Document Detail


Plasmodium vivax clinical malaria is commonly observed in Duffy-negative Malagasy people.
MedLine Citation:
PMID:  20231434     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Malaria therapy, experimental, and epidemiological studies have shown that erythrocyte Duffy blood group-negative people, largely of African ancestry, are resistant to erythrocyte Plasmodium vivax infection. These findings established a paradigm that the Duffy antigen is required for P. vivax erythrocyte invasion. P. vivax is endemic in Madagascar, where admixture of Duffy-negative and Duffy-positive populations of diverse ethnic backgrounds has occurred over 2 millennia. There, we investigated susceptibility to P. vivax blood-stage infection and disease in association with Duffy blood group polymorphism. Duffy blood group genotyping identified 72% Duffy-negative individuals (FY*B(ES)/*B(ES)) in community surveys conducted at eight sentinel sites. Flow cytometry and adsorption-elution results confirmed the absence of Duffy antigen expression on Duffy-negative erythrocytes. P. vivax PCR positivity was observed in 8.8% (42/476) of asymptomatic Duffy-negative people. Clinical vivax malaria was identified in Duffy-negative subjects with nine P. vivax monoinfections and eight mixed Plasmodium species infections that included P. vivax (4.9 and 4.4% of 183 participants, respectively). Microscopy examination of blood smears confirmed blood-stage development of P. vivax, including gametocytes. Genotyping of polymorphic surface and microsatellite markers suggested that multiple P. vivax strains were infecting Duffy-negative people. In Madagascar, P. vivax has broken through its dependence on the Duffy antigen for establishing human blood-stage infection and disease. Further studies are necessary to identify the parasite and host molecules that enable this Duffy-independent P. vivax invasion of human erythrocytes.
Authors:
Didier Ménard; Céline Barnadas; Christiane Bouchier; Cara Henry-Halldin; Laurie R Gray; Arsène Ratsimbasoa; Vincent Thonier; Jean-François Carod; Olivier Domarle; Yves Colin; Olivier Bertrand; Julien Picot; Christopher L King; Brian T Grimberg; Odile Mercereau-Puijalon; Peter A Zimmerman
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2010-03-15
Journal Detail:
Title:  Proceedings of the National Academy of Sciences of the United States of America     Volume:  107     ISSN:  1091-6490     ISO Abbreviation:  Proc. Natl. Acad. Sci. U.S.A.     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-04-01     Completed Date:  2010-04-28     Revised Date:  2010-10-01    
Medline Journal Info:
Nlm Unique ID:  7505876     Medline TA:  Proc Natl Acad Sci U S A     Country:  United States    
Other Details:
Languages:  eng     Pagination:  5967-71     Citation Subset:  IM    
Affiliation:
Institut Pasteur de Madagascar, Unité de Recherche sur le Paludisme, Antananarivo 101, Madagascar. dmenard@pasteur.fr
Data Bank Information
Bank Name/Acc. No.:
GENBANK/GU130196;  GU130197
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MeSH Terms
Descriptor/Qualifier:
Adolescent
African Continental Ancestry Group / genetics
Asian Continental Ancestry Group / genetics
Base Sequence
Child
Child, Preschool
DNA Primers / genetics
Duffy Blood-Group System* / genetics,  immunology
Erythrocytes / parasitology
Female
Genetic Association Studies
Host-Parasite Interactions / genetics,  immunology
Humans
Madagascar / epidemiology
Malaria, Vivax / blood*,  epidemiology,  genetics
Male
Molecular Sequence Data
Plasmodium vivax / genetics,  growth & development,  pathogenicity
Grant Support
ID/Acronym/Agency:
AI46919/AI/NIAID NIH HHS; TW007872/TW/FIC NIH HHS
Chemical
Reg. No./Substance:
0/DNA Primers; 0/Duffy Blood-Group System

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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