Source:http://linkedlifedata.com/resource/pubmed/id/16987073
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
2006-9-21
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pubmed:abstractText |
Severe human infection with Hantavirus is characterized by high fever, cold chills, thrombocytopenia, arterial hypotension, acute renal failure, and/or adult respiratory distress syndrome (ARDS)-like pulmonary involvement, but the clinical course varies greatly between individuals. We investigated whether genetically determined differences in tumor necrosis factor (TNF)-alpha production can influence the severity of Hantavirus disease. We studied a TNF-alpha single-nucleotide promoter polymorphism (SNP) at position -238 (a guanine [G]-to-adenine [A] transition) and ex vivo TNF-alpha production in a recall study of 36 Belgian patients who had a serologically proven form of Puumala virus-induced Hantavirus infection with the kidney as main target organ. In our study, the highest creatinine levels were found in patients with the lowest ex vivo TNF-alpha production. Creatinine levels correlated inversely with TNF-alpha production (R = -0.35, p < 0.05). The number of thrombocytes was significantly lower in patients with the GA-238 genotype (low TNF-alpha producers) compared with patients with the GG-238 genotype. In our study, genetically determined low production of TNF-alpha was associated with some parameters indicating a more severe clinical course of Puumala Hantavirus infection in humans, possibly by impaired activation of TNF-alpha-dependent antiviral mechanisms, which could in turn result in decreased clearance of Hantavirus.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0882-8245
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
19
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
558-64
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pubmed:dateRevised |
2008-11-21
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pubmed:meshHeading |
pubmed-meshheading:16987073-Genetic Predisposition to Disease,
pubmed-meshheading:16987073-Hemorrhagic Fever with Renal Syndrome,
pubmed-meshheading:16987073-Humans,
pubmed-meshheading:16987073-Polymorphism, Single Nucleotide,
pubmed-meshheading:16987073-Promoter Regions, Genetic,
pubmed-meshheading:16987073-Puumala virus,
pubmed-meshheading:16987073-Severity of Illness Index,
pubmed-meshheading:16987073-Tumor Necrosis Factor-alpha
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pubmed:year |
2006
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pubmed:articleTitle |
Tumor necrosis factor-alpha genetic predisposing factors can influence clinical severity in nephropathia epidemica.
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pubmed:affiliation |
Laboratory of Clinical and Epidemiological Virology, Rega Institute for Medical Research, University of Leuven, Leuven, Belgium.
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pubmed:publicationType |
Journal Article
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