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10.1086/649785

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20030555!7202468!20030555
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suck abstract from ncbi


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pmid20030555      J+Infect+Dis 2010 ; 201 (3): 346-53
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  • Cytokine profiles induced by the novel swine-origin influenza A/H1N1 virus: implications for treatment strategies #MMPMID20030555
  • Woo PC; Tung ET; Chan KH; Lau CC; Lau SK; Yuen KY
  • J Infect Dis 2010[Feb]; 201 (3): 346-53 PMID20030555show ga
  • BACKGROUND. Given the apparent high mortality associated with the novel swine-origin influenza A/H1N1 virus (S-OIV) in Mexico, we aimed to study the cytokine profiles induced by S-OIV and the effect of immunomodulators. METHODS. We assayed cytokines and their messenger RNA (mRNA) levels in culture supernatants of human macrophages infected with H5N1, S-OIV California/04/2009 (S-OIV-CA), S-OIV Hong Kong/415742 (S-OIV-HK), or seasonal H1N1 with or without celecoxib and mesalazine. RESULTS. Among the 12 cytokines showing detectable levels, levels of 8 proinflammatory cytokines (interleukin [IL] 2R, IL-6, interferon [IFN] alpha, macrophage inflammatory protein [MIP] alpha, MIP-1beta, IFN-induced protein 10, regulated on activation, normal T cell expressed and secreted [RANTES], and monocyte chemotactic protein [MCP] 1) were higher in cells infected by H5N1 but similar among cells infected with H1N1, S-OIV-CA, or S-OIV-HK. The levels of the other 4 cytokines were similar for H5N1, H1N1, S-OIV-CA and S-OIV-HK. Among the 8 cytokines induced by H5N1, 6 were suppressed by celecoxib and mesalazine. The mRNA levels of tumor necrosis factor alpha, IFN-gamma, IL-6, and MCP-1 induced by H5N1 were higher than the levels of other cytokines at 12 and/or 24 h. CONCLUSIONS. No major cytokine storm, as seen in H5N1 infection, is associated with S-OIV infection of cell lines. The mainstay of treatment for uncomplicated S-OIV infections should be antiviral agents without immunomodulators. For individual S-OIV-infected patients with severe primary viral pneumonia, severe sepsis, and multiorgan failure, immunomodulators may be considered as an adjunctive therapy in clinical trials.
  • |Animals[MESH]
  • |Cell Line[MESH]
  • |Cytokines/genetics/*metabolism[MESH]
  • |Dogs[MESH]
  • |Epithelial Cells/metabolism[MESH]
  • |Gene Expression Regulation/*immunology[MESH]
  • |Humans[MESH]
  • |Influenza A Virus, H1N1 Subtype/*immunology/pathogenicity[MESH]
  • |Influenza A Virus, H5N1 Subtype/immunology/pathogenicity[MESH]
  • |Macrophages/*metabolism/virology[MESH]
  • |RNA, Messenger/genetics/metabolism[MESH]


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