Characterization of blood dendritic and regulatory T cells in asymptomatic adults with sub-microscopic Plasmodium falciparum or Plasmodium vivax infection.

<h4>Background</h4> <p>Plasmodium falciparum and Plasmodium vivax infections compromise dendritic cell (DC) function and expand regulatory T (Treg) cells in both clinical disease (malaria) and experimental human sub-microscopic infection. Conversely, in asymptomatic microscopy-posi...

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Main Authors: Kho, S, Marfurt, J, Handayuni, I, Pava, Z, Noviyanti, R, Kusuma, A, Piera, K, Burdam, F, Kenangalem, E, Lampah, D, Engwerda, C, Poespoprodjo, J, Price, R, Anstey, N, Minigo, G, Woodberry, T
Format: Journal article
Language:English
Published: BioMed Central 2016
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author Kho, S
Marfurt, J
Handayuni, I
Pava, Z
Noviyanti, R
Kusuma, A
Piera, K
Burdam, F
Kenangalem, E
Lampah, D
Engwerda, C
Poespoprodjo, J
Price, R
Anstey, N
Minigo, G
Woodberry, T
author_facet Kho, S
Marfurt, J
Handayuni, I
Pava, Z
Noviyanti, R
Kusuma, A
Piera, K
Burdam, F
Kenangalem, E
Lampah, D
Engwerda, C
Poespoprodjo, J
Price, R
Anstey, N
Minigo, G
Woodberry, T
author_sort Kho, S
collection OXFORD
description <h4>Background</h4> <p>Plasmodium falciparum and Plasmodium vivax infections compromise dendritic cell (DC) function and expand regulatory T (Treg) cells in both clinical disease (malaria) and experimental human sub-microscopic infection. Conversely, in asymptomatic microscopy-positive (patent) P. falciparum or P. vivax infection in endemic areas, blood DC increase or retain HLA-DR expression and Treg cells exhibit reduced activation, suggesting that DC and Treg cells contribute to the control of patent asymptomatic infection. The effect of sub-microscopic (sub-patent) asymptomatic Plasmodium infection on DC and Treg cells in malaria-endemic area residents remains unclear</p> <h4>Methods</h4> <p>In a cross-sectional household survey conducted in Papua, Indonesia, 162 asymptomatic adults were prospectively evaluated for DC and Treg cells using field-based flow cytometry. Of these, 161 individuals (99 %) were assessed retrospectively by polymerase chain reaction (PCR), 19 of whom had sub-microscopic infection with P. falciparum and 15 with sub-microscopic P. vivax infection. Flow cytometric data were re-analysed after re-grouping asymptomatic individuals according to PCR results into negative controls, sub-microscopic and microscopic parasitaemia to examine DC and Treg cell phenotype in sub-microscopic infection.</p> <h4>Results</h4> <p>Asymptomatic adults with sub-microscopic P. falciparum or P. vivax infection had DC HLA-DR expression and Treg cell activation comparable to PCR-negative controls. Sub-microscopic P. falciparum infection was associated with lower peripheral CD4+ T cells and lymphocytes, however sub-microscopic Plasmodium infection had no apparent effect on DC sub-set number or Treg cell frequency.</p> <h4>Conclusions</h4> <p>In contrast to the impairment of DC maturation/function and the activation of Treg cells seen with sub-microscopic parasitaemia in primary experimental human Plasmodium infection, no phenotypic evidence of dysregulation of DC and Treg cells was observed in asymptomatic sub-microscopic Plasmodium infection in Indonesian adults. This is consistent with DC and Treg cells retaining their functional capacity in sub-microscopic asymptomatic infection with P. falciparum or P. vivax in malaria-endemic areas.</p>
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spelling oxford-uuid:4660a51d-da69-4a79-9579-efa6a1ad15882022-03-26T15:13:18ZCharacterization of blood dendritic and regulatory T cells in asymptomatic adults with sub-microscopic Plasmodium falciparum or Plasmodium vivax infection.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:4660a51d-da69-4a79-9579-efa6a1ad1588EnglishSymplectic Elements at OxfordBioMed Central2016Kho, SMarfurt, JHandayuni, IPava, ZNoviyanti, RKusuma, APiera, KBurdam, FKenangalem, ELampah, DEngwerda, CPoespoprodjo, JPrice, RAnstey, NMinigo, GWoodberry, T<h4>Background</h4> <p>Plasmodium falciparum and Plasmodium vivax infections compromise dendritic cell (DC) function and expand regulatory T (Treg) cells in both clinical disease (malaria) and experimental human sub-microscopic infection. Conversely, in asymptomatic microscopy-positive (patent) P. falciparum or P. vivax infection in endemic areas, blood DC increase or retain HLA-DR expression and Treg cells exhibit reduced activation, suggesting that DC and Treg cells contribute to the control of patent asymptomatic infection. The effect of sub-microscopic (sub-patent) asymptomatic Plasmodium infection on DC and Treg cells in malaria-endemic area residents remains unclear</p> <h4>Methods</h4> <p>In a cross-sectional household survey conducted in Papua, Indonesia, 162 asymptomatic adults were prospectively evaluated for DC and Treg cells using field-based flow cytometry. Of these, 161 individuals (99 %) were assessed retrospectively by polymerase chain reaction (PCR), 19 of whom had sub-microscopic infection with P. falciparum and 15 with sub-microscopic P. vivax infection. Flow cytometric data were re-analysed after re-grouping asymptomatic individuals according to PCR results into negative controls, sub-microscopic and microscopic parasitaemia to examine DC and Treg cell phenotype in sub-microscopic infection.</p> <h4>Results</h4> <p>Asymptomatic adults with sub-microscopic P. falciparum or P. vivax infection had DC HLA-DR expression and Treg cell activation comparable to PCR-negative controls. Sub-microscopic P. falciparum infection was associated with lower peripheral CD4+ T cells and lymphocytes, however sub-microscopic Plasmodium infection had no apparent effect on DC sub-set number or Treg cell frequency.</p> <h4>Conclusions</h4> <p>In contrast to the impairment of DC maturation/function and the activation of Treg cells seen with sub-microscopic parasitaemia in primary experimental human Plasmodium infection, no phenotypic evidence of dysregulation of DC and Treg cells was observed in asymptomatic sub-microscopic Plasmodium infection in Indonesian adults. This is consistent with DC and Treg cells retaining their functional capacity in sub-microscopic asymptomatic infection with P. falciparum or P. vivax in malaria-endemic areas.</p>
spellingShingle Kho, S
Marfurt, J
Handayuni, I
Pava, Z
Noviyanti, R
Kusuma, A
Piera, K
Burdam, F
Kenangalem, E
Lampah, D
Engwerda, C
Poespoprodjo, J
Price, R
Anstey, N
Minigo, G
Woodberry, T
Characterization of blood dendritic and regulatory T cells in asymptomatic adults with sub-microscopic Plasmodium falciparum or Plasmodium vivax infection.
title Characterization of blood dendritic and regulatory T cells in asymptomatic adults with sub-microscopic Plasmodium falciparum or Plasmodium vivax infection.
title_full Characterization of blood dendritic and regulatory T cells in asymptomatic adults with sub-microscopic Plasmodium falciparum or Plasmodium vivax infection.
title_fullStr Characterization of blood dendritic and regulatory T cells in asymptomatic adults with sub-microscopic Plasmodium falciparum or Plasmodium vivax infection.
title_full_unstemmed Characterization of blood dendritic and regulatory T cells in asymptomatic adults with sub-microscopic Plasmodium falciparum or Plasmodium vivax infection.
title_short Characterization of blood dendritic and regulatory T cells in asymptomatic adults with sub-microscopic Plasmodium falciparum or Plasmodium vivax infection.
title_sort characterization of blood dendritic and regulatory t cells in asymptomatic adults with sub microscopic plasmodium falciparum or plasmodium vivax infection
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