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    Date Issued2011 (1)AuthorEnnis, Francis A. (1)Green, Sharone (1)Kalayanarooj, Siripen (1)Kurane, Ichiro (1)
    Matsutani, Takaji (1)
    View MoreUMass Chan AffiliationCenter for Infectious Disease and Vaccine Research (1)Department of Medicine, Division of Infectious Diseases and Immunology (1)Document TypeJournal Article (1)KeywordLife Sciences (1)Medicine and Health Sciences (1)Women's Studies (1)View MoreJournalTropical medicine and health (1)

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    T-cell responses to dengue virus in humans

    Kurane, Ichiro; Matsutani, Takaji; Suzuki, Ryuji; Takasaki, Tomohiko; Kalayanarooj, Siripen; Green, Sharone; Rothman, Alan L.; Ennis, Francis A. (2011-12-01)
    Dengue virus (DENV) is a leading cause of morbidity and mortality in most tropical and subtropical areas of the world. Dengue virus infection induces specific CD4+CD8- and CD8+CD4- T cells in humans. In primary infection, T-cell responses to DENV are serotype cross-reactive, but the highest response is to the serotype that caused the infection. The epitopes recognized by DENV-specific T cells are located in most of the structural and non-structural proteins, but NS3 is the protein that is most dominantly recognized. In patients with dengue hemorrhagic fever (DHF) caused by secondary DENV infection, T cells are highly activated in vivo. These highly activated T cells are DENV-specific and oligoclonal. Multiple kinds of lymphokines are produced by the activated T cells, and it has been hypothesized that these lymphokines are responsible for induction of plasma leakage, one of the most characteristic features of DHF. Thus, T-cells play important roles in the pathogenesis of DHF and in the recovery from DENV infection.
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