Inhibition of endothelial activation: a new way to treat cerebral malaria?

Journal Article (Journal Article)

BACKGROUND: Malaria is still a major public health problem, partly because the pathogenesis of its major complication, cerebral malaria (CM), remains incompletely understood. However tumor necrosis factor (TNF) is thought to play a key role in the development of this neurological syndrome, as well as lymphotoxin alpha (LT). METHODS AND FINDINGS: Using an in vitro model of CM based on human brain-derived endothelial cells (HBEC-5i), we demonstrate the anti-inflammatory effect of LMP-420, a 2-NH2-6-Cl-9-[(5-dihydroxyboryl)-pentyl] purine that is a transcriptional inhibitor of TNF. When added before or concomitantly to TNF, LMP-420 inhibits endothelial cell (EC) activation, i.e., the up-regulation of both ICAM-1 and VCAM-1 on HBEC-5i surfaces. Subsequently, LMP-420 abolishes the cytoadherence of ICAM-1-specific Plasmodium falciparum-parasitized red blood cells on these EC. Identical but weaker effects are observed when LMP-420 is added with LT. LMP-420 also causes a dramatic reduction of HBEC-5i vesiculation induced by TNF or LT stimulation, as assessed by microparticle release. CONCLUSION: These data provide evidence for a strong in vitro anti-inflammatory effect of LMP-420 and suggest that targeting host cell pathogenic mechanisms might provide a new therapeutic approach to improving the outcome of CM patients.

Full Text

Duke Authors

Cited Authors

  • Wassmer, SC; Cianciolo, GJ; Combes, V; Grau, GE

Published Date

  • September 2005

Published In

Volume / Issue

  • 2 / 9

Start / End Page

  • e245 -

PubMed ID

  • 16104828

Pubmed Central ID

  • PMC1188254

Electronic International Standard Serial Number (EISSN)

  • 1549-1676

Digital Object Identifier (DOI)

  • 10.1371/journal.pmed.0020245


  • eng

Conference Location

  • United States