PMID- 16628576 OWN - NLM STAT- MEDLINE DCOM- 20060713 LR - 20060818 IS - 0146-6615 (Print) IS - 0146-6615 (Linking) VI - 78 IP - 6 DP - 2006 Jun TI - Time course characteristics of human herpesvirus 6 specific cellular immune response and natural killer cell activity in patients with exanthema subitum. PG - 792-9 AB - The time-course of cell-mediated immunity in exanthema subitum is not well documented. The lymphoproliferative response to purified human herpesvirus 6 (HHV-6) antigen and to phytohemagglutinin was measured and natural killer (NK) cell activities determined in three consecutive specimens obtained biweekly from 18 young children and infants with exanthema subitum. Virus isolation and PCR detection of virus DNA and determination of neutralization antibody to HHV-6 and -7 were also carried out. The magnitude of the HHV-6 specific lymphoproliferative response varied; however, in most cases the time course kinetics revealed a low response in the acute phase with a subsequent gradual increase. In contrast, NK cell activities were high in the acute phase and declined gradually during convalescence. The lymphoproliferative response to phytohemagglutinin did not show a consistent trend in kinetics of time; however, dynamic changes in activity were observed in patients during the acute and convalescent periods. The results suggest that NK cells play a major role in resolving acute phase infection while specific lymphocyte activity develops later. The cause of the delayed development of HHV-6 specific lymphoproliferative response is unknown. The lymphoproliferative response to phytohemagglutinin ratios implied that HHV-6 infection has some impact on host T-cell immunity during the course of exanthema subitum. FAU - Kumagai, Takuji AU - Kumagai T AD - Pediatric Allergy and Infectious Diseases Society of Sapporo, Kumagai Pediatric Clinic, Sapporo, Hokkaido, Japan. tkuma@mb.infosnow.ne.jp FAU - Yoshikawa, Tetsushi AU - Yoshikawa T FAU - Yoshida, Mariko AU - Yoshida M FAU - Okui, Toyo AU - Okui T FAU - Ihira, Masaru AU - Ihira M FAU - Nagata, Nobuo AU - Nagata N FAU - Yano, Shoki AU - Yano S FAU - Shiraki, Kimiyasu AU - Shiraki K FAU - Yamada, Masao AU - Yamada M FAU - Ichihara, Kiyoshi AU - Ichihara K FAU - Asano, Yoshizo AU - Asano Y LA - eng PT - Journal Article PL - United States TA - J Med Virol JT - Journal of medical virology JID - 7705876 SB - IM EIN - J Med Virol. 2006 Sep;78(9):1256 MH - Cell Proliferation MH - Exanthema Subitum/*immunology/*virology MH - Female MH - Herpesvirus 6, Human/*immunology MH - Herpesvirus 7, Human/immunology MH - Humans MH - Immunity, Cellular MH - Infant MH - Killer Cells, Natural/*metabolism MH - Male MH - Roseolovirus Infections/immunology MH - Time Factors EDAT- 2006/04/22 09:00 MHDA- 2006/07/14 09:00 CRDT- 2006/04/22 09:00 PHST- 2006/04/22 09:00 [pubmed] PHST- 2006/07/14 09:00 [medline] PHST- 2006/04/22 09:00 [entrez] AID - 10.1002/jmv.20625 [doi] PST - ppublish SO - J Med Virol. 2006 Jun;78(6):792-9. doi: 10.1002/jmv.20625.