PMID- 22745844 OWN - NLM STAT- MEDLINE DCOM- 20120928 LR - 20220309 IS - 1935-2735 (Electronic) IS - 1935-2727 (Print) IS - 1935-2727 (Linking) VI - 6 IP - 6 DP - 2012 TI - Neutrophil paralysis in Plasmodium vivax malaria. PG - e1710 LID - 10.1371/journal.pntd.0001710 [doi] LID - e1710 AB - BACKGROUND: The activation of innate immune responses by Plasmodium vivax results in activation of effector cells and an excessive production of pro-inflammatory cytokines that may culminate in deleterious effects. Here, we examined the activation and function of neutrophils during acute episodes of malaria. MATERIALS AND METHODS: Blood samples were collected from P. vivax-infected patients at admission (day 0) and 30-45 days after treatment with chloroquine and primaquine. Expression of activation markers and cytokine levels produced by highly purified monocytes and neutrophils were measured by the Cytometric Bead Assay. Phagocytic activity, superoxide production, chemotaxis and the presence of G protein-coupled receptor (GRK2) were also evaluated in neutrophils from malaria patients. PRINCIPAL FINDINGS: Both monocytes and neutrophils from P. vivax-infected patients were highly activated. While monocytes were found to be the main source of cytokines in response to TLR ligands, neutrophils showed enhanced phagocytic activity and superoxide production. Interestingly, neutrophils from the malaria patients expressed high levels of GRK2, low levels of CXCR2, and displayed impaired chemotaxis towards IL-8 (CXCL8). CONCLUSION: Activated neutrophils from malaria patients are a poor source of pro-inflammatory cytokines and display reduced chemotactic activity, suggesting a possible mechanism for an enhanced susceptibility to secondary bacterial infection during malaria. FAU - Leoratti, Fabiana Maria de Souza AU - Leoratti FM AD - Laboratorio de Imunopatologia, Centro de Pesquisas Rene Rachou, Fundacao Oswaldo Cruz, Belo Horizonte, Minas Gerais, Brazil. FAU - Trevelin, Silvia Cellone AU - Trevelin SC FAU - Cunha, Fernando Queiroz AU - Cunha FQ FAU - Rocha, Bruno Coelho AU - Rocha BC FAU - Costa, Pedro Augusto Carvalho AU - Costa PA FAU - Gravina, Humberto Doriguetto AU - Gravina HD FAU - Tada, Mauro Shugiro AU - Tada MS FAU - Pereira, Dhelio Batista AU - Pereira DB FAU - Golenbock, Douglas Taylor AU - Golenbock DT FAU - Antonelli, Lis Ribeiro do Valle AU - Antonelli LR FAU - Gazzinelli, Ricardo T AU - Gazzinelli RT LA - eng GR - R01 AI079293/AI/NIAID NIH HHS/United States GR - R21 AI080907/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20120626 PL - United States TA - PLoS Negl Trop Dis JT - PLoS neglected tropical diseases JID - 101291488 RN - 0 (Cytokines) RN - 11062-77-4 (Superoxides) RN - EC 2.7.11.15 (GRK2 protein, human) RN - EC 2.7.11.16 (G-Protein-Coupled Receptor Kinase 2) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Chemotaxis MH - Cytokines/*biosynthesis MH - Female MH - Flow Cytometry MH - G-Protein-Coupled Receptor Kinase 2/biosynthesis MH - Humans MH - Malaria, Vivax/complications/*immunology/*pathology MH - Male MH - Middle Aged MH - Monocytes/immunology/parasitology MH - Neutrophils/*immunology/*parasitology MH - Phagocytosis MH - Plasmodium vivax/*immunology/*pathogenicity MH - Superoxides/metabolism MH - Young Adult PMC - PMC3383745 COIS- The authors have declared that no competing interests exist. EDAT- 2012/06/30 06:00 MHDA- 2012/09/29 06:00 PMCR- 2012/06/26 CRDT- 2012/06/30 06:00 PHST- 2012/02/17 00:00 [received] PHST- 2012/05/13 00:00 [accepted] PHST- 2012/06/30 06:00 [entrez] PHST- 2012/06/30 06:00 [pubmed] PHST- 2012/09/29 06:00 [medline] PHST- 2012/06/26 00:00 [pmc-release] AID - PNTD-D-12-00278 [pii] AID - 10.1371/journal.pntd.0001710 [doi] PST - ppublish SO - PLoS Negl Trop Dis. 2012;6(6):e1710. doi: 10.1371/journal.pntd.0001710. Epub 2012 Jun 26.