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Increased plasma cell-free DNA level during HTNV infection: correlation with disease severity and virus load.

Abstract
Cell-free DNA (cf-DNA) in blood represents a promising DNA damage response triggered by virus infection or trauma, tumor, etc. Hantavirus primarily causes two diseases: haemorrhagic fever with renal syndrome (HFRS) and Hantavirus cardiopulmonary syndrome (HCPS), depending on different Hantavirus species. The aim of this study was to evaluate plasma cf-DNA levels in acute phase of HFRS, and to correlate plasma cf-DNA with disease severity and plasma Hanttan virus (HTNV) load. We observed the appearance of cf-DNA in 166 plasma samples from 76 HFRS patients: the plasma cf-DNA levels peaked at the hypotensive stage of HFRS, and then decreased gradually. Until the diuretic stage, there was no significant difference in plasma cf-DNA level between patients and the healthy control. Exclusively in the febrile/hypotensive stage, the plasma cf-DNA levels of severe/critical patients were higher than those of the mild/moderate group. Moreover, the plasma cf-DNA value in the early stage of HFRS was correlated with HTNV load and disease severity. In most of the patients, plasma cf-DNA displayed a low-molecular weight appearance, corresponding to the size of apoptotic DNA. In conclusion, the plasma cf-DNA levels were dynamically elevated during HFRS, and correlated with disease severity, which suggests that plasma cf-DNA may be a potential biomarker for the pathogenesis and prognosis of HFRS.
AuthorsJing Yi, Yun Zhang, Yusi Zhang, Ying Ma, Chunmei Zhang, Qi Li, Bei Liu, Zhijia Liu, Jiayun Liu, Xianqing Zhang, Ran Zhuang, Boquan Jin
JournalViruses (Viruses) Vol. 6 Issue 7 Pg. 2723-34 (Jul 15 2014) ISSN: 1999-4915 [Electronic] Switzerland
PMID25029493 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • DNA, Viral
Topics
  • Adolescent
  • Adult
  • Aged
  • Case-Control Studies
  • Child
  • DNA, Viral (blood)
  • Disease Progression
  • Female
  • Hantaan virus (pathogenicity, physiology)
  • Hemorrhagic Fever with Renal Syndrome (blood, diagnosis, pathology, virology)
  • Humans
  • Male
  • Middle Aged
  • Nucleic Acid Denaturation
  • Severity of Illness Index
  • Viral Load

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