Association between RANTES/CCL5 levels with Plasmodium infections and malaria severity: a systematic review

Abstract Background Malaria continues to be a significant global health concern, and developing effective therapeutic strategies requires an understanding of the immune response to the disease. This systematic review synthesized the current body of research on the role of regulated on activation, no...

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Main Authors: Pattamaporn Kwankaew, Aongart Mahittikorn, Wanida Mala, Kwuntida Uthaisar Kotepui, Nsoh Godwin Anabire, Polrat Wilairatana, Manas Kotepui
Format: Article
Language:English
Published: BMC 2024-11-01
Series:Malaria Journal
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Online Access:https://doi.org/10.1186/s12936-024-05152-1
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author Pattamaporn Kwankaew
Aongart Mahittikorn
Wanida Mala
Kwuntida Uthaisar Kotepui
Nsoh Godwin Anabire
Polrat Wilairatana
Manas Kotepui
author_facet Pattamaporn Kwankaew
Aongart Mahittikorn
Wanida Mala
Kwuntida Uthaisar Kotepui
Nsoh Godwin Anabire
Polrat Wilairatana
Manas Kotepui
author_sort Pattamaporn Kwankaew
collection DOAJ
description Abstract Background Malaria continues to be a significant global health concern, and developing effective therapeutic strategies requires an understanding of the immune response to the disease. This systematic review synthesized the current body of research on the role of regulated on activation, normal T cell expressed and secreted (RANTES)—in the pathogenesis and disease severity of malaria. Methods A systematic review protocol was registered with PROSPERO under the registration number CRD42024535822. The systematic review was conducted following PRISMA guidelines to identify studies examining RANTES levels in individuals infected with Plasmodium species. Searches were performed across multiple databases, including ProQuest, Journals@Ovid, Embase, Scopus, PubMed, and MEDLINE. Further searches were performed in Google Scholar. Quality assessment was done using the Joanna Briggs Institute (JBI) critical appraisal tools. Alterations in RANTES levels in patients with malaria were synthesized narratively. Results A comprehensive search of major databases identified 22 studies meeting inclusion criteria, predominantly focusing on Plasmodium falciparum and Plasmodium vivax infections. RANTES levels were found to vary significantly across different severities of malaria, with several studies reporting lower levels in severe cases compared to non-malarial controls. However, inconsistencies were observed in the alterations of RANTES levels between severe and non-severe malaria cases. Conclusion Taken together, the finding of this systematic review underscore the complex regulation of RANTES in malaria pathophysiology. Future research should focus on longitudinal assessments to elucidate the dynamic role of RANTES throughout the course of malaria and recovery, to potentially inform the design of novel therapeutic strategies.
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spelling doaj-art-4e7404b9980b4408978bb09a041a28db2025-08-20T02:13:32ZengBMCMalaria Journal1475-28752024-11-0123111710.1186/s12936-024-05152-1Association between RANTES/CCL5 levels with Plasmodium infections and malaria severity: a systematic reviewPattamaporn Kwankaew0Aongart Mahittikorn1Wanida Mala2Kwuntida Uthaisar Kotepui3Nsoh Godwin Anabire4Polrat Wilairatana5Manas Kotepui6Medical Technology, School of Allied Health Sciences, Walailak UniversityDepartment of Protozoology, Faculty of Tropical Medicine, Mahidol UniversityMedical Technology Program, Faculty of Science, Nakhon Phanom UniversityMedical Technology Program, Faculty of Science, Nakhon Phanom UniversityDepartment of Biochemistry & Molecular Medicine, School of Medicine, University for Development StudiesDepartment of Clinical Tropical Medicine, Faculty of Tropical Medicine, Mahidol UniversityMedical Technology Program, Faculty of Science, Nakhon Phanom UniversityAbstract Background Malaria continues to be a significant global health concern, and developing effective therapeutic strategies requires an understanding of the immune response to the disease. This systematic review synthesized the current body of research on the role of regulated on activation, normal T cell expressed and secreted (RANTES)—in the pathogenesis and disease severity of malaria. Methods A systematic review protocol was registered with PROSPERO under the registration number CRD42024535822. The systematic review was conducted following PRISMA guidelines to identify studies examining RANTES levels in individuals infected with Plasmodium species. Searches were performed across multiple databases, including ProQuest, Journals@Ovid, Embase, Scopus, PubMed, and MEDLINE. Further searches were performed in Google Scholar. Quality assessment was done using the Joanna Briggs Institute (JBI) critical appraisal tools. Alterations in RANTES levels in patients with malaria were synthesized narratively. Results A comprehensive search of major databases identified 22 studies meeting inclusion criteria, predominantly focusing on Plasmodium falciparum and Plasmodium vivax infections. RANTES levels were found to vary significantly across different severities of malaria, with several studies reporting lower levels in severe cases compared to non-malarial controls. However, inconsistencies were observed in the alterations of RANTES levels between severe and non-severe malaria cases. Conclusion Taken together, the finding of this systematic review underscore the complex regulation of RANTES in malaria pathophysiology. Future research should focus on longitudinal assessments to elucidate the dynamic role of RANTES throughout the course of malaria and recovery, to potentially inform the design of novel therapeutic strategies.https://doi.org/10.1186/s12936-024-05152-1PlasmodiumMalariaRANTESCCL5Systematic review
spellingShingle Pattamaporn Kwankaew
Aongart Mahittikorn
Wanida Mala
Kwuntida Uthaisar Kotepui
Nsoh Godwin Anabire
Polrat Wilairatana
Manas Kotepui
Association between RANTES/CCL5 levels with Plasmodium infections and malaria severity: a systematic review
Malaria Journal
Plasmodium
Malaria
RANTES
CCL5
Systematic review
title Association between RANTES/CCL5 levels with Plasmodium infections and malaria severity: a systematic review
title_full Association between RANTES/CCL5 levels with Plasmodium infections and malaria severity: a systematic review
title_fullStr Association between RANTES/CCL5 levels with Plasmodium infections and malaria severity: a systematic review
title_full_unstemmed Association between RANTES/CCL5 levels with Plasmodium infections and malaria severity: a systematic review
title_short Association between RANTES/CCL5 levels with Plasmodium infections and malaria severity: a systematic review
title_sort association between rantes ccl5 levels with plasmodium infections and malaria severity a systematic review
topic Plasmodium
Malaria
RANTES
CCL5
Systematic review
url https://doi.org/10.1186/s12936-024-05152-1
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