Altered T helper 1 reaction but not increase of virus load in patients with dengue hemorrhagic fever

Rong Fu Chen, Jien Wei Liu, Wen Ting Yeh, Lin Wang, Jen Chieh Chang, Hong Ren Yu, Jiin Tsuey Cheng, Kuender D. Yang*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

72 Scopus citations

Abstract

To investigate whether dengue-2 patients with and without dengue hemorrhagic fever had different virus load, immune mediators, or T helper (Th) reaction, we simultaneously measured virus load, immune mediators and the Th1/Th2 transcription factors T-bet/GATA-3 mRNA expression in a large outbreak of dengue-2 infections in Southern Taiwan. Results showed that virus load was not significantly different between patients with and without dengue hemorrhagic fever. Patients with dengue fever had higher IFN-γ levels, but patients with dengue hemorrhagic fever had significantly higher IL-10 levels. Further studies showed that patients with dengue hemorrhagic fever had a significantly lower T-bet than those with dengue fever, but GATA-3 mRNA expression in peripheral blood leukocytes was not significant difference between both groups. In conclusion, altered Th1 reaction as reflected by lower T-bet mRNA expression associated with higher IL-10 levels might be involved in the pathogenesis of dengue hemorrhagic fever.

Original languageEnglish
Pages (from-to)43-50
Number of pages8
JournalFEMS Immunology and Medical Microbiology
Volume44
Issue number1
DOIs
StatePublished - 01 04 2005
Externally publishedYes

Keywords

  • Dengue hemorrhagic fever
  • GATA-3
  • Real-time RT-PCR
  • T-bet
  • Virus load

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