Altered phenotype and gene transcription in endothelial cells, induced by Plasmodium falciparum-infected red blood cells: Pathogenic or protective?
2007

Effects of Infected Red Blood Cells on Endothelial Cells in Malaria

publication 10 minutes Evidence: moderate

Author Information

Author(s): Chakravorty Srabasti J., Carret Celine, Nash Gerard B., Ivens Al, Szestak Tadge, Craig Alister G.

Primary Institution: Liverpool School of Tropical Medicine, University of Liverpool

Hypothesis

Does prolonged exposure to Plasmodium falciparum-infected red blood cells modulate endothelial cell function?

Conclusion

Infected red blood cells can modulate endothelial cell responses, enhancing inflammatory markers and adhesion molecule expression in the presence of low levels of TNF.

Supporting Evidence

  • ICAM-1 expression was significantly up-regulated in the presence of both PRBCs and TNF.
  • IL-8 release was further amplified when endothelial cells were exposed to PRBCs and TNF.
  • Soluble TNF receptors were significantly increased following treatment with PRBCs or uninfected RBCs.

Takeaway

When sick red blood cells stick to blood vessel cells, they can make those cells more sticky and cause inflammation, especially when a tiny bit of a signaling molecule called TNF is around.

Methodology

The study used co-culture of human umbilical vein endothelial cells with infected and uninfected red blood cells, analyzing gene expression and protein release.

Potential Biases

Potential bias in interpreting results due to the artificial nature of the co-culture system.

Limitations

The study was conducted in vitro, which may not fully replicate in vivo conditions.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1016/j.ijpara.2007.02.006

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