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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
Characterization of experimental cerebral malaria by volumetric MRI A comparative study across the sexes
Alicia Comino Garcia Muñoz1, Oumaima Marfouk1, Constance P Michel1
1Faculté des Sciences Médicales et Paramédicales la Timone, Aix-Marseille Université, CNRS, Centre de Résonance Magnétique Biologique et Médicale, UMR 7339, Marseille, France.
Insights
Experimental cerebral malaria (ECM) is more severe in male mice than female mice. Magnetic resonance imaging revealed sex-specific differences in brain swelling and microhemorrhages during ECM development.
Area of Science:
- Neuroscience
- Immunology
- Infectious Diseases
Background:
- Cerebral malaria (CM) is a severe neurological complication of Plasmodium falciparum infection, primarily affecting young children in sub-Saharan Africa.
- CM presents with microhemorrhages, parenchymal lesions, and brain edema on imaging.
- Limited epidemiological and genetic data suggest a potential influence of sex on CM susceptibility and outcomes.
Purpose of the Study:
- To investigate sex-dependent differences in the development of experimental cerebral malaria (ECM) using a murine model.
- To assess brain swelling, lesion distribution, and edema patterns in male and female C57BL/6J mice infected with Plasmodium berghei ANKA.
Main Methods:
- Utilized in vivo magnetic resonance imaging (MRI) for volumetric analysis of brain changes in ECM.
- Infected C57BL/6J mice with Plasmodium berghei ANKA to establish the ECM model.
- Performed quantitative analysis to identify sex-specific alterations in brain edema and microhemorrhages.
Main Results:
- Demonstrated significant sex-dependent differences in brain swelling and lesion distribution during ECM.
- Identified common swelling-prone brain structures (cortex, pons) in both sexes.
- Observed sex-specific alterations in brain edema in structures like the inferior/superior colliculi and midbrain, with males exhibiting more severe ECM.
Conclusions:
- Experimental cerebral malaria exhibits distinct sex-specific pathological features in C57BL/6J mice.
- Male mice show increased severity of ECM compared to female mice.
- Findings highlight the importance of considering sex as a biological variable in CM research and potential therapeutic strategies.
Abstract:
Cerebral malaria (CM), a potentially lethal neurological complication of the infection by Plasmodium falciparum, affects mostly the pediatric population under 5 years old in sub-Saharan Africa. This clinical syndrome is characterized on anatomical brain imaging by microhemorrhages, parenchymal lesions and brain edema. Epidemiological studies based on sex or gender are rare and do not allow to draw any conclusions on a possible sexual dimorphism in CM. However, some regional data and genetic studies suggest a possible influence of sex on the susceptibility to this clinical syndrome and complications in surviving patients. The murine model of experimental cerebral malaria (ECM) in mice has proven to be a useful and reliable tool to study the pathogenic mechanisms and possible therapeutical approaches for CM. In this study, we used in vivo magnetic resonance imaging (MRI) to assess the differences linked to sex in the development of experimental CM in C57BL/6J mice infected with the murine parasite Plasmodium berghei ANKA. Our volumetric analysis reveals sex-dependent differences in brain swelling and lesion distribution, particularly microhemorrhages, as well as a regionalization of brain edema in ECM, with swelling-prone structures common to both sexes like the cortex and the pons, and others which show sex-specific alterations like the inferior and superior colliculi or the midbrain. Together, our results indicate that ECM is more severe in male than in female C57Bl/6J mice.
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