2018-09-102018-09-102007http://www.scopus.com/inward/record.url?eid=2-s2.0-35448932885&partnerID=MN8TOARShttp://scholars.lib.ntu.edu.tw/handle/123456789/328261Background: The mechanisms responsible for thrombocytopenia associated with dengue fever (DF) and dengue hemorrhage fever (DHF) remain unclear. Objective: In this study, we investigated the pathogenic effects of dengue virus (DENV) non-structural protein 1 (NS1) on the elicitation of platelet cross-reactive antibodies. Results: The results showed that anti-DENV NS1 immunoglobulins (Igs) derived from both patients with DF/DHF and recombinant NS1-immunized rabbits could opsonize normal human platelets and enhance platelet-macrophage engagements in vitro. In addition, treatments with anti-NS1 Igs abnormally activated human platelets and induced thrombocytopenia in mice. These prothrombotic characteristics of anti-NS1 Ig might increase the disease burden of coagulant-aberrant DHF patients. To test this hypothesis, we injected anti-NS1 Igs into C57BL/6J mice that were preconditioned into a hypercoagulable state by warfarin treatments. When given before but not after platelet-lysate pre-adsorption, the anti-NS1 Igs injection treatments significantly increased mortality, fibrin deposition in lung, and plasma D-dimer levels, but significantly decreased anticoagulant proteins C, protein S and antithrombin III. Conclusions: These results suggest that the platelet-bound antibody fractions of anti-NS1 Ig are prothrombotic, which might exacerbate the severity of disease in hosts with an imbalanced coagulant system. ? 2007 International Society on Thrombosis and Haemostasis.Autoimmunity; Dengue; Hemorrhage fever; Platelet; Warfarin[SDGs]SDG3antithrombin III; autoantibody; cross reacting antibody; D dimer; fibrin; immunoglobulin; nonstructural protein 1; protein C; protein S; thrombocyte antibody; unclassified drug; virus protein; warfarin; animal cell; animal experiment; animal model; article; controlled study; dengue; disease association; fibrin deposition; hemorrhagic fever; human; human cell; hypercoagulability; in vitro study; macrophage; mortality; mouse; nonhuman; priority journal; protein blood level; risk factor; thrombocyte activation; thrombocytopenia; Animals; Antibodies, Viral; Autoantibodies; Blood Platelets; Dengue; Dengue Virus; Humans; Mice; Mice, Inbred C57BL; Rabbits; Thrombocytopenia; Viral Nonstructural Proteinsjournal article10.1111/j.1538-7836.2007.02754.x