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Blood, 15 May 2002, Vol. 99, No. 10, pp. 3863-3866
BRIEF REPORT
Aotus New World monkeys: model for studying
malaria-induced anemia
Andrea F. Egan,
Maria Elena Fabucci,
Allan Saul,
David C. Kaslow, and
Louis H. Miller
From the Malaria Vaccines Section and Malaria Vaccine
Development Unit, Laboratory of Parasitic Diseases, National Institute
of Allergy and Infectious Diseases, National Institutes of Health,
Bethesda, MD.
Falciparum malaria is a major cause of disease and
death in African children and pregnant women, primarily due to severe
anemia. We studied anemia in vaccinated Aotus monkeys
during a second infection where the animals were considered to be
semi-immune. Most animals had extremely low or undetectable levels of
parasitemia; in some, anemia did not develop and reticulocytemia
remained unchanged; in others, moderate to severe anemia developed
with inappropriately low reticulocytemia indicating bone marrow
dysfunction. Bone marrow rapidly responded after parasite clearance.
The rapid drop in hematocrit despite extremely low to
undetectable parasitemia indicated massive removal of
uninfected red blood cells from the circulation that, in the presence
of bone marrow dysfunction, led to severe anemia the problem that
occurs in African children. We demonstrate that Aotus
monkeys are a nonhuman primate model to gain insight into the
pathogenesis of severe anemia in African children.

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