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Temporal relationship of viral load, ribavirin, interleukin (IL)-6, IL-8, and clinical progression in patients with severe acute respiratory syndrome

Identifieur interne : 005A55 ( Main/Exploration ); précédent : 005A54; suivant : 005A56

Temporal relationship of viral load, ribavirin, interleukin (IL)-6, IL-8, and clinical progression in patients with severe acute respiratory syndrome

Auteurs : Wei-Kung Wang [Taïwan] ; Shey-Ying Chen [Taïwan] ; I.-Jung Liu [Taïwan] ; Chuan-Liang Kao [Taïwan] ; Hui-Ling Chen [Taïwan] ; Bor-Liang Chiang [Taïwan] ; Jann-Tay Wang [Taïwan] ; Wang-Hwei Sheng [Taïwan] ; Po-Ren Hsueh [Taïwan] ; Chao-Fu Yang [Taïwan] ; Pan-Chyr Yang [Taïwan] ; Shan-Chwen Chang [Taïwan]

Source :

RBID : Pascal:05-0094726

Descripteurs français

English descriptors

Abstract

Although viral replication and overwhelming immune responses are believed to contribute to the progression of severe acute respiratory syndrome (SARS), little is known about the temporal relationship between viral load, ribavirin, proinflammatory cytokines, and clinical progression. We report that ribavirin was not effective in reducing the SARS coronavirus load in 3 of 8 probable cases studied and that elevated levels of interleukin (IL)-6 and IL-8 subsequent to the peak viral load were found in 8 and 6 cases, respectively. The nadir lymphocyte count during lymphopenia, the peak level of lactate dehydrogenase, and the peak density of pulmonary infiltrates lag further behind the peak viral load by a median of 4, 5, and 3.5 days, respectively. These findings provide important information for therapeutic strategies to treat SARS.


Affiliations:


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Le document en format XML

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<term>Interleukin 6</term>
<term>Interleukin 8</term>
<term>L-Lactate dehydrogenase</term>
<term>Lymphocyte</term>
<term>Lymphocytopenia</term>
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<div type="abstract" xml:lang="en">Although viral replication and overwhelming immune responses are believed to contribute to the progression of severe acute respiratory syndrome (SARS), little is known about the temporal relationship between viral load, ribavirin, proinflammatory cytokines, and clinical progression. We report that ribavirin was not effective in reducing the SARS coronavirus load in 3 of 8 probable cases studied and that elevated levels of interleukin (IL)-6 and IL-8 subsequent to the peak viral load were found in 8 and 6 cases, respectively. The nadir lymphocyte count during lymphopenia, the peak level of lactate dehydrogenase, and the peak density of pulmonary infiltrates lag further behind the peak viral load by a median of 4, 5, and 3.5 days, respectively. These findings provide important information for therapeutic strategies to treat SARS.</div>
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<name sortKey="Hsueh, Po Ren" sort="Hsueh, Po Ren" uniqKey="Hsueh P" first="Po-Ren" last="Hsueh">Po-Ren Hsueh</name>
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<name sortKey="Liu, I Jung" sort="Liu, I Jung" uniqKey="Liu I" first="I.-Jung" last="Liu">I.-Jung Liu</name>
<name sortKey="Sheng, Wang Hwei" sort="Sheng, Wang Hwei" uniqKey="Sheng W" first="Wang-Hwei" last="Sheng">Wang-Hwei Sheng</name>
<name sortKey="Wang, Jann Tay" sort="Wang, Jann Tay" uniqKey="Wang J" first="Jann-Tay" last="Wang">Jann-Tay Wang</name>
<name sortKey="Wang, Wei Kung" sort="Wang, Wei Kung" uniqKey="Wang W" first="Wei-Kung" last="Wang">Wei-Kung Wang</name>
<name sortKey="Yang, Chao Fu" sort="Yang, Chao Fu" uniqKey="Yang C" first="Chao-Fu" last="Yang">Chao-Fu Yang</name>
<name sortKey="Yang, Pan Chyr" sort="Yang, Pan Chyr" uniqKey="Yang P" first="Pan-Chyr" last="Yang">Pan-Chyr Yang</name>
</country>
</tree>
</affiliations>
</record>

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