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Blood, 1 July 2007, Vol. 110, No. 1, pp. 18-28.
Prepublished online as a Blood First Edition Paper on March 6, 2007; DOI 10.1182/blood-2006-09-018069.
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Submitted September 12, 2006
Accepted February 20, 2007
Malarial anemia: of mice and men
Abigail A Lamikanra, Douglas Brown, Alexandre Potocnik, Climent Casals Pascual, Jean Langhorne*, and David J Roberts
Nuffield Department of Clinical Laboratory Sciences, University of Oxford/ National Blood Service, Oxford, United Kingdom
Division of Parasitology, National Institute of Medical Research, London, United Kingdom
Division of Molecular Immunology, National Institute of Medical Research, London, United Kingdom
Malaria Research Programme, Medical Research Council Laboratory, Fajara, Gambia
* Corresponding author; email: jlangho{at}nimr.mrc.ac.uk.
Severe malaria is manifest by a variety of clinical syndromes dependent on properties of both the host and the parasite. In young infants, severe malarial anemia (SMA) is the most common syndrome of severe disease and contributes substantially to the considerable mortality and morbidity from malaria. There is now growing evidence, from both human and mouse studies of malaria, to show that anemia is not only due to increased hemolysis of infected and clearance of uninfected red blood cells (RBC) but also to an inability of the infected host to produce an adequate erythroid response. In this review, we will summarize the recent clinical and experimental studies of malaria to highlight similarities and differences in human and mouse pathology that result in anemia and so inform the use of mouse models in the study of severe malarial anemia in man.

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