“…Transaminase levels are increased in DENV-infected patients (Halstead, 1988;Kuo et al, 1992;Souza et al, 2004) and in a murine model of DENV infection (Barth et al, 2006;Chen et al, 2004;Franca et al, 2010;Paes et al, 2005Paes et al, , 2009). Apoptosis of hepatic cells, which may be related to the pathogenesis of DSS, has been observed both in vitro and in vivo (Couvelard et al, 1999;El-Bacha et al, 2007;Huerre et al, 2001;Limonta et al, 2007;Lin et al, 2008;Marianneau et al, 1998;Morchang et al, 2011;Nagila et al, 2011Nagila et al, , 2013Netsawang et al, 2010;Thongtan et al, 2004).…”