Submicroscopic placental infection by non-falciparum Plasmodium spp.

Among the Plasmodium species that infect humans, adverse effects of P. falciparum and P. vivax have been extensively studied and reported with respect to poor outcomes particularly in first time mothers and in pregnant women living in areas with unstable malaria transmission. Although, other non-fal...

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Main Authors: Justin Y A Doritchamou, Richard A Akuffo, Azizath Moussiliou, Adrian J F Luty, Achille Massougbodji, Philippe Deloron, Nicaise G Tuikue Ndam
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2018-02-01
Series:PLoS Neglected Tropical Diseases
Online Access:http://europepmc.org/articles/PMC5825172?pdf=render
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author Justin Y A Doritchamou
Richard A Akuffo
Azizath Moussiliou
Adrian J F Luty
Achille Massougbodji
Philippe Deloron
Nicaise G Tuikue Ndam
author_facet Justin Y A Doritchamou
Richard A Akuffo
Azizath Moussiliou
Adrian J F Luty
Achille Massougbodji
Philippe Deloron
Nicaise G Tuikue Ndam
author_sort Justin Y A Doritchamou
collection DOAJ
description Among the Plasmodium species that infect humans, adverse effects of P. falciparum and P. vivax have been extensively studied and reported with respect to poor outcomes particularly in first time mothers and in pregnant women living in areas with unstable malaria transmission. Although, other non-falciparum malaria infections during pregnancy have sometimes been reported, little is known about the dynamics of these infections during pregnancy.Using a quantitative PCR approach, blood samples collected from Beninese pregnant women during the first antenatal visit (ANV) and at delivery including placental blood were screened for Plasmodium spp. Risk factors associated with Plasmodium spp. infection during pregnancy were assessed as well as the relationships with pregnancy outcomes. P. falciparum was the most prevalent Plasmodium species detected during pregnancy, irrespective either of parity, of age or of season during which the infection occurred. Although no P. vivax infections were detected in this cohort, P. malariae (9.2%) and P. ovale (5.8%) infections were observed in samples collected during the first ANV. These non-falciparum infections were also detected in maternal peripheral blood (1.3% for P. malariae and 1.2% for P. ovale) at delivery. Importantly, higher prevalence of P. malariae (5.5%) was observed in placental than peripheral blood while that of P. ovale was similar (1.8% in placental blood). Among the non-falciparum infected pregnant women with paired peripheral and placental samples, P. malariae infections in the placental blood was significantly higher than in the peripheral blood, suggesting a possible affinity of P. malariae for the placenta. However, no assoctiation of non-falciparum infections and the pregnancy outcomes was observed.Overall this study provided insights into the molecular epidemiology of Plasmodium spp. infection during pregnancy, indicating placental infection by non-falciparum Plasmodium and the lack of association of these infections with adverse pregnancy outcomes.
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spelling doaj.art-52535c6f972242f181012b36b5f105f62022-12-22T02:59:40ZengPublic Library of Science (PLoS)PLoS Neglected Tropical Diseases1935-27271935-27352018-02-01122e000627910.1371/journal.pntd.0006279Submicroscopic placental infection by non-falciparum Plasmodium spp.Justin Y A DoritchamouRichard A AkuffoAzizath MoussiliouAdrian J F LutyAchille MassougbodjiPhilippe DeloronNicaise G Tuikue NdamAmong the Plasmodium species that infect humans, adverse effects of P. falciparum and P. vivax have been extensively studied and reported with respect to poor outcomes particularly in first time mothers and in pregnant women living in areas with unstable malaria transmission. Although, other non-falciparum malaria infections during pregnancy have sometimes been reported, little is known about the dynamics of these infections during pregnancy.Using a quantitative PCR approach, blood samples collected from Beninese pregnant women during the first antenatal visit (ANV) and at delivery including placental blood were screened for Plasmodium spp. Risk factors associated with Plasmodium spp. infection during pregnancy were assessed as well as the relationships with pregnancy outcomes. P. falciparum was the most prevalent Plasmodium species detected during pregnancy, irrespective either of parity, of age or of season during which the infection occurred. Although no P. vivax infections were detected in this cohort, P. malariae (9.2%) and P. ovale (5.8%) infections were observed in samples collected during the first ANV. These non-falciparum infections were also detected in maternal peripheral blood (1.3% for P. malariae and 1.2% for P. ovale) at delivery. Importantly, higher prevalence of P. malariae (5.5%) was observed in placental than peripheral blood while that of P. ovale was similar (1.8% in placental blood). Among the non-falciparum infected pregnant women with paired peripheral and placental samples, P. malariae infections in the placental blood was significantly higher than in the peripheral blood, suggesting a possible affinity of P. malariae for the placenta. However, no assoctiation of non-falciparum infections and the pregnancy outcomes was observed.Overall this study provided insights into the molecular epidemiology of Plasmodium spp. infection during pregnancy, indicating placental infection by non-falciparum Plasmodium and the lack of association of these infections with adverse pregnancy outcomes.http://europepmc.org/articles/PMC5825172?pdf=render
spellingShingle Justin Y A Doritchamou
Richard A Akuffo
Azizath Moussiliou
Adrian J F Luty
Achille Massougbodji
Philippe Deloron
Nicaise G Tuikue Ndam
Submicroscopic placental infection by non-falciparum Plasmodium spp.
PLoS Neglected Tropical Diseases
title Submicroscopic placental infection by non-falciparum Plasmodium spp.
title_full Submicroscopic placental infection by non-falciparum Plasmodium spp.
title_fullStr Submicroscopic placental infection by non-falciparum Plasmodium spp.
title_full_unstemmed Submicroscopic placental infection by non-falciparum Plasmodium spp.
title_short Submicroscopic placental infection by non-falciparum Plasmodium spp.
title_sort submicroscopic placental infection by non falciparum plasmodium spp
url http://europepmc.org/articles/PMC5825172?pdf=render
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