Serum levels of tumor necrosis factor-alpha (TNF-alpha), interleukin-6 (IL-6), and interleukin-1 beta (IL-1 beta) in dengue-infected patients

Sensitive immunoenzymatic assays were used to study the levels of tumor necrosis factor-alpha (TNF-alpha), interleukin-6 (IL-6), and IL-1 beta in sera from dengue-infected patients obtained during the 1989-1990 outbreak of dengue-3 in Tahiti, French Polynesia. The patients, both children (n = 47) an...

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Published inThe American journal of tropical medicine and hygiene Vol. 48; no. 3; p. 324
Main Authors Hober, D, Poli, L, Roblin, B, Gestas, P, Chungue, E, Granic, G, Imbert, P, Pecarere, J L, Vergez-Pascal, R, Wattre, P
Format Journal Article
LanguageEnglish
Published United States 01.03.1993
Subjects
Adolescent
Adult
Age Factors
Aged
Child
Child, Preschool
Dengue - blood
Dengue - epidemiology
Dengue - immunology
Disease Outbreaks
Humans
Infant
Interleukin-1 - blood
Interleukin-6 - blood
Middle Aged
Polynesia - epidemiology
Shock - blood
Shock - immunology
Syndrome
Tumor Necrosis Factor-alpha - analysis
Polynesia
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Summary:Sensitive immunoenzymatic assays were used to study the levels of tumor necrosis factor-alpha (TNF-alpha), interleukin-6 (IL-6), and IL-1 beta in sera from dengue-infected patients obtained during the 1989-1990 outbreak of dengue-3 in Tahiti, French Polynesia. The patients, both children (n = 47) and adults (n = 18), were clinically classified as having dengue hemorrhagic fever (DHF) and graded according to the severity of illness (grade I = fever, grade II = fever with spontaneous hemorrhagic manifestations, grade III = circulatory failure, grade IV = deep shock). The serum samples were obtained from day 1 to day 10 after the onset of the disease. High levels of TNF-alpha were observed in dengue-infected children of all severity grades. The highest values of TNF-alpha were found before day 6 after the onset of the infection, these values decreased from day 6 to day 10. The highest values were observed in sera from grade III and IV patients. High values of IL-6 were observed in serum samples of grade I and II patients on day 1, which decreased on day 4, and by day 5 were similar to those obtained from 25 control children. In grade III and IV patients, the highest values of IL-6 were observed from day 3 to day 5 after the onset of infection; after day 5, these values were very low.
ISSN:0002-9637
DOI:10.4269/ajtmh.1993.48.324