Early treatment during a primary malaria infection modifies the development of cross immunity

Parasite Immunol. 2004 Jan;26(1):7-17. doi: 10.1111/j.0141-9838.2004.00677.x.

Abstract

We have used a murine model to study the kinetics of cross-protection when a primary infection is halted at different times. We analysed how parasitaemia is modified during a second infection with the homologous parasite, a heterologous parasite, or a mixture of the two. In addition, possible mechanisms involved in cross-protection were analysed. Results show that treatment with pyrimethamine on day 5 during a primary infection with P. chabaudi AS (non-lethal), prevents the generation of cross-protection to a new challenge with lethal P. yoelii 17XL. In contrast, when treatment is on day 7, mice survive a P. yoelii infection. Differences between both groups suggest that in order for 'preimmune' mice to survive a lethal challenge, a predominantly TH2-type response is required, with a higher mRNA expression level of IL-4 and IL-10, and a lower mRNA expression of IFN-gamma. This work shows that an early treatment of a malaria infection produced by a non-lethal parasite drives the immune response towards a loss of cross-protection to further infections, in particular with more virulent parasites. This finding should be taken into account for the development of effective malaria vaccines.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antibodies, Protozoan / blood
  • Antibodies, Protozoan / immunology*
  • Body Weight
  • Cross Reactions
  • Gene Expression
  • Hemoglobins / analysis
  • Immunity, Active
  • Immunoglobulin G / blood
  • Immunoglobulin M / blood
  • Interferon-gamma / genetics
  • Interleukin-10 / genetics
  • Interleukin-4 / genetics
  • Malaria / drug therapy*
  • Malaria / immunology*
  • Malaria / parasitology
  • Malaria / pathology
  • Mice
  • Mice, Inbred CBA
  • Parasitemia
  • Plasmodium chabaudi / drug effects
  • Plasmodium chabaudi / immunology*
  • Plasmodium yoelii / immunology*
  • Pyrimethamine / administration & dosage
  • Pyrimethamine / therapeutic use*
  • RNA, Messenger / isolation & purification
  • RNA, Messenger / metabolism

Substances

  • Antibodies, Protozoan
  • Hemoglobins
  • Immunoglobulin G
  • Immunoglobulin M
  • RNA, Messenger
  • Interleukin-10
  • Interleukin-4
  • Interferon-gamma
  • Pyrimethamine