Dengue virus (DV) infection can result in either a mild febrile illness kno
wn as dengue fever (DF) or a life-threatening disease called dengue hemorrh
agic fever (DHF). DHF is more prevalent in patients undergoing secondary DV
infection. This observation has led to the hypothesis that DHF may be the
result of immune reactions to the secondary DV infection; an event termed i
mmunopathology. Two cellular factors, MIP-1 alpha and MIP-1 beta, have been
found to be induced by infection with DV. MIP-1 induction by DV infection
was observed in a myelomonocytic cell line, as well as in peripheral blood
mononuclear cells isolated from a dengue naive donor. MIP-1 induction was n
ot due to factors secreted by infected cells. In fact, replication-competen
t virus was required to induce MIP-1. Evidence is also provided that MIP-1
genes are expressed in patients with dengue disease. It is hypothesized tha
t these chemokines may have roles in the immunopathology of dengue infectio
ns and may contribute to fever and bone marrow suppression observed in pati
ents with DV infections. (C) 2001 Wiley-Liss, Inc.