Sarr Jean Biram, Remoue Franck, Samb Badara, Dia Ibrahima, Guindo Sohibou, Sow Cheikh, Maiga Sophie, Tine Seydou, Thiam Cheikh, Schacht Anne-Marie, Simondon François, Konate Lassana, Riveau Gilles
Association Espoir Pour La Santé (EPLS) BP 226 Saint-Louis, Senegal.
Malar J. 2007 Sep 1;6:117. doi: 10.1186/1475-2875-6-117.
In sub-Saharan areas, malaria transmission was mainly ensured by Anopheles. gambiae s.l. and Anopheles. funestus vectors. The immune response status to Plasmodium falciparum was evaluated in children living in two villages where malaria transmission was ensured by dissimilar species of Anopheles vectors (An. funestus vs An. gambiae s.l.).
A multi-disciplinary study was performed in villages located in Northern Senegal. Two villages were selected: Mboula village where transmission is strictly ensured by An. gambiae s.l. and Gankette Balla village which is exposed to several Anopheles species but where An. funestus is the only infected vector found. In each village, a cohort of 150 children aged from one to nine years was followed during one year and IgG response directed to schizont extract was determined by ELISA.
Similar results of specific IgG responses according to age and P. falciparum infection were observed in both villages. Specific IgG response increased progressively from one-year to 5-year old children and then stayed high in children from five to nine years old. The children with P. falciparum infection had higher specific antibody responses compared to negative infection children, suggesting a strong relationship between production of specific antibodies and malaria transmission, rather than protective immunity. In contrast, higher variation of antibody levels according to malaria transmission periods were found in Mboula compared to Gankette Balla. In Mboula, the peak of malaria transmission was followed by a considerable increase in antibody levels, whereas low and constant anti-malaria IgG response was observed throughout the year in Gankette Balla.
This study shows that the development of anti-malaria antibody response was profoundly different according to areas where malaria exposure is dependent with different Anopheles species. These results are discussed according to i) the use of immunological tool for the evaluation of malaria transmission and ii) the influence of Anopheles vectors species on the regulation of antibody responses to P. falciparum.
在撒哈拉以南地区,疟疾传播主要由冈比亚按蚊复合种和嗜人按蚊媒介来确保。对生活在两个村庄的儿童进行了针对恶性疟原虫的免疫反应状态评估,这两个村庄的疟疾传播由不同种类的按蚊媒介(嗜人按蚊与冈比亚按蚊复合种)来确保。
在塞内加尔北部的村庄开展了一项多学科研究。选取了两个村庄:姆布拉村,其疟疾传播严格由冈比亚按蚊复合种来确保;甘克特巴拉村,该村接触多种按蚊,但嗜人按蚊是唯一发现的感染媒介。在每个村庄,对150名年龄在1至9岁的儿童进行了为期一年的跟踪,并通过酶联免疫吸附测定法(ELISA)测定针对裂殖体提取物的IgG反应。
在两个村庄均观察到了根据年龄和恶性疟原虫感染情况得出的相似特异性IgG反应结果。特异性IgG反应从1岁儿童到5岁儿童逐渐增加,然后在5至9岁儿童中保持较高水平。与未感染儿童相比,感染恶性疟原虫的儿童具有更高的特异性抗体反应,这表明特异性抗体产生与疟疾传播之间存在密切关系,而非保护性免疫。相比之下,与甘克特巴拉村相比,姆布拉村根据疟疾传播时期的抗体水平变化更大。在姆布拉村,疟疾传播高峰期之后抗体水平大幅上升,而在甘克特巴拉村全年观察到低水平且稳定的抗疟疾IgG反应。
本研究表明,根据疟疾暴露依赖于不同按蚊种类的地区,抗疟疾抗体反应的发展存在显著差异。根据以下两点对这些结果进行了讨论:i)使用免疫工具评估疟疾传播;ii)按蚊媒介种类对恶性疟原虫抗体反应调节的影响。