Evidence map›Paper›PMID 26621477›Full record

ArticleClinical and experimental immunology2016

Dengue NS1 antigen contributes to disease severity by inducing interleukin (IL)-10 by monocytes.

T N Adikari, L Gomes, N Wickramasinghe, M Salimi, N Wijesiriwardana, A Kamaladasa, N L A Shyamali, G S Ogg, G N Malavige

Open access · bronzeAbstract read
In one paragraph

Article in Clinical and experimental immunology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
5.0field-weighted citation impact, top 5% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 66 citations in OpenAlex.

  1. Article
  2. Dengue NS1 as a Driver of Immune-Mediated Pathogenesis.Tropical medicine and infectious disease · 2026
    Review
  3. Article
  4. Peroxidase-Mimicking Nanozymes for Rapid Detection of Infectious Diseases.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Viruses · 2022
    Review
  16. Dengue and COVID-19: two sides of the same coin.Journal of biomedical science · 2022
    Review
  17. Article
  18. Article
  19. Observational
  20. 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

9 authors at 2 institutions in 2 countries.

T N AdikariCentre for Dengue Research, University of Sri Jayawardanapura, Nugegoda, Sri Lanka.
L GomesCentre for Dengue Research, University of Sri Jayawardanapura, Nugegoda, Sri Lanka.
N WickramasingheCentre for Dengue Research, University of Sri Jayawardanapura, Nugegoda, Sri Lanka.
M SalimiRadcliffe Department of Medicine, MRC Human Immunology Unit, NIHR Biomedical Research Centre, Weatherall Institute of Molecular Medicine, Oxford, UK.
N WijesiriwardanaCentre for Dengue Research, University of Sri Jayawardanapura, Nugegoda, Sri Lanka.
A KamaladasaCentre for Dengue Research, University of Sri Jayawardanapura, Nugegoda, Sri Lanka.
N L A ShyamaliDepartment of Medicine, Faculty of Medical Sciences, University of Sri Jayawardanapura, Nugegoda, Sri Lanka.
G S OggRadcliffe Department of Medicine, MRC Human Immunology Unit, NIHR Biomedical Research Centre, Weatherall Institute of Molecular Medicine, Oxford, UK.
G N MalavigeCentre for Dengue Research, University of Sri Jayawardanapura, Nugegoda, Sri Lanka.
University of Sri Jayewardenepura · LKMRC Human Immunology Unit · GB

Funding

Medical Research Council MC_UU_12010/5
6 · The paper itself

Abstract

Both dengue NS1 antigen and serum interleukin (IL)-10 levels have been shown to associate with severe clinical disease in acute dengue infection, and IL-10 has also been shown to suppress dengue-specific T cell responses. Therefore, we proceeded to investigate the mechanisms by which dengue NS1 contributes to disease pathogenesis and if it is associated with altered IL-10 production. Serum IL-10 and dengue NS1 antigen levels were assessed serially in 36 adult Sri Lankan individuals with acute dengue infection. We found that the serum IL-10 levels correlated positively with dengue NS1 antigen levels (Spearman's r = 0·47, P < 0·0001), and NS1 also correlated with annexin V expression by T cells in acute dengue (Spearman's r = 0·63, P = 0·001). However, NS1 levels did not associate with the functionality of T cell responses or with expression of co-stimulatory molecules. Therefore, we further assessed the effect of dengue NS1 on monocytes and T cells by co-culturing primary monocytes and peripheral blood mononuclear cells (PBMC), with varying concentrations of NS1 for up to 96 h. Monocytes co-cultured with NS1 produced high levels of IL-10, with the highest levels seen at 24 h, and then declined gradually. Therefore, our data show that dengue NS1 appears to contribute to pathogenesis of dengue infection by inducing IL-10 production by monocytes.

Indexed as

Acute DiseaseAdultAnnexin A5Coculture TechniquesDengueDengue VirusGene ExpressionHost-Pathogen InteractionsHumansInterleukin-10MonocytesPrimary Cell CultureSeverity of Illness IndexT-LymphocytesViral Nonstructural ProteinsAnnexin A5IL10 protein, humanInterleukin-10NS1 protein, dengue-1 virusViral Nonstructural Proteinsdengue infectionIL-10monocytesNS1 antigenT cell function

Identifiers

PMID26621477
PMCPMC4778103
OpenAlexW2268759776

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.