Complement activation in experimental human malaria infection

The objective of this study was to investigate complement activation in uncomplicated, early phases of human malaria. Fifteen healthy volunteers were experimentally infected with Plasmodium falciparum malaria. Parasitemia and complement activation products were assessed. During blood stage parasitemia, volunteers showed a significant increase in soluble terminal complement complex (TCC) formation. After start of a curative regimen of artemether/lumefantrine, TCC further increased due to activation of both the classical and the alternative pathway. In-vitro studies confirmed activation of complement by parasite cultures. We thus detected an increase in complement activation in volunteers with experimentally induced malaria, even before parasitemia could be detected microscopically. This significant increase in complement activation occurred despite the possible control of TCC formation by complement regulatory proteins on erythrocytes and the extremely low levels of parasitemia. Treatment with artemether/lumefantrine was followed by classical and alternative pathway complement activation, without evidence for mannan-binding-lectin-mediated complement activation.

Medienart:

Artikel

Erscheinungsjahr:

2007

Erschienen:

2007

Enthalten in:

Zur Gesamtaufnahme - volume:101

Enthalten in:

Transactions of the Royal Society of Tropical Medicine and Hygiene - 101(2007), 7 vom: 15. Juli, Seite 643-9

Sprache:

Englisch

Beteiligte Personen:

Roestenberg, Meta [VerfasserIn]
McCall, Matthew [VerfasserIn]
Mollnes, Tom Eirik [VerfasserIn]
van Deuren, Marcel [VerfasserIn]
Sprong, Tom [VerfasserIn]
Klasen, Ina [VerfasserIn]
Hermsen, Cornelus C [VerfasserIn]
Sauerwein, Robert W [VerfasserIn]
van der Ven, André [VerfasserIn]

Themen:

9007-36-7
Antimalarials
Artemether, Lumefantrine Drug Combination
Artemisinins
Biomarkers
Complement Membrane Attack Complex
Complement System Proteins
Drug Combinations
Ethanolamines
Fluorenes
Journal Article
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 06.11.2007

Date Revised 18.03.2022

published: Print-Electronic

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM170096343