Corticosteroids for Dengue - Why Don't They Work?

BACKGROUND: Dysregulated immune responses may contribute to the clinical complications that occur in some patients with dengue. FINDINGS: In Vietnamese pediatric dengue cases randomized to early prednisolone therapy, 81 gene-transcripts (0.2% of the 47,231 evaluated) were differentially abundant in...

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Auteur principal: Simmons, Cameron
Format: Journal Article
Langue:anglais
Publié: 2018
Accès en ligne:https://demo7.dspace.org/handle/123456789/197
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author Simmons, Cameron
author_browse Simmons, Cameron
author_facet Simmons, Cameron
author_sort Simmons, Cameron
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description BACKGROUND: Dysregulated immune responses may contribute to the clinical complications that occur in some patients with dengue. FINDINGS: In Vietnamese pediatric dengue cases randomized to early prednisolone therapy, 81 gene-transcripts (0.2% of the 47,231 evaluated) were differentially abundant in whole-blood between high-dose (2 mg/kg) prednisolone and placebo-treated patients two days after commencing therapy. Prominent among the 81 transcripts were those associated with T and NK cell cytolytic functions. Additionally, prednisolone therapy was not associated with changes in plasma cytokine levels. CONCLUSION: The inability of prednisolone treatment to markedly attenuate the host immune response is instructive for planning future therapeutic strategies for dengue.
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spelling oai:localhost:123456789-1972021-04-07T16:30:08Z Corticosteroids for Dengue - Why Don't They Work? Simmons, Cameron BACKGROUND: Dysregulated immune responses may contribute to the clinical complications that occur in some patients with dengue. FINDINGS: In Vietnamese pediatric dengue cases randomized to early prednisolone therapy, 81 gene-transcripts (0.2% of the 47,231 evaluated) were differentially abundant in whole-blood between high-dose (2 mg/kg) prednisolone and placebo-treated patients two days after commencing therapy. Prominent among the 81 transcripts were those associated with T and NK cell cytolytic functions. Additionally, prednisolone therapy was not associated with changes in plasma cytokine levels. CONCLUSION: The inability of prednisolone treatment to markedly attenuate the host immune response is instructive for planning future therapeutic strategies for dengue. 2018-09-14T11:15:06Z 2017-07-12T03:36:54Z 2018-09-14T11:15:06Z 2013-10-31 2013-10-31 2013-10-31 2013-10-31 2013-10-31 2013-10-31 2013-10-31 2013-10-31 2013-12-01 Journal Article https://demo7.dspace.org/handle/123456789/197 English
spellingShingle Simmons, Cameron
Corticosteroids for Dengue - Why Don't They Work?
title Corticosteroids for Dengue - Why Don't They Work?
title_full Corticosteroids for Dengue - Why Don't They Work?
title_fullStr Corticosteroids for Dengue - Why Don't They Work?
title_full_unstemmed Corticosteroids for Dengue - Why Don't They Work?
title_short Corticosteroids for Dengue - Why Don't They Work?
title_sort corticosteroids for dengue why don t they work
url https://demo7.dspace.org/handle/123456789/197
work_keys_str_mv AT simmonscameron corticosteroidsfordenguewhydonttheywork