» Articles » PMID: 27939609

EPCR and Malaria Severity: The Center of a Perfect Storm

Overview
Specialty Parasitology
Date 2016 Dec 13
PMID 27939609
Citations 51
Authors
Affiliations
Soon will be listed here.
Abstract

Severe malaria due to Plasmodium falciparum infection causes nearly half a million deaths per year. The different symptomatology and disease manifestations among patients have hampered understanding of severe malaria pathology and complicated efforts to develop targeted disease interventions. Infected erythrocyte sequestration in the microvasculature plays a critical role in the development of severe disease, and there is increasing evidence that cytoadherent parasites interact with host factors to enhance the damage caused by the parasite. The recent discovery that parasite binding to endothelial protein C receptor (EPCR) is associated with severe disease has suggested new mechanisms of pathology and provided new avenues for severe malaria adjunctive therapy research.

Citing Articles

Transcriptional responses of brain endothelium to patient-derived isolates .

Askonas C, Storm J, Camarda G, Craig A, Pain A Microbiol Spectr. 2024; 12(7):e0072724.

PMID: 38864616 PMC: 11218514. DOI: 10.1128/spectrum.00727-24.


Unravelling mysteries at the perivascular space: a new rationale for cerebral malaria pathogenesis.

Wassmer S, de Koning-Ward T, Grau G, Pai S Trends Parasitol. 2023; 40(1):28-44.

PMID: 38065791 PMC: 11072469. DOI: 10.1016/j.pt.2023.11.005.


Different PfEMP1-expressing Plasmodium falciparum variants induce divergent endothelial transcriptional responses during co-culture.

Othman B, Zeef L, Szestak T, Rchiad Z, Storm J, Askonas C PLoS One. 2023; 18(11):e0295053.

PMID: 38033133 PMC: 10688957. DOI: 10.1371/journal.pone.0295053.


Pathogenetic mechanisms and treatment targets in cerebral malaria.

Hadjilaou A, Brandi J, Riehn M, Friese M, Jacobs T Nat Rev Neurol. 2023; 19(11):688-709.

PMID: 37857843 DOI: 10.1038/s41582-023-00881-4.


Natural immunity to malaria preferentially targets the endothelial protein C receptor-binding regions of PfEMP1s.

Tewey M, Coulibaly D, Lawton J, Stucke E, Zhou A, Berry A mSphere. 2023; 8(5):e0045123.

PMID: 37791774 PMC: 10597466. DOI: 10.1128/msphere.00451-23.


References
1.
Warimwe G, Fegan G, Musyoki J, Newton C, Opiyo M, Githinji G . Prognostic indicators of life-threatening malaria are associated with distinct parasite variant antigen profiles. Sci Transl Med. 2012; 4(129):129ra45. PMC: 3491874. DOI: 10.1126/scitranslmed.3003247. View

2.
Beare N, Harding S, Taylor T, Lewallen S, Molyneux M . Perfusion abnormalities in children with cerebral malaria and malarial retinopathy. J Infect Dis. 2008; 199(2):263-71. PMC: 2757304. DOI: 10.1086/595735. View

3.
Wassmer S, Lepolard C, Traore B, Pouvelle B, Gysin J, Grau G . Platelets reorient Plasmodium falciparum-infected erythrocyte cytoadhesion to activated endothelial cells. J Infect Dis. 2004; 189(2):180-9. DOI: 10.1086/380761. View

4.
MacCormick I, Beare N, Taylor T, Barrera V, White V, Hiscott P . Cerebral malaria in children: using the retina to study the brain. Brain. 2014; 137(Pt 8):2119-42. PMC: 4107732. DOI: 10.1093/brain/awu001. View

5.
Lewallen S, White V, Whitten R, Gardiner J, Hoar B, Lindley J . Clinical-histopathological correlation of the abnormal retinal vessels in cerebral malaria. Arch Ophthalmol. 2000; 118(7):924-8. View