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Early In Womb Exposure To Malaria May Explain Future Vulnerability Of The Baby

by Rishika Gupta on Nov 3 2018 11:29 PM

An infant’s defense against future malarial infection might start in the womb depending on the time of infection and if they are exposed to malaria in the womb, finds a new study.

 Early In Womb Exposure To Malaria May Explain Future Vulnerability Of The Baby
In womb exposure to malaria can determine the future vulnerability of the baby to the infection, finds a new study. The findings of this study are published in the BMC Medicine journal.
The results could help explain why some babies are more susceptible to malaria than others during their first year of life.

Despite the large-scale implementation of intermittent preventive treatment (IPTp) to avoid malaria during pregnancy, a great number of babies in endemic countries are born to mothers with infection by Plasmodium falciparum.

The type of prenatal exposure to malaria (whether the infection is systemic or in the placenta) is believed to affect the risk of developing the disease in the first years of life, although the mechanisms are poorly understood.

In this study, the research team evaluated whether prenatal exposure to malaria could lead to changes in the so-called innate immune response, which does not involve antibodies and represents the new-borns' first line of defense against malaria.

To do so, the researchers determined the type of prenatal exposure (i.e., systemic infection versus acute, chronic or past placental infection) in a cohort with over 300 mothers and their babies that had participated in a clinical trial in Burkina Faso.

Using cord blood, they assessed the production of cytokines and chemokines (mediators of the immune system) upon incubation with a series of molecules that are common to many pathogens and recognized by cells from the innate immune system.

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They found that blood cord cells from babies exposed to malaria produced less mediators when non-stimulated, as compared to unexposed babies. However, cells from babies exposed to past placental infection were hyper-reactive upon stimulation.

Certain biomarkers were associated with protection while others were associated with malaria risk during the first year of life. "The different effect on the newborn's immune response depending on the type of exposure may explain why some babies are more susceptible than others to developing malaria," explains Carlota Dobaño, ISGlobal researcher and co-director of the study together with Anna Rosanas-Urgell, from ITM. "This may also have implications regarding how these babies respond to other infections or to vaccines that contain adjuvants," she adds.

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Given that past placental malaria, which potentially occurs early during pregnancy, has a profound effect on the newborn's immune response, the authors conclude "a strategy to screen and treat malaria should be implemented as early as possible in the first trimester."

Source-Eurekalert


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