Abstract |
To determine whether iron chelation modulates nitric oxide (NO) formation and cell-mediated immune effector function in children with cerebral malaria, serum concentrations were measured of the stable end products of NO, nitrite and nitrate (NO2-/NO3-), interleukin (IL)-4, -6, and -10, and neopterin in 39 Zambian children enrolled in a placebo-controlled trial of desferrioxamine B and quinine therapy. Mean concentrations of NO2-/NO3- increased significantly over 3 days in children receiving desferrioxamine plus quinine but not in those given placebo and quinine. Neopterin levels declined significantly with placebo but not with desferrioxamine. IL-4 levels increased progressively in the placebo group and ultimately decreased in the desferrioxamine group, but the trends were not statistically significant. IL-6 and IL-10 levels were elevated initially and decreased significantly in both groups over 3 days. These data are consistent with the hypothesis that iron chelation therapy in children with cerebral malaria strengthens Th1-mediated immune effector function involving increased production of NO.
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Authors | G Weiss, P E Thuma, G Mabeza, E R Werner, M Herold, V R Gordeuk |
Journal | The Journal of infectious diseases
(J Infect Dis)
Vol. 175
Issue 1
Pg. 226-30
(Jan 1997)
ISSN: 0022-1899 [Print] United States |
PMID | 8985227
(Publication Type: Clinical Trial, Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, P.H.S.)
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Chemical References |
- Interleukins
- Nitrates
- Nitrites
- Interleukin-4
- Biopterin
- Nitric Oxide
- Neopterin
- Iron
- Deferoxamine
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Topics |
- Biopterin
(analogs & derivatives, blood)
- Chelation Therapy
- Child
- Child, Preschool
- Deferoxamine
(therapeutic use)
- Double-Blind Method
- Humans
- Infant
- Interleukin-4
(blood)
- Interleukins
(blood)
- Iron
- Malaria, Cerebral
(drug therapy, immunology, metabolism)
- Neopterin
- Nitrates
(blood)
- Nitric Oxide
(metabolism)
- Nitrites
(blood)
- Th1 Cells
(immunology)
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