“…Several viruses, often associated with chronic infections, such as hepatitis C virus, herpesviruses, human papillomavirus and immunodeficiency virus (HIV), have been shown to induce HIF-1α activation, leading to metabolic cellular reprogramming and promotion of virus replication [ 31 , 34 , 35 ]. Influenza virus infection was also able to induce HIF-1α activation in lung carcinoma and monocytic cell lines; however, a lack of lung epithelial cell expression of HIF-1α in a mouse model of influenza infection was associated with enhanced virus replication [ 36 , 37 ]. HIF-1α expression and stabilization in epithelial and immune cells plays an important role in promoting inflammatory responses, as well as the production of VEGF [ 8 , 33 ], both of which are known to contribute to the pathogenesis of RSV-induced lung disease, supporting further investigation into the use of selective HIF-1a inhibitors to modulate RSV disease, keeping in mind, however, that HIF proteins are also important for repair/healing processes following acute lung injury [ 38 , 39 ].…”