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Modulatory potential of iron chelation therapy on nitric oxide formation in cerebral malaria.

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.
AuthorsG Weiss, P E Thuma, G Mabeza, E R Werner, M Herold, V R Gordeuk
JournalThe Journal of infectious diseases (J Infect Dis) Vol. 175 Issue 1 Pg. 226-30 (Jan 1997) ISSN: 0022-1899 [Print] United States
PMID8985227 (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.)
Chemical References
  • Interleukins
  • Nitrates
  • Nitrites
  • Interleukin-4
  • Biopterin
  • Nitric Oxide
  • Neopterin
  • Iron
  • Deferoxamine
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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