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Discovery

Gut Leakage' in Dengue

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Editor's note
Dengue's progression to severe disease involves gastrointestinal symptoms that may signal barrier breakdown—a mechanism poorly understood but potentially central to mortality risk. This early-stage investigation directly addresses a gap between clinical observation and mechanistic understanding in a WHO-priority pathogen affecting millions annually. Infectious disease specialists, tropical medicine practitioners, and barrier biology researchers should track this work as it may reshape how we conceptualize dengue severity beyond viral load alone.

Source: ctgov · University of Oxford · NOT_YET_RECRUITING · 2026-05-22

URL: https://clinicaltrials.gov/study/NCT07602920

AI rationale (4/5, tier: unclassified): Directly addresses gut barrier dysfunction and permeability ('gut leakage') in disease context, core to corpus focus.


Dengue infections are imposing an increasing global burden of disease, particularly in tropical countries such as Bangladesh. The World Health Organization (WHO) has identified Dengue virus as a priority pathogen for the development of medical counter measures because of the high risk of it causing a Public Health Emergency of Intenational Concern (PHEIC). Warning signs for severe dengue, associated with mortality, include gastrointestinal features including abdominal pain, vomiting, and diarrhoea. Multiple alterations may occur in in the gastrointestinal tract that could lead to damaging of the gastrointestinal wall and gut leakage, the translocation of gut metabolites into the bloodstream. We hypothesize that gut leakage initiates inflammatory processes underlying the further development of severe dengue, including features associated with plasma leakage.

This study aims to investigate intestinal barrier dysfunction (gut leakage) in dengue infection by detecting the translocation of

Published 2026-05-28 · Last kit-update 2026-05-28