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More than a million people die of malaria each year — most of them infants, young children, and pregnant women, and most of them in Africa. Although severe malaria has a high mortality rate, some children in areas where the disease is endemic might experience only one or two episodes of severe illness before they become resistant to further bouts of the disease.
Dr. Duffy's team is attempting to identify the antibodies and other immunological responses that protect children from severe illness and death due to the malaria parasite Plasmodium falciparum, the most deadly of the four parasite species of human malaria.
Dr. Duffy's team is building on previous research that has found different P. falciparum forms cause different malaria disease syndromes. Serologic analyses have found that the different parasites export specific antigens to the surface of infected red blood cells, and in some cases an individual's immune system responds to these antigens to prevent severe illness and death. Results of the team's studies could help advance development of a malaria vaccine and guide clinical trials. |
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| | | Identify and characterize the parasite forms that are associated with severe malaria | | | | | Correlate the immune system responses that recognize these parasite forms with protection against severe illness | | | | | Identify and characterize the red blood cell surface antigens expressed by severe malaria parasite forms | | | | | Correlate immune response to these antigens with protection against severe malaria | | |
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| | | Established a clinical research center in Tanzania that includes rural satellite clinics to support longitudinal cohort studies and severe malaria hospitalization studies. | | | | | Launched the Genome Science Center, which includes microarray fabrication and analysis capabilities, at Tanzania's Sokoine University. | | | | | Recruited more than 3,000 Tanzanians to take part in studies. An additional 1,000 birth cohort children in the country have completed three years of intensive follow-up, providing investigators with sera and parasite materials to analyze for immuno-parasitologic correlates. | | | | | Conducted analysis of parasite binding phenotypes that found specific adhesion properties are associated with distinct malaria syndromes. Investigators are now using these data to design prospective studies to confirm the associations, and are working to identify the immune responses against these parasite forms that are associated with protection from disease. | | |
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| | | Morogoro Regional Hospital, Morogoro, Tanzania, United Republic of - TZ | | | | | Copenhagen University, Copenhagen, Denmark - DK | | | | | Brown University, Providence, Rhode Island, United States - US | | | | | Sokoine University, Morogoro, Tanzania, United Republic of - TZ | | | | | Rigshospitalet, Copenhagen, Denmark - DK | | |
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