Respiratory viral infections and cold
https://doi.org/10.36604/1998-5029-2026-100-156-165
Abstract
Human viruses cause a wide range of respiratory diseases, from the common cold to pneumonia and severe acute respiratory syndrome. A key factor determining the outcome of the disease is the nature of the subject's innate immune response, which is influenced by various external factors, such as the virus encountered, the season of the year with prolonged exposure to low temperatures, endogenous factors such as the body's susceptibility to infection, existing chronic respiratory diseases, the severity of non-specific respiratory defense mechanisms, immunodeficiency states, and the expression of genes that increase vulnerability to both the underlying disease and viral invasion, as well as their upregulation against the background of local cooling of the respiratory tract. This review presents an analysis of scientific literature data on the prevalence, some antiviral defense mechanisms, and conditions of increased susceptibility to viral upper respiratory tract infections associated with cooling.
About the Authors
А. G. PrikhodkoRussian Federation
Аnnа G. Prikhodko, MD, PhD (Med.), DSc (Med.), Main Staff Scientist, Laboratory of Functional Research of Respiratory System
22 Kalinina Str., Blagoveshchensk, 675000
J. M. Perelman
Russian Federation
Juliy M. Perelman, MD, PhD (Med.), DSc (Med.), Corresponding Member of RAS, Professor, Head of Laboratory of Functional Research of Respiratory System
22 Kalinina Str., Blagoveshchensk, 675000
V. P. Kolosov
Russian Federation
Victor P. Kolosov, MD, PhD (Med.), DSc (Med.), Academician of RAS, Professor, Main Staff Scientist, Laboratory of Functional Research of Respiratory System
22 Kalinina Str., Blagoveshchensk, 675000
References
1. Johnston S. Impact of viruses on airway diseases. Eur. Respir. Rev. 2005; 14(95):57–61. https://doi.org/10.1183/09059180.05.00009503
2. Mäkinen T.M., Juvonen R., Jokelainen J., Harju T.H., Peitso A., Bloigu A., Silvennoinen-Kassinen S., Leinonen M., Hassi J. Cold temperature and low humidity are associated with increased occurrence of respiratory tract infections. Respir. Med. 2009; 103(3):456–462. https://doi.org/10.1016/j.rmed.2008.09.011
3. Otter C.J., Renner D.M., Fausto A., Tan L.H., Cohen N.A., Weiss S.R. Interferon signaling in the nasal epithelium distinguishes among lethal and common cold coronaviruses and mediates viral clearance. Proc. Natl. Acad. Sci. USA 2024; 121(21):e2402540121. https://doi.org/10.1073/pnas.2402540121
4. Eccles R. Why is temperature sensitivity important for the success of common respiratory viruses? Rev. Med. Virol. 2021; 31(1):1–8. https://doi.org/10.1002/rmv.2153
5. Keep S., Stevenson-Leggett P., Steyn A., Oade M.S., Webb I., Stuart J., Vervelde L., Britton P., Maier H.J., Bickerton E. Temperature sensitivity: A potential method for the generation of vaccines against the avian coronavirus infectious bronchitis virus. Viruses 2020; 12(7):754. https://doi.org/10.3390/v12070754
6. Sun W., Ma Z., Cao J., Zhang J. Low temperature increases adenovirus replication via intracellular alkalization. Front. Cell. Infect. Microbiol. 2025; 15:1648576. https://doi.org/10.3389/fcimb.2025.1648576
7. Otter C.J., Fausto A., Tan L.H., Khosla A.S., Cohen N.A., Weiss S.R. Infection of primary nasal epithelial cells differentiates among lethal and seasonal human coronaviruses. Proc. Natl. Acad. Sci. USA 2023; 120:e2218083120. https://doi.org/10.1073/pnas.2218083120
8. Tanneti N.S., Patel A.K., Tan L.H., Marques A.D., Perera R.A.P.M., Sherrill-Mix S., Kelly B.J., Renner D.M., Collman R.G., Rodino K, Lee C., Bushman F.D., Cohen N.A., Weiss S.R. Comparison of SARS-CoV-2 variants of concern in primary human nasal cultures demonstrates Delta as most cytopathic and Omicron as fastest replicating. mBio 2024; 15(4):e0312923. https://doi.org/10.1128/mbio.03129-23
9. Hur S. Double-stranded RNA sensors and modulators in innate immunity. Annu. Rev. Immunol. 2019; 37:349–375. https://doi.org/10.1146/annurev-immunol-042718-041356
10. Fehr A., Perlman S. Coronaviruses: An overview of their replication and pathogenesis. Methods Mol. Biol. 2015; 1282:1– 23. https://doi.org/10.1007/978-1-4939-2438-7_1
11. Schoggins J.W. Interferon-stimulated genes: What do they all do? Annu. Rev. Virol. 2019; 6(1):567–584. https://doi.org/10.1146/annurev-virology-092818-015756
12. Pichlmair A., Schulz O., Tan C.-P., Rehwinkel J., Kato H., Takeuchi O., Akira S., Way M., Reis e Sousa С. Activation of MDA5 requires higher-order RNA structures generated during virus infection. J. Virol. 2009; 83(20):10761–10769. https://doi.org/10.1128/JVI.00770-09
13. Tanneti N.S., Stillwell H.A., Weiss S.R. Human coronaviruses: activation and antagonism of innate immune responses. Rev. Microbiol. Mol. Biol. Rev. 2025; 89(1):e0001623. https://doi.org/10.1128/mmbr.00016-23
14. Liu S., Cai X., Wu J., Cong Q., Chen X., Li T., Du F., Ren J., Wu Y.T., Grishin N.V., Chen Z.J. Phosphorylation of innate immune adaptor proteins MAVS, STING, and TRIF induces IRF3 activation. Science 2015; 347(6227):aaa2630. https://doi.org/10.1126/science.aaa2630
15. Stanifer M.L., Guo C., Doldan P., Boulant S. Importance of type I and III interferons at respiratory and intestinal barrier surfaces. Rev. Front. Immunol. 2020; 11:608645. https://doi.org/10.3389/fimmu.2020.608645
16. Benam K.H., Denney L., Ho L.-P. How the respiratory epithelium senses and reacts to influenza virus. Am. J. Respir. Cell. Mol. Biol. 2019; 60(3):259–268. https://doi.org/10.1165/rcmb.2018-0247TR
17. Platanias L.C. Mechanisms of type-I- and type-II-interferon-mediated signaling. Nat. Rev. Immunol. 2005; 5(5):375– 386. https://doi.org/10.1038/nri1604
18. Khatun O., Kaur S., Tripathi S. Anti-interferon armamentarium of human coronaviruses. Cell. Mol. Life Sci. 2025; 82(1):116. https://doi.org/10.1007/s00018-025-05605-z
19. Chakrabarti A., Banerjee S., Franchi L., Loo Y.M., Gale M. Jr, Núñez G., Silverman R.H. RNase L activates the NLRP3 inflammasome during viral infections. Cell Host Microbe 2015; 17(4):466–477. https://doi.org/10.1016/j.chom.2015.02.010
20. Balachandran S., Kim C.N., Yeh W.C., Mak T.W., Bhalla K., Barber G.N. Activation of the dsRNA-dependent protein kinase, PKR, induces apoptosis through FADD-mediated death signaling. EMBO J. 1998; 17(23):6888–6902. https://doi.org/10.1093/emboj/17.23.6888
21. Shi G., Li T., Lai K.K., Johnson R.F., Yewdell J.W., Compton A.A. Omicron Spike confers enhanced infectivity and interferon resistance to SARS-CoV-2 in human nasal tissue. Nat. Commun. 2024; 15(1):889. https://doi.org/10.1038/s41467-024-45075-8
22. Klinkhammer J., Schnepf D., Ye L., Schwaderlapp M., Gad H.H., Hartmann R., Garcin D., Mahlakõiv T., Staeheli P. IFN-λ prevents influenza virus spread from the upper airways to the lungs and limits virus transmission. Elife 2018; 7:1–18. https://doi.org/10.7554/eLife.33354
23. Cameron M.J., Ran L., Xu L., Danesh A., Bermejo-Martin J.F., Cameron C.M., Muller M.P., Gold W.L., Richardson S.E., Poutanen S.M., Willey B.M., DeVries M.E., Fang Y., Seneviratne C., Bosinger S.E., Persad D., Wilkinson P., Greller L.D., Somogyi R., Humar A., Keshavjee S., Louie M., Loeb M.B., Brunton J., McGeer A.J.; Canadian SARS Research Network; Kelvin D.J. Interferon-mediated immunopathological events are associated with atypical innate and adaptive immune responses in patients with severe acute respiratory syndrome. J. Virol. 2007; 81(16):8692–8706. https://doi.org/10.1128/JVI.00527-07
24. Denney L., Ho L.-P. The role of respiratory epithelium in host defence against influenza virus infection. Rev. Biomed. J. 2018; 41(4):218–233. https://doi.org/10.1016/j.bj.2018.08.004
25. Ramasamy R. Perspective of the relationship between the susceptibility to initial SARS-CoV-2 infectivity and optimal nasal conditioning of inhaled air. Int. J. Mo.l Sci. 2021; 22(15):7919. https://doi.org/10.3390/ijms22157919
26. Linfield D.T., Raduka A., Aghapour M., Rezaee F. Airway tight junctions as targets of viral infections. Тissue Barriers 2021; 9(2):1883965. https://doi.org/10.1080/21688370.2021.1883965
27. Noh H.E., Rha M.S. Mucosal immunity against SARS-CoV-2 in the respiratory tract. Pathogens 2024; 13(2):113. https://doi.org/10.3390/pathogens13020113
28. Berlansky S., Sallinger M., Grabmayr H., Humer C., Bernhard A., Fahrner M., Frischauf I. Calcium signals during SARSCoV-2 infection: Assessing the potential of emerging therapies. Rev. Cells 2022; 11(2):253. https://doi.org/10.3390/cells11020253
29. Deinhardt-Emmer S., Böttcher S., Häring C., Giebeler L., Henke A., Zell R., Jungwirth J., Jordan P.M., Werz O., Hornung F., Brandt C., Marquet M., Mosig A.S, Pletz M.W., Schacke M., Rödel J., Heller R., Nietzsche S., Löffler B., Ehrhardt C. SARSCoV-2 causes severe epithelial inflammation and barrier dysfunction. J. Virol. 2021; 95(10):e00110-21. https://doi.org/10.1128/JVI.00110-21
30. Koivisto A.P., Belvisi M.G., Gaudet R., Szallasi A. Advances in TRP channel drug discovery: from target validation to clinical studies. Nat. Rev. Drug Discov. 2022; 21(1):41–59. https://doi.org/10.1038/s41573-021-00268-4
31. Zhang J., Yang W., Roy S., Liu H., Roberts R.M., Wang L., Shi L., Ma W. Tight junction protein occludin is an internalization factor for SARS-CoV-2 infection and mediates virus cell-to-cell transmission. Proc. Natl. Acad. Sci. USA 2023; 120(17):e2218623120. https://doi.org/10.1073/pnas.2218623120
32. Gonzalez-Rubio J., Le-Trilling V.T.K., Baumann L., Cheremkhina M., Kubiza H., Luengen A.E., Reuter S., Taube C., Ruetten S., Duarte Campos D., Cornelissen C.G., Trilling M., Thiebes A.L. SARS-CoV-2 particles promote airway epithelial differentiation and ciliation. Front. Bioeng. Biotechnol. 2023; 11:1268782. https://doi.org/10.3389/fbioe.2023.1268782
33. Lu W.J., Liu X.Q., Wang T., Liu F., Zhu A.R., Lin Y.P., Luo J., Ye F., He J., Zhao J., Li Y., Zhong N. Elevated MUC1 and MUC5AC mucin protein levels in airway mucus of critical ill COVID-19 patients. J. Med. Virol. 2021; 93: 582–584. https://doi.org/10.1002/jmv.26406
34. Teoh K.T., Siu Y.L., Chan W.L., Schlüter M.A., Liu C.J., Peiris J.S., Bruzzone R., Margolis B., Nal B. The SARS coronavirus E protein interacts with PALS1 and alters tight junction formation and epithelial morphogenesis. Mol. Biol. Cell 2010; 21(22):3838–3352. https://doi.org/10.1091/mbc.E10-04-0338
35. Davis R.E., Rossier C.E., Enfield K.B. The impact of weather on influenza and pneumonia mortality in New York City, 1975-2002: a retrospective study. PLoS One 2012; 7(3):e34091. https://doi.org/10.1371/journal.pone.0034091
36. Onozuka D., Hagihara A. Non-stationary dynamics of climate variability in synchronous influenza epidemics in Japan. Int. J. Biometeorol. 2015; 59(9):1253–1259. https://doi.org/10.1007/s00484-014-0936-z
37. Audi A., AlIbrahim M., Kaddoura M., Hijazi G., Yassine H.M., Zaraket H. Seasonality of respiratory viral infections: Will COVID-19 follow suit? Front. Public Health 2020; 8:567184. https://doi.org/10.3389/fpubh.2020.567184
38. Kudo E., Song E., Yockey L.J., Rakib T., Wong P.W., Homer R.J., Iwasaki A. Low ambient humidity impairs barrier function and innate resistance against influenza infection. Proc. Natl. Acad. Sci. USA 2019; 116(22):10905–10910. https://doi.org/10.1073/pnas.1902840116
39. Shaw Stewart P.D., Bach J.L. Temperature dependent viral tropism: understanding viral seasonality and pathogenicity as applied to the avoidance and treatment of endemic viral respiratory illnesses. Rev. Med. Virol. 2022; 32(1):e2241. https://doi.org/10.1002/rmv.2241
40. Moriyama M., Hugentobler W.J., Iwasak A. Seasonality of respiratory viral infections. Annu. Rev. Virol. 2020; 7(1):83– 101. https://doi.org/10.1146/annurev-virology-012420-022445
41. Baker R.E., Yang W., Vecchi G.A., Metcalf C.J.E., Grenfell B.T. Assessing the influence of climate on winter-time SARSCoV-2 outbreaks. Nat. Commun. 2021; 12(1):846. https://doi.org/10.1038/s41467-021-20991-1
42. Cunningham L., Nicholson P.J., O'Connor J., McFadden J.P. Cold working environments as an occupational risk factor for COVID-19. Occup. Med. (Lond.) 2021; 71(6-7):245-247. https://doi.org/10.1093/occmed/kqaa195
43. Lowen A.C., Steel J. Roles of humidity and temperature in shaping influenza seasonality. J. Virol. 2014; 88(14):7692– 7695. https://doi.org/10.1128/JVI.03544-13
44. Polozov I.V., Bezrukov L., Gawrisch K., Zimmerberg J. Progressive ordering with decreasing temperature of the phospholipids of influenza virus. Nat. Chem. Biol. 2008; 4(4):248–255. https://doi.org/10.1038/nchembio.77
45. Lofgren E., Fefferman N., Naumov Y.N., Gorski J., Naumova E.N. Influenza seasonality: Underlying causes and modeling theories. J. Virol. 2007; 81:5429–5436. https://doi.org/10.1128/JVI.01680-06
46. Du X., Yang M. Unraveling the mechanisms of virus-induced asthma exacerbation: epithelial injury, immune dysregulation, and novel interventions. Chin. Med. J. Pulm. Crit. Care Med. 2025; 3(3):164–181. https://doi.org/10.1016/j.pccm.2025.08.003
47. Ma R., Zhang C., Zhang Y., Tan H., Zhang Y., Li Q., Bai Y., Sun X. The impact of respiratory syncytial virus on asthma development and exacerbation. Ann. Allergy Asthma Immunol. 2025; 135(3):268–275. https://doi.org/10.1016/j.anai.2025.05.011
48. Upadhyay P., Reddy J., Proctor T., Sorel O., Veereshlingam H., Gandhi M., Wang X., Singh V. Expanded PCR panel testing for identification of respiratory pathogens and coinfections in influenza-like illness. Diagnostics (Basel) 2023; 13(12):2014. https://doi.org/10.3390/diagnostics13122014
49. Wang C., Zhang Y.-M., Li M., Cheng K.-J. The role of virus in nasal inflammation. Eur. J. Med. Res. 2025; 30(1):1272. https://doi.org/10.1186/s40001-025-03516-0
Review
For citations:
Prikhodko А.G., Perelman J.M., Kolosov V.P. Respiratory viral infections and cold. Bulletin Physiology and Pathology of Respiration. 2026;(100):156-165. (In Russ.) https://doi.org/10.36604/1998-5029-2026-100-156-165
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