Serologic Imprint of Dengue Virus in Urban Haiti: Characterization of Humoral Immunity to Dengue in Infants and Young Children

Meghan Rioth Department of Pediatrics, and Department of Biostatistics, Vanderbilt University, Nashville, Tennessee; Les Centres GHESKIO, Port-au-Prince, Haiti; Laboratory of Malaria and Vector Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland; Division of Infectious Diseases and International Medicine, Weill Medical College of Cornell, New York, New York; Division of Infectious Disease and International Health, Dartmouth Medical School, Hanover, New Hampshire

Search for other papers by Meghan Rioth in
Current site
Google Scholar
PubMed
Close
,
Carole Anne Beauharnais Department of Pediatrics, and Department of Biostatistics, Vanderbilt University, Nashville, Tennessee; Les Centres GHESKIO, Port-au-Prince, Haiti; Laboratory of Malaria and Vector Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland; Division of Infectious Diseases and International Medicine, Weill Medical College of Cornell, New York, New York; Division of Infectious Disease and International Health, Dartmouth Medical School, Hanover, New Hampshire

Search for other papers by Carole Anne Beauharnais in
Current site
Google Scholar
PubMed
Close
,
Francine Noel Department of Pediatrics, and Department of Biostatistics, Vanderbilt University, Nashville, Tennessee; Les Centres GHESKIO, Port-au-Prince, Haiti; Laboratory of Malaria and Vector Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland; Division of Infectious Diseases and International Medicine, Weill Medical College of Cornell, New York, New York; Division of Infectious Disease and International Health, Dartmouth Medical School, Hanover, New Hampshire

Search for other papers by Francine Noel in
Current site
Google Scholar
PubMed
Close
,
Mine R. Ikizler Department of Pediatrics, and Department of Biostatistics, Vanderbilt University, Nashville, Tennessee; Les Centres GHESKIO, Port-au-Prince, Haiti; Laboratory of Malaria and Vector Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland; Division of Infectious Diseases and International Medicine, Weill Medical College of Cornell, New York, New York; Division of Infectious Disease and International Health, Dartmouth Medical School, Hanover, New Hampshire

Search for other papers by Mine R. Ikizler in
Current site
Google Scholar
PubMed
Close
,
Sapna Mehta Department of Pediatrics, and Department of Biostatistics, Vanderbilt University, Nashville, Tennessee; Les Centres GHESKIO, Port-au-Prince, Haiti; Laboratory of Malaria and Vector Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland; Division of Infectious Diseases and International Medicine, Weill Medical College of Cornell, New York, New York; Division of Infectious Disease and International Health, Dartmouth Medical School, Hanover, New Hampshire

Search for other papers by Sapna Mehta in
Current site
Google Scholar
PubMed
Close
,
Yuwei Zhu Department of Pediatrics, and Department of Biostatistics, Vanderbilt University, Nashville, Tennessee; Les Centres GHESKIO, Port-au-Prince, Haiti; Laboratory of Malaria and Vector Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland; Division of Infectious Diseases and International Medicine, Weill Medical College of Cornell, New York, New York; Division of Infectious Disease and International Health, Dartmouth Medical School, Hanover, New Hampshire

Search for other papers by Yuwei Zhu in
Current site
Google Scholar
PubMed
Close
,
Carole A. Long Department of Pediatrics, and Department of Biostatistics, Vanderbilt University, Nashville, Tennessee; Les Centres GHESKIO, Port-au-Prince, Haiti; Laboratory of Malaria and Vector Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland; Division of Infectious Diseases and International Medicine, Weill Medical College of Cornell, New York, New York; Division of Infectious Disease and International Health, Dartmouth Medical School, Hanover, New Hampshire

Search for other papers by Carole A. Long in
Current site
Google Scholar
PubMed
Close
,
Jean W. Pape Department of Pediatrics, and Department of Biostatistics, Vanderbilt University, Nashville, Tennessee; Les Centres GHESKIO, Port-au-Prince, Haiti; Laboratory of Malaria and Vector Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland; Division of Infectious Diseases and International Medicine, Weill Medical College of Cornell, New York, New York; Division of Infectious Disease and International Health, Dartmouth Medical School, Hanover, New Hampshire

Search for other papers by Jean W. Pape in
Current site
Google Scholar
PubMed
Close
, and
Peter F. Wright Department of Pediatrics, and Department of Biostatistics, Vanderbilt University, Nashville, Tennessee; Les Centres GHESKIO, Port-au-Prince, Haiti; Laboratory of Malaria and Vector Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland; Division of Infectious Diseases and International Medicine, Weill Medical College of Cornell, New York, New York; Division of Infectious Disease and International Health, Dartmouth Medical School, Hanover, New Hampshire

Search for other papers by Peter F. Wright in
Current site
Google Scholar
PubMed
Close
Restricted access

Dengue is endemic to Haiti but not recognized as an important illness in the autochthonous population. To evaluate the prevalence of antibodies to dengue virus (DENV), serum samples from infants and young children 7–36 months of age (n = 166) were assayed by plaque reduction neutralization assays to each DENV serotype. Dengue virus serotype 1 had infected 40% of this study population, followed by serotype 2 (12%), serotype 3 (11%), and serotype 4 (2%). Fifty-three percent of infants and young children less than 12 months of age had already experienced DENV infection, and the seroprevalence of antibody to DENV increased to 65% by 36 months. Heterotypic antibody responses were an important component of the total dengue immunity profile.

Author Notes

*Address correspondence to Meghan Rioth, Vanderbilt University, 2200 Children's Way, Nashville, TN 37232. E-mail: meghan.rioth@vanderbilt.edu

Financial support: The study was supported by an Infectious Disease Society of America summer fellowship to Meghan Rioth, a supplement to the Caribbean, Central, and South America network for HIV epidemiology (CCASAnet), and the Vanderbilt Emphasis Program.

Authors' addresses: Meghan Rioth, Vanderbilt University, Nashville, TN, E-mail: meghan.rioth@vanderbilt.edu. Carole Anne Beauharnais, Francine Noel, and Jean W. Pape, GHESKIO Centers, Port-au-Prince, E-mails: caroleanne26@hotmail.com, fsevere@gheskio.org, and jwpape@gheskio.org. Mine R. Ikizler, Pediatric Infectious Diseases, Nashville, TN, E-mail: mine.ikizler@vanderbilt.edu. Sapna Mehta, E-mail: mehta_sapna@hotmail.com. Yuwei Zhu, Department of Biostatistics, Vanderbilt University, Nashville, TN, E-mail: yuwei.zhu@vanderbilt.edu. Carole A. Long, Malaria Immunology Section, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, E-mail: clong@niaid.nih.gov. Peter F. Wright, Dartmouth Medical School, Lebanon, NH, E-mail: peter.f.wright@dartmouth.edu.

  • 1.

    Halstead SB, 2002. Dengue. Curr Opin Infect Dis 15: 471476.

  • 2.

    Guzman MG, Kouri G, 2008. Dengue haemorrhagic fever integral hypothesis: confirming observations, 1987–2007. Trans R Soc Trop Med Hyg 102: 522523.

  • 3.

    Rico-Hesse R, 2010. Dengue virus virulence and transmission determinants. Curr Top Microbiol Immunol 338: 4555.

  • 4.

    Kanakaratne N, Wahala WM, Messer WB, Tissera HA, Shahani A, Abeysinghe N, de-Silva AM, Gunasekera M, 2009. Severe dengue epidemics in Sri Lanka, 2003–2006. Emerg Infect Dis 15: 192199.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Guzman MG, Sierra B, Kouri G, Farrar J, Simmons C, 2010. Host and virus determinants of susceptibility and dengue disease severity. Hanley KA, Weaver SC, eds. Frontiers in Dengue Virus Research. Norfolk, United Kingdom: Caister Academic Press, 79102.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6.

    Rossi CA, Drabick JJ, Gambel JM, Sun W, Lewis TE, Henchal EA, 1998. Laboratory diagnosis of acute dengue fever during the United Nations Mission in Haiti, 1995–1996. Am J Trop Med Hyg 59: 275278.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Trofa AF, DeFraites RF, Smoak BL, Kanesa-thasan N, King AD, Burrous JM, MacArthy PO, Rossi C, Hoke CH Jr, 1997. Dengue fever in US military personnel in Haiti. JAMA 277: 15461548.

  • 8.

    Ventura AK, Ehrenkranz NJ, 1976. Endemic dengue virus infection in Hispaniola. I. Haiti. J Infect Dis 134: 436441.

  • 9.

    Halstead SB, Streit TG, Lafontant JG, Putvatana R, Russell K, Sun W, Kanesa-Thasan N, Hayes CG, Watts DM, 2001. Haiti: absence of dengue hemorrhagic fever despite hyperendemic dengue virus transmission. Am J Trop Med Hyg 65: 180183.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    de la C Sierra B, Kourí G, Guzmán MG, 2007. Race: a risk factor for dengue hemorrhagic fever. Arch Virol 152: 533542.

  • 11.

    WHO Statistical Information System (WHOSIS), 2006. Probability of Dying Aged < 5 Years per 1000 Live Births (Under-Five Mortality Rate). Available at: http://www.who.int/whosis/indicators/2007MortChild/en/index.html. Accessed April 1, 2010.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Noel F, Wright PF, Bois G, Deschamps MM, de Matteis P, Cassangnol R, Thimothee M, Celestin K, Vaz L, Bradshaw JA, Brignoli E, Zhu Y, Johnson WD, Fitzgerald D, Pape JW, 2006. Contribution of bacterial sepsis to morbidity in infants born to HIV-infected Haitian mothers. J Acquir Immune Defic Syndr 43: 313319.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Russell PK, Nisalak A, Sukhavachana P, Vivona S, 1967. A plaque reduction test for dengue virus neutralizing antibodies. J Immunol 99: 285290.

  • 14.

    Durbin AP, Karron RA, Sun W, Vaughn DW, Reynolds MJ, Perreault JR, Thumar B, Men R, Lai CJ, Elkins WR, Chanock RM, Murphy BR, Whitehead SS, 2001. Attenuation and immunogenicity in humans of a live dengue virus type-4 vaccine candidate with a 30 nucleotide deletion in its 3′-untranslated region. Am J Trop Med Hyg 65: 405413.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Wright PF, Durbin AP, Whitehead SS, Ikizler MR, Henderson S, Blaney JE, Thumar B, Ankrah S, Rock MT, McKinney BA, Murphy BR, Schmidt AC, 2009. Phase 1 trial of the dengue virus type 4 vaccine candidate rDEN4{Delta}30-4995 in healthy adult volunteers. Am J Trop Med Hyg 81: 834841.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16.

    Thomas SJ, Nisalak A, Anderson KB, Libraty DH, Kalayanarooj S, Vaughn DW, Putnak R, Gibbons RV, Jarman R, Endy TP, 2009. Dengue plaque reduction neutralization test (PRNT) in primary and secondary dengue virus infections: how alterations in assay conditions impact performance. Am J Trop Med Hyg 81: 825833.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Polley SD, Mwangi T, Kocken CH, Thomas AW, Dutta S, Lanar DE, Remarque E, Ross A, Williams TN, Mwambingu G, Lowe B, Conway DJ, Marsh K, 2004. Human antibodies to recombinant protein constructs of Plasmodium falciparum apical membrane antigen 1 (AMA1) and their associations with protection from malaria. Vaccine 23: 718728.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18.

    Miura K, Zhou H, Diouf A, Moretz SE, Fay MP, Miller LH, Martin LB, Pierce MA, Ellis RD, Mullen GE, Long CA, 2009. Anti-apical-membrane-antigen-1 antibody is more effective than anti-42-kilodalton-merozoite-surface-protein-1 antibody in inhibiting Plasmodium falciparum growth, as determined by the in vitro growth inhibition assay. Clin Vaccine Immunol 16: 963968.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19.

    Simmons CP, Chau TN, Thuy TT, Tuan NM, Hoang DM, Thien NT, Lien le B, Quy NT, Hieu NT, Hien TT, McElnea C, Young P, Whitehead S, Hung NT, Farrar J, 2007. Maternal antibody and viral factors in the pathogenesis of dengue virus in infants. J Infect Dis 196: 416424.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 20.

    Noel F, Mehta S, Zhu Y, Rouzier Pde M, Marcelin A, Shi JR, Nolte C, Severe L, Deschamps MM, Fitzgerald DW, Johnson WD, Wright PF, Pape JW, 2008. Improving outcomes in infants of HIV-infected women in a developing country setting. PLoS ONE 3: e3723.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 21.

    Chau TN, Quyen NT, Thuy TT, Tuan NM, Hoang DM, Dung NT, Lien le B, Quy NT, Hieu NT, Hieu LT, Hien TT, Hung NT, Farrar J, Simmons CP, 2008. Dengue in Vietnamese infants–results of infection-enhancement assays correlate with age-related disease epidemiology, and cellular immune responses correlate with disease severity. J Infect Dis 198: 516524.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 22.

    Chaturvedi U, Nagar R, Shrivastava R, 2006. Dengue and dengue haemorrhagic fever: implications of host genetics. FEMS Immunol Med Microbiol 47: 155166.

  • 23.

    Lenhart A, Orelus N, Maskill R, Alexander N, Streit T, McCall PJ, 2008. Insecticide-treated bednets to control dengue vectors: preliminary evidence from a controlled trial in Haiti. Trop Med Int Health 13: 5667.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 24.

    Pengsaa K, Limkittikul K, Luxemburger C, Yoksan S, Chambonneau L, Ariyasriwatana C, Lapphra K, Chanthavanich P, Lang J, Sabchareon A, 2008. Age-specific prevalence of dengue antibodies in Bangkok infants and children. Pediatr Infect Dis J 27: 461463.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 25.

    Balmaseda A, Standish K, Mercado JC, Matute JC, Tellez Y, Saborío S, Hammond SN, Nuñez A, Avilés W, Henn MR, Holmes EC, Gordon A, Coloma J, Kuan G, Harris E, 2010. Trends in patterns of dengue transmission over 4 years in a pediatric cohort study in Nicaragua. J Infect Dis 201: 514.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 26.

    Anonymous, 1998. Asia: dengue fever, a man-made disease. The Economist 347 (8066): 538.

  • 27.

    Bonnlander H, Rossignol AM, Rossignol PA, 1994. Malaria in central Haiti: a hospital-based retrospective study, 1982–1986 and 1988–1991. Bull Pan Am Health Organ 28: 916.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 28.

    Balmaseda A, Standish K, Mercado JC, Matute JC, Tellez Y, Saborío S, Hammond SN, Nuñez A, Avilés W, Henn MR, Holmes EC, Gordon A, Coloma J, Kuan G, Harris E, 2010. Trends in patterns of dengue transmission over 4 years in a pediatric cohort study in Nicaragua. J Infect Dis 201: 514.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 29.

    Kuan G, Gordon A, Avilés W, Ortega O, Hammond SN, Elizondo D, Nuñez A, Coloma J, Balmaseda A, Harris E, 2009. The Nicaraguan pediatric dengue cohort study: study design, methods, use of information technology, and extension to other infectious diseases. Am J Epidemiol 170: 120129.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 30.

    Lenhart A, Orelus N, Maskill R, Alexander N, Streit T, McCall PJ. 2008. Insecticide-treated bednets to control dengue vectors: preliminary evidence from a controlled trial in Haiti. Trop Med Int Health 13: 5667.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 31.

    Climate Information for Haiti. Available at: http://www.climatetemp.info/haiti/.

Past two years Past Year Past 30 Days
Abstract Views 1087 973 235
Full Text Views 268 13 2
PDF Downloads 83 14 2
 

 

 

 
 
Affiliate Membership Banner
 
 
Research for Health Information Banner
 
 
CLOCKSS
 
 
 
Society Publishers Coalition Banner
Save