Recent advances in understanding dengue

Dengue is an emerging threat to billions of people worldwide. In the last 20 years, the incidence has increased four-fold and this trend appears to be continuing. Caused by one of four viral serotypes, dengue can present as a wide range of clinical phenotypes with the severe end of the spectrum bein...

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Main Authors: Yacoub, Sophie, Mongkolsapaya, Juthathip, Screaton, Gavin
Format: Online
Language:English
Published: F1000Research 2016
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4754027/
id pubmed-4754027
recordtype oai_dc
spelling pubmed-47540272016-02-24 Recent advances in understanding dengue Yacoub, Sophie Mongkolsapaya, Juthathip Screaton, Gavin Review Dengue is an emerging threat to billions of people worldwide. In the last 20 years, the incidence has increased four-fold and this trend appears to be continuing. Caused by one of four viral serotypes, dengue can present as a wide range of clinical phenotypes with the severe end of the spectrum being defined by a syndrome of capillary leak, coagulopathy, and organ impairment. The pathogenesis of severe disease is thought to be in part immune mediated, but the exact mechanisms remain to be defined. The current treatment of dengue relies on supportive measures with no licensed therapeutics available to date. There have been recent advances in our understanding of a number of areas of dengue research, of which the following will be discussed in this review: the drivers behind the global dengue pandemic, viral structure and epitope binding, risk factors for severe disease and its pathogenesis, as well as the findings of recent clinical trials including therapeutics and vaccines. We conclude with current and future dengue control measures and key areas for future research. F1000Research 2016-01-19 /pmc/articles/PMC4754027/ /pubmed/26918159 http://dx.doi.org/10.12688/f1000research.6233.1 Text en Copyright: © 2016 Yacoub S et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Yacoub, Sophie
Mongkolsapaya, Juthathip
Screaton, Gavin
spellingShingle Yacoub, Sophie
Mongkolsapaya, Juthathip
Screaton, Gavin
Recent advances in understanding dengue
author_facet Yacoub, Sophie
Mongkolsapaya, Juthathip
Screaton, Gavin
author_sort Yacoub, Sophie
title Recent advances in understanding dengue
title_short Recent advances in understanding dengue
title_full Recent advances in understanding dengue
title_fullStr Recent advances in understanding dengue
title_full_unstemmed Recent advances in understanding dengue
title_sort recent advances in understanding dengue
description Dengue is an emerging threat to billions of people worldwide. In the last 20 years, the incidence has increased four-fold and this trend appears to be continuing. Caused by one of four viral serotypes, dengue can present as a wide range of clinical phenotypes with the severe end of the spectrum being defined by a syndrome of capillary leak, coagulopathy, and organ impairment. The pathogenesis of severe disease is thought to be in part immune mediated, but the exact mechanisms remain to be defined. The current treatment of dengue relies on supportive measures with no licensed therapeutics available to date. There have been recent advances in our understanding of a number of areas of dengue research, of which the following will be discussed in this review: the drivers behind the global dengue pandemic, viral structure and epitope binding, risk factors for severe disease and its pathogenesis, as well as the findings of recent clinical trials including therapeutics and vaccines. We conclude with current and future dengue control measures and key areas for future research.
publisher F1000Research
publishDate 2016
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4754027/
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