Extracellular vesicle cargo : a source of biomarkers for severe malaria in paediatric patients
- Publication Type:
- Thesis
- Issue Date:
- 2024
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For decades, malaria has remained a global health concern, if allowed to progress, it can develop into severe malaria and is a leading cause of death among children under five years old in Sub-Saharan Africa. Current treatments can eliminate malaria infection; however, the long-lasting effects, such as learning and motor difficulties, are more problematic to treat post-infection. The need for prognostic biomarkers of severe malaria is essential, as this would allow for earlier treatment and adjunctive therapy application, decreasing the lasting effects of symptomatic malaria. This thesis uses molecular and high-throughput -omics to investigate potential biomarkers carried by extracellular vesicles (EVs) from the plasma of adults and children who developed severe malaria, respectively. In addition to plasma-derived EVs, cerebrospinal fluid-derived EVs from children with severe malaria were also phenotypically analysed using highly sensitive cytometric techniques. This allowed the identification of miRNAs and proteins with high prognostic value when differentiating the outcomes of severe malaria, as well as the identification of the EV's phenotypic cellular origin. Throughout the findings, miRNA, protein and phenotypic differences were evident for children with neurological complications, indicating the importance of prognostic biomarkers for the identification of children with neurological complications.
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