Codistribution and coinfection of chikungunya and dengue. T1 dengue virus virulence and transmission determinants. Properties and functions of the dengue virus capsid. Multifaceted presentations of dengue virus infection and its. On day 4 the infant developed fever and his serum tested positive for the dengue virus.
In areas where these invasive mosquitoes have been established or reestablished, there is a genuine risk of local transmission of these diseases. These reports suggest that dengue virus has been circulating in nepal for several years. Dengue proteins with their role in pathogenesis, and. Chikungunya virus chikv is a mosquitoborne alphavirus that causes chikungunya fever, a severe, debilitating disease that often produces chronic arthralgia. In september 2000, denv3 was isolated for the first time in cuba, producing a small outbreak that affected 3 areas of havana city. Viral pathogenesis and immunopathogenesis of dv infection are the causes of dhfdss in dv infection. The dengue virus nonstructural1 protein ns1 generates antibodies to common epitopes on human blood clotting, integrinadhesin proteins and binds to human endothelial cells. Towards understanding of the replication and pathogenesis. Molecular insight into dengue virus pathogenesis and its implications for disease control. Pathogenesis and pathophysiology of dengue hemorrhagic fever. However, this hypothesis is vague and has little experimental support. Regional framework for surveillance and control of invasive. N2 the mechanisms of dengue virus denv pathogenesis are little understood because we have no models of disease. Pathogenesis is the process by which virus infection leads to disease.
Initial infection with a particular serotype is known as primary infection, which is usually asymptomatic or results in mild disease manifestations. Genetic variation among dengue virus that possibly. Halstead dengue vaccine initiative, international vaccine institute, seoul, korea dengue diseases comprise major health problems for around half of the worlds population1. Jul 30, 2015 dengue virus epidemiology and clinical disease. This virus antibody complex allows for enhanced viral entry into host cells, specifically dendritic cells and macrophages.
Zika virus infection in the pacific region recently, a number of islands and territories have detected zika virus including french polynesia, new caledonia and cook islands. I propose that zika fever be merged into zika virus. Dengue virus dv is a compact, icosahedrally symmetric, enveloped particle, covered by 90 dimers of envelope protein e, which mediates viral attachment and membrane fusion. Explaining the heterogeneity between clinical presentations within a similar crosssection of the population remains a vital area of research. A genomics comparison of affected individuals as a novel approach to investigating pathogenesis of severe disease caused by dengue virus infection, jeffre. A genomics comparison of affected individuals as a novel. A much rarer event is the introduction of the yellow fever virus, which can also be successfully transmitted by aedes mosquito species. Once inside the cell, the virus replicates and generates higher virus titers in the blood. Encephalopathy and neurologic complications are well reported but poorly understood. At the same time, huge amounts of functional, clinical and epidemiologic data are useful for the researchers to understand the disease pathogenesis and development of target drugs. Several neurologic manifestations of dengue can be found in patients with dengue.
In french polynesia, there were 8,700 suspected cases of zika virus infection reported by the health professionals sentinel network since early october 20. Deborah lenschow, md, phd, is an associate professor of medicine at washington university. Dengue viruses cause dengue infection, which ranges from mild febrile illness. Pathogenesis of vascular leak in dengue virus infection. Travellers workers, tourists, migrants returning from countries where diseases are endemic are increasingly introducing dengue and other vectorborne viruses into the who european region. Viral pathogenesis this lecture will define and discuss the basic principles of viral pathogenesis, the entire process by which viruses cause disease. Comparative flavivirushost protein interaction mapping. Dengue pathogenesis, clinical manifestation, lab diagnosis.
Dengue is a febrile illness caused by infection with one of four dengue viruses denv transmitted by aedes aegypti or aedes albopictus mosquitoes during the taking of a blood meal. Generally, dengue is classified as a blood infection and the main reaction of the human body to dengue virus. Dengue virus type 3, cuba, 20002002 volume 11, number 5. Dengue virusinduced er stress is required for autophagy. Plasma leakage and intrinsic coagulopathy are the pathological hall marks in dengue haemorrhagic fever dhf. Dengue ns1, a soluble viral protein, has also been shown to disrupt the endothelial glycocalyx and thus contribute to vascular leak.
Infection may be asymptomatic or present with a broad range of clinical manifestations including a mild febrile illness to a lifethreatening shock syndrome. Mapping reveals mechanisms of dengue and zika virus pathogenesis graphical abstract highlights d comparative apms reveals shared and virus speci. She offered this talk as part of the global health and infectious disease. Dengue virus induced er stress is required for autophagy activation, viral replication, and pathogenesis both in vitro and in vivo skip to main content thank you for visiting. Although seroprevalence data provide the maximum information, the incidence models presented in this paper provide a method for estimating dengue transmission intensity from agestratified incidence data, which will be an important consideration in areas where seroprevalence data are not available. There are an estimated 50100 million cases of dengue fever and 20,000 deaths annually mostly in tropical and subtropical regions of the world 4. Viremia and clinical presentation in nicaraguan patients. Dengue virus infectionomicsgroupjournal of topical diseases. Dengue virus infects nearly 400 million humans each year.
Merge pdf documents or other files to one pdf file. Infection with any one of the four dengue virus serotypes can cause disease that ranges from a mild febrile illness through to haemorrhagic fever and. The mechanisms of dengue virus denv pathogenesis are little understood because we have no models of disease. Step 4 dhf pathogenesis the affected macrophages release vasoactive mediators that increase vascular permeability, leading to vascular. Marburg virus pathogenesis differences and similarities in humans. Jul 30, 2015 dengue virus denv is a mosquitotransmitted rna virus that infects an estimated 390 million humans each year. Dengue virus denv infections of humans were long thought to be selflimited and of low mortality. Recent insights into the disease have driven the development of vaccines and therapeutics. Four denv serotypes 1, 2, 3, and 4 circulate in tropical and. Beginning in the 1950s, at the time when four different denvs were discovered, a lethal variant of dengue emerged.
Denv are comprised of four distinct serotypes denv1 through denv4 and each serotype can be divided in different genotypes. Deepdyve is the easiest way to get instant access to the academic journals you need. Dengue virus infections in the first 2 years of life and the. Our pdf merger allows you to quickly combine multiple pdf files into one single pdf document, in just a few clicks. Shajahan, rafiq, puay sheng hwa, choe yee xian, naganathan pillai, and ganesh kasinathan. The failure to isolate virus from most organ samples may indicate that those tissues contained primarily degraded virus or virus complexed with antibodies that prevent infection of cells in vitro. The reason why dhfdss occurs in certain individuals is unclear. Soda pdf merge tool allows you to combine two or more documents into a single pdf file for free. Viremia and clinical presentation in nicaraguan patients infectedwithzikavirus,chikungunyavirus,anddengue virus jesse j. Chikungunya virus pathogenesis and immunity article pdf available in vector borne and zoonotic diseases larchmont, n. The prevalence of dengue virus antibody was reported to be 10. Cord blood tested negative for the dengue virus as well as the infants blood samples collected from day 0 and day 2. Dengue virus denv is a mosquitotransmitted rna virus that infects an estimated 390 million humans each year. Pathogenic mechanisms include implantation of the virus at a body site the portal of.
They may range from subclinical infection to dengue fever, dengue. Dengue, dengue fever df, dengue hemorrhagic fever dhf, dengue shock syndrome dss s new who classification categorizes dengue into dengue, with and without warning signs, and severe. Since many antiviral drugs are designed to interfere with viral genome replication, understanding this step in the viral replicative cycle has gained importance in recent years. Zika virus is transmitted to people through the bite of an infected mosquito from the aedes genus, mainly aedes aegypti in tropical regions.
Vol, no3, july september 2004 genetic diversity of dengue virus 191 among dengue virus that probably responsible for the severe disease of dengue. Recent studies have been shown that several structural differences in viral genome could correlate with the pathogenesis of dhf. Knowledge, attitude and practices of vectorborne disease. Characteristics of the dengue virus the dengue virus is a single stranded rna virus belonging to the flaviviridae family. Virus infects white 3 blood cells and lymphatic tissues4. The mechanisms of pathogenesis of dengue remain elusive. Viral virulence, infection enhancing antibodies, cytokines and chemical mediators in the setting of intense immune activation are the key players implicated in the pathogenesis of dhf. Pdf merge combinejoin pdf files online for free soda pdf. Increased virus load by ade and virus variation may directly cause an effect. Of the many pathogens within the clinical differential diagnosis, leptospirosis and viral haemorrhagic fevers including yellow fever will be. Dengue is a syndrome and its pathogenesis an interplay between virus and host factors that remains incompletely understood. In addition, immunopathogenesis by dvinduced inflammatory activation and autoimmunity may be involved in dengue pathogenesis. Pathogenesis people bitten by aedes aegypti mosquito are diagnosed with high fever and severe joint pain that are the common symptoms of dengue fever 16.
Much remains to be learned about the pathogenesis of the different manifestations of dengue virus denv infections in humans. This video aims to describe the mode of replication of dengue virus and the pathophysiology of dengue. Koopmans id department of viroscience, erasmus medical center, rotterdam, the. Since 2004, chikv has emerged in africa, indian ocean islands, asia, europe, and the americas, causing millions of human infections. Dengue has been recognized as one of the most important vectorborne emerging infectious diseases globally. Denv cycles in nature between its two principal mosquito vectors aedes albopictus or aedes aegypti and humans. Waggoner,1,a lionel gresh,2 maria jose vargas,3 gabriela ballesteros, 3yolanda tellez,3 k.
Molecular insight into dengue virus pathogenesis and its. Annually, 100 million cases of dengue fever and half a million cases of dhf occur worldwide. Although dengue is a very old disease but recently an alarming increase has been seen in the geographic range, along with the severity of. Recently, virus induced apoptosis mediated by the unfolded protein response upr has been hypothesised to represent a crucial pathogenic event in viral infection. There are four dengue virus serotypes den14 which are closely related. Computational analysis of dengue and chikungunya viral gene. Dec 01, 2006 dengue is the most widespread vectorborne human viral disease. Dengue virus and dengue pathophysiology part 2 youtube. Circulation of dengue virus type 3 genotype iii in africa. Our new crystalgraphics chart and diagram slides for powerpoint is a collection of over impressively designed datadriven chart and editable diagram s guaranteed to impress any audience. Dengue virus was detected in the breast milk rtpcr positive and the breastfeeding was stopped. Neurologic involvement is not very common, but several forms of central and peripheral nervous system impairments have been described in patients with dengue. Marburg virus marv is a highly pathogenic virus associated with severe disease and mortality rates as high as 90%.
Though dengue normally causes a selflimiting infection, some patients may develop a lifethreatening illness, dengue hemorrhagic fever dhf dengue shock syndrome dss. At the initial onset of the first chikungunya outbreak, a quantitative survey was conducted among 1462 high school students aiming to study. Current and historical conditions indexed list of current and historical nationally notifiable conditions. I think that the content in the zika fever article can easily be explained in the context of zika virus, and the zika fever article is of a reasonable size in which the merging of zika virus will not cause any problems as far as article size or undue weight is concerned. Dengue and dengue hemorrhagic fever have emerged as some of the most important mosquitoborne viral diseases in the tropics. Nov 18, 2010 dengue virus denv is a member of the genus flavivirus of the family flaviviridae. They may range from subclinical infection to dengue fever, dengue hemorrhagic fever dhf, and eventually dengue shock. They may be asymptomatic or may give rise to undifferentiated fever, dengue fever, dengue haemorrhagic fever dhf, or dengue shock syndrome. Dengue virus infection is extremely common worldwide.
American journal of epidemiology and infectious disease, 35, 103111. Infection with any 1 of 4 antigenically related serotypes den1, den2, den3, and den4 can produce a broad spectrum of effects from asymptomatic infection, undifferentiated febrile illness, or dengue fever df to potentially fatal dengue hemorrhagic fever dengue shock syndrome dhfdss 1, 2. Infected local cells then migrate from site of infection to lymph nodes, where monocytes and macrophages are recruited, which become targets of infection. Review the possible role of crossreactive dengue virus antibodies in zika virus pathogenesis thomas langerak id. Dengue is the most widespread mosquitoborne human viral disease. Which usually bite during the morning and late afternoonevening hours. Dengue virus serotype infection specifies the activation. Additionally, 15 genes were selected by in silico analyses. This is the same mosquito that transmits dengue, chikungunya and yellow fever one case of possible persontoperson sexual transmission.
In 1994, dengue virus type 3 denv3 was reintroduced into latin america after an absence of 17 years, and was isolated almost simultaneously in nicaragua and panama. Dengue viral infections postgraduate medical journal. Thus, dfdhf has likely been misdiagnosed and illness caused by dengue virus underestimated in nepal. Nevertheless, we still have an incomplete understanding of the evolutionary forces underlying the. Virus transmitted 1 to human in mosquito saliva 22.
Dengue viral infections are one of the most important mosquito borne viral infections in the world. Pdf autoimmune pathogenesis in dengue virus infection. Dengue virus virulence and transmission determinants. A lot of research has been done on this ailment, yet there is. Currently, there is a dramatic emergence of denv3 genotype iii in latin america. The characteristic feature of dhf is increased capillary permeability leading to extensive plasma leakage in serous cavities resulting in shock. They may range from subclinical infection to dengue fever, dengue hemorrhagic fever dhf, and eventually dengue shock syndrome dss. Author summary although dengue fever has been a focus of many awareness campaigns in latin america, very little information is available about beliefs, attitudes and behaviors regarding vectorborne diseases among the population of french guiana. Chikungunya virusvector interactions research institut. Split pdf files into individual pages, delete or rotate pages, easily merge pdf files together or edit and modify pdf files. Rapid communications first two autochthonous dengue virus. The importance of mast cells and their products such as cytokines and vascular endothelial growth factor vegf in the pathogenesis of dengue is emerging.
Clements1, wenbiao hu3, patricia brasil6, francesca d. A molecular evaluation of dengue virus pathogenesis and its. At the sixtyseventh world health assembly in may 2014, several member states raised the public health and economic burdens of dengue in the plenary discussion on the link between climate and health. Dengue is caused by one of four related serotypes of dengue virus and often leads to severe forms of the disease. Deepdyve is the largest online rental service for scholarly research with thousands of academic publications available at your fingertips. Essential role of plateletactivating factor receptor in. Dengue virus induced er stress is required for autophagy activation, viral replication, and pathogenesis both in vitro and in vivo skip to main. Dengue hemorrhagic feverdengue shock syndrome dhfdss initially observed in southeast asia now has spread throughout the world. Pathogenesis of dengue virus infection generally, when we get an infection, our bodies have an immune response for antigen clearance at that time and memory for the next infection resistance in the future. Dengue virus is an arbovirus belonging to class flaviviridae its clinical manifestation ranges from asymptomatic to extreme conditions dengue hemorrhagic fever dengue shock syndrome.
Pathogenesis of dengue haemorrhagic fever and its impact. Dengue viruses occur as four antigenically related but distinct serotypes transmitted to humans by aedes aegypti mosquitoes. Dengue virus after entering in the body invades the local macrophages and multiply there. Multifaceted presentations of dengue virus infection and its management. Sahoo,5 andrea nunez, angel balmaseda,3 eva harris,6 and benjamin a.
Replication for many rna viruses occurs in cellular compartments mainly originated from the production and reorganization of virus induced membranes. Nowadays we are performing the biological characterization of the selected genes and pathways. The primary role of capsid is to package the viral genome. This severe syndrome, which recently has also been.
Evolution of dengue virus type 3 genotype iii in venezuela. Dengue virus type 3 denv3 genotype iii circulated across east africa between 1984 and 1993, but no additional case was detected until the return of a european traveler from cameroon in 2006. These viruses generally cause a benign syndrome, dengue fever, in the american and african tropics, and a severe syndrome, dengue hemorrhagic fever dengue shock syndrome dhfdss, in southeast asian children. Dengue virus affects hundreds of millions of people each year around the world, causing a tremendous social and economic impact on affected countries. Combine pdfs in the order you want with the easiest pdf merger available. Increasing evidence suggests that encephalopathy may result from direct viral infection of the central nervous system. This free online tool allows to combine multiple pdf or image files into a single pdf document. The disease is now endemic in more than 100 countries in africa, the americas, the eastern mediterranean, southeast asia and the western pacific regions. Viral disease is a sum of the effects on the host of virus replication and of the immune response.
Viral pathogenesis medical microbiology ncbi bookshelf. Dengue virus produces a mild acute febrile illness, dengue fever df and a severe illness, dengue hemorrhagic fever dhf. Dengue virus denv is a member of the flavivirus genus of singlestranded positivesense rna viruses that cause visceral and central nervous system disease in humans. Encephalitis in the clinical spectrum of dengue infection. Estimating dengue transmission intensity from case. Codistribution and coinfection of chikungunya and dengue viruses luis furuyakanamori1, shaohong liang2, gabriel milinovich3, ricardo j. Frentiu7, rebecca dunning8 and laith yakob9 abstract.
Focusing on the pathogenesis of dengue, a pattern of acute viral infection can be seen. Dengue viral infections are one of the most important mosquito borne diseases in the world. Chart and diagram slides for powerpoint beautifully designed chart and diagram s for powerpoint with visually stunning graphics and animation effects. This chapter describes the diagnosis, pathology and pathogenesis of dengue, focusing on histopathology, immunohistochemistry, molecular and other diagnostic modalities.
254 1163 716 1385 1252 33 823 625 1162 64 154 696 1173 915 688 1222 1509 440 654 1512 1257 882 1329 745 134 1468 1315 285 1320 340 102 310 1622 1422 881 513 44 802 202 390 1446 874 939 509 285 496 728 735 489