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      Immune Responses in Malaria

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      Cold Spring Harbor Perspectives in Medicine
      Cold Spring Harbor Laboratory

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          Abstract

          <p class="first" id="d6390794e106">Evidence accumulated through the years clearly indicates that antiparasite immune responses can efficiently control malaria parasite infection at all development stages, and under certain circumstances they can prevent parasite infection. Translating these findings into vaccines or immunotherapeutic interventions has been difficult in part because of the extraordinary biological complexity of this parasite, which has several developmental stages expressing unique sets of stage-specific genes and multiple antigens, most of which are antigenically diverse. Nevertheless, in the last 30 years major advances have resulted in characterization of a number of vaccine candidates, exploration of the repertoire of host immune responses to the various parasite stages, and also identification of significant hurdles that need to be overcome. Most important, these advances strengthened the concept that the induction of host immune responses that target all developmental stages of <i>Plasmodium</i> can efficiently control or abrogate <i>Plasmodium</i> infections and strongly support the notion that an effective vaccine can be developed. This vaccine would be a critical component for programs aimed at controlling or eradicating malaria. </p><p class="first" id="d6390794e115">Antiparasite immune responses can efficiently control malaria infections at all stages. Our expanding understanding of these responses is providing a foundation for the development of malaria vaccines. </p>

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          Most cited references98

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          Gamma-globulin and acquired immunity to human malaria.

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            Epidemiology and infectivity of Plasmodium falciparum and Plasmodium vivax gametocytes in relation to malaria control and elimination.

            Malaria remains a major cause of morbidity and mortality in the tropics, with Plasmodium falciparum responsible for the majority of the disease burden and P. vivax being the geographically most widely distributed cause of malaria. Gametocytes are the sexual-stage parasites that infect Anopheles mosquitoes and mediate the onward transmission of the disease. Gametocytes are poorly studied despite this crucial role, but with a recent resurgence of interest in malaria elimination, the study of gametocytes is in vogue. This review highlights the current state of knowledge with regard to the development and longevity of P. falciparum and P. vivax gametocytes in the human host and the factors influencing their distribution within endemic populations. The evidence for immune responses, antimalarial drugs, and drug resistance influencing infectiousness to mosquitoes is reviewed. We discuss how the application of molecular techniques has led to the identification of submicroscopic gametocyte carriage and to a reassessment of the human infectious reservoir. These components are drawn together to show how control measures that aim to reduce malaria transmission, such as mass drug administration and a transmission-blocking vaccine, might better be deployed.
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              A comprehensive survey of the Plasmodium life cycle by genomic, transcriptomic, and proteomic analyses.

              Plasmodium berghei and Plasmodium chabaudi are widely used model malaria species. Comparison of their genomes, integrated with proteomic and microarray data, with the genomes of Plasmodium falciparum and Plasmodium yoelii revealed a conserved core of 4500 Plasmodium genes in the central regions of the 14 chromosomes and highlighted genes evolving rapidly because of stage-specific selective pressures. Four strategies for gene expression are apparent during the parasites' life cycle: (i) housekeeping; (ii) host-related; (iii) strategy-specific related to invasion, asexual replication, and sexual development; and (iv) stage-specific. We observed posttranscriptional gene silencing through translational repression of messenger RNA during sexual development, and a 47-base 3' untranslated region motif is implicated in this process.
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                Author and article information

                Journal
                Cold Spring Harbor Perspectives in Medicine
                Cold Spring Harb Perspect Med
                Cold Spring Harbor Laboratory
                2157-1422
                August 01 2017
                August 2017
                April 07 2017
                : 7
                : 8
                : a025577
                Article
                10.1101/cshperspect.a025577
                5538407
                28389518
                4b5487f6-c8d6-4dea-be43-469ebe0271ea
                © 2017
                History

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