Relative Susceptibilities of ABO Blood Groups to Plasmodium falciparum Malaria in Ghana

The clinical outcome of falciparum malaria in endemic areas is influenced by erythrocyte polymorphisms including the ABO blood groups. Studies have reported association of ABO blood group to resistance, susceptibility, and severity of P. falciparum malaria infection. Individuals with blood group “A”...

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Main Authors: Richmond Afoakwah, Edmond Aubyn, James Prah, Ekene Kwabena Nwaefuna, Johnson N. Boampong
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Advances in Hematology
Online Access:http://dx.doi.org/10.1155/2016/5368793
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author Richmond Afoakwah
Edmond Aubyn
James Prah
Ekene Kwabena Nwaefuna
Johnson N. Boampong
author_facet Richmond Afoakwah
Edmond Aubyn
James Prah
Ekene Kwabena Nwaefuna
Johnson N. Boampong
author_sort Richmond Afoakwah
collection DOAJ
description The clinical outcome of falciparum malaria in endemic areas is influenced by erythrocyte polymorphisms including the ABO blood groups. Studies have reported association of ABO blood group to resistance, susceptibility, and severity of P. falciparum malaria infection. Individuals with blood group “A” have been found to be highly susceptible to falciparum malaria whereas blood group “O” is said to confer protection against complicated cases. We analyzed samples from 293 young children less than six years old with malaria in the Korle-Bu Teaching Hospital in Accra, Ghana. It was observed that group O was present in about 16.1% of complicated cases weighed against 40.9% of uncomplicated controls. Individuals with complicated malaria were about twice likely to be of blood groups A and B compared to group O (A versus O, OR = 1.90, 95% CI = 1.59–2.26, P<0.0001; B versus O, OR = 1.82. 95% CI = 1.57–2.23, P<0.0001). Blood group O participants with complicated diseases had low parasitaemia compared to the other blood groups (P<0.0001). This may give blood group O individuals a survival advantage over the other groups in complicated malaria as suggested. Participants with complicated falciparum malaria were generally anaemic and younger than those with uncomplicated disease.
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spelling doaj-art-848ee04699b042cbb088fc21db1cfd0a2025-02-03T01:28:12ZengWileyAdvances in Hematology1687-91041687-91122016-01-01201610.1155/2016/53687935368793Relative Susceptibilities of ABO Blood Groups to Plasmodium falciparum Malaria in GhanaRichmond Afoakwah0Edmond Aubyn1James Prah2Ekene Kwabena Nwaefuna3Johnson N. Boampong4Department of Biomedical and Forensic Sciences, University of Cape Coast, Cape Coast, GhanaDepartment of Biomedical and Forensic Sciences, University of Cape Coast, Cape Coast, GhanaUniversity Hospital, University of Cape Coast, Cape Coast, GhanaVector Genetics Laboratory, Biotechnology and Nuclear Agriculture Research Institute, Atomic Energy Commission, Accra, GhanaDepartment of Biomedical and Forensic Sciences, University of Cape Coast, Cape Coast, GhanaThe clinical outcome of falciparum malaria in endemic areas is influenced by erythrocyte polymorphisms including the ABO blood groups. Studies have reported association of ABO blood group to resistance, susceptibility, and severity of P. falciparum malaria infection. Individuals with blood group “A” have been found to be highly susceptible to falciparum malaria whereas blood group “O” is said to confer protection against complicated cases. We analyzed samples from 293 young children less than six years old with malaria in the Korle-Bu Teaching Hospital in Accra, Ghana. It was observed that group O was present in about 16.1% of complicated cases weighed against 40.9% of uncomplicated controls. Individuals with complicated malaria were about twice likely to be of blood groups A and B compared to group O (A versus O, OR = 1.90, 95% CI = 1.59–2.26, P<0.0001; B versus O, OR = 1.82. 95% CI = 1.57–2.23, P<0.0001). Blood group O participants with complicated diseases had low parasitaemia compared to the other blood groups (P<0.0001). This may give blood group O individuals a survival advantage over the other groups in complicated malaria as suggested. Participants with complicated falciparum malaria were generally anaemic and younger than those with uncomplicated disease.http://dx.doi.org/10.1155/2016/5368793
spellingShingle Richmond Afoakwah
Edmond Aubyn
James Prah
Ekene Kwabena Nwaefuna
Johnson N. Boampong
Relative Susceptibilities of ABO Blood Groups to Plasmodium falciparum Malaria in Ghana
Advances in Hematology
title Relative Susceptibilities of ABO Blood Groups to Plasmodium falciparum Malaria in Ghana
title_full Relative Susceptibilities of ABO Blood Groups to Plasmodium falciparum Malaria in Ghana
title_fullStr Relative Susceptibilities of ABO Blood Groups to Plasmodium falciparum Malaria in Ghana
title_full_unstemmed Relative Susceptibilities of ABO Blood Groups to Plasmodium falciparum Malaria in Ghana
title_short Relative Susceptibilities of ABO Blood Groups to Plasmodium falciparum Malaria in Ghana
title_sort relative susceptibilities of abo blood groups to plasmodium falciparum malaria in ghana
url http://dx.doi.org/10.1155/2016/5368793
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