V beta profiles in African children with acute cerebral or uncomplicated malaria: very focused changes among a remarkable global stability.

Abstract:

:T cells are thought to play a critical role in cerebral malaria pathogenesis. However, available evidences are restricted to rodent models in which V beta specific T cell expansion has been associated with neurological syndrome suggesting involvement of superantigens or dominant antigens. Using flow cytometry, we studied the peripheral V beta T cell repertoire of Ghanaian children with cerebral malaria, uncomplicated malaria and asymptomatic control children, to look for either expansion or deletion of specific V beta associated with cerebral malaria. At admission, the general pattern of the repertoire of the patients was very similar, with no major distortion compared to the control group a part a significant increase of the frequency of the V beta 21.3 subset correlating with disease severity and attributed to the CD4 subset. During convalescence very limited fluctuations were observed including a significant decrease of the V beta 21.3 subset and increase of the V beta 20 subset, a subset not detected at admission. The remarkable stability of the V beta repertoire observed in acute malaria either cerebral or uncomplicated argues against the idea that cerebral malaria would result from a T cell-mediated inflammatory shock syndrome driven by some dominant super-antigenic activity(ies). The significance of the reproducible increase of the CD4+V beta 21.3T cell subset deserves further investigations.

journal_name

Microbes Infect

journal_title

Microbes and infection

authors

Loizon S,Boeuf P,Tetteh JK,Goka B,Obeng-Adjei G,Kurtzhals JA,Rogier C,Akanmori BD,Mercereau-Puijalon O,Hviid L,Behr C

doi

10.1016/j.micinf.2007.05.019

subject

Has Abstract

pub_date

2007-09-01 00:00:00

pages

1252-9

issue

11

eissn

1286-4579

issn

1769-714X

pii

S1286-4579(07)00198-0

journal_volume

9

pub_type

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