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Updated: Aug 6, 2026

A Murine Model of Dengue Virus-induced Acute Viral Encephalitis-like Disease
Published on: April 28, 2019
Cellular immune activation in children with acute dengue virus infections is modulated by apoptosis
Khin S Myint1, Timothy P Endy, Duangrat Mongkolsirichaikul
1Department of Virology, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand.
Insights
Apoptosis, programmed cell death, is elevated in children with severe dengue hemorrhagic fever (DHF) compared to dengue fever (DF). This finding highlights apoptosis
Area of Science:
- Immunology
- Virology
- Cell Biology
Background:
- Apoptosis regulates immune responses during systemic viral infections.
- CD95 is a key mediator of apoptosis.
Purpose of the Study:
- To investigate peripheral-blood mononuclear cell (PBMC) apoptosis and soluble CD95 levels in children with dengue virus (DV) infections.
- To correlate apoptosis levels with dengue disease severity.
Main Methods:
- Prospective study of children with DV infections.
- Sequential sampling for PBMC apoptosis and plasma soluble CD95 levels.
- Analysis of apoptotic cell populations, including CD8(+) T lymphocytes.
Main Results:
- Higher PBMC apoptosis levels were observed during defervescence in children with dengue hemorrhagic fever (DHF) compared to dengue fever (DF) and other febrile illnesses.
- CD8(+) T lymphocytes constituted a significant portion of apoptotic PBMCs in DHF and DF.
- Maximum plasma soluble CD95 levels were elevated in children with DHF compared to DF.
- PBMC apoptosis levels correlated positively with dengue disease severity.
Conclusions:
- Apoptosis plays a role in modulating innate and adaptive immune responses during DV infection.
- Elevated apoptosis and soluble CD95 are associated with severe dengue illness.
- Apoptosis may be involved in the pathogenesis of viral hemorrhagic fevers.
Abstract:
Apoptosis is an important modulator of cellular immune responses during systemic viral infections. Peripheral-blood mononuclear cell (PBMC) apoptosis and plasma soluble levels of CD95, a mediator of apoptosis, were determined in sequential samples from children participating in a prospective study of dengue virus (DV) infections. During the period of defervescence, levels of PBMC apoptosis were higher in children developing dengue hemorrhagic fever (DHF), the most severe form of illness, than in those with dengue fever (DF) and other, nondengue, febrile illnesses. CD8(+) T lymphocytes made up approximately half of the peak circulating apoptotic PBMCs in DHF and DF. Maximum plasma levels of soluble CD95 were also higher in children with DHF than in those with DF. The level of PBMC apoptosis correlated with dengue disease severity. Apoptosis appears to be involved in modulation of the innate and adaptive immune responses to DV infection and is likely involved in the evolution of immune responses in other viral hemorrhagic fevers.
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