Article
Immunomodulation through vaccination as a promising therapeutic strategy to mitigate malaria-related neurocognitive sequelae
Registro en:
GONÇALVES, Pamela Rosa et al. Immunomodulation through vaccination as a promising therapeutic strategy to mitigate malaria-related neurocognitive sequelae. Brain, Behavior, and Immunity, v. 109, p. 102-104, 2023.
0889-1591
10.1016/j.bbi.2023.01.007
Autor
Gonçalves, Pamela Rosa
Sousa, Luciana Pereira de
Gomes, Flávia Lima Ribeiro
Carvalho, Leonardo José Moura
Ribeiro, Cláudio Tadeu Daniel
Resumen
Malaria, an ancient infectious parasitic disease, is caused by protozoa of the genus Plasmodium, whose erythrocytic
cycle is accompanied by fever, headache, sweating and chills and a systemic inflammation that can
progress to severe forms of disease, including cerebral malaria. Approximately 25% of survivors of this syndrome
develop sequelae that may include neurological, neurocognitive, behavioral alterations and poor school performance.
Furthermore, some outcomes have also been recorded following episodes of non-severe malaria,
which correspond to the most common clinical form of the disease worldwide. There is a body of evidence that
neuroinflammation, due to systemic inflammation, plays an important role in the neuropathogenesis of malaria
culminating in these cognitive dysfunctions. Preclinical studies suggest that vaccination with type 2 immune
response elicitors, such as the tetanus-diphtheria (Td) vaccine, may exert a beneficial immunomodulatory effect
by alleviating neuroinflammation. In this viewpoint article, vaccination is proposed as a therapy approach to
revert or mitigate neurocognitive deficits associated with malaria.