Combination of CTLA-4 and TGFβ1 gene polymorphisms associated with dengue hemorrhagic fever and virus load in a dengue-2 outbreak

Rong Fu Chen, Lin Wang, Jiin Tsuey Cheng, Hau Chuang, Jen Chieh Chang, Jien Wei Liu, I. Chun Lin, Kuender D. Yang*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

39 Scopus citations

Abstract

The pathogenesis of dengue hemorrhagic fever (DHF) has been considered to be massive immune activation of T cells. Abnormal expression of the immune regulatory molecules, CTLA-4 and TGFβ1, leads to disturbances of regulatory T cell immune response. We investigate the contribution of CTLA-4 and TGFβ1 in DHF by analyzing them for association with virus load in blood and polymorphisms of CTLA-4 +49A/G, and TGFβ1 -509C/T in a DEN-2 outbreak. The increased frequency of the TGFβ1 -509 CC genotype in patients with DHF was compared to those with dengue fever (OR = 1.9, p = 0.034). Moreover, the presence of the CTLA-4 +49 G allele and TGFβ1 -509 CC genotype increased the susceptibility to risk of DHF (OR = 2.1, p = 0.028) and significantly higher virus load (p = 0.013). This finding suggests that a combination of CTLA-4 and TGFβ1 polymorphisms is associated with the susceptibility of DHF and higher virus load. Crown

Original languageEnglish
Pages (from-to)404-409
Number of pages6
JournalClinical Immunology
Volume131
Issue number3
DOIs
StatePublished - 06 2009

Keywords

  • CTLA-4
  • DHF
  • Polymorphisms
  • TGFβ1
  • Virus load

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