1989
DOI: 10.1056/nejm198906153202404
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Tumor Necrosis Factor and Disease Severity in Children with Falciparum Malaria

Abstract: To investigate the relationship of TNFα levels to Plasmodium falciparum (PF) infection, plasma TNFα concentrations were measured in Pakistani adults and children with mild, severe, cerebral and chronic falciparum malaria and healthy (control) subjects. The initial geometric mean plasma concentrations of TNFα in adult patients with severe malaria (187.6 pg/mL) were significantly higher than mild malaria patients (87.1 pg/mL, P < 0.001). TNFα levels were not correlated to parasite density, cerebral malaria, youn… Show more

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Cited by 781 publications
(454 citation statements)
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“…Elevated levels of proinflammatory cytokines such as TNF-␣ have been associated with disease severity and a poor prognosis, suggesting that excessive secretion of TNF-␣ by monocytes/M s in response to parasite products may promote severe and cerebral malaria (29,30,34). PPAR␥ agonists have been shown to reduce LPS and PMA-induced proinflammatory cytokine secretion from monocytes (44,45).…”
Section: Ppar␥ Agonists Reduce P Falciparum-induced Tnf-␣ From Humanmentioning
confidence: 99%
“…Elevated levels of proinflammatory cytokines such as TNF-␣ have been associated with disease severity and a poor prognosis, suggesting that excessive secretion of TNF-␣ by monocytes/M s in response to parasite products may promote severe and cerebral malaria (29,30,34). PPAR␥ agonists have been shown to reduce LPS and PMA-induced proinflammatory cytokine secretion from monocytes (44,45).…”
Section: Ppar␥ Agonists Reduce P Falciparum-induced Tnf-␣ From Humanmentioning
confidence: 99%
“…Many studies [2][3][4] indicate that elevations in immune mediators such as IL-1, IL-6, IL-8, IL-10, TNF and NO have been associated with disease severity. In particular, high concentrations of TNF have been shown to be associated with disease severity in human Plasmodium falciparum infections and several animal malarias [2]. Mast cells can be a major source of TNF [5], suggesting that they may play an important role in mediating protection from malaria and in disease progression.…”
Section: Introductionmentioning
confidence: 99%
“…5,6 Studies have also shown that the TNF receptor-2 (TNFR2) was upregulated during cerebral malaria in both humans and mice, 7 and more recently interferon-gamma receptor-1 gene (IFNGR1) promoter polymorphisms have been reported to be associated with cerebral malaria. 8 These results suggest that cytokines, cytokine receptors and their downstream signalling pathways are important candidates in host susceptibility to severe malaria.…”
Section: Introductionmentioning
confidence: 99%