Method and biomarkers for the detection of dengue hemorrhagic fever
The present invention provides compositions and methods for detecting, analyzing, and identifying biomolecules used to diagnose patient with risk of DHF. More particularly, the invention provides plasma biomarkers including complement factor D to complement factor H (FactorD/FactorH) ratio and levels of one or more of IL2, desmoplakin, and high molecular weight albumin, which are used to detect risk of developing DHF.
1. A method for treating a subject having a dengue virus infection comprising:
(a) measuring levels of (i) high molecular weight albumin, (ii) complement factor D and (iii) complement factor H; and determining a ratio of complement factor D to complement factor H (FactorD/FactorH) in a serum sample from the subject;
(b) measuring levels of IL2, desmoplakin, or IL2 and desmoplakin in a serum sample from the subject;
(c) determining with an accuracy of at least 90% by multivariate adaptive regression splines (MARS) classifier if the subject is at risk of developing dengue hemorrhagic fever (DHF) based on (i) the levels of high molecular weight albumin, (ii) the FactorD / FactorH ratio, and (iii) the levels of desmoplakin, or the levels of desmoplakin and IL2; and
(d) treating the subject with intensive supportive care if the subject is determined to be at risk of developing DHF.
2. The method of claim 1 , wherein the FactorD /FactorH ratio and level of high molecular weight albumin, desmoplakin, and IL2 are indicative of DHF.