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symptomatic vs. asymptomatic

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  • symptomatic vs. asymptomatic

    Temporal Dynamics of Host Molecular Responses Differentiate Symptomatic
    and Asymptomatic Influenza A Infection
    Huang Zaas Rao Dobigeon Woolf Veldman Øien McClain Varkey Nicholson Carin Kings
    Woods Ginsburg Hero

    - interactions between hosts and viruses play a crucial role in determining the presence
    and absence of symptoms [4].
    - peak symptom time analysis reported in Zaas et al. [17],
    - 17 healthy human volunteers aged 18 to 45 received intranasal inoculation
    of A/Wisconsin/67/2005 (H3N2) and 9 of these subjects developed mild to severe symptoms
    all subjects were healthy and tested negative for H3N2 influenza antibody at pre-inoculation time
    None of the volunteers had been vaccinated for any influenza virus in the previous 3 years
    All got oral oseltamivir 75 mg twice daily at day 6
    - BLU factor (in blood) score shown in Figure 1A bears striking resemblance to the standardized clinical
    symptom observation matrix in Figure 1B.
    - recent study identified 66 and 87 human proteins that physically interact with H3N2/Udorn
    and H1N1/A/PR/8/34 (PR8) viruses, respectively [25].
    - Asx hosts induce a leukocyte response with
    enhanced cellular protein biosynthesis.
    - protective role of antioxidants SOD1 and SOK1
    superoxide dismutase (SOD1)
    serine/threonine kinase 25 (STK25 or SOK1)
    - Asx infections account for 30–50% of seasonal flu cases [2],
    - Asx and Sx displayed inoculation dosage-independent viral shedding
    - rapid innate response rather than failed inoculation in Asx
    - serum neutralizing antibody (nAb) titre were nearly identical in Asx and Sx on day 0 and day 7
    - nAb titre increased over time in both Asx and Sx individuals
    - no statistically significant dependence between disease outcome and inoculation dosage
    - the amount of viral shedding from the site of infection independent of inoculation doses
    - two seroconverted Asx subjects
    - sustained upregulation of 35! ribosomal proteins in only Asx subjects
    - increase of white blood cells in Asx subjects
    - these Asx hosts appeared to be capable of mounting a more potent cell-mediated innate
    immune response than the symptomatic subjects.

    ----------------------
    comment by wbgrant about the possible role of vitamin D :

    however he doesn't address the author's explanation and findings which doesn't
    seem to involve vitamin D effects
    their mention of antioxydants reminded me to antiviral effects of those in some natural remedies
    ---------------------
    I'm interested in expert panflu damage estimates
    my current links: http://bit.ly/hFI7H ILI-charts: http://bit.ly/CcRgT
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