Evidence map›Paper›PMID 32644974›Full record

ArticleThe Journal of clinical investigation2020

Dengue virus induces PCSK9 expression to alter antiviral responses and disease outcomes.

Esther Shuyi Gan, Hwee Cheng Tan, Duyen Huynh Thi Le, Trieu Trung Huynh, Bridget Wills, Nabil G Seidah, Eng Eong Ooi, Sophie Yacoub

Open access · hybridAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
8.1field-weighted citation impact, top 2% 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

41 citing papers in PubMed, 69 citations in OpenAlex.

  1. PCSK9 in critical illness - It's not all about lipids.Annals of clinical biochemistry · 2026
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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

8 authors at 5 institutions in 4 countries.

Esther Shuyi GanDuke-National University of Singapore Medical School, Singapore.
Hwee Cheng TanDuke-National University of Singapore Medical School, Singapore.
Duyen Huynh Thi LeOxford University Clinical Research Unit (OUCRU), Ho Chi Minh City, Vietnam.
Trieu Trung HuynhOxford University Clinical Research Unit (OUCRU), Ho Chi Minh City, Vietnam.
Bridget WillsOxford University Clinical Research Unit (OUCRU), Ho Chi Minh City, Vietnam.
Nabil G SeidahLaboratory of Biochemical Neuroendocrinology, Montreal Clinical Research Institute, Université de Montréal, Montréal, Québec, Canada.
Eng Eong OoiDuke-National University of Singapore Medical School, Singapore.
Sophie YacoubOxford University Clinical Research Unit (OUCRU), Ho Chi Minh City, Vietnam.
National University of Singapore · SGOxford University Clinical Research Unit · VNUniversity of Oxford · GBMontreal Clinical Research Institute · CASingHealth · SG

Funding

Wellcome TrustWellcome Trust 100562/Z/12/Z
6 · The paper itself

Abstract

Dengue virus (DENV) infection requires cholesterol as a proviral factor, although statin treatment did not show antiviral efficacy in patients with dengue. Here, we show that DENV infection manipulated cholesterol metabolism in cells residing in low-oxygen microenvironments (hypoxia) such as in the liver, spleen, and lymph nodes. DENV infection induced expression of proprotein convertase subtilisin/kexin type 9 (PCSK9), which reduces low-density lipoprotein receptor (LDLR) recycling and hence cholesterol uptake. We found that, whereas LDLR uptake would have distributed cholesterol throughout the various cell compartments, de novo cholesterol synthesis enriched this lipid in the endoplasmic reticulum (ER). With cholesterol enrichment in the ER, ER-resident STING and type I IFN (IFN) activation was repressed during DENV infection. Our in vitro findings were further supported by the detection of elevated plasma PCSK9 levels in patients with dengue with high viremia and increased severity of plasma leakage. Our findings therefore suggest that PCSK9 plays a hitherto unrecognized role in dengue pathogenesis and that PCSK9 inhibitors could be a suitable host-directed treatment for patients with dengue.

Indexed as

AdolescentAdultAntiviral AgentsCell HypoxiaCell LineChildCholesterolDengueDengue VirusDrug Resistance, ViralFemaleHepatocytesHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMaleMyeloid CellsAntiviral AgentsCholesterolHydroxymethylglutaryl-CoA Reductase InhibitorsLDLR protein, humanPCSK9 protein, humanProprotein Convertase 9Receptors, LDLhypoxiaInfectious disease

Identifiers

PMID32644974
PMCPMC7524462
OpenAlexW3041489599

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.