Evidence map›Paper›PMID 41012652›Full record

ArticleViruses2025

Monocyte Dynamics in Chikungunya Fever: Sustained Activation and Vascular-Coagulation Pathway Involvement.

Caroline Fernandes Dos Santos, Priscila Conrado Guerra Nunes, Victor Edgar Fiestas-Solorzano, Mariana Gandini, Flavia Barreto Dos Santos, Roberta Olmo Pinheiro, Luís Jose de Souza, Paulo Vieira Damasco, Luzia Maria de Oliveira Pinto, Elzinandes Leal de Azeredo

Abstract read
In one paragraph

Article in Viruses, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. 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

10 authors.

Caroline Fernandes Dos SantosLaboratório das Interações Vírus Hospedeiros, Instituto Oswaldo Cruz, Rio de Janeiro 21040-360, Brazil.ORCID 0000-0002-4984-1287
Priscila Conrado Guerra NunesLaboratório das Interações Vírus Hospedeiros, Instituto Oswaldo Cruz, Rio de Janeiro 21040-360, Brazil.ORCID 0000-0002-4841-9308
Victor Edgar Fiestas-SolorzanoLaboratório das Interações Vírus Hospedeiros, Instituto Oswaldo Cruz, Rio de Janeiro 21040-360, Brazil.ORCID 0000-0002-5554-3542
Mariana GandiniLaboratório de Microbiologia Celular, Instituto Oswaldo Cruz, Rio de Janeiro 21040-360, Brazil.ORCID 0000-0003-3603-6921
Flavia Barreto Dos SantosLaboratório das Interações Vírus Hospedeiros, Instituto Oswaldo Cruz, Rio de Janeiro 21040-360, Brazil.ORCID 0000-0002-1309-5366
Roberta Olmo PinheiroLaboratório de Hanseníase, Instituto Oswaldo Cruz, Rio de Janeiro 21040-360, Brazil.ORCID 0000-0001-8471-4227
Luís Jose de SouzaCentro de Doenças Imuno-Infecciosas (CRDI), Faculdade de Medicina, Campos dos Goytacazes, Brasil Campos dos Goytacazes, Rio de Janeiro 28025-496, Brazil.
Paulo Vieira DamascoHospital Casa Rio Laranjeira, Rio de Janeiro 22240-000, Brazil.
Luzia Maria de Oliveira PintoLaboratório das Interações Vírus Hospedeiros, Instituto Oswaldo Cruz, Rio de Janeiro 21040-360, Brazil.
Elzinandes Leal de AzeredoLaboratório das Interações Vírus Hospedeiros, Instituto Oswaldo Cruz, Rio de Janeiro 21040-360, Brazil.

Funding

Faperj E-26/210.268/2019 and E-26/201.244/2021
6 · The paper itself

Abstract

Chikungunya fever (CF), caused by the Chikungunya virus (CHIKV), is characterized by disabling symptoms such as joint pain that can last for months. Monocytes play a central role in immune modulation and viral replication during infection. This study evaluated the clinical and immunological profiles of patients with laboratory-confirmed CF. Fever and joint pain were the most frequently reported symptoms, whereas edema was more common in women. CHIKV-infect individuals exhibited increased TLR4 expression in non-classical monocytes (CD14+CD16++). Additionally, intermediate (CD14+CD16+) and non-classical (CD14+CD16++) monocytes expressing TLR7 were enriched during the acute phase and in some chronic patients, thereby suggest prolonged TLR7 pathway activation. Levels of soluble CD163 (sCD163)-a marker of monocyte/macrophage activation-were elevated as well, indicating sustained immune activation. Coagulation-related mediators-including Tissue factor (TF) and Tissue factor pathway inhibitor (TFPI)-also increased, despite the rarity of hemorrhagic events or thrombocytopenia. Patients with arthritis demonstrated higher frequencies of TLR7+ intermediate monocytes and elevated Epidermal growth factor (EGF) levels, whereas those with edema exhibit increased Vascular endothelial growth factor (VEGF) levels. Overall, these findings highlighted the differential activation of CD16+ monocytes and suggested that sCD163 is a marker of monocyte/macrophage activation during CHIKV infection.

Indexed as

Blood CoagulationChikungunya FeverMonocytesAdultAgedAntigens, CDAntigens, Differentiation, MyelomonocyticCD163 AntigenChikungunya virusFemaleHumansMaleMiddle AgedReceptors, Cell SurfaceReceptors, IgGToll-Like Receptor 4Antigens, CDAntigens, Differentiation, MyelomonocyticCD163 AntigenReceptors, Cell SurfaceReceptors, IgGTLR7 protein, humanToll-Like Receptor 4Toll-Like Receptor 7Chikungunya viruschronic inflammationcoagulation factorsmonocyte subsetsTLR7 signalingvascular dysfunction

Identifiers

PMID41012652
PMCPMC12474508

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Registered trials

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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.