Complement activation in experimental human malaria infection.

Abstract:

:The objective of this study was to investigate complement activation in uncomplicated, early phases of human malaria. Fifteen healthy volunteers were experimentally infected with Plasmodium falciparum malaria. Parasitemia and complement activation products were assessed. During blood stage parasitemia, volunteers showed a significant increase in soluble terminal complement complex (TCC) formation. After start of a curative regimen of artemether/lumefantrine, TCC further increased due to activation of both the classical and the alternative pathway. In-vitro studies confirmed activation of complement by parasite cultures. We thus detected an increase in complement activation in volunteers with experimentally induced malaria, even before parasitemia could be detected microscopically. This significant increase in complement activation occurred despite the possible control of TCC formation by complement regulatory proteins on erythrocytes and the extremely low levels of parasitemia. Treatment with artemether/lumefantrine was followed by classical and alternative pathway complement activation, without evidence for mannan-binding-lectin-mediated complement activation.

authors

Roestenberg M,McCall M,Mollnes TE,van Deuren M,Sprong T,Klasen I,Hermsen CC,Sauerwein RW,van der Ven A

doi

10.1016/j.trstmh.2007.02.023

subject

Has Abstract

pub_date

2007-07-01 00:00:00

pages

643-9

issue

7

eissn

0035-9203

issn

1878-3503

pii

S0035-9203(07)00060-0

journal_volume

101

pub_type

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