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Blood, 1 March 2005, Vol. 105, No. 5, pp. 1956-1963.
Prepublished online as a Blood First Edition Paper on October 19, 2004; DOI 10.1182/blood-2004-06-2206.
Previous Article | Next Article 
Submitted June 10, 2004
Accepted September 8, 2004
Platelet depletion by anti-CD41 ( IIb) mAb injection early but not late in the course of disease protects against Plasmodium berghei pathogenesis by altering the levels of pathogenic cytokines
Henri C van der Heyde*, Irene Gramaglia, Guang Sun, and Catherine Woods
La Jolla Bioengineering Institute, La Jolla, CA, USA; Targeted Molecules Corporation, San Diego, CA, USA; Department of Microbiology and Immunology, Louisiana State University Health Sciences Center, Shreveport, LA, USA
La Jolla Bioengineering Institute, La Jolla, CA, USA
Department of Microbiology and Immunology, Louisiana State University Health Sciences Center, Shreveport, LA, USA
Targeted Molecules Corporation, San Diego, CA, USA
* Corresponding author; email: hvande{at}ljbi.org.
Accumulating evidence indicates that platelets play a critical role in the pathogenesis of experimental severe malaria (ESM) elicited by infection with Plasmodium berghei. Mice injected on day-1 of P. berghei infection (early) with either anti-CD41 or anti-CD61 mAbs exhibited significantly (P<0.001) increased survival from ESM compared with infection controls, indicating that platelets function early in the disease. In contrast, groups of mice treated on day-4, -5, and -6 (late) with anti-CD41 mAb exhibited similar mortality as controls. Because platelet depletion by anti-CD41 mAb on day-4 of infection did not protect mice and platelet adherence occurs on day-6, platelet adherence to endothelium is not required to mediate malarial pathogenesis. Few platelet microparticles were detected in the blood during the course of malaria, but large numbers of erythrocyte vesicles, microparticles and debris were detected. The protective effect of early anti-CD41 mAb treatment was independent of the number of platelets, platelet microparticles, erythrocyte-platelet conjugates, and erythrocyte vesicles. Mice treated early with anti-CD41 mAb exhibited markedly altered cytokine production on day-4 of P. berghei infection (increased: IL-10, IL-1 , IL-6, IFN- , and TNF- ; decreased IL-2) but no decline in coagulation factors compared with rat IgG-treated controls, indicating that platelets regulate the levels of pathogenic cytokines.

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