Successful sporozoite challenge model in human volunteers with Plasmodium vivax strain derived from human donors.

Successful sporozoite challenge model in human volunteers with Plasmodium vivax strain derived from human donors.
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DOI:
10.4269/ajtmh.2009.09-0194
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发表时间:
2009-11
期刊:
The American journal of tropical medicine and hygiene
影响因子:
--
通讯作者:
Arévalo-Herrera M
Arévalo-Herrera M
中科院分区:
其他
文献类型:
--
作者:
Herrera S;Fernández O;Manzano MR;Murrain B;Vergara J;Blanco P;Palacios R;Vélez JD;Epstein JE;Chen-Mok M;Reed ZH;Arévalo-Herrera M

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成功建立了间日疟原虫子孢子攻击模型。将18名健康成年人、疟疾初治志愿者随机分配到A-C组,分别暴露于感染间日疟原虫的白曼按蚊叮咬3 ± 1、6 ± 1和9 ± 1次。17名志愿者出现了与疟疾一致的体征和症状,A组的几何平均开放前期为11.1天(9.3-11); B组为10.8天(9.8-11.9); C组为10.6天(8.7-12.4),各组之间无统计学显著差异(Kruskal-Wallis,P = 0.70)。一名志愿者被蚊子叮咬了8次,但没有出现寄生虫血症。没有观察到寄生虫密度的差异,所有人都在抗疟疾治疗后成功康复。在18个月的随访中,没有志愿者出现寄生虫复发。总之,疟疾初治志愿者可以安全和可重复地感染叮咬2-10安。携带间日疟原虫子孢子的白蚊。该激发方法适用于疫苗和抗疟疾药物检测。
Successful establishment of a Plasmodium vivax sporozoite challenge model in humans is described. Eighteen healthy adult, malaria-naïve volunteers were randomly allocated to Groups A–C and exposed to 3 ± 1, 6 ± 1, and 9 ± 1 bites of Anopheles albimanus mosquitoes infected with P. vivax, respectively. Seventeen volunteers developed signs and symptoms consistent with malaria, and geometric mean prepatent periods of 11.1 days (9.3–11) for Group A; 10.8 days (9.8–11.9) for Group B; and 10.6 days (8.7–12.4) for Group C, with no statistically significant difference among groups (Kruskal-Wallis, P = 0.70). One volunteer exposed to eight mosquito bites did not develop a parasitemia. No differences in parasite density were observed and all individuals successfully recovered after anti-malarial treatment. None of the volunteers developed parasite relapses within an 18-month follow-up. In conclusion, malaria-naive volunteers can be safely and reproducibly infected with bites of 2–10 An. albimanus mosquitoes carrying P. vivax sporozoites. This challenge method is suitable for vaccine and anti-malarial drug testing.
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