2012
DOI: 10.1128/mbio.00003-12
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Role of Complement in Dengue Virus Infection: Protection or Pathogenesis?

Abstract: Dengue viruses (DENV) cause a spectrum of disease in humans, ranging from dengue fever (DF) to a severe, life-threatening syndrome called dengue hemorrhagic fever/dengue shock syndrome (DHF/DSS). Despite the global morbidity and mortality associated with DENV infection, mechanisms of immune control and viral pathogenesis are poorly understood. In a recent article, Avirutnan et al. [22167226mBio20112e00276-11] demonstrated that DENV can be directly neutralized via the mannose binding lectin (MBL) pathway of the… Show more

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Cited by 25 publications
(22 citation statements)
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References 18 publications
(23 reference statements)
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“…Complement components inhibit flavivirus infections such as Dengue, West Nile, and Yellow Fever at the replication level or by inducing inflammatory responses which lead to increases in the severity of disease. [52,53] IPA predicted the activation of the complement cascade in our study by 24 hpi. During infection, viral NS1, one of the nonstructural proteins produced after cleavage of the viral polyprotein by host and viral proteases, aids viral pathogenesis by interaction with complement proteins and regulators involved in the complement cascade.…”
Section: Discussionsupporting
confidence: 61%
See 1 more Smart Citation
“…Complement components inhibit flavivirus infections such as Dengue, West Nile, and Yellow Fever at the replication level or by inducing inflammatory responses which lead to increases in the severity of disease. [52,53] IPA predicted the activation of the complement cascade in our study by 24 hpi. During infection, viral NS1, one of the nonstructural proteins produced after cleavage of the viral polyprotein by host and viral proteases, aids viral pathogenesis by interaction with complement proteins and regulators involved in the complement cascade.…”
Section: Discussionsupporting
confidence: 61%
“…The activation of innate immunity leads to the activation of the complement cascade in response to viral infection. Complement components inhibit flavivirus infections such as Dengue, West Nile, and Yellow Fever at the replication level or by inducing inflammatory responses which lead to increases in the severity of disease . IPA predicted the activation of the complement cascade in our study by 24 hpi.…”
Section: Discussionsupporting
confidence: 49%
“…Factor H is a major regulator of the alternative pathway of the complement system, and abnormal complement responses seem to be involved in dengue pathogenesis [7,11,36]. In our study, we have analyzed the genetic polymorphisms in the promoter and encoding region of CFH gene encoding the human factor H, in a dengue patient cohort.…”
Section: Discussionmentioning
confidence: 99%
“…13,14 Although many studies have reported that the inflammatory response, cytokine storm, and activation of the complement system play a key role in the progression of severe clinical manifestation, identification of appropriate cytokine profiles, especially during the critical period of illness (defervescence stage) and its association with the progression of severe dengue, is not well established. 8,[15][16][17][18] In this study, we attempted to demonstrate the effects of cytokines in serum of DHF patients by using an in vitro model of HUVEC. Although extensive studies have been conducted during the past several decades, the molecular mechanisms underlying vascular leakage in severe dengue remain unclear.…”
Section: Discussionmentioning
confidence: 99%