Stochastic Model of the Adaptive Immune Response Predicts Disease Severity and Captures Enhanced Cross-Reactivity in Natural Dengue Infections

The dengue virus circulates as four distinct serotypes, where a single serotype infection is typically asymptomatic and leads to acquired immunity against that serotype. However, the developed immunity to one serotype is thought to underlie the severe manifestation of the disease observed in subsequ...

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Main Authors: Hung D. Nguyen, Sidhartha Chaudhury, Adam T. Waickman, Heather Friberg, Jeffrey R. Currier, Anders Wallqvist
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-08-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2021.696755/full
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author Hung D. Nguyen
Hung D. Nguyen
Sidhartha Chaudhury
Adam T. Waickman
Heather Friberg
Jeffrey R. Currier
Anders Wallqvist
author_facet Hung D. Nguyen
Hung D. Nguyen
Sidhartha Chaudhury
Adam T. Waickman
Heather Friberg
Jeffrey R. Currier
Anders Wallqvist
author_sort Hung D. Nguyen
collection DOAJ
description The dengue virus circulates as four distinct serotypes, where a single serotype infection is typically asymptomatic and leads to acquired immunity against that serotype. However, the developed immunity to one serotype is thought to underlie the severe manifestation of the disease observed in subsequent infections from a different serotype. We developed a stochastic model of the adaptive immune response to dengue infections. We first delineated the mechanisms initiating and sustaining adaptive immune responses during primary infections. We then contrasted these immune responses during secondary infections of either a homotypic or heterotypic serotype to understand the role of pre-existing and reactivated immune pathways on disease severity. Comparison of non-symptomatic and severe cases from heterotypic infections demonstrated that overproduction of specific antibodies during primary infection induces an enhanced population of cross-reactive antibodies during secondary infection, ultimately leading to severe disease manifestations. In addition, the level of disease severity was found to correlate with immune response kinetics, which was dependent on beginning lymphocyte levels. Our results detail the contribution of specific lymphocytes and antibodies to immunity and memory recall that lead to either protective or pathological outcomes, allowing for the understanding and determination of mechanisms of protective immunity.
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spelling doaj.art-5570f83ee3c740fbbd66a66cd3b5f9492022-12-21T18:23:57ZengFrontiers Media S.A.Frontiers in Immunology1664-32242021-08-011210.3389/fimmu.2021.696755696755Stochastic Model of the Adaptive Immune Response Predicts Disease Severity and Captures Enhanced Cross-Reactivity in Natural Dengue InfectionsHung D. Nguyen0Hung D. Nguyen1Sidhartha Chaudhury2Adam T. Waickman3Heather Friberg4Jeffrey R. Currier5Anders Wallqvist6Biotechnology High Performance Computing (HPC) Software Applications Institute, Telemedicine and Advanced Technology Research Center, U.S. Army Medical Research and Development Command, Fort Detrick, MD, United StatesHenry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD, United StatesCenter for Enabling Capabilities, Walter Reed Army Institute of Research, Silver Spring, MD, United StatesDepartment of Microbiology and Immunology, State University of New York Upstate Medical University, Syracuse, NY, United StatesViral Diseases Branch, Walter Reed Army Institute of Research, Silver Spring, MD, United StatesViral Diseases Branch, Walter Reed Army Institute of Research, Silver Spring, MD, United StatesBiotechnology High Performance Computing (HPC) Software Applications Institute, Telemedicine and Advanced Technology Research Center, U.S. Army Medical Research and Development Command, Fort Detrick, MD, United StatesThe dengue virus circulates as four distinct serotypes, where a single serotype infection is typically asymptomatic and leads to acquired immunity against that serotype. However, the developed immunity to one serotype is thought to underlie the severe manifestation of the disease observed in subsequent infections from a different serotype. We developed a stochastic model of the adaptive immune response to dengue infections. We first delineated the mechanisms initiating and sustaining adaptive immune responses during primary infections. We then contrasted these immune responses during secondary infections of either a homotypic or heterotypic serotype to understand the role of pre-existing and reactivated immune pathways on disease severity. Comparison of non-symptomatic and severe cases from heterotypic infections demonstrated that overproduction of specific antibodies during primary infection induces an enhanced population of cross-reactive antibodies during secondary infection, ultimately leading to severe disease manifestations. In addition, the level of disease severity was found to correlate with immune response kinetics, which was dependent on beginning lymphocyte levels. Our results detail the contribution of specific lymphocytes and antibodies to immunity and memory recall that lead to either protective or pathological outcomes, allowing for the understanding and determination of mechanisms of protective immunity.https://www.frontiersin.org/articles/10.3389/fimmu.2021.696755/fulldengue infectionaffinity maturationimmune responsecross-reactive antibodieshumoral immunitycellular immunity
spellingShingle Hung D. Nguyen
Hung D. Nguyen
Sidhartha Chaudhury
Adam T. Waickman
Heather Friberg
Jeffrey R. Currier
Anders Wallqvist
Stochastic Model of the Adaptive Immune Response Predicts Disease Severity and Captures Enhanced Cross-Reactivity in Natural Dengue Infections
Frontiers in Immunology
dengue infection
affinity maturation
immune response
cross-reactive antibodies
humoral immunity
cellular immunity
title Stochastic Model of the Adaptive Immune Response Predicts Disease Severity and Captures Enhanced Cross-Reactivity in Natural Dengue Infections
title_full Stochastic Model of the Adaptive Immune Response Predicts Disease Severity and Captures Enhanced Cross-Reactivity in Natural Dengue Infections
title_fullStr Stochastic Model of the Adaptive Immune Response Predicts Disease Severity and Captures Enhanced Cross-Reactivity in Natural Dengue Infections
title_full_unstemmed Stochastic Model of the Adaptive Immune Response Predicts Disease Severity and Captures Enhanced Cross-Reactivity in Natural Dengue Infections
title_short Stochastic Model of the Adaptive Immune Response Predicts Disease Severity and Captures Enhanced Cross-Reactivity in Natural Dengue Infections
title_sort stochastic model of the adaptive immune response predicts disease severity and captures enhanced cross reactivity in natural dengue infections
topic dengue infection
affinity maturation
immune response
cross-reactive antibodies
humoral immunity
cellular immunity
url https://www.frontiersin.org/articles/10.3389/fimmu.2021.696755/full
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