Serveur d'exploration SRAS

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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 : 000256 ( PascalFrancis/Curation ); précédent : 000255; suivant : 000257

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.
pA  
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A08 01  1  ENG  @1 Temporal relationship of viral load, ribavirin, interleukin (IL)-6, IL-8, and clinical progression in patients with severe acute respiratory syndrome
A11 01  1    @1 WANG (Wei-Kung)
A11 02  1    @1 CHEN (Shey-Ying)
A11 03  1    @1 LIU (I.-Jung)
A11 04  1    @1 KAO (Chuan-Liang)
A11 05  1    @1 CHEN (Hui-Ling)
A11 06  1    @1 CHIANG (Bor-Liang)
A11 07  1    @1 WANG (Jann-Tay)
A11 08  1    @1 SHENG (Wang-Hwei)
A11 09  1    @1 HSUEH (Po-Ren)
A11 10  1    @1 YANG (Chao-Fu)
A11 11  1    @1 YANG (Pan-Chyr)
A11 12  1    @1 CHANG (Shan-Chwen)
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A14 05      @1 Department of Pediatrics, National Taiwan University Hospital @2 Taipei @3 TWN @Z 6 aut.
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C01 01    ENG  @0 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.
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Pascal:05-0094726

Le document en format XML

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<s1>Department of Internal Medicine, National Taiwan University Hospital</s1>
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<title level="j" type="main">Clinical infectious diseases</title>
<title level="j" type="abbreviated">Clin. infect. dis.</title>
<idno type="ISSN">1058-4838</idno>
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<title level="j" type="main">Clinical infectious diseases</title>
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<term>Immune response</term>
<term>Interleukin 6</term>
<term>Interleukin 8</term>
<term>L-Lactate dehydrogenase</term>
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<term>Lymphocytopenia</term>
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<term>Replication</term>
<term>Ribavirin</term>
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<term>Syndrome respiratoire aigu sévère</term>
<term>Lymphopénie</term>
<term>Ribavirine</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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<s0>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.</s0>
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<fC07 i1="09" i2="X" l="SPA">
<s0>Análogo nucleósido</s0>
<s5>38</s5>
</fC07>
<fC07 i1="10" i2="X" l="FRE">
<s0>Appareil respiratoire pathologie</s0>
<s5>39</s5>
</fC07>
<fC07 i1="10" i2="X" l="ENG">
<s0>Respiratory disease</s0>
<s5>39</s5>
</fC07>
<fC07 i1="10" i2="X" l="SPA">
<s0>Aparato respiratorio patología</s0>
<s5>39</s5>
</fC07>
<fC07 i1="11" i2="X" l="FRE">
<s0>Poumon pathologie</s0>
<s5>40</s5>
</fC07>
<fC07 i1="11" i2="X" l="ENG">
<s0>Lung disease</s0>
<s5>40</s5>
</fC07>
<fC07 i1="11" i2="X" l="SPA">
<s0>Pulmón patología</s0>
<s5>40</s5>
</fC07>
<fC07 i1="12" i2="X" l="FRE">
<s0>Hémopathie</s0>
<s5>42</s5>
</fC07>
<fC07 i1="12" i2="X" l="ENG">
<s0>Hemopathy</s0>
<s5>42</s5>
</fC07>
<fC07 i1="12" i2="X" l="SPA">
<s0>Hemopatía</s0>
<s5>42</s5>
</fC07>
<fC07 i1="13" i2="X" l="FRE">
<s0>Leucopénie</s0>
<s5>43</s5>
</fC07>
<fC07 i1="13" i2="X" l="ENG">
<s0>Leukopenia</s0>
<s5>43</s5>
</fC07>
<fC07 i1="13" i2="X" l="SPA">
<s0>Leucopenia</s0>
<s5>43</s5>
</fC07>
<fN21>
<s1>059</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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