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Updated: Jul 10, 2026

A Murine Model of Dengue Virus-induced Acute Viral Encephalitis-like Disease
Published on: April 28, 2019
Association of intermediate monocytes with dengue severity among the pediatric population of Odisha, India
Manoj Kumar Dash1, Sagnika Samal1, Shailesh Rout1
1School of Biotechnology, Kalinga Institute of Industrial Technology, Deemed to be University, Bhubaneswar, Odisha, 751024, India.
Insights
Increased intermediate monocytes (IM) in children with dengue virus (DENV) infection may indicate disease severity. This study analyzed monocyte subpopulations and DENV protein interactions, identifying IM as potential severity markers.
Area of Science:
- * Immunology
- * Virology
- * Computational Biology
Background:
- * Dengue virus (DENV) infection in children presents with diverse clinical outcomes.
- * Monocytes play a crucial role in the innate immune response to DENV.
- * Understanding monocyte subpopulations can provide insights into DENV pathogenesis.
Purpose of the Study:
- * To analyze monocyte subpopulations (CD14, CD16) in pediatric DENV patients.
- * To correlate monocyte profiles with clinical DENV classifications (DF, DWS, SD).
- * To investigate potential molecular interactions between host monocytes and DENV proteins.
Main Methods:
- * Immunophenotyping of monocytes using CD14 and CD16 markers in 120 pediatric DENV patients.
- * Categorization of patients into Dengue Fever (DF), Dengue with Warning Signs (DWS), and Severe Dengue (SD).
- * Molecular docking simulations (HADDOCK 2.4) to assess CD14/CD16 and DENV protein interactions.
Main Results:
- * Intermediate monocytes (IM-CD14+CD16+) were significantly higher in DWS & SD cases (30.86%) compared to DF cases (9.89%).
- * Classical monocytes (CM) were more prevalent in DF, while Non-classical monocytes (NCM) showed no significant difference.
- * Molecular docking indicated potential binding of CD14 and CD16 to DENV capsid and envelope proteins.
Conclusions:
- * Intermediate monocytes (IM) are significantly elevated in children with severe DENV infection.
- * IM may serve as a potential host-derived biomarker for predicting DENV severity in pediatric cases.
- * In silico findings suggest direct interactions between host monocyte markers and DENV proteins.
Abstract:
Dengue virus (DENV) infection in children exhibits varied clinical presentations, wherein the role of monocytes is important in the innate immune response. In this study, laboratory-confirmed DENV pediatric patients (n = 120), with DENV-2 infection, were categorized into dengue fever (DF), dengue with warning signs (DWS) and severe dengue (SD) were assessed for monocyte subpopulation analysis using immunophenotyping involving CD14 and CD16 host-surface markers. Molecular docking was performed using HADDOCK 2.4 to analyze the interactions between CD14, CD16 and DENV envelope and capsid proteins. Among the cases, 84 (70%) were classified as DF and 36 (30%) as DWS & SD. Hematological and biochemical parameters indicated that thrombocytopenia and elevated hematocrit (> 40%) were significantly more common in DWS & SD, with markedly elevated liver enzymes (ALT and AST) in severe cases. Classical monocytes (CM-CD14++ CD16-) constituted 72.51% and 66.25% of the monocyte population in DF and DWS & SD cases, respectively. Intermediate monocytes (IM-CD14+ CD16+) comprised 9.89% and 30.86% in DF and DWS & SD cases, respectively. Non-classical monocytes (NCM-CD14+ CD16++) comprised 5.75% and 8.12% in DWS & SD and DF cases, respectively. In silico analysis revealed host CD16 and CD14 exhibited potential interactions with DENV capsid and envelope proteins, with binding energies - 8.9, - 10.1, - 8.6, and - 11.1 kcal/mol, respectively. IM was significantly increased in DWS & SD compared to DF (p < 0.05). These findings suggest that IM could act as host markers of DENV severity in children.
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