Associations between Season and Gametocyte Dynamics in Chronic Plasmodium falciparum Infections.

<h4>Introduction</h4>In a markedly seasonal malaria setting, the transition from the transmission-free dry season to the transmission season depends on the resurgence of the mosquito population following the start of annual rains. The sudden onset of malaria outbreaks at the start of the...

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Main Authors: Amal A H Gadalla, Petra Schneider, Thomas S Churcher, Elkhansaa Nassir, Abdel-Muhsin A Abdel-Muhsin, Lisa C Ranford-Cartwright, Sarah E Reece, Hamza A Babiker
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2016-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0166699&type=printable
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author Amal A H Gadalla
Petra Schneider
Thomas S Churcher
Elkhansaa Nassir
Abdel-Muhsin A Abdel-Muhsin
Lisa C Ranford-Cartwright
Sarah E Reece
Hamza A Babiker
author_facet Amal A H Gadalla
Petra Schneider
Thomas S Churcher
Elkhansaa Nassir
Abdel-Muhsin A Abdel-Muhsin
Lisa C Ranford-Cartwright
Sarah E Reece
Hamza A Babiker
author_sort Amal A H Gadalla
collection DOAJ
description <h4>Introduction</h4>In a markedly seasonal malaria setting, the transition from the transmission-free dry season to the transmission season depends on the resurgence of the mosquito population following the start of annual rains. The sudden onset of malaria outbreaks at the start of the transmission season suggests that parasites persist during the dry season and respond to either the reappearance of vectors, or correlated events, by increasing the production of transmission stages. Here, we investigate whether Plasmodium falciparum gametocyte density and the correlation between gametocyte density and parasite density show seasonal variation in chronic (largely asymptomatic) carriers in eastern Sudan.<h4>Materials and methods</h4>We recruited and treated 123 malaria patients in the transmission season 2001. We then followed them monthly during four distinct consecutive epidemiological seasons: transmission season 1, transmission-free season, pre-clinical period, and transmission season 2. In samples collected from 25 participants who fulfilled the selection criteria of the current analysis, we used quantitative PCR (qPCR) and RT-qPCR to quantify parasite and gametocyte densities, respectively.<h4>Results and discussion</h4>We observed a significant increase in gametocyte density and a significantly steeper positive correlation between gametocyte density and total parasite density during the pre-clinical period compared to the preceding transmission-free season. However, there was no corresponding increase in the density or prevalence of total parasites or gametocyte prevalence. The increase in gametocyte production during the pre-clinical period supports the hypothesis that P. falciparum may respond to environmental cues, such as mosquito biting, to modulate its transmission strategy. Thus, seasonal changes may be important to ignite transmission in unstable-malaria settings.
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language English
publishDate 2016-01-01
publisher Public Library of Science (PLoS)
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spelling doaj-art-c69ad999048949c8a89b2a4ab93c22b52025-08-20T03:24:29ZengPublic Library of Science (PLoS)PLoS ONE1932-62032016-01-011111e016669910.1371/journal.pone.0166699Associations between Season and Gametocyte Dynamics in Chronic Plasmodium falciparum Infections.Amal A H GadallaPetra SchneiderThomas S ChurcherElkhansaa NassirAbdel-Muhsin A Abdel-MuhsinLisa C Ranford-CartwrightSarah E ReeceHamza A Babiker<h4>Introduction</h4>In a markedly seasonal malaria setting, the transition from the transmission-free dry season to the transmission season depends on the resurgence of the mosquito population following the start of annual rains. The sudden onset of malaria outbreaks at the start of the transmission season suggests that parasites persist during the dry season and respond to either the reappearance of vectors, or correlated events, by increasing the production of transmission stages. Here, we investigate whether Plasmodium falciparum gametocyte density and the correlation between gametocyte density and parasite density show seasonal variation in chronic (largely asymptomatic) carriers in eastern Sudan.<h4>Materials and methods</h4>We recruited and treated 123 malaria patients in the transmission season 2001. We then followed them monthly during four distinct consecutive epidemiological seasons: transmission season 1, transmission-free season, pre-clinical period, and transmission season 2. In samples collected from 25 participants who fulfilled the selection criteria of the current analysis, we used quantitative PCR (qPCR) and RT-qPCR to quantify parasite and gametocyte densities, respectively.<h4>Results and discussion</h4>We observed a significant increase in gametocyte density and a significantly steeper positive correlation between gametocyte density and total parasite density during the pre-clinical period compared to the preceding transmission-free season. However, there was no corresponding increase in the density or prevalence of total parasites or gametocyte prevalence. The increase in gametocyte production during the pre-clinical period supports the hypothesis that P. falciparum may respond to environmental cues, such as mosquito biting, to modulate its transmission strategy. Thus, seasonal changes may be important to ignite transmission in unstable-malaria settings.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0166699&type=printable
spellingShingle Amal A H Gadalla
Petra Schneider
Thomas S Churcher
Elkhansaa Nassir
Abdel-Muhsin A Abdel-Muhsin
Lisa C Ranford-Cartwright
Sarah E Reece
Hamza A Babiker
Associations between Season and Gametocyte Dynamics in Chronic Plasmodium falciparum Infections.
PLoS ONE
title Associations between Season and Gametocyte Dynamics in Chronic Plasmodium falciparum Infections.
title_full Associations between Season and Gametocyte Dynamics in Chronic Plasmodium falciparum Infections.
title_fullStr Associations between Season and Gametocyte Dynamics in Chronic Plasmodium falciparum Infections.
title_full_unstemmed Associations between Season and Gametocyte Dynamics in Chronic Plasmodium falciparum Infections.
title_short Associations between Season and Gametocyte Dynamics in Chronic Plasmodium falciparum Infections.
title_sort associations between season and gametocyte dynamics in chronic plasmodium falciparum infections
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0166699&type=printable
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