Could Silent Dengue Infections Unlock Future Vaccine Innovations?
Synopsis
Key Takeaways
- Asymptomatic dengue clearers offer potential insights for vaccine innovation.
- The study used a five-year household surveillance approach.
- Researchers created a comprehensive single-cell immune atlas of dengue.
- Distinct immune responses were identified between symptomatic and asymptomatic cases.
- Understanding these patterns could lead to safer dengue vaccines.
New Delhi, Dec 19 (NationPress) A team of researchers has discovered that individuals who successfully eliminate the dengue virus without exhibiting any symptoms may provide crucial insights for crafting new vaccines against this mosquito-borne illness.
Due to the elusive nature of these patients, the research team from Mahidol University in Thailand and the Wellcome Sanger Institute in the UK generated a comprehensive single-cell map derived from a five-year household surveillance project that monitored close contacts of confirmed dengue cases.
The pioneering single-cell immune atlas of asymptomatic dengue, published in Science Translational Medicine, delivers a rare glimpse into how the immune system can combat the virus without causing illness.
This study could play a pivotal role in shaping the development of safer and more effective dengue vaccines.
“The intricate cell-level data highlighted significant disparities between immune responses in symptomatic and asymptomatic individuals,” stated Dr. Waradon Sungnak, an immunologist and computational biologist at Mahidol University.
“Those who did not show symptoms exhibited unique patterns in essential immune cell types, including CD8 T cells, natural killer cells, and antibody-producing cells such as IgA, distinguishing them from symptomatic cases,” added Sungnak.
Asymptomatic dengue remains nearly invisible to healthcare systems; patients feel entirely well, rarely seek medical attention, and the period during which the virus is detectable in the blood is brief.
Throughout the five-year survey, only eight true asymptomatic dengue infections were detected while the virus was present in the bloodstream.
“These instances are remarkably rare and invaluable. Without them, we may not grasp why some individuals eliminate dengue without any symptoms,” explained Assoc. Prof. Ponpan Matangkasombut, an immunologist at Mahidol University.
These eight cases, alongside others with mild and severe symptoms, formed the basis for a high-resolution immune map constructed from over 134,000 individual immune cells, analyzed through single-cell RNA sequencing and immune receptor sequencing.
In contrast, symptomatic dengue exhibited immune signatures linked to more detrimental processes. The characteristics observed in asymptomatic cases were mostly absent in symptomatic dengue, which instead indicated signs of antibody-mediated viral uptake and inflammation, according to the researchers.
Additional biological signals aided in differentiating asymptomatic cases from more severe illnesses.
Moreover, cytokine-related signals were observed to be more pronounced in symptomatic dengue, providing insights into why some infections escalate while others resolve.
The findings collectively offer a clearer understanding of the interplay between protective antiviral responses and inflammatory pathways that lead to symptoms.