๐ก Malaria, a globally significant infectious disease, is primarily transmitted through ๐๐ญ๐ข๐ด๐ฎ๐ฐ๐ฅ๐ช๐ถ๐ฎ-infected Anopheles mosquitoes.
This review provides a comprehensive overview of the recent advances concerning the impact of gut microbiota composition on malaria severity and the reciprocal effects of malaria infection on gut microbiota in mammalian hosts.
๐ Additionally, the review explores mechanistic insights into interactions between gut microbiota and host immunity, potentially modulating malaria severity. Finally, various approaches to modulate gut microbiota composition are discussed, with the aim of propelling the malaria-gut microbiome research field forward.
๐ Key Findings:
๐ Anti-ฮฑ-gal Antibodies and Malaria Protection:
Anti-ฮฑ-gal antibodies, induced by ฮฑ-gal expressing bacteria within the gut microbiota, have been associated with protection against ๐๐ญ๐ข๐ด๐ฎ๐ฐ๐ฅ๐ช๐ถ๐ฎ sporozoite infection. These antibodies confer protection primarily during the pre-erythrocytic stages of ๐๐ญ๐ข๐ด๐ฎ๐ฐ๐ฅ๐ช๐ถ๐ฎ infection, potentially impacting malaria severity.
๐ Age-Dependent Gut Microbiota and Malaria Susceptibility:
Studies reveal age-dependent variations in gut microbiota composition that influence susceptibility to ๐. ๐ง๐ข๐ญ๐ค๐ช๐ฑ๐ข๐ณ๐ถ๐ฎ infection. Younger children with specific gut microbiota profiles exhibit delayed onset of ๐. ๐ง๐ข๐ญ๐ค๐ช๐ฑ๐ข๐ณ๐ถ๐ฎ infection compared to older children, potentially indicating a protective role of certain gut bacteria against malaria.
๐ Gut Microbiota Composition and Malaria Outcome:
Differential gut microbiota composition is observed between individuals infected with Plasmodium parasites and those who are not. Specific bacterial taxa, such as ๐๐ข๐ค๐ต๐ฐ๐ฃ๐ข๐ค๐ช๐ญ๐ญ๐ถ๐ด ๐ข๐ฏ๐ฅ ๐๐ข๐ค๐ต๐ฆ๐ณ๐ฐ๐ช๐ฅ๐ฆ๐ด, show associations with ๐๐ญ๐ข๐ด๐ฎ๐ฐ๐ฅ๐ช๐ถ๐ฎ infection and parasitemia levels, suggesting a potential link between gut microbiota and malaria outcomes.
๐ Gut Microbiota as Predictors of Malaria Severity:
Gut microbiota composition has been identified as a potential predictor of severe malarial outcomes, including severe malarial anemia (SMA). Distinct bacterial taxa, including ๐๐ด๐ค๐ฉ๐ฆ๐ณ๐ช๐ค๐ฉ๐ช๐ข ๐ค๐ฐ๐ญ๐ช ๐ข๐ฏ๐ฅ ๐๐ญ๐ฆ๐ฃ๐ด๐ช๐ฆ๐ญ๐ญ๐ข ๐ฑ๐ฏ๐ฆ๐ถ๐ฎ๐ฐ๐ฏ๐ช๐ข๐ฆ, are associated with increased risk of SMA, emphasizing the role of gut microbiota in malaria severity.
๐ด Understanding the intricate interplay between gut microbiota and malaria severity holds promise for innovative approaches to mitigate the impact of malaria. Further research into the mechanisms underlying gut microbiota-mediated immunity to malaria and the development of strategies to modulate gut microbiota composition may pave the way for novel interventions in the fight against malaria.
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