Activation of the Cytokine Network and Unfavorable Outcome in Patients with Yellow Fever

To study the contribution of inflammatory mediators to the pathogenesis of yellow fever (YF), the serum levels of several cytokines and chemokines were measured in 7 patients with fatal YF (f-YF), 11 patients with nonfatal hemorrhagic YF (nf/h-YF), and 18 patients with nonfatal nonhemorrhagic YF (nf...

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Veröffentlicht in:The Journal of infectious diseases 2004-11, Vol.190 (10), p.1821-1827
Hauptverfasser: ter Meulen, Jan, Sakho, Mohamed, Koulemou, Kekoura, Magassouba, N'Faly, Bah, Aissatou, Preiser, Wolfgang, Daffis, Stephane, Klewitz, Christian, Bae, Hi-Gung, Niedrig, Matthias, Zeller, Hervé, Heinzel-Gutenbrunner, Monika, Koivogui, Lamine, Kaufmann, Andreas
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container_end_page 1827
container_issue 10
container_start_page 1821
container_title The Journal of infectious diseases
container_volume 190
creator ter Meulen, Jan
Sakho, Mohamed
Koulemou, Kekoura
Magassouba, N'Faly
Bah, Aissatou
Preiser, Wolfgang
Daffis, Stephane
Klewitz, Christian
Bae, Hi-Gung
Niedrig, Matthias
Zeller, Hervé
Heinzel-Gutenbrunner, Monika
Koivogui, Lamine
Kaufmann, Andreas
description To study the contribution of inflammatory mediators to the pathogenesis of yellow fever (YF), the serum levels of several cytokines and chemokines were measured in 7 patients with fatal YF (f-YF), 11 patients with nonfatal hemorrhagic YF (nf/h-YF), and 18 patients with nonfatal nonhemorrhagic YF (nf/nh-YF). The levels of interleukin (IL)-6, monocyte chemoattractant protein-1, interferon-inducible protein (IP)-10, tumor necrosis factor-α, and IL-1 receptor antagonist (IL-1RA) were all statistically significantly higher in the patients with f-YF than in those with nf/nh-YF. In patients with nf/h-YF, only levels of IP-10 and IL-1RA were significantly elevated. The high levels of pro- and anti-inflammatory cytokines and chemokines in serum from patients with f-YF are reminiscent of those seen in patients with bacterial sepsis. This finding has implications for the understanding of the pathophysiology of YF and the development of therapeutic strategies.
doi_str_mv 10.1086/425016
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subjects Adolescent
Adult
Aged
Antibodies
Arboviroses
Biological and medical sciences
Chemokine CCL2 - blood
Chemokine CXCL10
Chemokines
Chemokines, CXC - blood
Child
Child, Preschool
Cytokines
Cytokines - blood
Cytokines - immunology
Epidemics
Female
Fundamental and applied biological sciences. Psychology
Guinea
Hemorrhage
Human viral diseases
Humans
Infections
Infectious diseases
Inflammation Mediators - blood
Inflammation Mediators - immunology
Interleukin 1 Receptor Antagonist Protein
Interleukin-6 - blood
Male
Medical sciences
Microbiology
Middle Aged
Polymerase chain reaction
Reverse transcriptase polymerase chain reaction
Sialoglycoproteins - blood
Tropical viral diseases
Tumor Necrosis Factor-alpha - analysis
Viral diseases
Viremia
Virues
Viruses
Yellow fever
Yellow Fever - immunology
Yellow Fever - pathology
Yellow Fever - physiopathology
title Activation of the Cytokine Network and Unfavorable Outcome in Patients with Yellow Fever
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