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Publication : Evidence for multiple pathologic and protective mechanisms of murine cerebral malaria.

First Author  Jennings VM Year  1998
Journal  Infect Immun Volume  66
Issue  12 Pages  5972-9
PubMed ID  9826380 Mgi Jnum  J:51259
Mgi Id  MGI:1314945 Doi  10.1128/iai.66.12.5972-5979.1998
Citation  Jennings VM, et al. (1998) Evidence for multiple pathologic and protective mechanisms of murine cerebral malaria. Infect Immun 66(12):5972-9
abstractText  Murine cerebral malaria (CM) induced by Plasmodium berghei ANKA kills susceptible mice within 24 to 48 h of onset of symptoms and is characterized by the production of inflammatory cytokines in the brain. C57BL/6J mice are sensitive to lethal CM, while A/J mice are resistant. These strains of mice were immunized with an adjuvant vaccine of killed whole-blood-stage parasites. The immunization protected C57BL/6 mice from lethal CM following virulent challenge. The same immunization increased the incidence of lethal CM in A/J mice challenged similarly. Histopathologic examination of the brains of mice from these studies revealed two distinct types of lesions. Type I CM is acute in onset; usually lethal; and characterized by widespread microglial activation, endothelial cell damage, and microvascular disruption in the brain. Type II CM is characterized by intense, but focal, mononuclear cell inflammation without endothelial cell damage or microvascular destruction. Animals with type II lesions were clinically normal and protected from type I lesions. Available clinical, epidemiological, and biochemical evidence suggests that type I and type II lesions might exist in human CM as well.
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