A family history of allergy has been implicated in children who develop post-bronchiolitis wheezing and asthma. In a guinea pig model of respiratory syncytial virus (RSV) lung infection, we evaluated the role of host Th1 background (either genetic or induced) on the development of a persistent infection, nonspecific airway hyperresponsiveness (AHR) and airway inflammation. Allergy resistant/T helper 1 (Th1)-skewed strain 2 guinea pigs (STR2) and cytosine phosphate guanine oligodeoxynucleotides (CpG-ODN) (Th1 stimuli) pretreated Cam Hartley guinea pigs (CH) were inoculated with RSV and compared with virus-inoculated allergysusceptible/Th2-skewed CHs and to sham-inoculated STR2 and CH, 60 d post-inoculation. We measured titers of intrapulmonary RSV, lung interferon (IFN)-␥ and interleukin (IL)-5 mRNA expression, AHR and airway T cells and eosinophils. All virus-inoculated groups of animals showed evidence of persistent RSV lung infection; however, Th2-skewed guinea pigs had virus-associated AHR and significantly greater levels of airway T cells and eosinophils. In conclusion, RSV can establish persistent infection of the guinea pig lung regardless of host Th1/Th2 background; however; a host Th1 background limits the extent of virus-associated AHR and airway inflammation. Heterogeneity in virus-host interactions may be relevant to understanding why some children hospitalized for RSV bronchiolitis go on to develop recurrent wheezing/asthma symptoms. R SV is the most common cause of acute bronchiolitis, the leading cause of infant hospitalization in the developed world (1). A proportion of children hospitalized with acute bronchiolitis develop sequelae of recurrent wheezing and features of asthma for which allergic mechanisms (2-5) or a family history of allergy (6) have been implicated. In addition, studies in animal models have reported that RSV can establish a persistent, low-level infection in the lungs (7,8), and results of several cross-sectional (9 -11) and longitudinal studies (12) suggest that RSV can persistently infect the human lung.However, the consequences of chronic intrapulmonary RSV persistence are unclear (13).We have developed a guinea pig model of experimental RSV infection in which lung function and airway inflammation have been studied in association with RSV persistence (8,14). In this model, intranasal RSV inoculation of juvenile CH results in a productive lung infection that is associated with nonspecific AHR and airway inflammation by lymphocytes and granulocytes, including T cells and eosinophils (8,15,16). After resolution of the acute infection, CH develop a persistent lung infection characterized by ongoing, low-level RSV replication, AHR, and airway eosinophilia (8,14,15). These findings in guinea pigs suggest a possible role for RSV persistence in the pathogenesis of AHR and airway inflammation that have features similar to asthma (17).Importantly, CH are a genetically outbred strain that is highly susceptible to allergic sensitization relative to inbred STR2 or STR13 (18). S...