Cg. Park et al., Serologic responses of Korean soldiers serving in malaria-endemic areas during a recent outbreak of Plasmodium vivax, AM J TROP M, 62(6), 2000, pp. 720-725
Citations number
15
Categorie Soggetti
Envirnomentale Medicine & Public Health","Medical Research General Topics
Anti-Pv200 antibody levels were assessed in samples from endemic areas of P
lasmodium vivax malaria in the Republic of Korea (ROK), using an indirect e
nzyme-linked immunosorbent assay (ELISA) method. Asymptomatic carriers of P
. vivax were detected using nested polymerase chain reaction (PCR) of blood
samples. Anti-Pv200 antibody levels in 20 vivax malaria patients (optical
density + standard deviation [OD +/- SD] values 1.85 +/-= 0.29 of IgG isoty
pe and 1.33 +/- 1.33 of IgM isotype) were markedly higher than those of uni
nfected, malaria-naive controls (0.08 +/- 0.16 of IgG isotype and 0.04 +/-
0.04 of IgM isotype). Antibody levels for 7 out of 8 soldiers with a recent
malaria infection were sustained above the cut-off values for 4 months aft
er successful treatment. Analysis of serum collected from 40 healthy, asymp
tomatic soldiers who had a P. vivax malaria attack within 3 months after ou
r sampling, revealed 11 antibody-positive samples (27.5%), compared to 5 po
sitive samples (12.5%) collected from a random selection of 40 soldiers. Am
ong a larger pool of 1.713 soldiers who had served in high-risk areas for P
. vivax transmission, 15% were antibody positive. Among 1,000 blood samples
from asymptomatic soldiers who had served in the high-risk areas, 4 sample
s (0.4%) were parasite positive, as determined by nested PCR. Our results s
how that anti-Pv200 antibody levels can provide useful information in the l
ate diagnosis of P. vivax malaria infection in a previously naive populatio
n and also in large seroepidemiologic studies. Furthermore, our results sug
gest that asymptomatic P. vivax carriers could be important in the current
outbreak of malaria in Korea.