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1.
EMBO J ; 41(3): e109728, 2022 02 01.
Article in English | MEDLINE | ID: mdl-34935163

ABSTRACT

Human respiratory syncytial virus (RSV) causes severe respiratory illness in children and the elderly. Here, using cryogenic electron microscopy and tomography combined with computational image analysis and three-dimensional reconstruction, we show that there is extensive helical ordering of the envelope-associated proteins and glycoproteins of RSV filamentous virions. We calculated a 16 Å resolution sub-tomogram average of the matrix protein (M) layer that forms an endoskeleton below the viral envelope. These data define a helical lattice of M-dimers, showing how M is oriented relative to the viral envelope. Glycoproteins that stud the viral envelope were also found to be helically ordered, a property that was coordinated by the M-layer. Furthermore, envelope glycoproteins clustered in pairs, a feature that may have implications for the conformation of fusion (F) glycoprotein epitopes that are the principal target for vaccine and monoclonal antibody development. We also report the presence, in authentic virus infections, of N-RNA rings packaged within RSV virions. These data provide molecular insight into the organisation of the virion and the mechanism of its assembly.


Subject(s)
Respiratory Syncytial Virus, Human/ultrastructure , Viral Envelope/ultrastructure , Viral Matrix Proteins/chemistry , A549 Cells , Animals , Chlorocebus aethiops , Glycoproteins/chemistry , Humans , Protein Conformation, alpha-Helical , Respiratory Syncytial Virus, Human/chemistry , Vero Cells , Viral Envelope/chemistry
2.
Viruses ; 10(8)2018 08 20.
Article in English | MEDLINE | ID: mdl-30127286

ABSTRACT

Human respiratory syncytial virus (RSV) is the leading cause of lower respiratory tract disease in young children. With repeat infections throughout life, it can also cause substantial disease in the elderly and in adults with compromised cardiac, pulmonary and immune systems. RSV is a pleomorphic enveloped RNA virus in the Pneumoviridae family. Recently, the three-dimensional (3D) structure of purified RSV particles has been elucidated, revealing three distinct morphological categories: spherical, asymmetric, and filamentous. However, the native 3D structure of RSV particles associated with or released from infected cells has yet to be investigated. In this study, we have established an optimized system for studying RSV structure by imaging RSV-infected cells on transmission electron microscopy (TEM) grids by cryo-electron tomography (cryo-ET). Our results demonstrate that RSV is filamentous across several virus strains and cell lines by cryo-ET, cryo-immuno EM, and thin section TEM techniques. The viral filament length varies from 0.5 to 12 µm and the average filament diameter is approximately 130 nm. Taking advantage of the whole cell tomography technique, we have resolved various stages of RSV assembly. Collectively, our results can facilitate the understanding of viral morphogenesis in RSV and other pleomorphic enveloped viruses.


Subject(s)
Respiratory Syncytial Virus, Human/ultrastructure , Virion/ultrastructure , Virus Assembly/physiology , A549 Cells , Animals , Bronchi/virology , Cell Line , Chlorocebus aethiops , Cryoelectron Microscopy/methods , Electron Microscope Tomography/methods , Epithelial Cells/ultrastructure , Epithelial Cells/virology , HeLa Cells , Humans , Microtomy , Respiratory Syncytial Virus, Human/physiology , Vero Cells , Virion/physiology
3.
J Cell Sci ; 130(6): 1037-1050, 2017 03 15.
Article in English | MEDLINE | ID: mdl-28154158

ABSTRACT

Respiratory syncytial virus (RSV) is an enveloped virus that assembles into filamentous virus particles on the surface of infected cells. Morphogenesis of RSV is dependent upon cholesterol-rich (lipid raft) membrane microdomains, but the specific role of individual raft molecules in RSV assembly is not well defined. Here, we show that RSV morphogenesis occurs within caveolar membranes and that both caveolin-1 and cavin-1 (also known as PTRF), the two major structural and functional components of caveolae, are actively recruited to and incorporated into the RSV envelope. The recruitment of caveolae occurred just prior to the initiation of RSV filament assembly, and was dependent upon an intact actin network as well as a direct physical interaction between caveolin-1 and the viral G protein. Moreover, cavin-1 protein levels were significantly increased in RSV-infected cells, leading to a virus-induced change in the stoichiometry and biophysical properties of the caveolar coat complex. Our data indicate that RSV exploits caveolae for its assembly, and we propose that the incorporation of caveolae into the virus contributes to defining the biological properties of the RSV envelope.


Subject(s)
Caveolae/metabolism , Cell Membrane/metabolism , Respiratory Syncytial Virus, Human/physiology , Virus Assembly/physiology , Actins/metabolism , Caveolae/ultrastructure , Caveolin 1/metabolism , HeLa Cells , Humans , Models, Biological , Morphogenesis , Protein Binding , Protein Stability , RNA-Binding Proteins/metabolism , Respiratory Syncytial Virus, Human/ultrastructure , Viral Proteins/metabolism
4.
J Virol ; 88(13): 7602-17, 2014 Jul.
Article in English | MEDLINE | ID: mdl-24760890

ABSTRACT

UNLABELLED: Respiratory syncytial virus (RSV), a member of the Paramyxoviridae family of nonsegmented, negative-sense, single-stranded RNA genome viruses, is a leading cause of lower respiratory tract infections in infants, young children, and the elderly or immunocompromised. There are many open questions regarding the processes that regulate human RSV (hRSV) assembly and budding. Here, using cryo-electron tomography, we identified virus particles that were spherical, filamentous, and asymmetric in structure, all within the same virus preparation. The three particle morphologies maintained a similar organization of the surface glycoproteins, matrix protein (M), M2-1, and the ribonucleoprotein (RNP). RNP filaments were traced in three dimensions (3D), and their total length was calculated. The measurements revealed the inclusion of multiple full-length genome copies per particle. RNP was associated with the membrane whenever the M layer was present. The amount of M coverage ranged from 24% to 86% in the different morphologies. Using fluorescence light microscopy (fLM), direct stochastic optical reconstruction microscopy (dSTORM), and a proximity ligation assay (PLA), we provide evidence illustrating that M2-1 is located between RNP and M in isolated viral particles. In addition, regular spacing of the M2-1 densities was resolved when hRSV viruses were imaged using Zernike phase contrast (ZPC) cryo-electron tomography. Our studies provide a more complete characterization of the hRSV virion structure and substantiation that M and M2-1 regulate virus organization. IMPORTANCE: hRSV is a leading cause of lower respiratory tract infections in infants and young children as well as elderly or immunocompromised individuals. We used cryo-electron tomography and Zernike phase contrast cryo-electron tomography to visualize populations of purified hRSV in 3D. We observed the three distinct morphologies, spherical, filamentous, and asymmetric, which maintained comparable organizational profiles. Depending on the virus morphology examined, the amount of M ranged from 24% to 86%. We complemented the cryo-imaging studies with fluorescence microscopy, dSTORM, and a proximity ligation assay to provide additional evidence that M2-1 is incorporated into viral particles and is positioned between M and RNP. The results highlight the impact of M and M2-1 on the regulation of hRSV organization.


Subject(s)
RNA, Viral/chemistry , Respiratory Syncytial Virus, Human/ultrastructure , Ribonucleoproteins/chemistry , Viral Matrix Proteins/chemistry , Cryoelectron Microscopy/methods , Humans , RNA, Viral/metabolism , Respiratory Syncytial Virus Infections/virology , Respiratory Syncytial Virus, Human/physiology , Ribonucleoproteins/metabolism , Viral Matrix Proteins/metabolism
5.
Ultrastruct Pathol ; 37(5): 312-7, 2013 Oct.
Article in English | MEDLINE | ID: mdl-24047348

ABSTRACT

Respiratory syncytial virus (RSV) is a relevant agent of respiratory tract infections, especially in exacerbations of chronic lung diseases. Peribronchial submucosal glands are the main source of tracheobronchial mucus and therefore of major interest. The authors isolated and cultured human peribronchial gland cells and infected them with RSV. The course of infection was monitored by transmission electron, immuno-, and lectin fluorescence microscopy. Morphology shows virus factories with budding particles within cytoplasmatic vacuoles and virus release after 44 h of infection. Experimental infection of human peribronchial gland cells in primary culture appears to be a suitable model in pulmonary research.


Subject(s)
Bronchi/ultrastructure , Exocrine Glands/ultrastructure , Respiratory Syncytial Virus Infections/pathology , Respiratory Syncytial Virus, Human/ultrastructure , Bronchi/virology , Cells, Cultured , Exocrine Glands/virology , Fluorescent Antibody Technique , Humans , Microscopy, Electron, Transmission , Microscopy, Fluorescence , Respiratory Syncytial Virus Infections/virology , Respiratory Syncytial Virus, Human/pathogenicity , Time Factors
6.
Proc Natl Acad Sci U S A ; 110(27): 11133-8, 2013 Jul 02.
Article in English | MEDLINE | ID: mdl-23776214

ABSTRACT

Human respiratory syncytial virus is a human pathogen that causes severe infection of the respiratory tract. Current information about the structure of the virus and its interaction with host cells is limited. We carried out an electron cryotomographic characterization of cell culture-grown human respiratory syncytial virus to determine the architecture of the virion. The particles ranged from 100 nm to 1,000 nm in diameter and were spherical, filamentous, or a combination of the two. The filamentous morphology correlated with the presence of a cylindrical matrix protein layer linked to the inner leaflet of the viral envelope and with local ordering of the glycoprotein spikes. Recombinant viruses with only the fusion protein in their envelope showed that these glycoproteins were predominantly in the postfusion conformation, but some were also in the prefusion form. The ribonucleocapsids were left-handed, randomly oriented, and curved inside the virions. In filamentous particles, they were often adjacent to an intermediate layer of protein assigned to M2-1 (an envelope-associated protein known to mediate association of ribonucleocapsids with the matrix protein). Our results indicate important differences in structure between the Paramyxovirinae and Pneumovirinae subfamilies within the Paramyxoviridae, and provide fresh insights into host cell exit of a serious pathogen.


Subject(s)
Respiratory Syncytial Virus, Human/ultrastructure , Cell Line , Cryoelectron Microscopy , Electron Microscope Tomography , Humans , Protein Conformation , Respiratory Syncytial Virus, Human/chemistry , Ribonucleoproteins/chemistry , Ribonucleoproteins/ultrastructure , Viral Fusion Proteins/chemistry , Viral Fusion Proteins/ultrastructure
7.
mBio ; 3(1)2012.
Article in English | MEDLINE | ID: mdl-22318318

ABSTRACT

UNLABELLED: Respiratory syncytial virus (RSV) is a single-stranded RNA virus in the Paramyxoviridae family that assembles into filamentous structures at the apical surface of polarized epithelial cells. These filaments contain viral genomic RNA and structural proteins, including the fusion (F) protein, matrix (M) protein, nucleoprotein (N), and phosphoprotein (P), while excluding F-actin. It is known that the F protein cytoplasmic tail (FCT) is necessary for filament formation, but the mechanism by which the FCT mediates assembly into filaments is not clear. We hypothesized that the FCT is necessary for interactions with other viral proteins in order to form filaments. In order to test this idea, we expressed the F protein with cytoplasmic tail (CT) truncations or specific point mutations and determined the abilities of these variant F proteins to form filaments independent of viral infection when coexpressed with M, N, and P. Deletion of the terminal three FCT residues (amino acids Phe-Ser-Asn) or mutation of the Phe residue resulted in a loss of filament formation but did not affect F-protein expression or trafficking to the cell surface. Filament formation could be restored by addition of residues Phe-Ser-Asn to an FCT deletion mutant and was unaffected by mutations to Ser or Asn residues. Second, deletion of residues Phe-Ser-Asn or mutation of the Phe residue resulted in a loss of M, N, and P incorporation into virus-like particles. These data suggest that a C-terminal Phe residue in the FCT mediates assembly through incorporation of internal virion proteins into virus filaments at the cell surface. IMPORTANCE: Respiratory syncytial virus (RSV) is a leading cause of bronchiolitis and pneumonia in infants and the elderly worldwide. There is no licensed RSV vaccine and only limited therapeutics for use in infected patients. Many aspects of the RSV life cycle have been studied, but the mechanisms that drive RSV assembly at the cell surface are not well understood. This study provides evidence that a specific residue in the RSV fusion protein cytoplasmic tail coordinates assembly into viral filaments by mediating the incorporation of internal virion proteins. Understanding the mechanisms that drive RSV assembly could lead to targeted development of novel antiviral drugs. Moreover, since RSV exits infected cells in an ESCRT (endosomal sorting complexes required for transport)-independent manner, these studies may contribute new knowledge about a general strategy by which ESCRT-independent viruses mediate outward bud formation using viral protein-mediated mechanisms during assembly and budding.


Subject(s)
Phenylalanine , Respiratory Syncytial Virus Infections/virology , Respiratory Syncytial Virus, Human/physiology , Viral Fusion Proteins/genetics , Virus Assembly , Amino Acid Sequence , Cell Line , Cell Membrane/metabolism , Cytoplasm/metabolism , Cytoskeleton/ultrastructure , Humans , Molecular Sequence Data , Mutagenesis, Site-Directed , Point Mutation , RNA, Viral/genetics , RNA, Viral/metabolism , Recombinant Proteins , Respiratory Syncytial Virus, Human/genetics , Respiratory Syncytial Virus, Human/ultrastructure , Sequence Alignment , Viral Fusion Proteins/metabolism
8.
Virology ; 369(2): 309-23, 2007 Dec 20.
Article in English | MEDLINE | ID: mdl-17825340

ABSTRACT

During respiratory syncytial virus (RSV) infection there is a close physical interaction between the filamentous actin (F-actin) and the virus, involving both inclusion bodies and the virus filaments. This interaction appears to occur relatively early in the replication cycle, and can be detected from 8 h post-infection. Furthermore, during virus assembly we obtained evidence for the participation of an F-actin-associated signalling pathway involving phosphatidyl-3-kinase (PI3K). Treatment with the PI3K inhibitor LY294002 prevented the formation of virus filaments, although no effect was observed either on virus protein expression, or on trafficking of the virus glycoproteins to the cell surface. Inhibition of the activity of Rac GTPase, a down-stream effector of PI3K, by treatment with the Rac-specific inhibitor NSC23766 gave similar results. These data suggest that an intimate interaction occurs between actin and RSV, and that actin-associated signalling pathway, involving PI3K and Rac GTPase, may play an important role during virus assembly.


Subject(s)
Actins/physiology , Respiratory Syncytial Virus, Human/physiology , Respiratory Syncytial Virus, Human/ultrastructure , Virus Assembly/physiology , Aminoquinolines/pharmacology , Cell Line , Chromones/pharmacology , Cytoskeleton/ultrastructure , Cytoskeleton/virology , Enzyme Inhibitors/pharmacology , Humans , Inclusion Bodies, Viral/physiology , Inclusion Bodies, Viral/ultrastructure , Microscopy, Electron, Scanning , Microscopy, Electron, Transmission , Morpholines/pharmacology , Phosphatidylinositol 3-Kinases/physiology , Phosphoinositide-3 Kinase Inhibitors , Pyrimidines/pharmacology , Signal Transduction , rac GTP-Binding Proteins/antagonists & inhibitors , rac GTP-Binding Proteins/physiology
9.
Mol Pharm ; 2(6): 491-9, 2005.
Article in English | MEDLINE | ID: mdl-16323956

ABSTRACT

Respiratory syncytial virus (RSV) was studied as a function of pH (3-8) and temperature (10-85 degrees C) by fluorescence, circular dichroism, and high-resolution second-derivative absorbance spectroscopies, as well as dynamic light scattering and optical density as a measurement of viral aggregation. The results indicate that the secondary, tertiary, and quaternary structures of RSV are both pH and temperature labile. Derivative ultraviolet absorbance and fluorescence spectroscopy (intrinsic and extrinsic) analyses suggest that the stability of tertiary structure of RSV proteins is maximized near neutral pH. In agreement with these results, the secondary structure of RSV polypeptides seems to be more stable at pH 7-8, as evaluated by circular dichroism spectroscopy. The integrity of the viral particles studied by turbidity and dynamic light scattering also revealed that RSV is more thermally stable near neutral pH and particularly prone to aggregation below pH 6. By combination of the spectroscopic data employing a multidimensional eigenvector phase space approach, an empirical phase diagram for RSV was constructed. The pharmaceutical utility of this approach and the optimal formulation conditions are discussed.


Subject(s)
Hydrogen-Ion Concentration , Respiratory Syncytial Virus, Human/physiology , Circular Dichroism , Hot Temperature , Humans , Light , Respiratory Syncytial Virus, Human/growth & development , Respiratory Syncytial Virus, Human/ultrastructure , Scattering, Radiation , Spectrometry, Fluorescence , Spectrophotometry , Thermodynamics
10.
Br Med Bull ; 61: 13-28, 2002.
Article in English | MEDLINE | ID: mdl-11997296

ABSTRACT

Respiratory syncytial virus (RSV) is a leading cause of severe respiratory infection in infants and children. RSV is an RNA virus whose genome encodes 10 proteins. The G protein is responsible for viral attachment to cells whilst the F protein promotes syncytia formation. These proteins are also important in the immune response to RSV. Both the innate and adaptive arms of the cellular immune system are involved in the immunological response to RSV. The cytopathic effects of the virus explain many of the pathological findings in RSV disease. However, there is compelling evidence to suggest that the host cell immune response also has a prominent role in disease pathogenesis. Non-immunological factors may also be important.


Subject(s)
Lung/virology , Respiratory Syncytial Virus Infections/virology , Respiratory Syncytial Virus, Human/physiology , Eosinophils/immunology , Humans , Infant , Infant, Newborn , Lung/immunology , Lung/pathology , Macrophages/immunology , Neutrophils/immunology , Respiratory Syncytial Virus Infections/immunology , Respiratory Syncytial Virus Infections/pathology , Respiratory Syncytial Virus, Human/ultrastructure , T-Lymphocytes/immunology
11.
J Gen Virol ; 83(Pt 3): 611-621, 2002 Mar.
Article in English | MEDLINE | ID: mdl-11842256

ABSTRACT

We have employed immunofluorescence microscopy and transmission electron microscopy to examine the assembly and maturation of respiratory syncytial virus (RSV) in the Vero cell line C1008. RSV matures at the apical cell surface in a filamentous form that extends from the plasma membrane. We observed that inclusion bodies containing viral ribonucleoprotein (RNP) cores predominantly appeared immediately below the plasma membrane, from where RSV filaments form during maturation at the cell surface. A comparison of mock-infected and RSV-infected cells by confocal microscopy revealed a significant change in the pattern of caveolin-1 (cav-1) fluorescence staining. Analysis by immuno-electron microscopy showed that RSV filaments formed in close proximity to cav-1 clusters at the cell surface membrane. In addition, immuno-electron microscopy showed that cav-1 was closely associated with early budding RSV. Further analysis by confocal microscopy showed that cav-1 was subsequently incorporated into the envelope of RSV filaments maturing on the host cell membrane, but was not associated with other virus structures such as the viral RNPs. Although cav-1 was incorporated into the mature virus, it was localized in clusters rather than being uniformly distributed along the length of the viral filaments. Furthermore, when RSV particles in the tissue culture medium from infected cells were examined by immuno-negative staining, the presence of cav-1 on the viral envelope was clearly demonstrated. Collectively, these findings show that cav-1 is incorporated into the envelope of mature RSV particles during egress.


Subject(s)
Caveolins/metabolism , Cell Membrane/metabolism , Cell Membrane/virology , Respiratory Syncytial Virus, Human/growth & development , Respiratory Syncytial Virus, Human/metabolism , Virus Assembly , Animals , Caveolin 1 , Cell Membrane/ultrastructure , Cell Polarity , Chlorocebus aethiops/virology , Fluorescent Antibody Technique , Immunohistochemistry , Inclusion Bodies, Viral/metabolism , Inclusion Bodies, Viral/ultrastructure , Microscopy, Electron , Microscopy, Immunoelectron , Protein Transport , Respiratory Syncytial Virus, Human/ultrastructure , Ribonucleoproteins/metabolism , Vero Cells , Viral Proteins/metabolism
12.
Acta Virol ; 44(2): 91-7, 2000 Apr.
Article in English | MEDLINE | ID: mdl-10989700

ABSTRACT

To elucidate epidemiological interference between respiratory syncytial (RSV) and influenza viruses, the influence of influenza A (HlN1) virus on the growth of RSV was examined. Although RSV grew in MDCK cells, coinfection with influenza A virus led to a reduction of progeny RSV. The degree of growth interference depended on the time of infection with influenza A virus post infection (p.i.) with RSV. In fact, infection with influenza A virus 12 hrs p.i. with RSV did not influence growth of the latter virus. On the contrary, growth suppression of influenza A virus by RSV was observed when the coinfection began at the later stages of RSV infection. Suppression of the growth of RSV by influenza A infection was further demonstrated at the level of viral protein synthesis. An indirect immunofluorescence (IF) test revealed that a large proportion of infected cells synthesized both RSV and influenza A virus antigens. Scanning electron microscopic (SEM) examination demonstrated that influenza A and RSV virions possessing surface antigens specific for each virus were selectively released from dually infected cells. In the present study, we proved for the first time that the growth of RSV is blocked by competitive infection with influenza A virus in a susceptible cell population, competitive protein synthesis and selective budding of RSV and influenza viruses from the same infected cells.


Subject(s)
Influenza A virus/physiology , Respiratory Syncytial Virus, Human/growth & development , Animals , Antigens, Viral/immunology , Cell Line , Dogs , Fluorescent Antibody Technique, Indirect , Humans , Influenza A virus/immunology , Influenza A virus/ultrastructure , Respiratory Syncytial Virus, Human/immunology , Respiratory Syncytial Virus, Human/physiology , Respiratory Syncytial Virus, Human/ultrastructure , Tumor Cells, Cultured
13.
Clin Microbiol Rev ; 13(3): 371-84, 2000 Jul.
Article in English | MEDLINE | ID: mdl-10885982

ABSTRACT

Respiratory syncytial virus (RSV) is now recognized as a significant problem in certain adult populations. These include the elderly, persons with cardiopulmonary diseases, and immunocompromised hosts. Epidemiological evidence indicates that the impact of RSV in older adults may be similar to that of nonpandemic influenza. In addition, RSV has been found to cause 2 to 5% of adult community-acquired pneumonias. Attack rates in nursing homes are approximately 5 to 10% per year, with significant rates of pneumonia (10 to 20%) and death (2 to 5%). Clinical features may be difficult to distinguish from those of influenza but include nasal congestion, cough, wheezing, and low-grade fever. Bone marrow transplant patients prior to marrow engraftment are at highest risk for pneumonia and death. Diagnosis of RSV infection in adults is difficult because viral culture and antigen detection are insensitive, presumably due to low viral titers in nasal secretions, but early bronchoscopy is valuable in immunosuppressed patients. Treatment of RSV in the elderly is largely supportive, whereas early therapy with ribavirin and intravenous gamma globulin is associated with improved survival in immunocompromised persons. An effective RSV vaccine has not yet been developed, and thus prevention of RSV infection is limited to standard infection control practices such as hand washing and the use of gowns and gloves.


Subject(s)
Respiratory Syncytial Virus Infections/epidemiology , Adult , Humans , Immunocompromised Host , Respiratory Syncytial Virus Infections/diagnosis , Respiratory Syncytial Virus Infections/therapy , Respiratory Syncytial Virus, Human/growth & development , Respiratory Syncytial Virus, Human/immunology , Respiratory Syncytial Virus, Human/ultrastructure , Vaccination
14.
In. Leäo, Raimundo Nonato Queiroz de; Bichara, Cléa Nazaré Carneiro; Miranda, Esther Castello Branco Mello; Carneiro, Irna Carla do Rosário de Souza; Abdon, Nagib Ponteira; Vasconcelos, Pedro Fernando da Costa; Silva, Bibiane Monteiro da; Paes, Andréa Luzia Vaz; Marsola, Lourival Rodrigues. Doenças Infecciosas e Parasitárias: Enfoque Amazônico. Belém, Cejup:Universidade do Estado do Pará:Instituto Evandro Chagas, 1997. p.345-54, tab.
Monography in Portuguese | LILACS | ID: lil-248977
15.
Zhonghua Jie He He Hu Xi Za Zhi ; 16(5): 281-3, 319-20, 1993 Oct.
Article in Chinese | MEDLINE | ID: mdl-7923432

ABSTRACT

In order to evaluate the value of electron microscopy (EM) in diagnosing respiratory syncytial virus (RSV) infection in adults, the exfoliated cells from nasopharynx of 97 RSV positive patients were examined by EM and the gold labelling technique for immune electron microscopy. The viral particles with RSV features were found at the surface of the exfoliated cells only in a few samples by EM, and the specific gold labelling were observed in the immune electron microscopy (IEM). The results showed that RSV is one of the causative agents for adult respiratory infection.


Subject(s)
Respiratory Syncytial Virus Infections , Respiratory Syncytial Virus, Human/ultrastructure , Respiratory Tract Infections/microbiology , Adolescent , Adult , Aged , Aged, 80 and over , Epithelium/microbiology , Gold Colloid , Humans , Microscopy, Electron , Microscopy, Immunoelectron , Middle Aged , Nasopharynx/microbiology
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