Recurrent Plasmodium falciparum malaria infections in Kenyan children diminish T-cell immunity to Epstein Barr virus lytic but not latent antigens

Plasmodium falciparum malaria (Pf-malaria) and Epstein Barr Virus (EBV) infections coexist in children at risk for endemic Burkitt's lymphoma (eBL); yet studies have only glimpsed the cumulative effect of Pf-malaria on EBV-specific immunity. Using pooled EBV lytic and latent CD8+ T-cell epitope...

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Veröffentlicht in:PloS one 2012-03, Vol.7 (3), p.e31753-e31753
Hauptverfasser: Snider, Cynthia J, Cole, Stephen R, Chelimo, Kiprotich, Sumba, Peter Odada, Macdonald, Pia D M, John, Chandy C, Meshnick, Steven R, Moormann, Ann M
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container_title PloS one
container_volume 7
creator Snider, Cynthia J
Cole, Stephen R
Chelimo, Kiprotich
Sumba, Peter Odada
Macdonald, Pia D M
John, Chandy C
Meshnick, Steven R
Moormann, Ann M
description Plasmodium falciparum malaria (Pf-malaria) and Epstein Barr Virus (EBV) infections coexist in children at risk for endemic Burkitt's lymphoma (eBL); yet studies have only glimpsed the cumulative effect of Pf-malaria on EBV-specific immunity. Using pooled EBV lytic and latent CD8+ T-cell epitope-peptides, IFN-γ ELISPOT responses were surveyed three times among children (10 months to 15 years) in Kenya from 2002-2004. Prevalence ratios (PR) and 95% confidence intervals (CI) were estimated in association with Pf-malaria exposure, defined at the district-level (Kisumu: holoendemic; Nandi: hypoendemic) and the individual-level. We observed a 46% decrease in positive EBV lytic antigen IFN-γ responses among 5-9 year olds residing in Kisumu compared to Nandi (PR: 0.54; 95% CI: 0.30-0.99). Individual-level analysis in Kisumu revealed further impairment of EBV lytic antigen responses among 5-9 year olds consistently infected with Pf-malaria compared to those never infected. There were no observed district- or individual-level differences between Pf-malaria exposure and EBV latent antigen IFN-γ response. The gradual decrease of EBV lytic antigen but not latent antigen IFN-γ responses after primary infection suggests a specific loss in immunological control over the lytic cycle in children residing in malaria holoendemic areas, further refining our understanding of eBL etiology.
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One</addtitle><date>2012-03-12</date><risdate>2012</risdate><volume>7</volume><issue>3</issue><spage>e31753</spage><epage>e31753</epage><pages>e31753-e31753</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Plasmodium falciparum malaria (Pf-malaria) and Epstein Barr Virus (EBV) infections coexist in children at risk for endemic Burkitt's lymphoma (eBL); yet studies have only glimpsed the cumulative effect of Pf-malaria on EBV-specific immunity. Using pooled EBV lytic and latent CD8+ T-cell epitope-peptides, IFN-γ ELISPOT responses were surveyed three times among children (10 months to 15 years) in Kenya from 2002-2004. Prevalence ratios (PR) and 95% confidence intervals (CI) were estimated in association with Pf-malaria exposure, defined at the district-level (Kisumu: holoendemic; Nandi: hypoendemic) and the individual-level. We observed a 46% decrease in positive EBV lytic antigen IFN-γ responses among 5-9 year olds residing in Kisumu compared to Nandi (PR: 0.54; 95% CI: 0.30-0.99). Individual-level analysis in Kisumu revealed further impairment of EBV lytic antigen responses among 5-9 year olds consistently infected with Pf-malaria compared to those never infected. There were no observed district- or individual-level differences between Pf-malaria exposure and EBV latent antigen IFN-γ response. The gradual decrease of EBV lytic antigen but not latent antigen IFN-γ responses after primary infection suggests a specific loss in immunological control over the lytic cycle in children residing in malaria holoendemic areas, further refining our understanding of eBL etiology.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>22427806</pmid><doi>10.1371/journal.pone.0031753</doi><tpages>e31753</tpages><oa>free_for_read</oa></addata></record>
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subjects Adhesives
Adolescent
Age groups
Analysis
Antigens
Biology
Burkitt Lymphoma - epidemiology
Burkitt Lymphoma - immunology
Burkitt Lymphoma - parasitology
Burkitt Lymphoma - virology
Burkitt's lymphoma
CD8 antigen
CD8-Positive T-Lymphocytes - immunology
Child
Child, Preschool
Children
Coinfection - immunology
Confidence intervals
Cytokines
Data analysis
Development and progression
Diseases
Enzyme-linked immunosorbent assay
Enzyme-Linked Immunospot Assay
Epidemiology
Epitopes
Epstein-Barr virus
Etiology
Exposure
Global health
Health care
Herpesvirus 4, Human - immunology
HIV
Human immunodeficiency virus
Humans
Immunity
Immunity, Cellular - immunology
Immunology
Infant
Infections
Interferon
Interferon-gamma - immunology
Kenya - epidemiology
Liver
Lymphocytes T
Lymphoma
Lymphomas
Malaria
Malaria, Falciparum - epidemiology
Malaria, Falciparum - immunology
Medical research
Medicine
Pediatrics
Peptides
Plasmodium falciparum
Prevalence
Proteins
Public health
Recurrence
Surveys
T cells
Vaccines
Vector-borne diseases
Viruses
γ-Interferon
title Recurrent Plasmodium falciparum malaria infections in Kenyan children diminish T-cell immunity to Epstein Barr virus lytic but not latent antigens
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