Urinary Metabolic Profiling in Volunteers Undergoing Malaria Challenge in Gabon

The interaction of malaria parasites with their human host is extensively studied, yet only few studies reported how <i>P. falciparum</i> infection affects urinary metabolite profiles and how this is associated with immunity. We present a longitudinal study of the urinary metabolic profi...

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Main Authors: Madeleine Eunice Betouke Ongwe, Isabelle Kohler, Mikhael D. Manurung, Aswin Verhoeven, Rico Derks, Jacqueline J. Janse, Yoanne D. Mouwenda, Peter G. Kremsner, Ayola A. Adegnika, Bertrand Lell, Bart Everts, Oleg A. Mayboroda, Maria Yazdanbakhsh
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Metabolites
Subjects:
Online Access:https://www.mdpi.com/2218-1989/12/12/1224
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author Madeleine Eunice Betouke Ongwe
Isabelle Kohler
Mikhael D. Manurung
Aswin Verhoeven
Rico Derks
Jacqueline J. Janse
Yoanne D. Mouwenda
Peter G. Kremsner
Ayola A. Adegnika
Bertrand Lell
Bart Everts
Oleg A. Mayboroda
Maria Yazdanbakhsh
author_facet Madeleine Eunice Betouke Ongwe
Isabelle Kohler
Mikhael D. Manurung
Aswin Verhoeven
Rico Derks
Jacqueline J. Janse
Yoanne D. Mouwenda
Peter G. Kremsner
Ayola A. Adegnika
Bertrand Lell
Bart Everts
Oleg A. Mayboroda
Maria Yazdanbakhsh
author_sort Madeleine Eunice Betouke Ongwe
collection DOAJ
description The interaction of malaria parasites with their human host is extensively studied, yet only few studies reported how <i>P. falciparum</i> infection affects urinary metabolite profiles and how this is associated with immunity. We present a longitudinal study of the urinary metabolic profiles of twenty healthy Africans with lifelong exposure to malaria and five malaria-naïve Europeans, who were all challenged with direct venous inoculation of live <i>P. falciparum</i> sporozoïtes (PfSPZ) and followed up until they developed symptoms or became thick blood smear positive (TBS). Urine samples were collected before and at 2, 5, 9 and 11 days post challenge and were analysed. Upon infection, all Europeans became TBS positive, while Africans showed either a delay in time to parasitaemia or controlled infection. Our metabolic data showed that Europeans and Africans had distinct alterations in metabolite patterns, with changes mostly seen on days 5 and 9 post PfSPZ infection, and more prominently in Europeans. Within the African group, the levels of formate, urea, trimethylamine, threonine, choline, myo-inositol and acetate were significantly higher in TBS positive whereas the levels of pyruvate, 3-methylhistidine and dimethylglycine were significantly lower in individuals who remained TBS negative. Notably, before inoculation with PfSPZ, a group of metabolites including phenylacetylglutamine can potentially be used to predict parasitaemia control among Africans. Taken together, this study highlights the difference in urinary metabolic changes in response to malaria infection as a consequence of lifelong exposure to malaria and that change detectable before challenge might predict the control of parasitaemia in malaria-endemic areas.
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spelling doaj.art-e55265ab675f4ebca1bc2efa4110b7b62023-11-24T16:37:50ZengMDPI AGMetabolites2218-19892022-12-011212122410.3390/metabo12121224Urinary Metabolic Profiling in Volunteers Undergoing Malaria Challenge in GabonMadeleine Eunice Betouke Ongwe0Isabelle Kohler1Mikhael D. Manurung2Aswin Verhoeven3Rico Derks4Jacqueline J. Janse5Yoanne D. Mouwenda6Peter G. Kremsner7Ayola A. Adegnika8Bertrand Lell9Bart Everts10Oleg A. Mayboroda11Maria Yazdanbakhsh12Department of Parasitology, Leiden University Medical Center, 2333 ZA Leiden, The NetherlandsDivision of BioAnalytical Chemistry, Amsterdam Institute of Molecular and Life Sciences (AIMMS), Vrije Universiteit Amsterdam, 1081 HV Amsterdam, The NetherlandsDepartment of Parasitology, Leiden University Medical Center, 2333 ZA Leiden, The NetherlandsCenter for Proteomics and Metabolomics, Leiden University Medical Center, 2333 ZA Leiden, The NetherlandsCenter for Proteomics and Metabolomics, Leiden University Medical Center, 2333 ZA Leiden, The NetherlandsDepartment of Parasitology, Leiden University Medical Center, 2333 ZA Leiden, The NetherlandsDepartment of Parasitology, Leiden University Medical Center, 2333 ZA Leiden, The NetherlandsCentre de Recherches Médicales de Lambaréné, Lambaréné P.O. Box 242, GabonDepartment of Parasitology, Leiden University Medical Center, 2333 ZA Leiden, The NetherlandsCentre de Recherches Médicales de Lambaréné, Lambaréné P.O. Box 242, GabonDepartment of Parasitology, Leiden University Medical Center, 2333 ZA Leiden, The NetherlandsCenter for Proteomics and Metabolomics, Leiden University Medical Center, 2333 ZA Leiden, The NetherlandsDepartment of Parasitology, Leiden University Medical Center, 2333 ZA Leiden, The NetherlandsThe interaction of malaria parasites with their human host is extensively studied, yet only few studies reported how <i>P. falciparum</i> infection affects urinary metabolite profiles and how this is associated with immunity. We present a longitudinal study of the urinary metabolic profiles of twenty healthy Africans with lifelong exposure to malaria and five malaria-naïve Europeans, who were all challenged with direct venous inoculation of live <i>P. falciparum</i> sporozoïtes (PfSPZ) and followed up until they developed symptoms or became thick blood smear positive (TBS). Urine samples were collected before and at 2, 5, 9 and 11 days post challenge and were analysed. Upon infection, all Europeans became TBS positive, while Africans showed either a delay in time to parasitaemia or controlled infection. Our metabolic data showed that Europeans and Africans had distinct alterations in metabolite patterns, with changes mostly seen on days 5 and 9 post PfSPZ infection, and more prominently in Europeans. Within the African group, the levels of formate, urea, trimethylamine, threonine, choline, myo-inositol and acetate were significantly higher in TBS positive whereas the levels of pyruvate, 3-methylhistidine and dimethylglycine were significantly lower in individuals who remained TBS negative. Notably, before inoculation with PfSPZ, a group of metabolites including phenylacetylglutamine can potentially be used to predict parasitaemia control among Africans. Taken together, this study highlights the difference in urinary metabolic changes in response to malaria infection as a consequence of lifelong exposure to malaria and that change detectable before challenge might predict the control of parasitaemia in malaria-endemic areas.https://www.mdpi.com/2218-1989/12/12/1224urinemetabolomics<i>Plasmodium falciparum</i> malarianuclear magnetic resonancehydrophilic interaction chromatography-mass spectrometryGabon
spellingShingle Madeleine Eunice Betouke Ongwe
Isabelle Kohler
Mikhael D. Manurung
Aswin Verhoeven
Rico Derks
Jacqueline J. Janse
Yoanne D. Mouwenda
Peter G. Kremsner
Ayola A. Adegnika
Bertrand Lell
Bart Everts
Oleg A. Mayboroda
Maria Yazdanbakhsh
Urinary Metabolic Profiling in Volunteers Undergoing Malaria Challenge in Gabon
Metabolites
urine
metabolomics
<i>Plasmodium falciparum</i> malaria
nuclear magnetic resonance
hydrophilic interaction chromatography-mass spectrometry
Gabon
title Urinary Metabolic Profiling in Volunteers Undergoing Malaria Challenge in Gabon
title_full Urinary Metabolic Profiling in Volunteers Undergoing Malaria Challenge in Gabon
title_fullStr Urinary Metabolic Profiling in Volunteers Undergoing Malaria Challenge in Gabon
title_full_unstemmed Urinary Metabolic Profiling in Volunteers Undergoing Malaria Challenge in Gabon
title_short Urinary Metabolic Profiling in Volunteers Undergoing Malaria Challenge in Gabon
title_sort urinary metabolic profiling in volunteers undergoing malaria challenge in gabon
topic urine
metabolomics
<i>Plasmodium falciparum</i> malaria
nuclear magnetic resonance
hydrophilic interaction chromatography-mass spectrometry
Gabon
url https://www.mdpi.com/2218-1989/12/12/1224
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