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Galectin-9 plasma levels reflect adverse hematological and immunological features in acute dengue virus infection.


ABSTRACT: Dengue virus (DENV) infection remains a major public health burden worldwide. Soluble mediators may play a critical role in the pathogenesis of acute DENV infection. Galectin-9 (Gal-9) is a soluble ?-galactoside-binding lectin, with multiple immunoregulatory and inflammatory properties.To investigate plasma Gal-9 levels as a biomarker for DENV infection.We enrolled 65 DENV infected patients during the 2010 epidemic in the Philippines and measured their plasma Gal-9 and cytokine/chemokine levels, DENV genotypes, and copy number during the critical and recovery phases of illness.During the critical phase, Gal-9 levels were significantly higher in DENV infected patients compared to healthy or those with non-dengue febrile illness. The highest Gal-9 levels were observed in dengue hemorrhagic fever (DHF) patients (DHF: 2464 pg/ml; dengue fever patients (DF): 1407 pg/ml; non-dengue febrile illness: 616 pg/ml; healthy: 196 pg/ml). In the recovery phase, Gal-9 levels significantly declined from peak levels in DF and DHF patients. Gal-9 levels tracked viral load, and were associated with multiple cytokines and chemokines (IL-1?, IL-8, IP-10, and VEGF), including monocyte frequencies and hematologic variables of coagulation. Further discriminant analyses showed that eotaxin, Gal-9, IFN-?2, and MCP-1 could detect 92% of DHF and 79.3% of DF, specifically (P<0.01).Gal-9 appears to track DENV inflammatory responses, and therefore, it could serve as an important novel biomarker of acute DENV infection and disease severity.

SUBMITTER: Chagan-Yasutan H 

PROVIDER: S-EPMC3880569 | biostudies-literature | 2013 Dec

REPOSITORIES: biostudies-literature

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Galectin-9 plasma levels reflect adverse hematological and immunological features in acute dengue virus infection.

Chagan-Yasutan Haorile H   Ndhlovu Lishomwa C LC   Lacuesta Talitha Lea TL   Kubo Toru T   Leano Prisca Susan A PS   Niki Toshiro T   Oguma Shigeru S   Morita Kouichi K   Chew Glen M GM   Barbour Jason D JD   Telan Elizabeth Freda O EF   Hirashima Mitsuomi M   Hattori Toshio T   Dimaano Efren M EM  

Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology 20131027 4


<h4>Background</h4>Dengue virus (DENV) infection remains a major public health burden worldwide. Soluble mediators may play a critical role in the pathogenesis of acute DENV infection. Galectin-9 (Gal-9) is a soluble β-galactoside-binding lectin, with multiple immunoregulatory and inflammatory properties.<h4>Objective</h4>To investigate plasma Gal-9 levels as a biomarker for DENV infection.<h4>Study design</h4>We enrolled 65 DENV infected patients during the 2010 epidemic in the Philippines and  ...[more]

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