Skip to main content
Log in

Viral infections

Severe dengue progression beyond enhancement

  • News & Views
  • Published:

From Nature Immunology

View current issue Submit your manuscript

The immune response to dengue virus infection is a well-coordinated balancing act. New research shows that an imbalanced response — driven partially by the productive infection of antigen-presenting cells — is associated with progression to severe disease.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1: Direct viral infection of antigen-presenting cells may drive progression to severe dengue.

References

  1. Bhatt, S. et al. Nature 496, 504–507 (2013).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Sridhar, S. et al. N. Engl. J. Med. 379, 327–340 (2018).

    Article  PubMed  Google Scholar 

  3. Larson, H. J., Hartigan-Go, K. & de Figueiredo, A. Hum. Vaccin. Immunother. 15, 625–627 (2019).

    Article  PubMed  Google Scholar 

  4. Ghita, L. et al. Nat. Immunol. https://doi.org/10.1038/s41590-023-01654-3 (2023).

    Article  PubMed  Google Scholar 

  5. Zanini, F. et al. Proc. Natl Acad. Sci. USA 115, E12363–E12369 (2018).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Sangkawibha, N. et al. Am. J. Epidemiol. 120, 653–669 (1984).

    Article  CAS  PubMed  Google Scholar 

  7. Halstead, S. B. & O'Rourke, E. J. J. Exp. Med. 146, 201–217 (1977).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Katzelnick, L. C. et al. Science 358, 929–932 (2017).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Garcia-Bates, T. M. et al. J. Immunol. 190, 80–87 (2013).

    Article  CAS  PubMed  Google Scholar 

  10. Upasani, V. et al. Front. Immunol. 11, 594813 (2020).

    Article  CAS  PubMed  Google Scholar 

  11. Weiskopf, D. et al. Proc. Natl Acad. Sci. USA 110, E2046–E2053 (2013).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Matangkasombut, P. et al. PLoS Negl. Trop. Dis. 8, e2955 (2014).

    Article  PubMed  PubMed Central  Google Scholar 

  13. Rodriguez-Madoz, J. R., Bernal-Rubio, D., Kaminski, D., Boyd, K. & Fernandez-Sesma, A. J. Virol. 84, 4845–4850 (2010).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Robinson, M. L. et al. Sci. Adv. 9, eade7702 (2023).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgements

The authors were supported by the Intramural Research Program at the National Institute of Allergy and Infectious Diseases.

Author information

Authors and Affiliations

Authors

Corresponding authors

Correspondence to Camila D. Odio or Leah C. Katzelnick.

Ethics declarations

Competing interests

The authors declare no competing interests.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Odio, C.D., Aogo, R.A., Lowman, K.E. et al. Severe dengue progression beyond enhancement. Nat Immunol 24, 1967–1969 (2023). https://doi.org/10.1038/s41590-023-01680-1

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s41590-023-01680-1

  • Springer Nature America, Inc.

This article is cited by

Navigation