Malaria Flashcards

(45 cards)

1
Q

what is the pathology of malaria

A

recurrent fever, parasites in peripheral blood smears, enlarged spleen, TNF induction, glomerulonephritis, cerebral malaria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

which antigen confers resistance to P.virax malaria

A

Duffy antigen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what confers resistance to Plasmodium falciparum

A

unfavourable conditions eg sickle cell anaemia, glucose-6-phosphate dehydrogenase deficiency and ovalocytis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

how is the infection acquired

A

through mosquito vectors derived through the bite and into the blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what does the parasite first enter as

A

sporozoite

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what cells do sporozoites infect

A

liver cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

for how long do sporozoites replicate in liver cells

A

10-16 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

when are sporozoites released

A

after differentiation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is the new form of sporozoite which is released from liver cells

A

merozoite

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what cells do merozoites infect

A

red blood cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what form has the highest pathogenicity

A

merozoites

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

why does host develop cyclic fevers when merozoites infect RBCs

A

due to RBC bursting peridically so merozoit can infect more cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

how does the parasite replicate in liver cells and RBCs

A

asexually

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

how soon do symptoms appear after being bitten

A

10-15 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

which species of malaria parasite causes the most deaths

A

p. falciparum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is the liver phase called

A

the exoerythrocytic phase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what is the RBC phase called

A

erythrocitic phase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

how does the parasite escape undetected from liver cells

A

by wrapping itself in cell membrane of infected liver cell

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what do some of the merozoites a sexually divide into

20
Q

what do merozoites which do not divide asexually into schizonts do

A

differentiate into sexual forms called gametocytes

21
Q

what form is taken up by the mosquito when it feeds on blood

22
Q

what is produced when the male gametocyte undergoes rapid nuclear division

A

8 flagellated daughter cells called microgametes

23
Q

where do gametocytes mature

A

in the mosquito gut

24
Q

what is produced when female and male gametocytes fuse

25
after the ookinete develops to form a oocyst what happens
the oocyst ruptures, releasing 100s of sporozoites into mosquito body which migrate to salivary glads
26
how does a lack of the duffy antigen confer resistance to p. vivax
the duffy antigen is the receptor used by p. vivax merozoites to enter RBC
27
what are the reasons for lack of adaptive immuniy to malaria
antigenic diversiy between species, strains and stages 'hiding' in RBCs little T cell memory misdirection or supression of immune response
28
what is the immune response to sporozoites in the pre erythrocytic stage (stage 1)
sporozoites are in blood so vulnerable to sera antibodies which prevent invasion and motility and all of anti-sera reacts to circumsporoite protein
29
what is the repeat found in the highly antigeneic repeat sequence of the circumsporoite protein
NANP or NVDP
30
what is thought to be th reason for variation in the repeats of the repeat region in csp
decoy antigen
31
what is the immune response to pre-erythrocytic stage in the liver (stage 2)
parasite Ags expressed on hepatocyte surface causing specific CD8+ response as well as induction of IL-1 IL-6 IFNg and TNF and ntrogen oxide
32
what is the immune response to erythrocytic stages
initially TH1 response, releaseing cytokines incl IFNg to induce cell mediated response later TH2 induce Ab dependant response
33
what is the immune respose to the merozoites stage 1 of erythrocytic stage (extracellular stage)
elicits antibody responce blocking invasion into RBCs | antibodies respond to antigens on surface eg MSP-1 and Ags released by organelles
34
which protein aside from CSP has highly variable regions which potentially serve as a decoy
MSP-1
35
what is the immune response to trophozoites, stage 2 of erythrocytic pathway (in RBCs)
infected cells express proteins on RBC surface eg PfEMP-1 so Ig response to these block cytoadherance
36
what are the 2 ways fevers are induced in malaria
contents of burst RBC may be phagocytosed activating release of cytokines IL-1 and TNF. GPI anchored proteins on parasite surface activate macrophage release of cytokines
37
how does periodic fever benefit the person suffering from malaria
inhibits parasite growth however aids parasite synchronisation and survival so fever switches off when levels fall below threshold as safeguard mechanism causing it to be periodic
38
how might TNF regulate parasite growth
negative feedback mechanism
39
what is the effect of IFNg on TNF
TNF is potentiated
40
what percentage of infections lead to cerebral malaria
1%
41
what is the clinical patholog of cerebral malaria
coma
42
what causes coma in cerebral malaria
accumulation of parasitised RBCs in capillaries of the brain, blocking normal blood flow
43
which receptor is found to be upregulated in cerebral malaria
TNFR
44
at what level does antigen diversity occur
population level
45
at what level does antigen variation occur
individual level