Persistent endothelial activation and inflammation after Plasmodium falciparum Infection in Malawian children.

Christopher A. Moxon, Ngawina V. Chisala, Samuel C. Wassmer, Terrie E. Taylor, Karl B. Seydel, Malcolm E. Molyneux, Brian Faragher, Neil Kennedy, Cheng Hock Toh, Alister Craig, Robert S. Heyderman

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

60 Citations (Scopus)

Abstract

Endothelial dysregulation is central to the pathogenesis of acute Plasmodium falciparum infection. It has been assumed that this dysregulation resolves rapidly after treatment, but this return to normality has been neither demonstrated nor quantified. We therefore measured a panel of plasma endothelial markers acutely and in convalescence in Malawian children with uncomplicated or cerebral malaria. Evidence of persistent endothelial activation and inflammation, indicated by increased plasma levels of soluble intracellular adhesion molecule 1, angiopoetin 2, and C-reactive protein, were observed at 1 month follow-up visits. These vascular changes may represent a previously unrecognized contributor to ongoing malaria-associated morbidity and mortality.

Original languageEnglish
Title of host publicationJournal of Infectious Diseases
PublisherOxford University Press
Pages610-615
Number of pages6
Volume209
Edition4
DOIs
Publication statusPublished - 15 Feb 2014

Keywords

  • cardiovascular disease
  • endothelial activation
  • endothelial dysfunction
  • inflammation
  • pathogen burden
  • pediatric
  • Plasmodium falciparum
  • stroke

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