Host immune response in returning travellers infected with malaria
Abstract Background Clinical observations suggest that Canadian-born (CB) travellers are prone to more severe malaria, characterized by higher parasite density in the blood, and severe symptoms, such as cerebral malaria and renal failure, than foreign-born travellers (FB) from areas of malaria endem...
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ftdoajarticles:oai:doaj.org/article:1c5bd05194ca4741b0712adc8f0f26d2 2023-05-15T15:14:57+02:00 Host immune response in returning travellers infected with malaria MacMullin Gregory Mackenzie Ronald Lau Rachel Khang Julie Zhang Haibo Rajwans Nimerta Liles W Pillai Dylan R 2012-05-01T00:00:00Z https://doi.org/10.1186/1475-2875-11-148 https://doaj.org/article/1c5bd05194ca4741b0712adc8f0f26d2 EN eng BMC http://www.malariajournal.com/content/11/1/148 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-11-148 1475-2875 https://doaj.org/article/1c5bd05194ca4741b0712adc8f0f26d2 Malaria Journal, Vol 11, Iss 1, p 148 (2012) Malaria Cytokines Chemokines Angiopoietins Immunology Severity Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2012 ftdoajarticles https://doi.org/10.1186/1475-2875-11-148 2022-12-31T08:12:24Z Abstract Background Clinical observations suggest that Canadian-born (CB) travellers are prone to more severe malaria, characterized by higher parasite density in the blood, and severe symptoms, such as cerebral malaria and renal failure, than foreign-born travellers (FB) from areas of malaria endemicity. It was hypothesized that host cytokine and chemokine responses differ significantly in CB versus FB patients returning with malaria, contributing to the courses of severity. A more detailed understanding of the profiles of cytokines, chemokines, and endothelial activation may be useful in developing biomarkers and novel therapeutic approaches for malaria. Materials and methods The patient population for the study (n = 186) was comprised of travellers returning to Toronto, Canada between 2007 and 2011. The patient blood samples’ cytokine, chemokine and angiopoietin concentrations were determined using cytokine multiplex assays, and ELISA assays. Results Significantly higher plasma cytokine levels of IL-12 (p40) were observed in CB compared to FB travellers, while epidermal growth factor (EGF) was observed to be higher in FB than CB travellers. Older travellers (55 years old or greater) with Plasmodium vivax infections had significantly higher mean cytokine levels for IL-6 and macrophage colony-stimulating factor (M-CSF) than other adults with P. vivax (ages 18–55). Patients with P. vivax infections had significantly higher mean cytokine levels for monocyte chemotactic protein-1 (MCP-1), and M-CSF than patients with Plasmodium falciparum . Angiopoietin 2 (Ang-2) was higher for patients infected with P. falciparum than P. vivax , especially when comparing just the FB groups. IL-12 (p40) was higher in FB patients with P. vivax compared to P. falciparum . Il-12 (p40) was also higher in patients infected with P. vivax than those infected with Plasmodium ovale . For patients travelling to West Africa, IFN-γ and IL-6 was lower than for patients who were in other regions of Africa. Conclusion Significantly higher levels ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Canada Malaria Journal 11 1 148 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Malaria Cytokines Chemokines Angiopoietins Immunology Severity Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
spellingShingle |
Malaria Cytokines Chemokines Angiopoietins Immunology Severity Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 MacMullin Gregory Mackenzie Ronald Lau Rachel Khang Julie Zhang Haibo Rajwans Nimerta Liles W Pillai Dylan R Host immune response in returning travellers infected with malaria |
topic_facet |
Malaria Cytokines Chemokines Angiopoietins Immunology Severity Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Clinical observations suggest that Canadian-born (CB) travellers are prone to more severe malaria, characterized by higher parasite density in the blood, and severe symptoms, such as cerebral malaria and renal failure, than foreign-born travellers (FB) from areas of malaria endemicity. It was hypothesized that host cytokine and chemokine responses differ significantly in CB versus FB patients returning with malaria, contributing to the courses of severity. A more detailed understanding of the profiles of cytokines, chemokines, and endothelial activation may be useful in developing biomarkers and novel therapeutic approaches for malaria. Materials and methods The patient population for the study (n = 186) was comprised of travellers returning to Toronto, Canada between 2007 and 2011. The patient blood samples’ cytokine, chemokine and angiopoietin concentrations were determined using cytokine multiplex assays, and ELISA assays. Results Significantly higher plasma cytokine levels of IL-12 (p40) were observed in CB compared to FB travellers, while epidermal growth factor (EGF) was observed to be higher in FB than CB travellers. Older travellers (55 years old or greater) with Plasmodium vivax infections had significantly higher mean cytokine levels for IL-6 and macrophage colony-stimulating factor (M-CSF) than other adults with P. vivax (ages 18–55). Patients with P. vivax infections had significantly higher mean cytokine levels for monocyte chemotactic protein-1 (MCP-1), and M-CSF than patients with Plasmodium falciparum . Angiopoietin 2 (Ang-2) was higher for patients infected with P. falciparum than P. vivax , especially when comparing just the FB groups. IL-12 (p40) was higher in FB patients with P. vivax compared to P. falciparum . Il-12 (p40) was also higher in patients infected with P. vivax than those infected with Plasmodium ovale . For patients travelling to West Africa, IFN-γ and IL-6 was lower than for patients who were in other regions of Africa. Conclusion Significantly higher levels ... |
format |
Article in Journal/Newspaper |
author |
MacMullin Gregory Mackenzie Ronald Lau Rachel Khang Julie Zhang Haibo Rajwans Nimerta Liles W Pillai Dylan R |
author_facet |
MacMullin Gregory Mackenzie Ronald Lau Rachel Khang Julie Zhang Haibo Rajwans Nimerta Liles W Pillai Dylan R |
author_sort |
MacMullin Gregory |
title |
Host immune response in returning travellers infected with malaria |
title_short |
Host immune response in returning travellers infected with malaria |
title_full |
Host immune response in returning travellers infected with malaria |
title_fullStr |
Host immune response in returning travellers infected with malaria |
title_full_unstemmed |
Host immune response in returning travellers infected with malaria |
title_sort |
host immune response in returning travellers infected with malaria |
publisher |
BMC |
publishDate |
2012 |
url |
https://doi.org/10.1186/1475-2875-11-148 https://doaj.org/article/1c5bd05194ca4741b0712adc8f0f26d2 |
geographic |
Arctic Canada |
geographic_facet |
Arctic Canada |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 11, Iss 1, p 148 (2012) |
op_relation |
http://www.malariajournal.com/content/11/1/148 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-11-148 1475-2875 https://doaj.org/article/1c5bd05194ca4741b0712adc8f0f26d2 |
op_doi |
https://doi.org/10.1186/1475-2875-11-148 |
container_title |
Malaria Journal |
container_volume |
11 |
container_issue |
1 |
container_start_page |
148 |
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