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There are three main causes of immunodeficiency...
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A Murine Model of Dengue Virus-induced Acute Viral Encephalitis-like Disease
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CD5L as a potential immunomodulator in dengue severity.

Nurhafiza Zainal1, Ni Luh Ayu Megasari2,3, Chin Kim Ling1,4

  • 1Department of Medical Microbiology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.

Journal of Vector Borne Diseases
|February 18, 2026
PubMed
Summary

Serum CD5L (CD5 antigen-like) levels are elevated in dengue virus infection, particularly in later stages associated with IgG antibodies and non-severe disease. This suggests CD5L may play a role in dengue pathogenesis and potentially serve as a biomarker.

Keywords:
CD5Lbiomarkerdenguedisease severityimmune regulation

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Area of Science:

  • Immunology
  • Virology
  • Biochemistry

Background:

  • CD5L (CD5 antigen-like) is a secreted glycoprotein involved in immune regulation, macrophage polarization, and lipid metabolism.
  • Its role in viral infections, specifically dengue virus (DENV), is not well understood.
  • This study investigates serum CD5L levels in dengue-infected individuals.

Purpose of the Study:

  • To evaluate serum CD5L concentrations in dengue-positive versus dengue-negative individuals.
  • To assess the association of CD5L levels with dengue virus serological markers (NS1, IgM, IgG).
  • To investigate the correlation between CD5L levels and dengue disease severity.

Main Methods:

  • Cross-sectional study design comparing dengue-positive patients and dengue-negative controls.
  • Quantification of serum CD5L using enzyme-linked immunosorbent assay (ELISA).
  • Statistical analysis included Mann-Whitney U test and Kruskal-Wallis test with Dunn's post hoc test (P < 0.05 significance).

Main Results:

  • Serum CD5L levels were significantly higher in dengue-positive individuals compared to controls (P < 0.05).
  • Elevated CD5L was most pronounced in IgG-positive only individuals (P < 0.01), not acute markers (NS1, IgM).
  • Among IgG-positive individuals, higher CD5L levels correlated with non-severe dengue cases (P < 0.05).

Conclusions:

  • CD5L upregulation in dengue is associated with IgG seropositivity, indicating later stages of infection.
  • Increased CD5L levels may be linked to less severe dengue outcomes.
  • CD5L warrants further investigation as a potential biomarker or therapeutic target in dengue virus infection.