2010
DOI: 10.1016/j.virol.2010.05.033
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Natural attenuation of dengue virus type-2 after a series of island outbreaks: A retrospective phylogenetic study of events in the South Pacific three decades ago

Abstract: Dengue is an expanding arboviral disease of variable severity characterized by the emergence of virus strains with greater fitness, epidemic potential and possibly virulence. To investigate the role of dengue virus (DENV) strain variation on epidemic activity we studied DENV-2 viruses from a series of South Pacific islands experiencing outbreaks of varying intensity and clinical severity. Initially appearing in 1971 in Tahiti and Fiji, the virus was responsible for subsequent epidemics in American Samoa, New C… Show more

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Cited by 74 publications
(70 citation statements)
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“…A larger sample size would be required to detect differences between these groups, if they exist. Furthermore, with the accumulating evidence that the strain of virus also influences clinical severity, [7][8][9] these types of studies must include different virus strains to be meaningful.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…A larger sample size would be required to detect differences between these groups, if they exist. Furthermore, with the accumulating evidence that the strain of virus also influences clinical severity, [7][8][9] these types of studies must include different virus strains to be meaningful.…”
Section: Discussionmentioning
confidence: 99%
“…In particular, given that host, 6 viral, and possibly vector-related factors [7][8][9] influence disease outcome, cross-sectional studies that compare primary and secondary infections may be confounded by many factors other than the serologic status of dengue at the point of infection. Cohort studies could address this question, although such studies are complex and resource intensive.…”
Section: Introductionmentioning
confidence: 99%
“…[25][26][27] Additionally, different genotypes within a given serotype and different lineages within a given genotype have been shown to vary in tendency to cause severe disease. [28][29][30] For example, the DENV-2 viruses circulating in the Americas were of the American genotype until 1981, when DENV-2 viruses of the southeast Asian/American genotype were detected in the region. 26 Infection with DENV-2 of the American genotype had limited association with severe disease in the Americas, although recent analyses indicate that outbreaks of this American genotype in the 1970s in Puerto Rico, Tahiti, New Caledonia, and Niue included severe dengue disease.…”
Section: Introductionmentioning
confidence: 99%
“…26 Infection with DENV-2 of the American genotype had limited association with severe disease in the Americas, although recent analyses indicate that outbreaks of this American genotype in the 1970s in Puerto Rico, Tahiti, New Caledonia, and Niue included severe dengue disease. [30][31][32][33][34] Nonetheless, the invasion of the southeast Asian/ American genotype DENV-2 resulted in the first major DHF epidemic in the Americas. 35 Experimental studies revealed that the American genotype DENV-2 had lower replication capacity in cultured human cells and reduced infectivity for Ae.…”
Section: Introductionmentioning
confidence: 99%
“…In the host, immune status, age, sex, and genetic factors may contribute to disease severity. Numerous field studies have indicated a link between disease severity and the DENV genome sequence (2,3,22,27,38). A number of viral determinants modulating the intrinsic virulence of the virus within its host have been identified and have been shown to affect either the binding properties (7,11,33,37) or the replication efficiency (20, 34) of DENV.…”
mentioning
confidence: 99%