PMID- 11920816 OWN - NLM STAT- MEDLINE DCOM- 20020531 LR - 20190901 IS - 0146-6615 (Print) IS - 0146-6615 (Linking) VI - 67 IP - 1 DP - 2002 May TI - Cytokine gene expression and protein production in peripheral blood mononuclear cells of children with acute dengue virus infections. PG - 41-6 AB - Plasma leakage in dengue hemorrhagic fever (DHF) is associated with elevated plasma levels of cytokines. To define further the contribution of immune activation to DHF and the source of cytokines, we analyzed the production of cytokines in peripheral blood mononuclear cells (PBMC) obtained from children with dengue, using RT-PCR and immunostaining. Tumor necrosis factor-alpha (TNF-alpha) and TNF-beta expression was detected in all samples by PCR and in < 50% of samples by immunostaining. Interferon-gamma (IFN-gamma) expression was detected in < 50% of samples by either method. Interleukin-2 (IL-2) and IL-4 expression was detected in a few samples by immunostaining but was not detectable by PCR. We found greater expression of TNF-alpha and IL-4 in DHF than in dengue fever or other (non-dengue) febrile illnesses. These results support the model of immunopathogenesis of DHF. However, low levels of cytokine expression in PBMC suggest that cellular activation in tissues may contribute to high serum cytokine levels in DHF. CI - Copyright 2002 Wiley-Liss, Inc. FAU - Gagnon, Susan J AU - Gagnon SJ AD - Center for Infectious Disease and Vaccine Research, University of Massachusetts Medical School, Worcester, Massachusetts 01655, USA. FAU - Mori, Masuko AU - Mori M FAU - Kurane, Ichiro AU - Kurane I FAU - Green, Sharone AU - Green S FAU - Vaughn, David W AU - Vaughn DW FAU - Kalayanarooj, Siripen AU - Kalayanarooj S FAU - Suntayakorn, Saroj AU - Suntayakorn S FAU - Ennis, Francis A AU - Ennis FA FAU - Rothman, Alan L AU - Rothman AL LA - eng GR - P01 AI34533/AI/NIAID NIH HHS/United States GR - R01 AI30624/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - J Med Virol JT - Journal of medical virology JID - 7705876 RN - 0 (Cytokines) RN - 0 (Interleukin-2) RN - 0 (Lymphotoxin-alpha) RN - 0 (Tumor Necrosis Factor-alpha) RN - 207137-56-2 (Interleukin-4) SB - IM MH - Acute Disease MH - Adolescent MH - Child MH - Child, Preschool MH - Cytokines/*biosynthesis/genetics MH - Female MH - Fever/immunology MH - *Gene Expression MH - Humans MH - Infant MH - Interleukin-2/biosynthesis/genetics MH - Interleukin-4/biosynthesis/genetics MH - Leukocytes, Mononuclear/immunology MH - Lymphotoxin-alpha/biosynthesis/genetics MH - Male MH - Severe Dengue/blood/*immunology MH - Tumor Necrosis Factor-alpha/biosynthesis/genetics EDAT- 2002/03/29 10:00 MHDA- 2002/06/01 10:01 CRDT- 2002/03/29 10:00 PHST- 2002/03/29 10:00 [pubmed] PHST- 2002/06/01 10:01 [medline] PHST- 2002/03/29 10:00 [entrez] AID - 10.1002/jmv.2190 [pii] AID - 10.1002/jmv.2190 [doi] PST - ppublish SO - J Med Virol. 2002 May;67(1):41-6. doi: 10.1002/jmv.2190.