Ontology highlight
ABSTRACT: Background
The influenza A virus is an RNA virus that is responsible for seasonal epidemics worldwide with up to five million cases of severe illness and 500,000 deaths annually according to the World Health Organization estimates. The factors associated with severe diseases are not well defined, but more severe disease is more often seen among persons aged >65 years, infants, pregnant women, and individuals of any age with underlying health conditions.Methodology/principal findings
Using gene expression microarrays, the transcriptomic profiles of influenza-infected patients with severe (N?=?11), moderate (N?=?40) and mild (N?=?83) symptoms were compared with the febrile patients of unknown etiology (N?=?73). We found that influenza-infected patients, regardless of their clinical outcomes, had a stronger induction of antiviral and cytokine responses and a stronger attenuation of NK and T cell responses in comparison with those with unknown etiology. More importantly, we found that both interferon and ubiquitination signaling were strongly attenuated in patients with the most severe outcomes in comparison with those with moderate and mild outcomes, suggesting the protective roles of these pathways in disease pathogenesis.Conclusion/significances
The attenuation of interferon and ubiquitination pathways may associate with the clinical outcomes of influenza patients.
SUBMITTER: Hoang LT
PROVIDER: S-EPMC4218794 | biostudies-literature | 2014
REPOSITORIES: biostudies-literature
Hoang Long Truong LT Tolfvenstam Thomas T Ooi Eng Eong EE Khor Chiea Chuen CC Naim Ahmand Nazri Mohamed AN Ho Eliza Xin Pei EX Ong Swee Hoe SH Wertheim Heiman F HF Fox Annette A Van Vinh Nguyen Chau C Nghiem Ngoc My NM Ha Tuan Manh TM Thi Ngoc Tran Anh A Tambayah Paul P Lin Raymond R Sangsajja Chariya C Manosuthi Weerawat W Chuchottaworn Chareon C Sansayunh Piamlarp P Chotpitayasunondh Tawee T Suntarattiwong Piyarat P Chokephaibulkit Kulkanya K Puthavathana Pilaipan P de Jong Menno D MD Farrar Jeremy J van Doorn H Rogier HR Hibberd Martin Lloyd ML
PloS one 20141103 11
<h4>Background</h4>The influenza A virus is an RNA virus that is responsible for seasonal epidemics worldwide with up to five million cases of severe illness and 500,000 deaths annually according to the World Health Organization estimates. The factors associated with severe diseases are not well defined, but more severe disease is more often seen among persons aged >65 years, infants, pregnant women, and individuals of any age with underlying health conditions.<h4>Methodology/principal findings< ...[more]