Endothelial-Leukocyte Interaction in Severe Malaria: Beyond the Brain

Malaria is the most important parasitic disease worldwide, accounting for 1 million deaths each year. Severe malaria is a systemic illness characterized by dysfunction of brain tissue and of one or more peripheral organs as lungs and kidney. The most severe and most studied form of malaria is associ...

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Main Authors: Mariana C. Souza, Tatiana A. Padua, Maria G. Henriques
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2015/168937
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author Mariana C. Souza
Tatiana A. Padua
Maria G. Henriques
author_facet Mariana C. Souza
Tatiana A. Padua
Maria G. Henriques
author_sort Mariana C. Souza
collection DOAJ
description Malaria is the most important parasitic disease worldwide, accounting for 1 million deaths each year. Severe malaria is a systemic illness characterized by dysfunction of brain tissue and of one or more peripheral organs as lungs and kidney. The most severe and most studied form of malaria is associated with cerebral complications due to capillary congestion and the adhesion of infected erythrocytes, platelets, and leukocytes to brain vasculature. Thus, leukocyte rolling and adhesion in the brain vascular bed during severe malaria is singular and distinct from other models of inflammation. The leukocyte/endothelium interaction and neutrophil accumulation are also observed in the lungs. However, lung interactions differ from brain interactions, likely due to differences in the blood-brain barrier and blood-air barrier tight junction composition of the brain and lung endothelium. Here, we review the importance of endothelial dysfunction and the mechanism of leukocyte/endothelium interaction during severe malaria. Furthermore, we hypothesize a possible use of adjunctive therapies to antimalarial drugs that target the interaction between the leukocytes and the endothelium.
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institution Kabale University
issn 0962-9351
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series Mediators of Inflammation
spelling doaj-art-8053068eb1cd453eb4eba8c50731f1482025-02-03T07:24:51ZengWileyMediators of Inflammation0962-93511466-18612015-01-01201510.1155/2015/168937168937Endothelial-Leukocyte Interaction in Severe Malaria: Beyond the BrainMariana C. Souza0Tatiana A. Padua1Maria G. Henriques2Laboratory of Applied Pharmacology, Farmanguinhos, Oswaldo Cruz Foundation, Avenida Brasil 4365, Manguinhos, 21040-900 Rio de Janeiro, RJ, BrazilLaboratory of Applied Pharmacology, Farmanguinhos, Oswaldo Cruz Foundation, Avenida Brasil 4365, Manguinhos, 21040-900 Rio de Janeiro, RJ, BrazilLaboratory of Applied Pharmacology, Farmanguinhos, Oswaldo Cruz Foundation, Avenida Brasil 4365, Manguinhos, 21040-900 Rio de Janeiro, RJ, BrazilMalaria is the most important parasitic disease worldwide, accounting for 1 million deaths each year. Severe malaria is a systemic illness characterized by dysfunction of brain tissue and of one or more peripheral organs as lungs and kidney. The most severe and most studied form of malaria is associated with cerebral complications due to capillary congestion and the adhesion of infected erythrocytes, platelets, and leukocytes to brain vasculature. Thus, leukocyte rolling and adhesion in the brain vascular bed during severe malaria is singular and distinct from other models of inflammation. The leukocyte/endothelium interaction and neutrophil accumulation are also observed in the lungs. However, lung interactions differ from brain interactions, likely due to differences in the blood-brain barrier and blood-air barrier tight junction composition of the brain and lung endothelium. Here, we review the importance of endothelial dysfunction and the mechanism of leukocyte/endothelium interaction during severe malaria. Furthermore, we hypothesize a possible use of adjunctive therapies to antimalarial drugs that target the interaction between the leukocytes and the endothelium.http://dx.doi.org/10.1155/2015/168937
spellingShingle Mariana C. Souza
Tatiana A. Padua
Maria G. Henriques
Endothelial-Leukocyte Interaction in Severe Malaria: Beyond the Brain
Mediators of Inflammation
title Endothelial-Leukocyte Interaction in Severe Malaria: Beyond the Brain
title_full Endothelial-Leukocyte Interaction in Severe Malaria: Beyond the Brain
title_fullStr Endothelial-Leukocyte Interaction in Severe Malaria: Beyond the Brain
title_full_unstemmed Endothelial-Leukocyte Interaction in Severe Malaria: Beyond the Brain
title_short Endothelial-Leukocyte Interaction in Severe Malaria: Beyond the Brain
title_sort endothelial leukocyte interaction in severe malaria beyond the brain
url http://dx.doi.org/10.1155/2015/168937
work_keys_str_mv AT marianacsouza endothelialleukocyteinteractioninseveremalariabeyondthebrain
AT tatianaapadua endothelialleukocyteinteractioninseveremalariabeyondthebrain
AT mariaghenriques endothelialleukocyteinteractioninseveremalariabeyondthebrain