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- Title
Persistent endothelial activation and inflammation after Plasmodium falciparum Infection in Malawian children.
- Authors
Moxon, Christopher A; Chisala, Ngawina V; Wassmer, Samuel C; Taylor, Terrie E; Seydel, Karl B; Molyneux, Malcolm E; Faragher, Brian; Kennedy, Neil; Toh, Cheng-Hock; Craig, Alister G; Heyderman, Robert S
- Abstract
Endothelial dysregulation is central to the pathogenesis of acute Plasmodium falciparum infection. It has been assumed that this dysregulation resolves rapidly after treatment, but this return to normality has been neither demonstrated nor quantified. We therefore measured a panel of plasma endothelial markers acutely and in convalescence in Malawian children with uncomplicated or cerebral malaria. Evidence of persistent endothelial activation and inflammation, indicated by increased plasma levels of soluble intracellular adhesion molecule 1, angiopoetin 2, and C-reactive protein, were observed at 1 month follow-up visits. These vascular changes may represent a previously unrecognized contributor to ongoing malaria-associated morbidity and mortality.
- Publication
The Journal of infectious diseases, 2014, Vol 209, Issue 4, p610
- ISSN
1537-6613
- Publication type
Journal Article
- DOI
10.1093/infdis/jit419