4.6 Article

Integrated view of molecular diagnosis and prognosis of dengue viral infection: future prospect of exosomes biomarkers

Journal

MOLECULAR AND CELLULAR BIOCHEMISTRY
Volume 477, Issue 3, Pages 815-832

Publisher

SPRINGER
DOI: 10.1007/s11010-021-04326-8

Keywords

Dengue virus; Pathophysiology; Dengue hemorrhagic fever; Severe dengue; Exosomes; Biomarkers

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Dengue fever is a viral infection caused by dengue viruses that affects the lungs, liver, heart, and other organs. The virus is transmitted by Aedes mosquitoes and can cause symptoms ranging from mild fever to severe bleeding and organ failure. The increase in dengue cases in pediatric population is a major concern.
Dengue viruses (DENVs) are the viruses responsible for dengue infection which affects lungs, liver, heart and also other organs of individuals. DENVs consist of the group of four serotypically diverse dengue viruses transmitted in tropical and sub-tropical countries of world. Aedes mosquito is the principal vector which spread the infection from infected person to healthy humans. DENVs can cause different syndromes depending on serotype of virus which range from undifferentiated mild fever to dengue hemorrhagic fever resulting in vascular leakage due to release of cytokine and Dengue shock syndrome with fluid loss and hypotensive shock, or other severe manifestations such as bleeding and organ failure. Increase in dengue cases in pediatric population is a major concern. Transmission of dengue depends on various factors like temperature, rainfall, and distribution of Aedes aegypti mosquitoes. The present review describes a comprehensive overview of dengue, pathophysiology, diagnosis, treatment with an emphasis on potential of exosomes as biomarkers for early prediction of dengue in pediatrics.

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