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Publication : Dengue vascular leakage is augmented by mast cell degranulation mediated by immunoglobulin Fcγ receptors.

First Author  Syenina A Year  2015
Journal  Elife Volume  4
PubMed ID  25783751 Mgi Jnum  J:269468
Mgi Id  MGI:6204851 Doi  10.7554/eLife.05291
Citation  Syenina A, et al. (2015) Dengue vascular leakage is augmented by mast cell degranulation mediated by immunoglobulin Fcgamma receptors. Elife 4
abstractText  Dengue virus (DENV) is the most significant human arboviral pathogen and causes approximately 400 million infections in humans each year. In previous work, we observed that mast cells (MC) mediate vascular leakage during DENV infection in mice and that levels of MC activation are correlated with disease severity in human DENV patients (St John et al., 2013b). A major risk factor for developing severe dengue is secondary infection with a heterologous serotype. The dominant theory explaining increased severity during secondary DENV infection is that cross-reactive but non-neutralizing antibodies promote uptake of virus and allow enhanced replication. Here, we define another mechanism, dependent on FcgammaR-mediated enhanced degranulation responses by MCs. Antibody-dependent mast cell activation constitutes a novel mechanism to explain enhanced vascular leakage during secondary DENV infection.
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