Evidence for multiple pathologic and protective mechanisms of murine cerebral malaria.

Abstract:

:Murine cerebral malaria (CM) induced by Plasmodium berghei ANKA kills susceptible mice within 24 to 48 h of onset of symptoms and is characterized by the production of inflammatory cytokines in the brain. C57BL/6J mice are sensitive to lethal CM, while A/J mice are resistant. These strains of mice were immunized with an adjuvant vaccine of killed whole-blood-stage parasites. The immunization protected C57BL/6 mice from lethal CM following virulent challenge. The same immunization increased the incidence of lethal CM in A/J mice challenged similarly. Histopathologic examination of the brains of mice from these studies revealed two distinct types of lesions. Type I CM is acute in onset; usually lethal; and characterized by widespread microglial activation, endothelial cell damage, and microvascular disruption in the brain. Type II CM is characterized by intense, but focal, mononuclear cell inflammation without endothelial cell damage or microvascular destruction. Animals with type II lesions were clinically normal and protected from type I lesions. Available clinical, epidemiological, and biochemical evidence suggests that type I and type II lesions might exist in human CM as well.

journal_name

Infect Immun

journal_title

Infection and immunity

authors

Jennings VM,Lal AA,Hunter RL

doi

10.1128/IAI.66.12.5972-5979.1998

subject

Has Abstract

pub_date

1998-12-01 00:00:00

pages

5972-9

issue

12

eissn

0019-9567

issn

1098-5522

journal_volume

66

pub_type

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