Monocyte activation and cytokine production in Malawian children presenting with P. falciparum malaria

Malaria in malaria-naïve adults is associated with an inflammatory response characterised by expression of specific activation markers on innate immune cells. Here we investigate activation and adhesion marker expression, and cytokine production in monocytes from children presenting with cerebral ma...

Full description

Bibliographic Details
Main Authors: Mandala, W, Msefula, C, Gondwe, E, Drayson, M, Molyneux, M, MacLennan, C
Format: Journal article
Language:English
Published: Wiley 2016
_version_ 1797056794269319168
author Mandala, W
Msefula, C
Gondwe, E
Drayson, M
Molyneux, M
MacLennan, C
author_facet Mandala, W
Msefula, C
Gondwe, E
Drayson, M
Molyneux, M
MacLennan, C
author_sort Mandala, W
collection OXFORD
description Malaria in malaria-naïve adults is associated with an inflammatory response characterised by expression of specific activation markers on innate immune cells. Here we investigate activation and adhesion marker expression, and cytokine production in monocytes from children presenting with cerebral malaria (CM, n=36), severe malarial anaemia (SMA, n=42) or uncomplicated malaria (UM, n= 66), and healthy aparasitemic children (n=52) in Blantyre, Malawi. In all malaria groups, but particularly in the two severe malaria groups, monocyte expression of CD11b, CD11c, CD18, HLA-DR and CD86, and percentages of TNFα and IL-6-producing monocytes were lower than in healthy controls, while expression of CD11a, TLR2 and TLR4 was lower in children with severe malaria compared with controls. These levels mostly normalised during convalescence, but percentages of cytokine-producing monocytes remained suppressed in children with SMA. In all malaria groups, especially the SMA group, a greater proportion of monocytes were loaded with haemozoin than among controls. In a P. falciparum hyperendemic area, monocytes in children with acute symptomatic malaria have reduced expression of adhesion molecules and activation markers and reduced inflammatory cytokine production. This immune suppression could be due to accumulation of haemozoin and/or previous exposure to P. falciparum. This article is protected by copyright. All rights reserved.
first_indexed 2024-03-06T19:27:31Z
format Journal article
id oxford-uuid:1c44be9c-4a46-42fc-b7f4-b2db8f302e7f
institution University of Oxford
language English
last_indexed 2024-03-06T19:27:31Z
publishDate 2016
publisher Wiley
record_format dspace
spelling oxford-uuid:1c44be9c-4a46-42fc-b7f4-b2db8f302e7f2022-03-26T11:04:45ZMonocyte activation and cytokine production in Malawian children presenting with P. falciparum malariaJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:1c44be9c-4a46-42fc-b7f4-b2db8f302e7fEnglishSymplectic Elements at OxfordWiley2016Mandala, WMsefula, CGondwe, EDrayson, MMolyneux, MMacLennan, CMalaria in malaria-naïve adults is associated with an inflammatory response characterised by expression of specific activation markers on innate immune cells. Here we investigate activation and adhesion marker expression, and cytokine production in monocytes from children presenting with cerebral malaria (CM, n=36), severe malarial anaemia (SMA, n=42) or uncomplicated malaria (UM, n= 66), and healthy aparasitemic children (n=52) in Blantyre, Malawi. In all malaria groups, but particularly in the two severe malaria groups, monocyte expression of CD11b, CD11c, CD18, HLA-DR and CD86, and percentages of TNFα and IL-6-producing monocytes were lower than in healthy controls, while expression of CD11a, TLR2 and TLR4 was lower in children with severe malaria compared with controls. These levels mostly normalised during convalescence, but percentages of cytokine-producing monocytes remained suppressed in children with SMA. In all malaria groups, especially the SMA group, a greater proportion of monocytes were loaded with haemozoin than among controls. In a P. falciparum hyperendemic area, monocytes in children with acute symptomatic malaria have reduced expression of adhesion molecules and activation markers and reduced inflammatory cytokine production. This immune suppression could be due to accumulation of haemozoin and/or previous exposure to P. falciparum. This article is protected by copyright. All rights reserved.
spellingShingle Mandala, W
Msefula, C
Gondwe, E
Drayson, M
Molyneux, M
MacLennan, C
Monocyte activation and cytokine production in Malawian children presenting with P. falciparum malaria
title Monocyte activation and cytokine production in Malawian children presenting with P. falciparum malaria
title_full Monocyte activation and cytokine production in Malawian children presenting with P. falciparum malaria
title_fullStr Monocyte activation and cytokine production in Malawian children presenting with P. falciparum malaria
title_full_unstemmed Monocyte activation and cytokine production in Malawian children presenting with P. falciparum malaria
title_short Monocyte activation and cytokine production in Malawian children presenting with P. falciparum malaria
title_sort monocyte activation and cytokine production in malawian children presenting with p falciparum malaria
work_keys_str_mv AT mandalaw monocyteactivationandcytokineproductioninmalawianchildrenpresentingwithpfalciparummalaria
AT msefulac monocyteactivationandcytokineproductioninmalawianchildrenpresentingwithpfalciparummalaria
AT gondwee monocyteactivationandcytokineproductioninmalawianchildrenpresentingwithpfalciparummalaria
AT draysonm monocyteactivationandcytokineproductioninmalawianchildrenpresentingwithpfalciparummalaria
AT molyneuxm monocyteactivationandcytokineproductioninmalawianchildrenpresentingwithpfalciparummalaria
AT maclennanc monocyteactivationandcytokineproductioninmalawianchildrenpresentingwithpfalciparummalaria