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Acute phase responses vary between children of HBAS and HBAA genotypes during plasmodium falciparum infection

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dc.contributor.author Tetteh M.
dc.contributor.author Addai-Mensah O.
dc.contributor.author Siedu Z.
dc.contributor.author Kyei-Baafour E.
dc.contributor.author Lamptey H.
dc.contributor.author Williams J.
dc.contributor.author Kupeh E.
dc.contributor.author Egbi G.
dc.contributor.author Kwayie A.B.
dc.contributor.author Abbam G.
dc.contributor.author Afrifah D.A.
dc.contributor.author Debrah A.Y.
dc.contributor.author Ofori M.F.
dc.date.accessioned 2022-10-31T15:05:18Z
dc.date.available 2022-10-31T15:05:18Z
dc.date.issued 2021
dc.identifier.issn 11787031
dc.identifier.other 10.2147/JIR.S301465
dc.identifier.uri http://41.74.91.244:8080/handle/123456789/356
dc.description Tetteh, M., Department of Medical Diagnostics, Faculty of Allied Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, Laboratory Department, District Hospital, Begoro, Ghana; Addai-Mensah, O., Department of Medical Diagnostics, Faculty of Allied Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana; Siedu, Z., Immunology Department, Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Accra, Ghana, West Africa Centre for Cell Biology of Infectious Pathogens, Department of Biochemistry, Cell and Molecular Biology, University of Ghana, Accra, Ghana; Kyei-Baafour, E., Immunology Department, Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Accra, Ghana; Lamptey, H., Immunology Department, Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Accra, Ghana; Williams, J., Immunology Department, Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Accra, Ghana; Kupeh, E., Laboratory Department, Tema Polyclinic, Tema, Ghana; Egbi, G., Nutrition Department, Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Accra, Ghana; Kwayie, A.B., Laboratory Department, District Hospital, Begoro, Ghana; Abbam, G., Department of Medical Diagnostics, Faculty of Allied Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana, University Clinic Laboratory, University of Education, Winneba, Ghana; Afrifah, D.A., Department of Medical Diagnostics, Faculty of Allied Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana; Debrah, A.Y., Department of Medical Diagnostics, Faculty of Allied Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana; Ofori, M.F., Immunology Department, Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Accra, Ghana, West Africa Centre for Cell Biology of Infectious Pathogens, Department of Biochemistry, Cell and Molecular Biology, University of Ghana, Accra, Ghana en_US
dc.description.abstract Purpose: Haemoglobin genotype S is known to offer protection against Plasmodium falciparum infections but the mechanism underlying this protection is not completely under-stood. Associated changes in acute phase proteins (APPs) during Plasmodium falciparum infections between Haemoglobin AA (HbAA) and Haemoglobin AS (HbAS) individuals also remain unclear. This study aimed to evaluate changes in three APPs and full blood count (FBC) indices of HbAA and HbAS children during Plasmodium falciparum infection. Methods: Venous blood was collected from three hundred and twenty children (6 months to 15 years) in Begoro in Fanteakwa District of Ghana during a cross-sectional study. Full blood count (FBC) indices were measured and levels of previously investigated APPs in malaria patients; C-reactive protein (CRP), ferritin and transferrin measured using Enzyme-Linked Immunosorbent Assays. Results: Among the HbAA and HbAS children, levels of CRP and ferritin were higher in malaria positive children as compared to those who did not have malaria. The mean CRP levels were significantly higher among HbAA children (p=0.2e-08) as compared to the HbAS children (p=0.43). Levels of transferrin reduced in both HbAA and HbAS children with malaria, but the difference was only significant among HbAA children (p=0.0038), as compared to the HbAS children. No significant differences were observed in ferritin levels between HbAA and HbAS children in both malaria negative (p=0.76) and positive (p=0.26) children. Of the full blood count indices measured, red blood cell count (p=0.044) and haemoglobin (Hb) levels (p=0.017) differed between HbAA and HbAS in those without malaria, with higher RBC counts and lower Hb levels found in HbAS children. In contrast, during malaria, lymphocyte and platelet counts were elevated, whilst granulocytes and Mean Cell Haematocrit counts were reduced among children of the HbAS genotypes. Conclusion: Significant changes in APPs were found in HbAA children during malaria as compared to HbAS children, possibly due to differences in malaria-induced inflammation levels. This suggests that the HbAS genotype is associated with better control of P. falciparum infection-induced inflammatory response than HbAA genotype. � 2021 Tetteh et al. en_US
dc.publisher Dove Medical Press Ltd en_US
dc.subject Acute phase proteins en_US
dc.subject Acute phase response en_US
dc.subject APP en_US
dc.subject APR en_US
dc.subject C-reactive protein en_US
dc.subject Ferritin en_US
dc.subject Plasmodium falciparum en_US
dc.subject Transferrin en_US
dc.title Acute phase responses vary between children of HBAS and HBAA genotypes during plasmodium falciparum infection en_US
dc.type Article en_US


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