%0 Journal Article %T CD8+ T Lymphocyte Expansion, Proliferation and Activation in Dengue Fever %A Andr¨¦ia Manso de Matos %A Claudio Sergio Pannuti %A C¨¦lia Luiza de Lima Rodrigues %A Daniela Santoro Rosa %A Esper George Kallas %A Evaldo Stanislau Affonso Ara¨²jo %A Expedito Jos¨¦ Albuquerque Luna %A Jos¨¦ Eduardo Levi %A Karina Inacio Carvalho %A Lucy Santos Villas-Boas %A Ol¨ªmpia Massae Nakasone Peel Furtado Oliveira %A Wanessa Cardoso da Silva %J - %D 2015 %R 10.1371/journal.pntd.0003520 %X Dengue fever induces a robust immune response, including massive T cell activation. The level of T cell activation may, however, be associated with more severe disease. In this study, we explored the level of CD8+ T lymphocyte activation in the first six days after onset of symptoms during a DENV2 outbreak in early 2010 on the coast of S£¿o Paulo State, Brazil. Using flow cytometry we detected a progressive increase in the percentage of CD8+ T cells in 74 dengue fever cases. Peripheral blood mononuclear cells from 30 cases were thawed and evaluated using expanded phenotyping. The expansion of the CD8+ T cells was coupled with increased Ki67 expression. Cell activation was observed later in the course of disease, as determined by the expression of the activation markers CD38 and HLA-DR. This increased CD8+ T lymphocyte activation was observed in all memory subsets, but was more pronounced in the effector memory subset, as defined by higher CD38 expression. Our results show that most CD8+ T cell subsets are expanded during DENV2 infection and that the effector memory subset is the predominantly affected sub population %K T cells %K Cytotoxic T cells %K Dengue fever %K Viral load %K Dengue virus %K Cell staining %K Cloning %K Brazil %U https://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0003520