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Increased platelet distribution width and reduced IL-2 and IL-12 are associated with thrombocytopenia in Plasmodium vivax malaria
Registro en:
COSTA, Allyson Guimarães et al. Increased platelet distribution width and reduced IL-2 and IL-12 are associated with thrombocytopenia in Plasmodium vivax malaria. Mem. Inst. Oswaldo Cruz, Rio de Janeiro , v. 115, e200080, 2020
1678-8060
10.1590/0074-02760200080
Autor
Costa, Allyson Guimarães
Chaves, Yury Oliveira
Carvalho, Andréa Teixeira de
Ramasawmy, Rajendranath
Antonelli, Lis Ribeiro Valle
Barbosa, Lucas
Balieiro, Antonio
Monteiro, Wuelton Marcelo
Mourão, Maria Paula
Lacerda, Marcus Vinicius Guimarães
Martins Filho, Olindo Assis
Costa, Fabio Trindade Maranhão
Malheiro, Adriana
Nogueira, Paulo Afonso
Resumen
BACKGROUND: Thrombocytopenia in malaria involves platelet destruction and consumption; however, the cellular response underlying this phenomenon has still not been elucidated.
OBJECTIVE: To find associations between platelet indices and unbalanced Th1/Th2/Th17 cytokines as a response to thrombocytopenia in Plasmodium vivax infected (Pv-MAL) patients.
METHODS: Platelet counts and quantification of Th1/Th2/Th17 cytokine levels were compared in 77 patients with uncomplicated P. vivax malaria and 37 healthy donors from the same area (endemic control group - ENCG).
FINDINGS: Thrombocytopenia was the main manifestation in 55 patients, but was not associated with parasitaemia. The Pv-MAL patients showed increases in the mean platelet volume (MPV), which may be consistent with larger or megaplatelets. Contrary to the findings regarding the endemic control group, MPV and platelet distribution width (PDW) did not show an inverse correlation, due the increase in the heterogeneity of platelet width. In addition, the Pv-MAL patients presented increased IL-1β and reduced IL-12p70 and IL-2 serum concentrations. Furthermore, the reduction of these cytokines was associated with PDW values.
MAIN CONCLUSIONS: Our data demonstrate that an increase in MPV and the association between reductions of IL-2 and IL-12 and PDW values may be an immune response to thrombocytopenia in uncomplicated P. vivax malaria.