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Related Concept Videos

Arboviral Encephalitis01:25

Arboviral Encephalitis

Arboviral encephalitis refers to brain inflammation caused by arthropod-borne viruses, particularly those transmitted through mosquito vectors. Among these, West Nile virus (WNV), a member of the Flaviviridae family, is a significant public health concern. WNV is an enveloped, positive-sense, single-stranded RNA virus. Human infection typically begins when an infected mosquito introduces the virus into the dermis during feeding. The primary transmission cycle involves birds as amplifying hosts...
Encephalitis ll: Pathophysiology01:26

Encephalitis ll: Pathophysiology

Encephalitis is inflammation of the brain parenchyma caused by direct viral invasion or immune-mediated mechanisms triggered by infections or tumors. Both processes lead to neuronal injury, disrupted neurotransmission, and diverse neurological symptoms, often with overlapping clinical and pathological features.Autoimmune EncephalitisIn autoimmune encephalitis, antibodies target neuronal antigens on cell surfaces, synapses, or within neurons. A key example is anti-NMDAR encephalitis, which can...
Yellow Fever01:18

Yellow Fever

Yellow fever is a viral hemorrhagic disease caused by the yellow fever virus (YFV), a member of the Flaviviridae family. It is transmitted primarily by Aedes and Haemagogus mosquitoes in tropical and subtropical regions of Africa and South America. After transmission through a mosquito bite, the virus initially replicates in skin-resident immune cells such as dendritic cells and macrophages. These cells then migrate to the lymph nodes, where viral replication increases, eventually leading to...
Malaria01:29

Malaria

Malaria pathogenesis in humans reflects a delicate interplay between parasite biology and host response. Clinical illness reflects a host’s immune response to the parasite’s asexual replication cycle, which is often asymptomatic in individuals with partial immunity. From the parasite's perspective, transmission between mosquito and human with minimal host pathology is evolutionarily advantageous. Among the six Plasmodium species infecting humans, P. falciparum and P. vivax dominate in global...

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A Murine Model of Dengue Virus-induced Acute Viral Encephalitis-like Disease
04:23

A Murine Model of Dengue Virus-induced Acute Viral Encephalitis-like Disease

Published on: April 28, 2019

Dengue virus pathogenesis: an integrated view.

Byron E E Martina1, Penelope Koraka, Albert D M E Osterhaus

  • 1Erasmus Medical Center, Department of Virology, Rotterdam, The Netherlands. b.martina@erasmusmc.nl

Clinical Microbiology Reviews
|October 14, 2009
PubMed
Summary
This summary is machine-generated.

Understanding dengue virus (DENV) pathogenesis is crucial. Research highlights viral factors and host responses in severe dengue hemorrhagic fever (DHF) and dengue shock syndrome (DSS), emphasizing personalized approaches for risk assessment.

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Area of Science:

  • Virology
  • Immunology
  • Pathogenesis

Background:

  • Dengue virus (DENV) infections manifest diversely, from mild to severe forms like dengue hemorrhagic fever (DHF) and dengue shock syndrome (DSS).
  • Cell and tissue tropism of DENV are key factors in disease development, necessitating better diagnostic tools and research models.
  • Extensive research suggests DHF and DSS pathogenesis involves viral virulence and host immune responses, leading to hemostasis issues and vascular leakage.

Purpose of the Study:

  • To explore the complex pathogenesis of DENV infections and their varied clinical outcomes.
  • To highlight the need for improved tropism assays, animal models, and human autopsy data for understanding DENV.
  • To investigate the mechanisms underlying severe dengue, including viral and host factors contributing to abnormal hemostasis and vascular permeability.

Main Methods:

  • Review of existing literature on DENV pathogenesis, viral tropism, and host responses.
  • Analysis of factors contributing to vascular hyperpermeability and hemostasis abnormalities in DHF and DSS.
  • Discussion of personalized approaches to study individual risk factors for severe dengue.

Main Results:

  • DENV pathogenesis is multifactorial, involving viral virulence and host immune responses.
  • Abnormal hemostasis and increased vascular permeability are hallmarks of severe dengue (DHF/DSS).
  • Targeting specific vascular beds may initiate localized hyperpermeability in DSS.

Conclusions:

  • Further research is needed to fully understand DENV pathogenesis and its clinical spectrum.
  • Personalized studies are essential to identify genetic and environmental factors influencing individual risk for severe dengue.
  • Developing better diagnostic tools and research models is critical for advancing dengue research.