2001
DOI: 10.1086/321009
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Natural Measles Causes Prolonged Suppression of Interleukin‐12 Production

Abstract: Among vaccine-preventable diseases, measles is the preeminent killer of children worldwide. Infection with measles virus (MV) is associated with prolonged suppression of cell-mediated immune responses, a phenomenon that is thought to underlie the susceptibility to secondary infections that accounts for most measles-related mortality. Interleukin (IL)-12 is critical for the orchestration of cellular immunity. MV specifically ablates IL-12 production by monocyte/macrophages in vitro through binding to CD46, a co… Show more

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Cited by 91 publications
(61 citation statements)
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References 55 publications
(63 reference statements)
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“…Our present finding that all four CD46 isoforms function effectively as HHV-6 receptors suggests that differential expression of the various isoforms on different cell and tissue types is unlikely to be a major determinant of HHV-6 tropism. Also of potential significance for pathogenesis is that CD46 engagement by HHV-6 causes down-modulation of IL-12 secretion by activated blood-derived macrophages, 3 as has been shown previously for MV in these same cells (39) and in vivo (40). Thus, this potentially immunosuppressive effect can be induced by distinct viruses that interact with different regions of CD46.…”
Section: Cd46 Domains Required For Hhv-6 Receptor Functionmentioning
confidence: 63%
“…Our present finding that all four CD46 isoforms function effectively as HHV-6 receptors suggests that differential expression of the various isoforms on different cell and tissue types is unlikely to be a major determinant of HHV-6 tropism. Also of potential significance for pathogenesis is that CD46 engagement by HHV-6 causes down-modulation of IL-12 secretion by activated blood-derived macrophages, 3 as has been shown previously for MV in these same cells (39) and in vivo (40). Thus, this potentially immunosuppressive effect can be induced by distinct viruses that interact with different regions of CD46.…”
Section: Cd46 Domains Required For Hhv-6 Receptor Functionmentioning
confidence: 63%
“…Interestingly, infection of canine DCs with canine distemper virus, a close relative of MV also using CD150 as the entry receptor, equally decreases the surface levels of HLA-DR, CD80, and CD86 47 , suggesting that viral interaction with CD150 may have similar consequences for different Moribilliviruses in their natural hosts. Another hallmark of MV-induced immunosuppression, inhibition of IL-12 production, was reported in MV-infected children 48 , rhesus macaques during measles 49 , wt MV-infected mice expressing human SLAM 50 and primary human monocytes infected by MV 51 . The production of IL-12 was also impaired after CD150/CD150 self-ligation in human DCs 46 and an activation of Akt was shown to be followed by a decrease in IL-12 production 52,53 .…”
Section: Discussionmentioning
confidence: 91%
“…Both disruption of mucosal surfaces and the immunosuppression associated with measles virus predispose to secondary infection, which is thought to occur in over half of children with measles associated pneumonia (2,24,25). We found that the disease severity was associated with the higher peripheral leukocyte, neuthrophil counts and higher serum CRP levels.…”
Section: Discussionmentioning
confidence: 63%