Evidence map›Paper›PMID 25783751›Full record

ArticleeLife2015

Dengue vascular leakage is augmented by mast cell degranulation mediated by immunoglobulin Fcγ receptors.

Ayesa Syenina, Cyril J Jagaraj, Siti A B Aman, Aishwarya Sridharan, Ashley L St John

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in eLife, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 51 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02673840 phase4unknown statusnot on this map

Ketotifen as a Treatment for Vascular Leakage During Dengue Fever (KETODEN)

TypeinterventionalSponsorNational University Hospital, SingaporeRan2015 to 2017Enrolled110ConditionsDengue Fever, Pleural EffusionArmsKetotifen, Placebo
NCT04673422 phase2 / phase3completednot on this mapstarted 2021, after this paper: background citation

Effect of Montelukast in Preventing Dengue With Warning Signs in Dengue Patients: a Multicenter Randomized, Double-blind, Placebo Controlled, Superiority Trial

TypeinterventionalSponsorPhramongkutklao College of Medicine and HospitalRan2021 to 2023Enrolled358ConditionsDengue, Dengue With Warning Signs, Dengue Shock SyndromeArmsMontelukast, Placebo
3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 1 synthesis or guideline pooled it, 83 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
  6. LRO biogenesis and function: what can we learn from mast cells?Frontiers in cell and developmental biology · 2025
    Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Dengue: Update on Clinically Relevant Therapeutic Strategies and Vaccines.Current treatment options in infectious diseases · 2023
    Review
  12. Review
  13. Review
  14. Dengue and COVID-19: two sides of the same coin.Journal of biomedical science · 2022
    Review
  15. Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Mast Cells in the Skin: Defenders of Integrity or Offenders in Inflammation?International journal of molecular sciences · 2021
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Ayesa SyeninaProgram in Emerging Infectious Diseases, Duke-National University of Singapore, Singapore, Singapore.
Cyril J JagarajProgram in Emerging Infectious Diseases, Duke-National University of Singapore, Singapore, Singapore.
Siti A B AmanProgram in Emerging Infectious Diseases, Duke-National University of Singapore, Singapore, Singapore.
Aishwarya SridharanProgram in Emerging Infectious Diseases, Duke-National University of Singapore, Singapore, Singapore.
Ashley L St JohnProgram in Emerging Infectious Diseases, Duke-National University of Singapore, Singapore, Singapore.
National University of Singapore · SGDuke Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dengue virus (DENV) is the most significant human arboviral pathogen and causes ∼400 million infections in humans each year. In previous work, we observed that mast cells (MC) mediate vascular leakage during DENV infection in mice and that levels of MC activation are correlated with disease severity in human DENV patients (St John et al., 2013b). A major risk factor for developing severe dengue is secondary infection with a heterologous serotype. The dominant theory explaining increased severity during secondary DENV infection is that cross-reactive but non-neutralizing antibodies promote uptake of virus and allow enhanced replication. Here, we define another mechanism, dependent on FcγR-mediated enhanced degranulation responses by MCs. Antibody-dependent mast cell activation constitutes a novel mechanism to explain enhanced vascular leakage during secondary DENV infection.

Indexed as

AnimalsAntibody SpecificityCapillary PermeabilityCell DegranulationCell LineCell Line, TumorCells, CulturedDengueDengue VirusHost-Pathogen InteractionsHumansImmunization, PassiveImmunoglobulin GMast CellsMice, Inbred C57BLMice, KnockoutFcgr3 protein, mouseImmunoglobulin GReceptors, IgGantibodiesdengue virusFc receptorimmunologyinfectious diseasemast cellmicrobiologymousevascular leakage

Identifiers

PMID25783751
PMCPMC4362203
OpenAlexW2169893334

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.