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Updated: Dec 26, 2025

Isolation of Peritoneum-derived Mast Cells and Their Functional Characterization with Ca2+-imaging and Degranulation Assays
Published on: July 4, 2018
Dengue vascular leakage is augmented by mast cell degranulation mediated by immunoglobulin Fcγ receptors
Ayesa Syenina1, Cyril J Jagaraj1, Siti A B Aman1
1Program in Emerging Infectious Diseases, Duke-National University of Singapore, Singapore, Singapore.
Abstract:
Dengue virus (DENV) is the most significant human arboviral pathogen and causes ∼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 FcγR-mediated enhanced degranulation responses by MCs. Antibody-dependent mast cell activation constitutes a novel mechanism to explain enhanced vascular leakage during secondary DENV infection.
Insights
Secondary dengue virus (DENV) infections cause severe vascular leakage. Mast cells, activated by antibodies, drive this leakage through FcγR-mediated degranulation, revealing a new mechanism for severe dengue.
Area of Science:
- Virology
- Immunology
- Pathology
Background:
- Dengue virus (DENV) is a major global arboviral pathogen causing significant human infections annually.
- Mast cells (MC) are implicated in mediating vascular leakage during DENV infection, with activation levels correlating with disease severity in humans.
- Secondary DENV infections with heterologous serotypes increase the risk of severe dengue.
Purpose of the Study:
- To investigate mechanisms underlying enhanced vascular leakage during secondary DENV infections.
- To explore the role of mast cells and antibody-dependent activation in severe dengue pathogenesis.
Main Methods:
- The study focused on FcγR-mediated mast cell degranulation responses.
- Investigated antibody-dependent mast cell activation as a potential mechanism for enhanced vascular leakage.
Main Results:
- A novel mechanism involving FcγR-mediated enhanced degranulation responses by mast cells was identified.
- Antibody-dependent mast cell activation was shown to contribute to enhanced vascular leakage.
Conclusions:
- Antibody-dependent mast cell activation presents a new mechanism explaining increased vascular leakage in secondary DENV infections.
- This finding offers a novel perspective on the pathogenesis of severe dengue.
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