Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • News & Views
  • Published:

Viral infections

Severe dengue progression beyond enhancement

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, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

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

This article is cited by

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing