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Infection and Immunity, July 2000, p. 3822-3829, Vol. 68, No. 7
Department of Pathology, University of
Geneva, Geneva CH 1211,1 and Institute
of Biochemistry, World Health Organization IRTC, 1066 Epalinges,2 Switzerland; Amgen, Inc.,
Thousand Oaks, California 91320-17893; and
CNRS-UPRES A6020, Université de la
Méditerranée, 13385 Marseille, France4
Received 8 July 1999/Returned for modification 30 November
1999/Accepted 28 March 2000
We explored the role of urokinase and tissue-type plasminogen
activators (uPA and tPA), as well as the uPA receptor (uPAR; CD87) in
mouse severe malaria (SM), using genetically deficient (
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Copyright © 2000, American Society for Microbiology. All rights reserved.
Delayed Mortality and Attenuated Thrombocytopenia
Associated with Severe Malaria in Urokinase- and Urokinase
Receptor-Deficient Mice
/
) mice.
The mortality resulting from Plasmodium berghei ANKA infection was delayed in uPA
/
and uPAR
/
mice but was similar to that of the wild type (+/+) in
tPA
/
mice. Parasitemia levels were similar in
uPA
/
, uPAR
/
, and +/+ mice. Production
of tumor necrosis factor, as judged from the plasma level and the mRNA
levels in brain and lung, was markedly increased by infection in both
+/+ and uPAR
/
mice. Breakdown of the blood-brain
barrier, as evidenced by the leakage of Evans Blue, was similar in +/+
and uPAR
/
mice. SM was associated with a profound
thrombocytopenia, which was attenuated in uPA
/
and
uPAR
/
mice. Administration of aprotinin, a plasmin
antagonist, also delayed mortality and attenuated thrombocytopenia.
Platelet trapping in cerebral venules or alveolar capillaries was
evident in +/+ mice but absent in uPAR
/
mice. In
contrast, macrophage sequestration in cerebral venules or alveolar
capillaries was evident in both +/+ and uPAR
/
mice.
Polymorphonuclear leukocyte sequestration in alveolar capillaries was
similar in +/+ and uPAR
/
mice. These results
demonstrate that the uPAR deficiency attenuates the severity of SM,
probably by its important role in platelet kinetics and trapping. These
results therefore suggest that platelet sequestration contributes to
the pathogenesis of SM.
*
Corresponding author. Mailing address: Department of
Pathology, 1 rue M. Servet, SMU, 1211 Geneva, Switzerland. Phone:
41-22-70-25-758. Fax: 41-22-70-25-746. E-mail:
pierre.piguet{at}medecine.unige.ch.
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