2016
DOI: 10.1371/journal.pntd.0004479
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Polymorphisms in Plasmodium vivax Circumsporozoite Protein (CSP) Influence Parasite Burden and Cytokine Balance in a Pre-Amazon Endemic Area from Brazil

Abstract: Mechanisms involved in severe P. vivax malaria remain unclear. Parasite polymorphisms, parasite load and host cytokine profile may influence the course of infection. In this study, we investigated the influence of circumsporozoite protein (CSP) polymorphisms on parasite load and cytokine profile in patients with vivax malaria. A cross-sectional study was carried out in three cities: São Luís, Cedral and Buriticupu, Maranhão state, Brazil, areas of high prevalence of P. vivax. Interleukin (IL)-2, IL-4, IL-10, I… Show more

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Cited by 19 publications
(23 citation statements)
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“…Moreover, CSP is highly immunogenic and one of the most studied epitope of Plasmodium . Particularly in P. vivax the VK247 and VK210 variants are present woodwind and are highly conserved [ 32 ] which make the use of a chimeric protein joining these two variations extremely attractive for vaccine development.…”
Section: Resultsmentioning
confidence: 99%
“…Moreover, CSP is highly immunogenic and one of the most studied epitope of Plasmodium . Particularly in P. vivax the VK247 and VK210 variants are present woodwind and are highly conserved [ 32 ] which make the use of a chimeric protein joining these two variations extremely attractive for vaccine development.…”
Section: Resultsmentioning
confidence: 99%
“…Understanding the Th1/Th2 response pattern is of great importance for understanding the host's defense, and these antagonistic responses allow for the homeostasis of the immune system, which is important for parasite containment [ 70 ]. In cases in which an inflammatory pattern is prevalent, the disease tends to be more severe [ 5 ].…”
Section: Discussionmentioning
confidence: 99%
“…The P. vivax CSP protein contains a variable central region that is composed of two nanopeptides that repeat in tandem and result in the two major molecular variants of the protein, VK210 and VK247 [ 18 ]. Local and global variations have been reported in the distribution of the two variants [ 19 , 20 ] and also variation in vector susceptibility towards the two forms [ 21 ].…”
Section: Methodsmentioning
confidence: 99%