Enhanced virulence of Plasmodium falciparum in blood of diabetic patients.


Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2021
Historique:
received: 04 10 2020
accepted: 22 03 2021
entrez: 17 6 2021
pubmed: 18 6 2021
medline: 25 2 2023
Statut: epublish

Résumé

Rising prevalence of diabetes in sub-Saharan Africa, coupled with continued malaria transmission, has resulted more patients dealing with both communicable and non-communicable diseases. We previously reported that travelers with type 2 diabetes mellitus (T2DM) infected with Plasmodium falciparum were three times more likely to develop severe malaria than non-diabetics. Here we explore the biological basis for this by testing blood from uninfected subjects with type 1 and type 2 diabetes, ex vivo, for their effects on parasite growth and rosetting (binding of infected erythrocytes to uninfected erythrocytes). Rosetting was associated with type 2 diabetes, blood glucose and erythrocyte sedimentation rate (ESR), while parasite growth was positively associated with blood glucose, glycated hemoglobin (HbA1c), body mass index (BMI), fibrinogen and triglycerides. This study establishes a link between diabetes and malaria virulence assays, potentially explaining the protective effect of good glycemic control against severe malaria in subjects with diabetes.

Identifiants

pubmed: 34138868
doi: 10.1371/journal.pone.0249666
pii: PONE-D-20-31196
pmc: PMC8211161
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0249666

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Jun-Hong Ch'ng (JH)

Department of Microbiology, Tumor and Cell Biology (MTC), Karolinska Institutet, Stockholm, Sweden.
Department of Microbiology and Immunology, National University of Singapore, Singapore, Singapore.

Kirsten Moll (K)

Department of Microbiology, Tumor and Cell Biology (MTC), Karolinska Institutet, Stockholm, Sweden.

Katja Wyss (K)

Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden.
Department of Infectious Diseases, Karolinska University Hospital, Stockholm, Sweden.

Ulf Hammar (U)

Department of Epidemiology, Institute for Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.

Mikael Rydén (M)

Department of Medicine Huddinge, Stockholm, Sweden.
Department of Endocrinology, Karolinska University Hospital, Stockholm, Sweden.

Olle Kämpe (O)

Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden.
Department of Endocrinology, Karolinska University Hospital, Stockholm, Sweden.

Anna Färnert (A)

Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden.
Department of Infectious Diseases, Karolinska University Hospital, Stockholm, Sweden.

Mats Wahlgren (M)

Department of Microbiology, Tumor and Cell Biology (MTC), Karolinska Institutet, Stockholm, Sweden.

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