Postgraduate Program in Health Sciences: Infectious Diseases and Tropical Medicine, Medical School, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
Neurosci Lett. 2011 Mar 24;491(3):202-6. doi: 10.1016/j.neulet.2011.01.038. Epub 2011 Jan 21.
Cerebral malaria (CM) is a severe complication resulting from Plasmodium falciparum infection. The underlying mechanisms of CM pathogenesis remain incompletely understood. The imbalance between the release of proinflammatory and anti-inflammatory cytokines has been associated with central nervous system dysfunction found in human and experimental CM. The current study investigated anxiety-like behavior, histopathological changes and release of brain cytokines in C57BL/6 mice infected with Plasmodium berghei strain ANKA (PbA). Anxiety-like behavior was assessed in control and PbA-infected mice using the elevated plus maze test. Histopathological changes in brain tissue were assessed by haematoxylin and eosin staining. Brain concentration of the cytokines IL-1β, IL-4, IL-10, TNF-α and IFN-γ was determined by ELISA. We found that PbA-infected mice on day 5 post-infection presented anxiety symptoms, histopathological alterations in the brainstem, cerebrum and hippocampus and increased cerebral levels of proinflammatory cytokines IL-1β and TNF-α. These findings suggest an involvement of central nervous system inflammatory mediators in anxiety symptoms found in CM.
脑型疟疾(CM)是由恶性疟原虫感染引起的严重并发症。CM 发病机制的潜在机制尚不完全清楚。促炎细胞因子和抗炎细胞因子的释放失衡与人类和实验性 CM 中发现的中枢神经系统功能障碍有关。本研究调查了感染伯氏疟原虫 ANKA 株(PbA)的 C57BL/6 小鼠的焦虑样行为、组织病理学变化和脑细胞因子的释放。使用高架十字迷宫试验评估对照和 PbA 感染小鼠的焦虑样行为。通过苏木精和伊红染色评估脑组织的组织病理学变化。通过 ELISA 测定脑细胞因子 IL-1β、IL-4、IL-10、TNF-α 和 IFN-γ 的脑浓度。我们发现,感染后第 5 天的 PbA 感染小鼠出现焦虑症状、脑干、大脑和海马的组织病理学改变以及促炎细胞因子 IL-1β 和 TNF-α 的脑内水平升高。这些发现表明中枢神经系统炎症介质参与了 CM 中发现的焦虑症状。