Cerebral Malaria: Current Clinical and Immunological Aspects
- PMID: 35514965
- PMCID: PMC9067128
- DOI: 10.3389/fimmu.2022.863568
Cerebral Malaria: Current Clinical and Immunological Aspects
Abstract
This review focuses on current clinical and immunological aspects of cerebral malaria induced by Plasmodium falciparum infection. Albeit many issues concerning the inflammatory responses remain unresolved and need further investigations, current knowledge of the underlying molecular mechanisms is highlighted. Furthermore, and in the light of significant limitations in preventative diagnosis and treatment of cerebral malaria, this review mainly discusses our understanding of immune mechanisms in the light of the most recent research findings. Remarkably, the newly proposed CD8+ T cell-driven pathophysiological aspects within the central nervous system are summarized, giving first rational insights into encouraging studies with immune-modulating adjunctive therapies that protect from symptomatic cerebral participation of Plasmodium falciparum infection.
Keywords: CD8+; T cell sequestration; activation of the brain endothelium; blood brain barrier (BBB); cerebral malaria (CM); host virulence factors; parasite virulence factors; pathophysiology of CM.
Copyright © 2022 Albrecht-Schgoer, Lackner, Schmutzhard and Baier.
Conflict of interest statement
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Figures
References
-
- Barber BE, Grigg MJ, Piera KA, William T, Cooper DJ, Plewes K, et al. . Intravascular Haemolysis in Severe Plasmodium Knowlesi Malaria: Association With Endothelial Activation, Microvascular Dysfunction, and Acute Kidney Injury. Emerg Microbes Infect (2018) 7(1):106. doi: 10.1038/s41426-018-0105-2 - DOI - PMC - PubMed
-
- WHO . World Malaria Report 2021 Vol. 322. World Health Organization; (2021). Geneva, Licence: CC BY-NC-SA 3.0 IGO.
-
- WHO . Guidelines for the Treatment of Malaria - Third Edition. (2015). Geneva, World Health Organization, Licence: CC BY-NC-SA 3.0 IGO
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Research Materials
