Early Immune Activation in Acute Dengue Illness Is Related to Development of Plasma Leakage and Disease Severity

T lymphocyte activation and increased cytokine levels have been described in retrospective studies of children presenting with dengue hemorrhagic fever (DHF). Serial plasma samples obtained in a prospective study of Thai children presenting with

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Veröffentlicht in:The Journal of infectious diseases 1999-04, Vol.179 (4), p.755-762
Hauptverfasser: Green, Sharone, Vaughn, David W., Kalayanarooj, Siripen, Nimmannitya, Suchitra, Suntayakorn, Saroj, Nisalak, Ananda, Lew, Robert, Innis, Bruce L., Kurane, Ichiro, Rothman, Alan L., Ennis, Francis A.
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container_issue 4
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container_title The Journal of infectious diseases
container_volume 179
creator Green, Sharone
Vaughn, David W.
Kalayanarooj, Siripen
Nimmannitya, Suchitra
Suntayakorn, Saroj
Nisalak, Ananda
Lew, Robert
Innis, Bruce L.
Kurane, Ichiro
Rothman, Alan L.
Ennis, Francis A.
description T lymphocyte activation and increased cytokine levels have been described in retrospective studies of children presenting with dengue hemorrhagic fever (DHF). Serial plasma samples obtained in a prospective study of Thai children presenting with
doi_str_mv 10.1086/314680
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Serial plasma samples obtained in a prospective study of Thai children presenting with &lt;72 h of fever were studied. Plasma levels of 80-kDa soluble tumor necrosis factor receptors (sTNFRs) were higher in children who developed DHF than in those with dengue fever (DF) or other nondengue febrile illnesses (OFIs) and were correlated with the degree of subsequent plasma leakage. Soluble CD8 and soluble interleukin-2 receptor levels were also elevated in children with DHF compared with those with DF. Interferon-γ and sTNFR 60-kDa levels were higher in children with dengue than in those with OFIs. TNF-α was detectable more often in DHF than in DF or OFIs (P &lt; .05). These results support the hypothesis that immune activation contributes to the pathogenesis of DHF. 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Serial plasma samples obtained in a prospective study of Thai children presenting with &lt;72 h of fever were studied. Plasma levels of 80-kDa soluble tumor necrosis factor receptors (sTNFRs) were higher in children who developed DHF than in those with dengue fever (DF) or other nondengue febrile illnesses (OFIs) and were correlated with the degree of subsequent plasma leakage. Soluble CD8 and soluble interleukin-2 receptor levels were also elevated in children with DHF compared with those with DF. Interferon-γ and sTNFR 60-kDa levels were higher in children with dengue than in those with OFIs. TNF-α was detectable more often in DHF than in DF or OFIs (P &lt; .05). These results support the hypothesis that immune activation contributes to the pathogenesis of DHF. 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Vaughn, David W. ; Kalayanarooj, Siripen ; Nimmannitya, Suchitra ; Suntayakorn, Saroj ; Nisalak, Ananda ; Lew, Robert ; Innis, Bruce L. ; Kurane, Ichiro ; Rothman, Alan L. ; Ennis, Francis A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c520t-a8add28cb4508c3bd3c0316999059cb48b51abb22c8e30627c80144626f055833</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Acute Disease</topic><topic>Adolescent</topic><topic>Antigens, CD - blood</topic><topic>Arboviroses</topic><topic>Biological and medical sciences</topic><topic>Blood plasma</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cytokines - blood</topic><topic>Dengue</topic><topic>Dengue - immunology</topic><topic>Dengue fevers</topic><topic>Dengue hemorrhagic fever</topic><topic>Dengue virus</topic><topic>Diseases</topic><topic>Fever</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Infant</topic><topic>Infections</topic><topic>Infectious diseases</topic><topic>Major Article</topic><topic>Medical sciences</topic><topic>Prospective Studies</topic><topic>Receptors</topic><topic>Receptors, Tumor Necrosis Factor - blood</topic><topic>Receptors, Tumor Necrosis Factor, Type I</topic><topic>Receptors, Tumor Necrosis Factor, Type II</topic><topic>Serum Albumin - analysis</topic><topic>T lymphocytes</topic><topic>Tropical viral diseases</topic><topic>Viral diseases</topic><topic>Viruses</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Green, Sharone</creatorcontrib><creatorcontrib>Vaughn, David W.</creatorcontrib><creatorcontrib>Kalayanarooj, Siripen</creatorcontrib><creatorcontrib>Nimmannitya, Suchitra</creatorcontrib><creatorcontrib>Suntayakorn, Saroj</creatorcontrib><creatorcontrib>Nisalak, Ananda</creatorcontrib><creatorcontrib>Lew, Robert</creatorcontrib><creatorcontrib>Innis, Bruce L.</creatorcontrib><creatorcontrib>Kurane, Ichiro</creatorcontrib><creatorcontrib>Rothman, Alan L.</creatorcontrib><creatorcontrib>Ennis, Francis A.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health &amp; 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Serial plasma samples obtained in a prospective study of Thai children presenting with &lt;72 h of fever were studied. Plasma levels of 80-kDa soluble tumor necrosis factor receptors (sTNFRs) were higher in children who developed DHF than in those with dengue fever (DF) or other nondengue febrile illnesses (OFIs) and were correlated with the degree of subsequent plasma leakage. Soluble CD8 and soluble interleukin-2 receptor levels were also elevated in children with DHF compared with those with DF. Interferon-γ and sTNFR 60-kDa levels were higher in children with dengue than in those with OFIs. TNF-α was detectable more often in DHF than in DF or OFIs (P &lt; .05). These results support the hypothesis that immune activation contributes to the pathogenesis of DHF. Further studies evaluating the predictive value of sTNFR80 for DHF are warranted.</abstract><cop>Chicago, IL</cop><pub>The University of Chicago Press</pub><pmid>10068569</pmid><doi>10.1086/314680</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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source Jstor Complete Legacy; Oxford University Press Journals All Titles (1996-Current); MEDLINE
subjects Acute Disease
Adolescent
Antigens, CD - blood
Arboviroses
Biological and medical sciences
Blood plasma
Child
Child, Preschool
Cytokines - blood
Dengue
Dengue - immunology
Dengue fevers
Dengue hemorrhagic fever
Dengue virus
Diseases
Fever
Human viral diseases
Humans
Infant
Infections
Infectious diseases
Major Article
Medical sciences
Prospective Studies
Receptors
Receptors, Tumor Necrosis Factor - blood
Receptors, Tumor Necrosis Factor, Type I
Receptors, Tumor Necrosis Factor, Type II
Serum Albumin - analysis
T lymphocytes
Tropical viral diseases
Viral diseases
Viruses
title Early Immune Activation in Acute Dengue Illness Is Related to Development of Plasma Leakage and Disease Severity
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