Abstract

Dengue virus causes dengue hemorrhagic fever (DHF) and has been associated to fatal cases worldwide. The liver is one of the most important target tissues in severe cases, due to its intense viral replication and metabolic role. microRNAs role during infection is crucial to understand the regulatory mechanisms of DENV infection and can help in diagnostic and anti-viral therapies development. We sequenced the miRNome of six fatal cases and compared to five controls, to characterize the human microRNAs expression profile in the liver tissue during DHF. Eight microRNAs were differentially expressed, including miR-126-5p, a regulatory molecule of endothelial cells, miR-122-5p, a liver specific homeostasis regulator, and miR-146a-5p, an interferon-regulator. Enrichment analysis with predicted target genes of microRNAs revealed regulatory pathways of apoptosis, involving MAPK, RAS, CDK and FAS. Immune response pathways were related to NF- kB, CC and CX families, IL and TLR. This is the first description of the human microRNA and isomicroRNA profile in liver tissues from DHF cases. The results demonstrated the association of miR-126-5p, miR-122-5p and miR-146a-5p with DHF liver pathogenesis, involving endothelial repair and vascular permeability regulation, control of homeostasis and expression of inflammatory cytokines.

Highlights

  • Dengue virus causes dengue hemorrhagic fever (DHF) and has been associated to fatal cases worldwide

  • The clinical manifestations associated to dengue disease ranges from milder forms, denominated as classical dengue fever (DF), to severe forms named as dengue hemorrhagic fever (DHF)

  • Our study provided insight into the hepatic miRNA and isomiR profile in DHF, made a deep differential expression analysis, characterized the isomiRs representation for previously miRNA associated with the disease, and among the eight miRNAs differentially expressed in DHF human liver

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Summary

Introduction

Dengue virus causes dengue hemorrhagic fever (DHF) and has been associated to fatal cases worldwide. The liver is one of the most important target tissues in severe cases, due to its intense viral replication and metabolic role. We sequenced the miRNome of six fatal cases and compared to five controls, to characterize the human microRNAs expression profile in the liver tissue during DHF. Immune response pathways were related to NF- kB, CC and CX families, IL and TLR This is the first description of the human microRNA and isomicroRNA profile in liver tissues from DHF cases. Dengue in the Americas has an endemo-epidemic pattern with outbreaks occurring every three to five years and Brazil is among the countries most affected by this arboviral disease, with an estimative of 13.6 million cases between 1990 and 2­ 0173.

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