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Longitudinal Study of Cellular and Systemic Cytokine Signatures to Define the Dynamics of a Balanced Immune Environment During Disease Manifestation in Zika Virus-Infected Patients.


ABSTRACT: Background:Since its unexpected reemergence, Zika virus (ZIKV) has caused numerous outbreaks globally. This study characterized the host immune responses during ZIKV infection. Methods:Patient samples were collected longitudinally during the acute, convalescence and recovery phases of ZIKV infection over 6 months during the Singapore outbreak in late 2016. Plasma immune mediators were profiled via multiplex microbead assay, while changes in blood cell numbers were determined with immunophenotyping. Results:Data showed the involvement of various immune mediators during acute ZIKV infection accompanied by a general reduction in blood cell numbers for all immune subsets except CD14+ monocytes. Importantly, viremic patients experiencing moderate symptoms had significantly higher quantities of interferon ?-induced protein 10, monocyte chemotactic protein 1, interleukin 1 receptor antagonist, interleukin 8, and placental growth factor 1, accompanied by reduced numbers of peripheral CD8+ T cells, CD4+ T cells, and double-negative T cells. Levels of T-cell associated mediators, including interferon ?-induced protein 10, interferon ?, and interleukin 10, were high in recovery phases of ZIKV infection, suggesting a functional role for T cells. The identification of different markers at specific disease phases emphasizes the dynamics of a balanced cytokine environment in disease progression. Conclusions:This is the first comprehensive study that highlights specific cellular changes and immune signatures during ZIKV disease progression, and it provides valuable insights into ZIKV immunopathogenesis.

SUBMITTER: Lum FM 

PROVIDER: S-EPMC6057545 | biostudies-literature | 2018 Jul

REPOSITORIES: biostudies-literature

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Longitudinal Study of Cellular and Systemic Cytokine Signatures to Define the Dynamics of a Balanced Immune Environment During Disease Manifestation in Zika Virus-Infected Patients.

Lum Fok-Moon FM   Lye David C B DCB   Tan Jeslin J L JJL   Lee Bernett B   Chia Po-Ying PY   Chua Tze-Kwang TK   Amrun Siti N SN   Kam Yiu-Wing YW   Yee Wearn-Xin WX   Ling Wei-Ping WP   Lim Vanessa W X VWX   Pang Vincent J X VJX   Lee Linda K LK   Mok Esther W H EWH   Chong Chia-Yin CY   Leo Yee-Sin YS   Ng Lisa F P LFP  

The Journal of infectious diseases 20180701 5


<h4>Background</h4>Since its unexpected reemergence, Zika virus (ZIKV) has caused numerous outbreaks globally. This study characterized the host immune responses during ZIKV infection.<h4>Methods</h4>Patient samples were collected longitudinally during the acute, convalescence and recovery phases of ZIKV infection over 6 months during the Singapore outbreak in late 2016. Plasma immune mediators were profiled via multiplex microbead assay, while changes in blood cell numbers were determined with  ...[more]

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