Research Article Open Access

Immunopathogenesis of Dengue Hemorrhagic Fever

Huan-Yao Lei1, Kao-Jean Huang1, Yee-Shin Lin1, Trai-Ming Yeh1, Hsiao-Sheng Liu1 and Ching-Chuan Liu1
  • 1 National Cheng Kung University, Taiwan


Dengue virus infection causes Dengue Fever (DF), Dengue Hemorrhagic Fever (DHF) and Dengue Shock Syndrome (DSS) whose pathogeneses were not clearly understood. A new hypothesis of immunopathogenesis is proposed for the development of the DHF/DSS. An aberrant immune over-activation after dengue virus infection not only impair the immune response to clear the virus, but also result in overproduction of cytokines that affect monocytes, endothelial cells, and hepatocytes, as well as the abnormal production of autoantibodies to platelet and endothelial cells. A molecular mimicry occurs between platelets/endothelial cells and dengue virus antigens. Platelets and endothelial cells are bound by the cross-reactive anti-dengue virus antibodies such as anti-NS1 or anti-prM antibodies. The IFN-γ activated macrophage would phagocytosize the osponized targets. Dengue virus-induced vasculopathy and coagulopathy are involved in the pathogenesis of hemorrhage, and the unbalance between coagulation and fibrinolysis activation increases the likelihood of severe hemorrhage in DHF/DSS. This theory of transient hemophagocytic activity in immunopathogenesis of DHF/DSS can account for specific characteristics of clinical, pathologic, and epidemiological observations in dengue virus infection.

American Journal of Infectious Diseases
Volume 4 No. 1, 2008, 1-9


Submitted On: 9 August 2007 Published On: 31 March 2008

How to Cite: Lei, H., Huang, K., Lin, Y., Yeh, T., Liu, H. & Liu, C. (2008). Immunopathogenesis of Dengue Hemorrhagic Fever. American Journal of Infectious Diseases, 4(1), 1-9.

  • 13 Citations



  • Dengue virus
  • ADE
  • autoantibody
  • macrophage