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immunology of infectious and parasitic diseases - XXXVII Congress ...

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In vitro CULTURE SYSTEM FOR Plasmodium vivax<br />

CAROLINE JUNQUEIRA (1),(2); RICARDO TOSTES GAZZINELLI (2),(3),(4);<br />

KASTURI HALDAR (1)<br />

(1) The Center for Rare <strong>and</strong> Neglected Diseases, University <strong>of</strong> Notre Dame, IN,<br />

USA; (2) Centro de Pesquisas René Rachou, FIOCRUZ, Belo Horizonte, MG,<br />

Brazil; (3) Departamento de Bioquímica e Imunologia, Universidade Federal de<br />

Minas Gerais, Belo Horizonte, MG, Brazil; (4) Division <strong>of</strong> Infectious Disease <strong>and</strong><br />

Immunology, University <strong>of</strong> Massachusetts Medical School, MA, USA<br />

Introduction: Plasmodium vivax is estimated to cause approximately 100<br />

million cases <strong>of</strong> clinical malaria each year, with many more exposed individuals<br />

at risk for asymptomatic parasitemia. Although not as virulent as P. falciparum,<br />

P. vivax nonetheless causes significant illness in Latin America, Asia <strong>and</strong> some<br />

parts <strong>of</strong> Africa. P. vivax causes chronic anemia during infancy, <strong>and</strong> potentially<br />

life threatening morbidities such as severe anemia, respiratory distress, renal<br />

failure <strong>and</strong> splenic rupture. A significant obstacle in developing therapies <strong>and</strong><br />

eradication strategies against the human malaria parasite Plasmodium vivax<br />

has been the lack <strong>of</strong> a culture system to propagate sufficient numbers <strong>of</strong> blood<br />

<strong>and</strong> liver stage parasites. This is because P. vivax infects reticulocytes, which<br />

are present in low frequency in peripheral blood (generally

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