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Isolation and Quantification of Zika Virus from Multiple Organs in a Mouse
Published on: August 15, 2019
[Physiopathology of chronic arthritis following chikungunya infection in man]
1Laboratoire de microbiologie, CHR de La Réunion, site Centre hospitalier Félix Guyon, 97405 Saint-Denis, Réunion. christine.jaffarbandjee@chr-reunion.fr
Abstract:
Chronic arthritis following chikungunya infection has no specific treatment. Studies on mice have confirmed involvement of fibroblasts and myoblasts as target cells replicating the virus and shown that macrophages play a key role in the innate immune response involving multiple cytokines and chimiokines. Paradoxically, TH1 and TH2 cytokine levels do not increase significantly during the acute and chronic phases, with the exception of interferon-gamma and IL12 that rise dramatically during the acute phase. The level of IL12 returns to normal in patients who recover. In contrast, patients who develop chronic arthritis show persistently high IL12 levels along with IFN-alpha within PBMC. Histologic examination of synovia reveals joint inflammation due to macrophages containing viral material. Metallo-protease (MMP2) also contributes to tissue damage. Chikungunya virus leads to apoptosis by both the intrinsic and extrinsic pathways.
Insights
Chikungunya infection can cause chronic arthritis. Persistently high Interleukin-12 (IL-12) and Interferon-alpha (IFN-alpha) levels in patients with chronic chikungunya arthritis indicate their role in disease persistence.
Area of Science:
- Virology
- Immunology
- Rheumatology
Context:
- Chikungunya virus infection often leads to chronic arthritis with no specific treatment.
- Fibroblasts and myoblasts are identified as key target cells for viral replication.
- Macrophages are crucial in the innate immune response, releasing cytokines and chemokines.
Purpose:
- To investigate the immune response and cellular mechanisms underlying chronic arthritis post-chikungunya infection.
- To identify biomarkers associated with persistent joint inflammation.
Summary:
- While acute chikungunya shows transient increases in Interferon-gamma (IFN-γ) and Interleukin-12 (IL-12), chronic arthritis patients exhibit persistently elevated IL-12 and Interferon-alpha (IFN-α) within peripheral blood mononuclear cells (PBMCs).
- Macrophages laden with chikungunya virus contribute to synovial inflammation.
- Matrix metalloproteinase-2 (MMP2) exacerbates tissue damage, and the virus induces apoptosis via intrinsic and extrinsic pathways.
Impact:
- Identifies persistently high IL-12 and IFN-α levels as potential indicators for chronic chikungunya arthritis.
- Highlights the role of macrophages and MMP2 in chikungunya-induced joint pathology.
- Provides insights into viral pathogenesis and potential therapeutic targets for chikungunya arthritis.
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