PMID- 17690402 OWN - NLM STAT- MEDLINE DCOM- 20071002 LR - 20131121 IS - 0002-9637 (Print) IS - 0002-9637 (Linking) VI - 77 IP - 2 DP - 2007 Aug TI - Implications of dynamic changes among tumor necrosis factor-alpha (TNF-alpha), membrane TNF receptor, and soluble TNF receptor levels in regard to the severity of dengue infection. PG - 297-302 AB - Tumor necrosis factor-alpha (TNF-alpha) and soluble TNF receptors (sTNFR1 and sTNFR2) have been implicated in infectious diseases. We investigated dynamic changes among TNF-alpha, membrane TNF receptors (mTNFR1 and mTNFR2), and sTNFR1 and sTNFR2 levels for patients with dengue hemorrhagic fever (DHF) and those not infected during a DEN-2 outbreak in southern Taiwan in 2002-2003. Patients with DHF showed the lowest levels of mTNFR1 and mTNFR2 expression. Multivariate analysis showed that a decrease in levels of mTNFR1 expression was the only factor significantly different between patients with DHF and those with dengue fever. Moreover, lower mTNFR1 expression was significantly correlated with higher plasma TNF-alpha levels, but not with sTNFR1 levels in patients with DHF. This finding suggests that a lower level of mTNFR1 expression in response to a higher plasma TNF-alpha level may be a pathogenic marker for early detection of DHF. FAU - Wang, Lin AU - Wang L AD - Graduate Institute of Clinical Medical Sciences, Chang Gung University College of Medicine, Kaohsiung, Taiwan, Republic of China. wanglin@adm.cgmh.org.tw FAU - Chen, Rong-Fu AU - Chen RF FAU - Liu, Jien-Wei AU - Liu JW FAU - Yu, Hong-Ren AU - Yu HR FAU - Kuo, Ho-Chang AU - Kuo HC FAU - Yang, Kuender D AU - Yang KD LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Am J Trop Med Hyg JT - The American journal of tropical medicine and hygiene JID - 0370507 RN - 0 (Receptors, Tumor Necrosis Factor, Type I) RN - 0 (Receptors, Tumor Necrosis Factor, Type II) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Case-Control Studies MH - *Dengue Virus MH - Female MH - Flow Cytometry MH - Granulocytes/metabolism/virology MH - Humans MH - Male MH - Middle Aged MH - Receptors, Tumor Necrosis Factor, Type I/*biosynthesis/blood MH - Receptors, Tumor Necrosis Factor, Type II/*biosynthesis/blood MH - Severe Dengue/blood/*metabolism/virology MH - Tumor Necrosis Factor-alpha/*biosynthesis/blood EDAT- 2007/08/11 09:00 MHDA- 2007/10/03 09:00 CRDT- 2007/08/11 09:00 PHST- 2007/08/11 09:00 [pubmed] PHST- 2007/10/03 09:00 [medline] PHST- 2007/08/11 09:00 [entrez] AID - 77/2/297 [pii] PST - ppublish SO - Am J Trop Med Hyg. 2007 Aug;77(2):297-302.