摘要

Objective : Although immunity to malaria is reduced in pregnancy, the maternal immune system still continues to respond to malaria infection by the production of antibodies. IgG has been reported to play significant role in immune response against P. falciparum. Anti-MSP-1(19) antibody and reactive oxygen species have been shown to be protective against malaria infection in children. This work assessed the response of anti-MSP-1(19) antibody (a promising blood stage vaccine candidate antigen) and oxidative stress in 250 pregnant women. Methods: Blood samples were collected in dry and wet seasons. Plasmodium falciparum infection was determined by microscopy, anti-MSP-1(19) IgG level was investigated using ELISA. Malondiadelhyde (MDA) and reduced glutathione (GSH) were used as indicators of oxidative stress and they were quantified spectrophotometrically. Results: Parasitaemia was significantly higher (P < 0. 05) in wet than dry season and its level decreased with gravidity. There was a significant increase (P < 0. 05) in anti-MSP-1(19) IgG and MDA levels in the dry than wet season. Anti-MSP-119 IgG and MDA levels were significantly higher in P. falciparum positive primigravidae than P. falciparum negative primigravidae in both wet and dry seasons. In wet season anti-MSP-1(19) IgG level was significantly increased (P < 0. 05) in P. falciparum positive multigravidae than P. falciparum negative. The anti-MSP-1(19) IgG and MDA were significant higher in P. falciparum positive multigravidae than primigravidae. Reduced glutathione (GSH) level was significantly reduced (P < 0. 05) among malaria positive than malaria negative patients in both seasons. Conclusion; This study suggests that IgG and MDA response were positively associated with the presence of malaria infection.

  • 出版日期2009-4