Malaria History
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Plasmodium Evasion of Mosquito Immunity and Global Malaria Transmission: the Lock-And-Key Theory
Plasmodium evasion of mosquito immunity and global malaria transmission: The lock-and-key theory Alvaro Molina-Cruz1,2, Gaspar E. Canepa1, Nitin Kamath, Noelle V. Pavlovic, Jianbing Mu, Urvashi N. Ramphul, Jose Luis Ramirez, and Carolina Barillas-Mury2 Laboratory of Malaria and Vector Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Rockville, MD 20852 Contributed by Carolina Barillas-Mury, October 15, 2015 (sent for review September 19, 2015; reviewed by Serap Aksoy and Daniel L. Hartl) Plasmodium falciparum malaria originated in Africa and became for the parasite to evade mosquito immunity. The implications global as humans migrated to other continents. During this jour- of P. falciparum selection by mosquitoes for global malaria ney, parasites encountered new mosquito species, some of them transmission are discussed. evolutionarily distant from African vectors. We have previously shown that the Pfs47 protein allows the parasite to evade the mos- Results quito immune system of Anopheles gambiae mosquitoes. Here, we Differences in Compatibility Between P. falciparum Isolates from investigated the role of Pfs47-mediated immune evasion in the Diverse Geographic Origin and Different Anopheline Species. The adaptation of P. falciparum to evolutionarily distant mosquito species. compatibility between P. falciparum isolates from different continents We found that P. falciparum isolates from Africa, Asia, or the Americas and mosquito vectors that are geographically and evolutionarily have low compatibility to malaria vectors from a different continent, distant was investigated by simultaneously infecting major malaria an effect that is mediated by the mosquito immune system. We iden- vectors from Africa (A. gambiae), Southeast Asia (Anopheles dirus), tified 42 different haplotypes of Pfs47 that have a strong geographic and the New World (A. -
RTS,S Malaria Vaccine First Malaria Vaccine Will Be Piloted in Areas of Three African Countries Through Routine Immunization Programs
CENTER FOR VACCINE INNOVATION AND ACCESS The RTS,S malaria vaccine First malaria vaccine will be piloted in areas of three African countries through routine immunization programs Summary the vaccine’s role in reducing childhood deaths and severe malaria, and its safety in the context of routine use. Data and Malaria kills more than 400,000 people a year worldwide and information from the MVIP will inform a WHO policy causes illness in tens of millions more, with most deaths recommendation on the broader use of the vaccine. RTS,S has occurring among young children living in sub-Saharan Africa. been approved for use in the pilot evaluation and Phase 4 Although existing interventions have helped to reduce malaria studies by the national regulatory authority in each of the three deaths significantly over the past 15 years, a vaccine could add participating countries. an important complementary tool for malaria control efforts. Financing for the MVIP has been mobilized through an RTS,S/AS01 (RTS,S) is the first malaria vaccine shown to unprecedented collaboration among three global health funding provide partial protection against malaria in young children. It bodies: Gavi, the Vaccine Alliance; the Global Fund to Fight will be the first malaria vaccine provided to young children AIDS, Tuberculosis and Malaria; and Unitaid. Additionally, through national immunization programs in three sub-Saharan WHO, PATH, and GSK are providing in-kind contributions, African countries—Ghana, Kenya, and Malawi. These countries which include GSK’s donation of the vaccine for use in the will introduce the vaccine in selected areas as part of a large- MVIP. -
Non-Invasive Surveillance for Plasmodium in Reservoir Macaque
Siregar et al. Malar J (2015) 14:404 DOI 10.1186/s12936-015-0857-2 METHODOLOGY Open Access Non‑invasive surveillance for Plasmodium in reservoir macaque species Josephine E. Siregar1, Christina L. Faust2*, Lydia S. Murdiyarso1, Lis Rosmanah3, Uus Saepuloh3, Andrew P. Dobson2 and Diah Iskandriati3 Abstract Background: Primates are important reservoirs for human diseases, but their infection status and disease dynamics are difficult to track in the wild. Within the last decade, a macaque malaria, Plasmodium knowlesi, has caused disease in hundreds of humans in Southeast Asia. In order to track cases and understand zoonotic risk, it is imperative to be able to quantify infection status in reservoir macaque species. In this study, protocols for the collection of non-invasive samples and isolation of malaria parasites from naturally infected macaques are optimized. Methods: Paired faecal and blood samples from 60 Macaca fascicularis and four Macaca nemestrina were collected. All animals came from Sumatra or Java and were housed in semi-captive breeding colonies around West Java. DNA was extracted from samples using a modified protocol. Nested polymerase chain reactions (PCR) were run to detect Plasmodium using primers targeting mitochondrial DNA. Sensitivity of screening faecal samples for Plasmodium was compared to other studies using Kruskal Wallis tests and logistic regression models. Results: The best primer set was 96.7 % (95 % confidence intervals (CI): 83.3–99.4 %) sensitive for detecting Plasmo- dium in faecal samples of naturally infected macaques (n 30). This is the first study to produce definitive estimates of Plasmodium sensitivity and specificity in faecal samples= from naturally infected hosts. -
Comparison of the Plasmodium Species Which Cause Human Malaria
Comparison of the Plasmodium Species Which Cause Human Malaria Plasmodium Stages found Appearance of Erythrocyte species in blood (RBC) Appearance of Parasite normal; multiple infection of RBC more delicate cytoplasm; 1-2 small chromatin Ring common than in other species dots; occasional appliqué (accollé) forms normal; rarely, Maurer’s clefts seldom seen in peripheral blood; compact Trophozoite (under certain staining conditions) cytoplasm; dark pigment seldom seen in peripheral blood; mature Schizont normal; rarely, Maurer’s clefts = 8-24 small merozoites; dark pigment, (under certain staining conditions) clumped in one mass P.falciparum crescent or sausage shape; chromatin in a Gametocyte distorted by parasite single mass (macrogametocyte) or diffuse (microgametocyte); dark pigment mass normal to 1-1/4 X,round; occasionally fine Ring Schüffner’s dots; multiple infection of RBC large cytoplasm with occasional not uncommon pseudopods; large chromatin dot enlarged 1-1/2–2 X;may be distorted; fine large ameboid cytoplasm; large chromatin; Trophozoite Schüffner’s dots fine, yellowish-brown pigment enlarged 1-1/2–2 X;may be distorted; fine large, may almost fill RBC; mature = 12-24 Schizont Schüffner’s dots merozoites; yellowish-brown, coalesced P.vivax pigment round to oval; compact; may almost fill enlarged 1-1/2–2 X;may be distorted; fine RBC; chromatin compact, eccentric Gametocyte Schüffner’s dots (macrogametocyte) or diffuse (micro- gametocyte); scattered brown pigment normal to 1-1/4 X,round to oval; occasionally Ring Schüffner’s dots; -
Cerebral and Plasmodium Ovale Malaria in Rhode Island
CASE REPORT Cerebral and Plasmodium ovale Malaria in Rhode Island JOSHUA KAINE, MD; JOSEPH MORAN-GUIATI, MD; JAMES TANCH, MD; BRIAN CLYNE, MD 64 67 EN ABSTRACT mortality. While the CDC currently reports a stable inci- We report two cases of malaria diagnosed in Rhode Is- dence of malaria in the US, climate change is predicted to land. First, a 21-year-old female who presented with 5 affect disease dynamics, and it remains unclear how the US days of fevers, chills, headache, and myalgias after return- incidence will be affected by climate change in the future.2,3 ing from a trip to Liberia, found to have uncomplicated Given the potentially fatal consequences of a missed malaria due to P. ovale which was treated successfully diagnosis of malaria and the relative inexperience of US with atovaquone/proguanil and primaquine. Second, a clinicians with the disease, we review two cases of malaria chronically ill 55-year-old male presented with 3 days of recently diagnosed in Rhode Island that are representative of headache followed by altered mental status, fever, and the spectrum of the disease one could expect to encounter in new-onset seizures after a recent visit to Sierra Leone, the US. The first is a classic, uncomplicated presentation of found to have P. falciparum malaria requiring ICU ad- malaria in a 21-year-old female and the second is an example mission and IV artesunate treatment. The diagnosis and of severe malaria in a chronically ill 55-year-old male. management of malaria in the United States (US), as well as its rare association with subdural hemorrhage are subsequently reviewed. -
A Review on the Progress of Sex-Separation Techniques For
Mashatola et al. Parasites & Vectors 2018, 11(Suppl 2):646 https://doi.org/10.1186/s13071-018-3219-4 REVIEW Open Access A review on the progress of sex-separation techniques for sterile insect technique applications against Anopheles arabiensis Thabo Mashatola1,2,3, Cyrille Ndo4,5,6, Lizette L. Koekemoer1,2, Leonard C. Dandalo1,2, Oliver R. Wood1,2, Lerato Malakoane1,2, Yacouba Poumachu3,4,7, Leanne N. Lobb1,2, Maria Kaiser1,2, Kostas Bourtzis3 and Givemore Munhenga1,2* Abstract The feasibility of the sterile insect technique (SIT) as a malaria vector control strategy against Anopheles arabiensis has been under investigation over the past decade. One of the critical steps required for the application of this technique to mosquito control is the availability of an efficient and effective sex-separation system. Sex-separation systems eliminate female mosquitoes from the production line prior to irradiation and field release of sterile males. This is necessary because female mosquitoes can transmit pathogens such as malaria and, therefore, their release must be prevented. Sex separation also increases the efficiency of an SIT programme. Various sex-separation strategies have been explored including the exploitation of developmental and behavioural differences between male and female mosquitoes, and genetic approaches. Most of these are however species-specific and are not indicated for the major African malaria vectors such as An. arabiensis. As there is currently no reliable sex-separation method for An. arabiensis, various strategies were explored in an attempt to develop a robust system that can be applied on a mass- rearing scale. The progress and challenges faced during the development of a sexing system for future pilot and/or large-scale SIT release programmes against An. -
Missouri Hospitalist Missouri Society
MISSOURI HOSPITALIST MISSOURI SOCIETY HOSPITALIST Publisher: Issue 22 October 22, 2009 Division of General IM University of Missouri Hospitalist Update Columbia, Missouri Dealing with Hypertensive Urgencies Syed Ahsan, MD Editor: Robert Folzenlogen MD INTRODUCTION Patients presenting with severe hypertension can often be alarming for house officers and family members. Systolic blood pressures > 180 mm Hg, with or without a diastolic blood pressure >120, have been known to progress to hypertensive emer- Inside this issue: gencies. The majority of complications are related to end organ damage; this may include encephalopa- thy, blurred vision, chest pain, unstable angina, Hospitalist Update acute myocardial infarction and acute renal insuffi- ciency, with or without proteinuria. In the absence of these acute signs, the control of hypertensive urgency remains paramount but is not considered an emergency. Case of the Month The etiology of severe, asymptomatic hypertension is extremely important in defin- ing treatment strategies. The majority of these patients have a prolonged history of uncontrolled hypertension secondary to poor compliance or inadequate treatment From the Journals regimens. Guidelines are not entirely specific in the management of hypertensive ur- gency. ID Corner TREATMENT STRATEGY Based on the current literature, the following approach is recommended: Calendar 1. Confirm that the blood pressure is elevated. The reading should be re- peated in both upper extremities; the physician should ensure that the appropriate cuff size is used and that the readings are consistent. Comments 2. Goal for blood pressure reduction: the ideal goal is to reduce the systolic blood pressure by 20-25% and this should be done over a period of hours to days. -
Adult Onset Still's Disease Accompanied by Acute Respiratory Distress Syndrome: a Case Report
EXPERIMENTAL AND THERAPEUTIC MEDICINE 12: 1817-1821, 2015 Adult onset Still's disease accompanied by acute respiratory distress syndrome: A case report XIAO-TU XI1, MAO‑JIE WANG2, RUN‑YUE HUANG2 and BANG‑HAN DING1 1Emergency Department; 2Rheumatology Department, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine (Guangdong Provincial Hospital of Chinese Medicine), Guangzhou, Guangdong 510006, P.R. China Received July 17, 2015; Accepted May 20, 2016 DOI: 10.3892/etm.2016.3512 Abstract. Adult onset Still's disease (AOSD) is a systemic vascular permeability and a loss of aerated lung tissue (8). inflammatory disorder characterized by rash, leukocytosis, ARDS occurs in 7.2‑38.9/100,000 individuals (9,10), and has fever and arthralgia/arthritis. The most common pulmo- a mortality rate of ~40% (11). Patient mortality varies based nary manifestations associated with AOSD are pulmonary on numerous factors, including age, etiology of the lung injury infiltrates and pleural effusion. The present study describes and non‑pulmonary organ dysfunction. The most common a 40‑year‑old male with AOSD who developed fever, sore risk factors for ARDS are pneumonia, sepsis, aspiration and throat and shortness of breath. Difficulty breathing promptly trauma (11). Multiple predisposing risk factors, in addition to developed, and the patient was diagnosed with acute respira- some secondary factors such as alcohol abuse and obesity, also tory distress syndrome (ARDS). The patient did not respond increase the risk (4). In addition to patient support provided by to antibiotics, including imipenem, vancomycin, fluconazole, improving oxygen delivery to the tissues and preventing multi- moxifloxacin, penicillin, doxycycline and meropenem, but was organ system failure, early recognition and correction of the sensitive to glucocorticoid treatment, including methylpred- underlying cause is important in ARDS treatment. -
Download the Abstract Book
1 Exploring the male-induced female reproduction of Schistosoma mansoni in a novel medium Jipeng Wang1, Rui Chen1, James Collins1 1) UT Southwestern Medical Center. Schistosomiasis is a neglected tropical disease caused by schistosome parasites that infect over 200 million people. The prodigious egg output of these parasites is the sole driver of pathology due to infection. Female schistosomes rely on continuous pairing with male worms to fuel the maturation of their reproductive organs, yet our understanding of their sexual reproduction is limited because egg production is not sustained for more than a few days in vitro. Here, we explore the process of male-stimulated female maturation in our newly developed ABC169 medium and demonstrate that physical contact with a male worm, and not insemination, is sufficient to induce female development and the production of viable parthenogenetic haploid embryos. By performing an RNAi screen for genes whose expression was enriched in the female reproductive organs, we identify a single nuclear hormone receptor that is required for differentiation and maturation of germ line stem cells in female gonad. Furthermore, we screen genes in non-reproductive tissues that maybe involved in mediating cell signaling during the male-female interplay and identify a transcription factor gli1 whose knockdown prevents male worms from inducing the female sexual maturation while having no effect on male:female pairing. Using RNA-seq, we characterize the gene expression changes of male worms after gli1 knockdown as well as the female transcriptomic changes after pairing with gli1-knockdown males. We are currently exploring the downstream genes of this transcription factor that may mediate the male stimulus associated with pairing. -
Package 'Malariaatlas'
Package ‘malariaAtlas’ June 1, 2020 Title An R Interface to Open-Access Malaria Data, Hosted by the 'Malaria Atlas Project' Version 1.0.1 Description A suite of tools to allow you to download all publicly available parasite rate survey points, mosquito occurrence points and raster surfaces from the 'Malaria Atlas Project' <https://malariaatlas.org/> servers as well as utility functions for plot- ting the downloaded data. License MIT + file LICENSE Encoding UTF-8 LazyData true Imports curl, rgdal, raster, sp, xml2, grid, gridExtra, httr, dplyr, stringi, tidyr, methods, stats, utils, rlang Depends ggplot2 RoxygenNote 7.0.2 Suggests testthat, knitr, rmarkdown, palettetown, magrittr, tibble, rdhs URL https://github.com/malaria-atlas-project/malariaAtlas BugReports https://github.com/malaria-atlas-project/malariaAtlas/issues VignetteBuilder knitr NeedsCompilation no Author Daniel Pfeffer [aut] (<https://orcid.org/0000-0002-2204-3488>), Tim Lucas [aut, cre] (<https://orcid.org/0000-0003-4694-8107>), Daniel May [aut] (<https://orcid.org/0000-0003-0005-2452>), Suzanne Keddie [aut] (<https://orcid.org/0000-0003-1254-7794>), Jen Rozier [aut] (<https://orcid.org/0000-0002-2610-7557>), Oliver Watson [aut] (<https://orcid.org/0000-0003-2374-0741>), Harry Gibson [aut] (<https://orcid.org/0000-0001-6779-3250>), Nick Golding [ctb], David Smith [ctb] Maintainer Tim Lucas <[email protected]> 1 2 as.MAPraster Repository CRAN Date/Publication 2020-06-01 20:30:11 UTC R topics documented: as.MAPraster . .2 as.MAPshp . .3 as.pr.points . .4 as.vectorpoints . .5 autoplot.MAPraster . .6 autoplot.MAPshp . .7 autoplot.pr.points . .8 autoplot.vector.points . 10 autoplot_MAPraster . 11 convertPrevalence . 13 extractRaster . -
A Systematic Review and Meta-Analysis on Chloroquine And
www.nature.com/scientificreports OPEN A systematic review and meta‑analysis on chloroquine and hydroxychloroquine as monotherapy or combined with azithromycin in COVID‑19 treatment Ramy Mohamed Ghazy1, Abdallah Almaghraby2*, Ramy Shaaban3, Ahmed Kamal4, Hatem Beshir5,6, Amr Moursi7, Ahmed Ramadan8 & Sarah Hamed N. Taha9 Many recent studies have investigated the role of either Chloroquine (CQ) or Hydroxychloroquine (HCQ) alone or in combination with azithromycin (AZM) in the management of the emerging coronavirus. This systematic review and meta‑analysis of either published or preprint observational studies or randomized control trials (RCT) aimed to assess mortality rate, duration of hospital stay, need for mechanical ventilation (MV), virologic cure rate (VQR), time to a negative viral polymerase chain reaction (PCR), radiological progression, experiencing drug side efects, and clinical worsening. A search of the online database through June 2020 was performed and examined the reference lists of pertinent articles for in‑vivo studies only. Pooled relative risks (RRs), standard mean diferences of 95% confdence intervals (CIs) were calculated with the random‑efects model. Mortality was not diferent between the standard care (SC) and HCQ groups (RR = 0.99, 95% CI 0.61–1.59, I2 = 82%), meta‑regression analysis proved that mortality was signifcantly diferent across the studies from diferent countries. However, mortality among the HCQ + AZM was signifcantly higher than among the SC (RR = 1.8, 95% CI 1.19–2.27, I2 = 70%). The duration of hospital stay in days was shorter in the SC in comparison with the HCQ group (standard mean diference = 0.57, 95% CI 0.20–0.94, I2 = 92%), or the HCQ + AZM (standard mean diference = 0.77, 95% CI 0.46–1.08, I2 = 81). -
Meeting Report
Meeting Report EXPERT CONSULTATION ON PLASMODIUM KNOWLESI MALARIA TO GUIDE MALARIA ELIMINATION STRATEGIES 1–2 March 2017 Kota Kinabalu, Malaysia Expert Consultation on Plasmodium Knowlesi Malaria to Guide Malaria Elimination Strategies 1–2 March 2017 Kota Kinabalu, Malaysia WORLD HEALTH ORGANIZATION REGIONAL OFFICE FOR THE WESTERN PACIFIC RS/2017/GE/05/(MYS) English only MEETING REPORT EXPERT CONSULTATION ON PLASMODIUM KNOWLESI MALARIA TO GUIDE MALARIA ELIMINATION STRATEGIES Convened by: WORLD HEALTH ORGANIZATION REGIONAL OFFICE FOR THE WESTERN PACIFIC Kota Kinabalu, Malaysia 1–2 March 2017 Not for sale Printed and distributed by: World Health Organization Regional Office for the Western Pacific Manila, Philippines September 2017 NOTE The views expressed in this report are those of the participants of the Expert Consultation on Plasmodium knowlesi Malaria to Guide Malaria Elimination Strategies and do not necessarily reflect the policies of the World Health Organization. This report has been prepared by the World Health Organization Regional Office for the Western Pacific for governments of Member States in the Region and for those who participated in the Expert Consultation on Plasmodium knowlesi Malaria to Guide Malaria Elimination Strategies, which was held in Kota Kinabalu, Malaysia from 1 to 2 March 2017. CONTENTS ABBREVIATIONS SUMMARY 1. INTRODUCTION ............................................................................................................................................. 1 2. PROCEEDINGS ...............................................................................................................................................