New discovery points the way towards malaria 鈥渧accine鈥
MUHC/缅北强奸 study opens the door to malaria-prevention therapies
Malaria kills anywhere from one to three million people around
the world annually and affects the lives of up to 500 million more.
Yet until now, scientists did not fully understand exactly how the
process that caused the disease鈥檚 severe hallmark fevers
began.
A team led by Dr. Martin Olivier from the Research Institute of the
缅北强奸 Health Centre (RI-MUHC) and 缅北强奸 in
Montreal has solved this mystery, and may have blazed a trail
towards the development of vaccine-like treatments to limit the
severity of the devastating parasitic ailment. . The results of
their study will be published August 21 in the journal PLoS
Pathogens.
Malaria is a mosquito-borne infectious disease spread by parasites
from the Plasmodium family. Inside the human body, the malaria
parasite infects red blood cells where it survives and reproduces
by feeding on the cells鈥 contents. Eventually the cells burst,
releasing the parasites and also a waste byproduct of their
reproductive process: hemozoin.
Researchers at the RI-MUHC and 缅北强奸, discovered that
hemozoin, a crystal-like substance may be the missing link that
explains why malaria leads to devastating inflammation and
fever.
鈥淥ur results describe the mechanism by which the hemozoin activates
the immune system, resulting in the production of inflammation
mediators and in the high fever that we witness in malaria
patients,鈥 said study first-author Dr. Marina Tiemi Shio of the
RI-MUHC.
Hemozoin is first ingested by 鈥榗leaning鈥 cells called macrophages,
explained the researcher which leads to a chain reaction ending in
the activation of the inflammasome: an important structure inside
immune cells which lead to inflammation. Activation of the
inflammasome produces the body鈥檚 fever mediator, interleukin beta
(IL-beta).
鈥淥ur work is a milestone in that it is the first study that reveals
the enzymes that act as intermediary between the hemozoin and
inflammasome,鈥 explained Dr. Olivier. 鈥淣ow our picture of the
process that goes from infection to fever is more or less
complete.鈥
鈥淥n the other hand we also proved that malaria is too complex to be
narrowed down to one single mechanism,鈥 he continued. 鈥淚n the
absence of either IL-beta or a functional inflammsaome, the
development of the disease is delayed but not completely stopped.
Although the discovery of this relationship is important, there are
other mechanisms at work.鈥
The mechanisms that go from the activation of the inflammasome to
the onset of the malaria symptoms were already familiar to
scientists, but until now the beginning of the process was unknown.
鈥淭hese results prove the primary role hemozoin plays in the
development of malaria, and designates it as a favoured choice for
future innovative treatments,鈥 added Dr. Olivier.
The researchers believe it will be possible to familiarize the
immune system to small quantities of hemozoin and diminish the
inflammatory response in the event of infection, according to a
principle similar to that of vaccines.
Dr. Martin Olivier is a researcher in the Infection and Immunity
Axis of the Research Institute of the 缅北强奸 Health
Centre. He is also Associate Professor at 缅北强奸鈥檚
Faculty of Medicine.
Dr Marina Tiemi Shio
Dr Marina Tiemi Shio is a post-doctoral trainee with Dr Olivier,
working in the Infection and Immunity Axis of the Research
Institute of the 缅北强奸 Health Centre.
Funding
This study was funded by a grant from the Canadian Institutes of
Health Research (CIHR).
Partners
This article was co-authored by Dr. Marina Tiemi Sho, Dr. Myriam
Savaria, Dr. Marie-Jos茅e Bellemare, from the Research Institute of
the 缅北强奸 Health Centre and 缅北强奸, Dr. D.
Scott Bohle from 缅北强奸 and Dr. Martin Olivier from the
RI MUHC and 缅北强奸 and, by Dr. Stephanie C. Eisenbarth,
and Dr. Richard A. Flavell from Yale University, by Dr. Adrien F.
Vinet and Dr. Albert Descoteaux of the l鈥橧nstitut Armand-Frappier,
by Dr. Kenneth W. Harder of the University of British Columbia, and
by Dr. Fayyaz S. Sutterwala from the University of Iowa.
Once the embargo is lifted you will find this press release, with
the original article and a short audio interview by following this
link:
The 缅北强奸 Health Centre
The 缅北强奸 Health Centre (MUHC) is a comprehensive
academic health institution with an international reputation for
excellence in clinical programs, research and teaching. Its partner
hospitals are the Montreal Children's Hospital, the Montreal
General Hospital, the Royal Victoria Hospital, the Montreal
Neurological Hospital, the Montreal Chest Institute and the Lachine
Hospital. The goal of the MUHC is to provide patient care based on
the most advanced knowledge in the health care field and to
contribute to the development of new knowledge.
The Research Institute of the 缅北强奸 Health
Centre (RI MUHC) is a world-renowned biomedical and
health-care hospital research centre. Located in Montreal, Quebec,
the institute is the research arm of the MUHC, the university
health center affiliated with the Faculty of Medicine at 缅北强奸
University. The institute supports over 600 researchers, nearly
1200 graduate and post-doctoral students and operates more than 300
laboratories devoted to a broad spectrum of fundamental and
clinical research. The Research Institute operates at the forefront
of knowledge, innovation and technology and is inextricably linked
to the clinical programs of the MUHC, ensuring that patients
benefit directly from the latest research-based knowledge.
The Research Institute of the MUHC is supported in part by the
Fonds de la recherche en sant茅 du Qu茅bec.
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mark.shainblum [at] mcgill.ca