Abstract
Originalsprog | Engelsk |
---|---|
Tidsskrift | American Journal of Epidemiology |
Vol/bind | 157 |
Udgave nummer | 3 |
Sider (fra-til) | 203-9 |
Antal sider | 6 |
ISSN | 0002-9262 |
DOI | |
Status | Udgivet - 2003 |
Bibliografisk note
Keywords: Animals; Antibodies, Protozoan; Antigens, Protozoan; Birth Weight; Cameroon; Cohort Studies; Disease Susceptibility; Erythrocytes; Female; Fetal Blood; Histocompatibility Antigens Class I; Humans; Infant, Newborn; Malaria, Falciparum; Male; Maternal-Fetal Exchange; Plasmodium falciparum; Pregnancy; Pregnancy ProteinsAdgang til dokumentet
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I: American Journal of Epidemiology, Bind 157, Nr. 3, 2003, s. 203-9.
Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › peer review
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TY - JOUR
T1 - Maternally transmitted antibodies to pregnancy-associated variant antigens on the surface of erythrocytes infected with Plasmodium falciparum: relation to child susceptibility to malaria
AU - Cot, Michel
AU - Le Hesran, Jean Yves
AU - Staalsoe, Trine
AU - Fievet, Nadine
AU - Hviid, Lars
AU - Deloron, Philippe
N1 - Keywords: Animals; Antibodies, Protozoan; Antigens, Protozoan; Birth Weight; Cameroon; Cohort Studies; Disease Susceptibility; Erythrocytes; Female; Fetal Blood; Histocompatibility Antigens Class I; Humans; Infant, Newborn; Malaria, Falciparum; Male; Maternal-Fetal Exchange; Plasmodium falciparum; Pregnancy; Pregnancy Proteins
PY - 2003
Y1 - 2003
N2 - The consequences of pregnancy-associated malaria on a child's health have been poorly investigated. Malarial infection of the placenta seems to result in a higher susceptibility of children to the parasite during their first year of life. In 1993-1995, the authors investigated the role of antibodies in variable surface antigens (VSA) specific to chondroitin sulfate A (CSA)-binding parasites to assess the parasitologic status of the child. Flow cytometry was used to measure levels of antibodies to VSA from CSA-selected and -unselected parasite lines in the cord blood of 79 newborns in Ebolowa, Cameroon. These newborns were subsequently followed up for 2 years to determine the date of first occurrence of blood parasites and mean parasite density during follow-up. Maternally transmitted antibodies to VSA expressed by CSA-binding parasites, but not antibodies to any other specificity, were negatively related to time of first appearance of Plasmodium falciparum in a child's blood and were positively related to mean parasite density during the first 2 years of life. If maternal infection is thought to be the main mechanism influencing susceptibility of the newborn to malaria, antibodies to VSA may better denote maternal malaria infection during almost the entire pregnancy as opposed to placental blood smear reflecting infection during the last few months of pregnancy.
AB - The consequences of pregnancy-associated malaria on a child's health have been poorly investigated. Malarial infection of the placenta seems to result in a higher susceptibility of children to the parasite during their first year of life. In 1993-1995, the authors investigated the role of antibodies in variable surface antigens (VSA) specific to chondroitin sulfate A (CSA)-binding parasites to assess the parasitologic status of the child. Flow cytometry was used to measure levels of antibodies to VSA from CSA-selected and -unselected parasite lines in the cord blood of 79 newborns in Ebolowa, Cameroon. These newborns were subsequently followed up for 2 years to determine the date of first occurrence of blood parasites and mean parasite density during follow-up. Maternally transmitted antibodies to VSA expressed by CSA-binding parasites, but not antibodies to any other specificity, were negatively related to time of first appearance of Plasmodium falciparum in a child's blood and were positively related to mean parasite density during the first 2 years of life. If maternal infection is thought to be the main mechanism influencing susceptibility of the newborn to malaria, antibodies to VSA may better denote maternal malaria infection during almost the entire pregnancy as opposed to placental blood smear reflecting infection during the last few months of pregnancy.
U2 - 10.1093/aje/kwf192
DO - 10.1093/aje/kwf192
M3 - Journal article
C2 - 12543619
SN - 0002-9262
VL - 157
SP - 203
EP - 209
JO - American Journal of Epidemiology
JF - American Journal of Epidemiology
IS - 3
ER -