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Infection and Immunity, July 2006, p. 3904-3911, Vol. 74, No. 7
0019-9567/06/$08.00+0 doi:10.1128/IAI.02073-05
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
Thomas Lavstsen,2,
Joseph Paschal Mugasa,3
Mirjam Kaestli,1
Anja T. R. Jensen,2
Dania Müller,1
Thor Theander,2 and
Hans-Peter Beck1*
Swiss Tropical Institute, Socinstrasse 57, Postfach 4002 Basel, Switzerland,1 Centre for Medical Parasitology at Institute for Medical Microbiology and Immunology, University of Copenhagen, Panum Institute 24-2, Blegdamsvej 3, 2200 Copenhagen N, Denmark,2 Ifakara Health Research and Development Centre, P.O. Box 53, Ifakara, Morogoro, Tanzania3
Received 23 December 2005/ Returned for modification 28 January 2006/ Accepted 4 April 2006
The var gene family of Plasmodium falciparum encodes the variant surface antigen Plasmodium falciparum erythrocyte membrane protein 1 (PfEMP1). PfEMP1 is considered an important pathogenicity factor in P. falciparum infection because it mediates cytoadherence to host cell endothelial receptors. var genes can be grouped into three major groups, A, B, and C, and the conserved var genes, var1-4, according to sequence similarities in coding and noncoding upstream regions. Using real-time quantitative PCR in a study conducted in Tanzania, the var transcript abundances of the different var gene groups were compared among patients with severe, uncomplicated, and asymptomatic malaria. Transcripts of var group A and B genes were more abundant in patients with severe malaria than in patients with uncomplicated malaria. In general, the transcript abundances of var group A and B genes were higher for children with clinical malaria than for children with asymptomatic infections. The var group C and var1-like transcript abundances were similar between the three sample groups. A transcript abundance pattern similar to that for var group A was observed for var2csa and var3-like genes. These results suggest that substantial and systematic differences in var gene expression exist between different clinical presentations.
M.R. and T.L. contributed equally to this work.
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