set aside existing paradigms and to view the world from our unconventional perspective.

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