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In Vivo Tracking of Edema Development and Microvascular Pathology in a Model of Experimental Cerebral Malaria Using Magnetic Resonance Imaging
Published on: June 8, 2017
Desperately Seeking Therapies for Cerebral Malaria
Brittany A Riggle1, Louis H Miller2, Susan K Pierce3
1Laboratory of Immunogenetics, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Rockville, MD 20852; and.
Insights
Malaria, a deadly parasitic disease, causes severe illness in about 1% of children. This review explores malaria
Area of Science:
- Immunology
- Infectious Diseases
- Parasitology
Background:
- Malaria, caused by Plasmodium parasites, is a major global health threat, particularly in Africa.
- While most malaria cases are treatable, a small percentage develop into severe, life-threatening cerebral malaria (CM).
- Cerebral malaria is a leading cause of childhood mortality and lacks effective therapeutic interventions.
Purpose of the Study:
- To provide immunologists with a foundational understanding of malaria.
- To review current research on therapeutic targets for cerebral malaria.
- To elucidate the complex interplay between the Plasmodium parasite and the human immune system in CM pathogenesis.
Main Methods:
- Literature review focusing on malaria and immunology.
- Analysis of immune-mediated aspects of cerebral malaria.
- Identification of potential therapeutic intervention targets.
Main Results:
- Cerebral malaria is a significant cause of death despite effective antiparasitic drugs.
- The immune system plays a critical role in the pathogenesis of CM.
- Progress has been made in identifying potential targets for therapeutic intervention.
Conclusions:
- Understanding the host-parasite-immune interaction is crucial for combating CM.
- Further research into immune-mediated mechanisms may yield novel therapeutic strategies.
- Targeting specific pathways in the immune response could lead to effective treatments for cerebral malaria.
Abstract:
Malaria is a deadly infectious disease caused by parasites of the Plasmodium spp. that takes an estimated 435,000 lives each year, primarily among young African children. For most children, malaria is a febrile illness that resolves with time, but in ∼1% of cases, for reasons we do not understand, malaria becomes severe and life threatening. Cerebral malaria (CM) is the most common form of severe malaria, accounting for the vast majority of childhood deaths from malaria despite highly effective antiparasite chemotherapy. Thus, CM is one of the most prevalent lethal brain diseases, and one for which we have no effective therapy. CM is, in part, an immune-mediated disease, and to fully understand CM, it is essential to appreciate the complex relationship between the malarial parasite and the human immune system. In this study, we provide a primer on malaria for immunologists and, in this context, review progress identifying targets for therapeutic intervention.
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