Generation of IgM anti-platelet autoantibody in dengue patients

Chiou Feng Lin, Huan Yao Lei, Ching Chuan Liu, Hsiao Sheng Liu, Trai Ming Yeh, Shan Tair Wang, Tzu I. Yang, Fuh Chiang Sheu, Chih Feng Kuo, Yee Shin Lin

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126 Citations (Scopus)

Abstract

Dengue virus infection causes a wide range of diseases from dengue fever to life-threatening dengue hemorrhagic fever and dengue shock syndrome (DHF/DSS). The mechanisms involved in DHF/DSS pathogenesis remain unclear. Patient sera collected from an outbreak in southern Taiwan from November 1998 to January 1999 were studied. The presence of antibodies which cross-reacted with platelets could be detected in patient sera, and the isotype of these autoantibodies was IgM. The anti-platelet IgM levels were higher in DHF/DSS than in dengue fever patient sera in disease acute phase. These autoantibodies were still detectable in convalescent stage (1-3 weeks after acute phase) and even eight to nine months after illness. The platelet binding activity was not observed in other virus-infected patient sera tested. Further investigation showed that dengue patient sera caused platelet lysis in the presence of complement. The platelet cytotoxicity induced by DHF/DSS patient sera was higher than that by dengue fever sera. Dengue patient sera also inhibited platelet aggregation which, however, appeared to be not related to DHF/DSS development.

Original languageEnglish
Pages (from-to)143-149
Number of pages7
JournalJournal of Medical Virology
Volume63
Issue number2
DOIs
Publication statusPublished - 2001
Externally publishedYes

Keywords

  • Dengue
  • IgM autoantibody
  • Platelet aggregation
  • Platelet lysis

ASJC Scopus subject areas

  • Virology

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  • Cite this

    Lin, C. F., Lei, H. Y., Liu, C. C., Liu, H. S., Yeh, T. M., Wang, S. T., Yang, T. I., Sheu, F. C., Kuo, C. F., & Lin, Y. S. (2001). Generation of IgM anti-platelet autoantibody in dengue patients. Journal of Medical Virology, 63(2), 143-149. https://doi.org/10.1002/1096-9071(20000201)63:2<143::AID-JMV1009>3.0.CO;2-L