Open Access

ARTICLE

Severe malarial anemia associated with increased soluble Fas ligand (sFasL) concentrations in Gabonese children

Saadou Issifou¹, Elie Mavoungou^1,2, Steffen Borrmann^1,2, Marielle K. Bouyou-Akotet¹, Pierre-Blaise Matsiegui^1,2, Peter G. Kremsner^1,2, Francine Ntoumi^1,2

1 Unité de Recherches Médicales, Hôpital Albert Schweitzer, Lambaréné, Gabon; 2 Sektion Humanparasitologie, Institut für Tropenmedizin, University of Tübingen, Germany

* Corresponding Author: Francine Ntoumi,

European Cytokine Network 2003, 14(4), 238-241.

Abstract

To investigate if severe malarial anemia is associated with specific cytokine overproduction, we evaluated serum levels of soluble Fas ligand (sFasL), tumor necrosis factor (TNF-α) and interleukin-10 (IL-10) from three groups of young children with Plasmodium falciparum infection (asymptomatic cases, uncomplicated malaria cases and severe malarial anemia cases), in a hyperendemic area of Gabon. In uncomplicated cases, only TNF levels were significantly (p < 0.001) increased in comparison to asymptomatic cases with P. falciparum infection. High levels of sFasL, TNF-α and IL-10 were associated with low hemoglobin concentrations, sFasL levels were significantly higher in children with severe malarial anemia (p < 0.001) as compared to both other groups. The parasite density was positively correlated with IL-10, TNF-α and sFasL levels. TNF-α and sFasL, but not IL-10 or parasitemia, were independent predictors of hemoglobin concentrations. These results suggest that, in malaria, a specific dysregulation of the cytokine balance may lead to complications such as severe anemia.

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