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 language | English |
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Pages (from-to) | 404-409 |
Number of pages | 6 |
Journal | Clinical Immunology |
Volume | 131 |
Issue number | 3 |
DOIs | |
State | Published - 06 2009 |
Keywords
- CTLA-4
- DHF
- Polymorphisms
- TGFβ1
- Virus load