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As malaria has powerful immunomodulatory effects, we tested the hypothesis that PM predicts reduced T-cell responses to vaccine challenge.
One hundred and seven placentae were investigated for malaria infection using polymerase chain reaction (PCR) and histology.
These results demonstrate that the DBL4ɛ-ID4 antigen is highly immunogenic and that binding inhibitory antibodies are induced when formulated with any of the tested adjuvants.
Thus, our results show that active PM at delivery is associated with a marked suppression of P. falciparum-specific cellular neonatal immune responses, affecting secretion of both pro- and anti-inflammatory cytokines.
We have read with great interest the article by Muehlenbachs et al [ 1], in which the authors present a histological grading scheme for placental malaria. The authors emphasize that the basic aim of the proposal is to provide a tool to improve the comparison and standardization between the studies conducted in different geographical areas.
Studies conducted in The Gambia and Malawi suggest that blood group O confers a higher risk of active placental infection in primiparae, but a significantly lower risk in multiparae.
Binding inhibitory antibodies appeared to be against conformational B-cell epitopes.
More care should be taken to ensure proper nutrition and malaria prevention such as bed nets and intermittent preventive treatments to avoid these diseases and their effects on maternal and perinatal outcomes.
The general aim of this work was to examine whether common polymorphisms of genes involved in chondroitin sulphate A (CSA) synthesis influence susceptibility to and manifestation of malaria during pregnancy.