2018
DOI: 10.1186/s12929-018-0482-9
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The monocyte-macrophage-mast cell axis in dengue pathogenesis

Abstract: Dengue virus, the causative agent of dengue disease which may have hemorrhagic complications, poses a global health threat. Among the numerous target cells for dengue virus in humans are monocytes, macrophages and mast cells which are important regulators of vascular integrity and which undergo dramatic cellular responses after infection by dengue virus. The strategic locations of these three cell types, inside blood vessels (monocytes) or outside blood vessels (macrophages and mast cells) allow them to respon… Show more

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Cited by 45 publications
(39 citation statements)
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“…Also, it has been possible to produce vascular permeability in DENV-infected infant mice born to dengue-immune mothers 82 . But other hypotheses of severe dengue pathogenesis that attribute disease (1) to a weakened ability of secondary T cells to contain DENV infection because of the original antigenic sin phenomenon, (2) to the hyper-production of endothelium-damaging secondary infection T-cell cytokines and chemokines, (3) to the DENV non-structural protein 1 (NS1) heterophile antibodies raised during first DENV infections that damage platelets, endothelial cells, or blood clotting proteins during second infections, or (4) to the ability of dengue IgG immune complexes to stimulate mast cells to release vasoactive amines fail to satisfy the requirements of Occam’s razor 8386 . None of these hypotheses explains the phenomenon of infant DVPS where B- and T-cell responses are primary and anti-DENV or anti-NS1 IgG antibody concentrations at the onset of illness are absent or very low.…”
Section: Pathogenesismentioning
confidence: 99%
“…Also, it has been possible to produce vascular permeability in DENV-infected infant mice born to dengue-immune mothers 82 . But other hypotheses of severe dengue pathogenesis that attribute disease (1) to a weakened ability of secondary T cells to contain DENV infection because of the original antigenic sin phenomenon, (2) to the hyper-production of endothelium-damaging secondary infection T-cell cytokines and chemokines, (3) to the DENV non-structural protein 1 (NS1) heterophile antibodies raised during first DENV infections that damage platelets, endothelial cells, or blood clotting proteins during second infections, or (4) to the ability of dengue IgG immune complexes to stimulate mast cells to release vasoactive amines fail to satisfy the requirements of Occam’s razor 8386 . None of these hypotheses explains the phenomenon of infant DVPS where B- and T-cell responses are primary and anti-DENV or anti-NS1 IgG antibody concentrations at the onset of illness are absent or very low.…”
Section: Pathogenesismentioning
confidence: 99%
“…Macrophages play a critical role in the induction and regulation of both innate and adaptive immune responses and sometimes act as a double-edged sword during certain viral infections, including flavivirus infections, as macrophages may not only help fight against viral infection but also contribute to virus production and dissemination during viral infections (14)(15)(16)(17)(18). The interactions between host macrophages and a number of viruses have been extensively studied in mammal models.…”
mentioning
confidence: 99%
“…MCs contribute to a response to infection that involves multiple cell types. In addition to MC endothelial cell interactions, the interface between dengue virus, monocytes and macrophages and MCs may be of particular importance [47]. Notably, MC infection with hantavirus has also been associated with a similar mediator response that may contribute to vascular dysfunction [48].…”
Section: Mast Cells and Mosquito-borne Virusesmentioning
confidence: 99%