Skip to main content
Top
Published in: Malaria Journal 1/2008

Open Access 01-12-2008 | Research

Differences in Fcgamma receptor IIa genotypes and IgG subclass pattern of anti-malarial antibodies between sympatric ethnic groups in Mali

Authors: Elisabeth Israelsson, Manijeh Vafa, Bakary Maiga, Anna Lysén, Nnaemeka C Iriemenam, Amagana Dolo, Ogobara K Doumbo, Marita Troye-Blomberg, Klavs Berzins

Published in: Malaria Journal | Issue 1/2008

Login to get access

Abstract

Background

The Ig Fc receptor family is an important link between the humoral and cellular immune systems. The association of a dimorphism in amino acid 131 (R/H) of the FcγRIIa with malaria severity, the R-allele being associated with a milder disease outcome, led to the investigation of the possible impact of this polymorphism in the interethnic difference in malaria susceptibility seen between the Fulani and Dogon in Mali.

Methods

Plasma from individuals from Mali (164 Fulani and 164 Dogon) were analysed for malaria-reactive and total IgG subclass antibodies using ELISA, and the same individuals were also genotyped for the FcγRIIa R131H polymorphism using RFLP-PCR. Statistical analyses of the IgG subclass levels were done by unpaired t-test and ANOVA, and genotype differences were tested by χ2-test.

Results

While the two ethnic groups showed a similar frequency of the FcγRIIa 131 R/H heterozygote genotype, 131R/R dominated over the 131 H/H genotype in the Dogon whereas the Fulani presented a similar frequency of the two homozygote genotypes. The two alleles were evenly distributed in the Fulani, while the Dogon were clearly biased towards the R-allele. The Fulani showed higher levels of anti-malarial IgG1, -2 and -3 antibodies, with a higher proportion of IgG2, than the Dogon. In the Fulani, H-allele carriers had higher anti-malarial IgG2 levels than R/R homozygotes, while in the Dogon, the R-allele carriers showed the higher IgG2 levels. For anti-malarial IgG3, the R-allele carriers in the Fulani had higher levels than the H/H homozygotes.

Conclusion

Taken together, the results showed marked interethnic differences in FcγRIIa R131H genotypes. Furthermore, the results indicate that the FcγRIIa R131H genotype may influence the IgG subclass responses related to protection against malaria, and that IgG2 may be of importance in this context.
Appendix
Available only for authorised users
Literature
1.
go back to reference Aribot G, Rogier C, Sarthou JL, Trape JF, Balde AT, Druilhe P, Roussilhon C: Pattern of immunoglobulin isotype response to Plasmodium falciparum blood-stage antigens in individuals living in a holoendemic area of Senegal (Dielmo, west Africa). Am J Trop Med Hyg. 1996, 54: 449-457.PubMed Aribot G, Rogier C, Sarthou JL, Trape JF, Balde AT, Druilhe P, Roussilhon C: Pattern of immunoglobulin isotype response to Plasmodium falciparum blood-stage antigens in individuals living in a holoendemic area of Senegal (Dielmo, west Africa). Am J Trop Med Hyg. 1996, 54: 449-457.PubMed
2.
go back to reference Taylor RR, Allen SJ, Greenwood BM, Riley EM: IgG3 antibodies to Plasmodium falciparum merozoite surface protein 2 (MSP2): increasing prevalence with age and association with clinical immunity to malaria. Am J Trop Med Hyg. 1998, 58: 406-413.PubMed Taylor RR, Allen SJ, Greenwood BM, Riley EM: IgG3 antibodies to Plasmodium falciparum merozoite surface protein 2 (MSP2): increasing prevalence with age and association with clinical immunity to malaria. Am J Trop Med Hyg. 1998, 58: 406-413.PubMed
3.
go back to reference Aucan C, Traore Y, Tall F, Nacro B, Traore-Leroux T, Fumoux F, Rihet P: High immunoglobulin G2 (IgG2) and low IgG4 levels are associated with human resistance to Plasmodium falciparum malaria. Infect Immun. 2000, 68: 1252-1258. 10.1128/IAI.68.3.1252-1258.2000.PubMedCentralCrossRefPubMed Aucan C, Traore Y, Tall F, Nacro B, Traore-Leroux T, Fumoux F, Rihet P: High immunoglobulin G2 (IgG2) and low IgG4 levels are associated with human resistance to Plasmodium falciparum malaria. Infect Immun. 2000, 68: 1252-1258. 10.1128/IAI.68.3.1252-1258.2000.PubMedCentralCrossRefPubMed
4.
go back to reference Ntoumi F, Flori L, Mayengue PI, Matondo Maya DW, Issifou S, Deloron P, Lell B, Kremsner PG, Rihet P: Influence of carriage of hemoglobin AS and the Fcγ receptor IIa-R131 allele on levels of immunoglobulin G2 antibodies to Plasmodium falciparum merozoite antigens in Gabonese children. J Infect Dis. 2005, 192: 1975-1980. 10.1086/497611.CrossRefPubMed Ntoumi F, Flori L, Mayengue PI, Matondo Maya DW, Issifou S, Deloron P, Lell B, Kremsner PG, Rihet P: Influence of carriage of hemoglobin AS and the Fcγ receptor IIa-R131 allele on levels of immunoglobulin G2 antibodies to Plasmodium falciparum merozoite antigens in Gabonese children. J Infect Dis. 2005, 192: 1975-1980. 10.1086/497611.CrossRefPubMed
5.
go back to reference Pol van der W, Winkel van de JG: IgG receptor polymorphisms: risk factors for disease. Immunogenetics. 1998, 48: 222-232. 10.1007/s002510050426.CrossRefPubMed Pol van der W, Winkel van de JG: IgG receptor polymorphisms: risk factors for disease. Immunogenetics. 1998, 48: 222-232. 10.1007/s002510050426.CrossRefPubMed
6.
go back to reference Warmerdam PA, Winkel van de JG, Vlug A, Westerdaal NA, Capel PJ: A single amino acid in the second Ig-like domain of the human Fcγ receptor II is critical for human IgG2 binding. J Immunol. 1991, 147: 1338-1343.PubMed Warmerdam PA, Winkel van de JG, Vlug A, Westerdaal NA, Capel PJ: A single amino acid in the second Ig-like domain of the human Fcγ receptor II is critical for human IgG2 binding. J Immunol. 1991, 147: 1338-1343.PubMed
7.
go back to reference Parren PW, Warmerdam PA, Boeije LC, Arts J, Westerdaal NA, Vlug A, Capel PJ, Aarden LA, Winkel van de JG: On the interaction of IgG subclasses with the low affinity Fcγ RIIa (CD32) on human monocytes, neutrophils, and platelets. Analysis of a functional polymorphism to human IgG2. J Clin Invest. 1992, 90: 1537-1546. 10.1172/JCI116022.PubMedCentralCrossRefPubMed Parren PW, Warmerdam PA, Boeije LC, Arts J, Westerdaal NA, Vlug A, Capel PJ, Aarden LA, Winkel van de JG: On the interaction of IgG subclasses with the low affinity Fcγ RIIa (CD32) on human monocytes, neutrophils, and platelets. Analysis of a functional polymorphism to human IgG2. J Clin Invest. 1992, 90: 1537-1546. 10.1172/JCI116022.PubMedCentralCrossRefPubMed
8.
go back to reference Braga ÉM, Scopel KKG, Komatsu NT, da Silva-Nunes M, Ferreira MU: Polymorphism in the Fcγ receptor IIA and malaria morbidity. J Mol Gen Med. 2005, 1: 5-10. Braga ÉM, Scopel KKG, Komatsu NT, da Silva-Nunes M, Ferreira MU: Polymorphism in the Fcγ receptor IIA and malaria morbidity. J Mol Gen Med. 2005, 1: 5-10.
9.
go back to reference Nasr A, Iriemenam NC, Troye-Blomberg M, Giha HA, Balogun HA, Osman OF, Montgomery SM, ElGhazali G, Berzins K: Fcγ receptor IIa (CD32) polymorphism and antibody responses to asexual blood-stage antigens of Plasmodium falciparum malaria in Sudanese patients. Scand J Immunol. 2007, 66: 87-96. 10.1111/j.1365-3083.2007.01947.x.CrossRefPubMed Nasr A, Iriemenam NC, Troye-Blomberg M, Giha HA, Balogun HA, Osman OF, Montgomery SM, ElGhazali G, Berzins K: Fcγ receptor IIa (CD32) polymorphism and antibody responses to asexual blood-stage antigens of Plasmodium falciparum malaria in Sudanese patients. Scand J Immunol. 2007, 66: 87-96. 10.1111/j.1365-3083.2007.01947.x.CrossRefPubMed
10.
go back to reference Sinha S, Mishra SK, Sharma S, Patibandla PK, Mallick PK, Sharma SK, Mohanty S, Pati SS, Mishra SK, Ramteke BK, Bhatt RM, Joshi H, Dash AP, Ahuja RC, Awasthi S, Consortium IG, Venkatesh V, Habib S: Polymorphisms of TNF-enhancer and gene for FcγRIIa correlate with the severity of falciparum malaria in the ethnically diverse Indian population. Malar J. 2008, 7: 13-10.1186/1475-2875-7-13.PubMedCentralCrossRef Sinha S, Mishra SK, Sharma S, Patibandla PK, Mallick PK, Sharma SK, Mohanty S, Pati SS, Mishra SK, Ramteke BK, Bhatt RM, Joshi H, Dash AP, Ahuja RC, Awasthi S, Consortium IG, Venkatesh V, Habib S: Polymorphisms of TNF-enhancer and gene for FcγRIIa correlate with the severity of falciparum malaria in the ethnically diverse Indian population. Malar J. 2008, 7: 13-10.1186/1475-2875-7-13.PubMedCentralCrossRef
11.
go back to reference Greenwood BM, Groenendaal F, Bradley AK, Greenwood AM, Shenton F, Tulloch S, Hayes R: Ethnic differences in the prevalence of splenomegaly and malaria in The Gambia. Ann Trop Med Parasitol. 1987, 81: 345-354.PubMed Greenwood BM, Groenendaal F, Bradley AK, Greenwood AM, Shenton F, Tulloch S, Hayes R: Ethnic differences in the prevalence of splenomegaly and malaria in The Gambia. Ann Trop Med Parasitol. 1987, 81: 345-354.PubMed
12.
go back to reference Modiano D, V P, Sirima BS, Nebie I, Diallo D, Esposito F, Coluzzi M: Different response to Plasmodium falciparum malaria in west African sympatric ethnic groups. Proc Natl Acad Sci USA. 1996, 93: 13206-13211. 10.1073/pnas.93.23.13206.PubMedCentralCrossRef Modiano D, V P, Sirima BS, Nebie I, Diallo D, Esposito F, Coluzzi M: Different response to Plasmodium falciparum malaria in west African sympatric ethnic groups. Proc Natl Acad Sci USA. 1996, 93: 13206-13211. 10.1073/pnas.93.23.13206.PubMedCentralCrossRef
13.
go back to reference Dolo A, Modiano D, Maiga B, Daou M, Dolo G, Guindo H, Ba M, Maiga H, Coulibaly D, Perlman H, Blomberg MT, Toure YT, Coluzzi M, Doumbo O: Difference in susceptibility to malaria between two sympatric ethnic groups in Mali. Am J Trop Med Hyg. 2005, 72: 243-248.PubMed Dolo A, Modiano D, Maiga B, Daou M, Dolo G, Guindo H, Ba M, Maiga H, Coulibaly D, Perlman H, Blomberg MT, Toure YT, Coluzzi M, Doumbo O: Difference in susceptibility to malaria between two sympatric ethnic groups in Mali. Am J Trop Med Hyg. 2005, 72: 243-248.PubMed
14.
go back to reference Bolad A, Farouk SE, Israelsson E, Dolo A, Doumbo OK, Nebie I, Maiga B, Kouriba B, Luoni G, Sirima BS, Modiano D, Berzins K, Troye-Blomberg M: Distinct interethnic differences in immunoglobulin G class/subclass and immunoglobulin M antibody responses to malaria antigens but not in immunoglobulin G responses to nonmalarial antigens in sympatric tribes living in West Africa. Scand J Immunol. 2005, 61: 380-386. 10.1111/j.1365-3083.2005.01587.x.CrossRefPubMed Bolad A, Farouk SE, Israelsson E, Dolo A, Doumbo OK, Nebie I, Maiga B, Kouriba B, Luoni G, Sirima BS, Modiano D, Berzins K, Troye-Blomberg M: Distinct interethnic differences in immunoglobulin G class/subclass and immunoglobulin M antibody responses to malaria antigens but not in immunoglobulin G responses to nonmalarial antigens in sympatric tribes living in West Africa. Scand J Immunol. 2005, 61: 380-386. 10.1111/j.1365-3083.2005.01587.x.CrossRefPubMed
15.
go back to reference Modiano D, Luoni G, Sirima BS, Lanfrancotti A, V P, Cruciani F, Simpore J, Ciminelli BM, Foglietta E, Grisanti P, Bianco I, Modiano G, Coluzzi M: The lower susceptibility to Plasmodium falciparum malaria of Fulani of Burkina Faso (west Africa) is associated with low frequencies of classic malaria-resistance genes. Trans R Soc Trop Med Hyg. 2001, 95: 149-152. 10.1016/S0035-9203(01)90141-5.CrossRefPubMed Modiano D, Luoni G, Sirima BS, Lanfrancotti A, V P, Cruciani F, Simpore J, Ciminelli BM, Foglietta E, Grisanti P, Bianco I, Modiano G, Coluzzi M: The lower susceptibility to Plasmodium falciparum malaria of Fulani of Burkina Faso (west Africa) is associated with low frequencies of classic malaria-resistance genes. Trans R Soc Trop Med Hyg. 2001, 95: 149-152. 10.1016/S0035-9203(01)90141-5.CrossRefPubMed
16.
go back to reference Jensen JB, Trager W: Plasmodium falciparum in culture: establishment of additional strains. Am J Trop Med Hyg. 1978, 27: 743-746.PubMed Jensen JB, Trager W: Plasmodium falciparum in culture: establishment of additional strains. Am J Trop Med Hyg. 1978, 27: 743-746.PubMed
17.
go back to reference Lambros C, Vanderberg JP: Synchronization of Plasmodium falciparum erythrocytic stages in culture. J Parasitol. 1979, 65: 418-420. 10.2307/3280287.CrossRefPubMed Lambros C, Vanderberg JP: Synchronization of Plasmodium falciparum erythrocytic stages in culture. J Parasitol. 1979, 65: 418-420. 10.2307/3280287.CrossRefPubMed
18.
go back to reference Troye-Blomberg M, Romero P, Patarroyo ME, Bjorkman A, Perlmann P: Regulation of the immune response in Plasmodium falciparum malaria. III. Proliferative response to antigen in vitro and subset composition of T cells from patients with acute infection or from immune donors. Clin Exp Immunol. 1984, 58: 380-7.PubMedCentral Troye-Blomberg M, Romero P, Patarroyo ME, Bjorkman A, Perlmann P: Regulation of the immune response in Plasmodium falciparum malaria. III. Proliferative response to antigen in vitro and subset composition of T cells from patients with acute infection or from immune donors. Clin Exp Immunol. 1984, 58: 380-7.PubMedCentral
19.
go back to reference Jiang XM, Arepally G, Poncz M, McKenzie SE: Rapid detection of the Fcγ RIIA-H/R 131 ligand-binding polymorphism using an allele-specific restriction enzyme digestion (ASRED). J Immunol Methods. 1996, 199: 55-59. 10.1016/S0022-1759(96)00164-0.CrossRefPubMed Jiang XM, Arepally G, Poncz M, McKenzie SE: Rapid detection of the Fcγ RIIA-H/R 131 ligand-binding polymorphism using an allele-specific restriction enzyme digestion (ASRED). J Immunol Methods. 1996, 199: 55-59. 10.1016/S0022-1759(96)00164-0.CrossRefPubMed
20.
go back to reference Snounou G, Zhu X, Siripoon N, Jarra W, Thaithong S, Brown KN, Viriyakosol S: Biased distribution of msp1 and msp2 allelic variants in Plasmodium falciparum populations in Thailand. Trans R Soc Trop Med Hyg. 1999, 93: 369-374. 10.1016/S0035-9203(99)90120-7.CrossRefPubMed Snounou G, Zhu X, Siripoon N, Jarra W, Thaithong S, Brown KN, Viriyakosol S: Biased distribution of msp1 and msp2 allelic variants in Plasmodium falciparum populations in Thailand. Trans R Soc Trop Med Hyg. 1999, 93: 369-374. 10.1016/S0035-9203(99)90120-7.CrossRefPubMed
21.
go back to reference Nasr A, Elghazali G, Giha H, Troye-Blomberg M, Berzins K: Interethnic differences in carriage of haemoglobin AS and Fcγ receptor IIa (CD32) genotypes in children living in eastern Sudan. Acta Trop. 2008, 105: 191-195. 10.1016/j.actatropica.2007.10.003.CrossRefPubMed Nasr A, Elghazali G, Giha H, Troye-Blomberg M, Berzins K: Interethnic differences in carriage of haemoglobin AS and Fcγ receptor IIa (CD32) genotypes in children living in eastern Sudan. Acta Trop. 2008, 105: 191-195. 10.1016/j.actatropica.2007.10.003.CrossRefPubMed
22.
go back to reference Ouma C, Keller CC, Opondo DA, Were T, Otieno RO, Otieno MF, Orago AS, Ong'echa JM, Vulule JM, Ferrell RE, Perkins DJ: Association of Fcγ receptor IIa (CD32) polymorphism with malarial anemia and high-density parasitemia in infants and young children. Am J Trop Med Hyg. 2006, 74: 573-577. Ouma C, Keller CC, Opondo DA, Were T, Otieno RO, Otieno MF, Orago AS, Ong'echa JM, Vulule JM, Ferrell RE, Perkins DJ: Association of Fcγ receptor IIa (CD32) polymorphism with malarial anemia and high-density parasitemia in infants and young children. Am J Trop Med Hyg. 2006, 74: 573-577.
23.
go back to reference Cooke GS, Aucan C, Walley AJ, Segal S, Greenwood BM, Kwiatkowski DP, Hill AV: Association of Fcγ receptor IIa (CD32) polymorphism with severe malaria in West Africa. Am J Trop Med Hyg. 2003, 69: 565-568.PubMed Cooke GS, Aucan C, Walley AJ, Segal S, Greenwood BM, Kwiatkowski DP, Hill AV: Association of Fcγ receptor IIa (CD32) polymorphism with severe malaria in West Africa. Am J Trop Med Hyg. 2003, 69: 565-568.PubMed
24.
go back to reference Osborne JM, Chacko GW, Brandt JT, Anderson CL: Ethnic variation in frequency of an allelic polymorphism of human Fcγ RIIA determined with allele specific oligonucleotide probes. J Immunol Methods. 1994, 173: 207-217. 10.1016/0022-1759(94)90299-2.CrossRefPubMed Osborne JM, Chacko GW, Brandt JT, Anderson CL: Ethnic variation in frequency of an allelic polymorphism of human Fcγ RIIA determined with allele specific oligonucleotide probes. J Immunol Methods. 1994, 173: 207-217. 10.1016/0022-1759(94)90299-2.CrossRefPubMed
25.
go back to reference Reilly AF, Norris CF, Surrey S, Bruchak FJ, Rappaport EF, Schwartz E, McKenzie SE: Genetic diversity in human Fc receptor II for immunoglobulin G: Fcγ receptor IIA ligand-binding polymorphism. Clin Diagn Lab Immunol. 1994, 1: 640-644.PubMedCentralPubMed Reilly AF, Norris CF, Surrey S, Bruchak FJ, Rappaport EF, Schwartz E, McKenzie SE: Genetic diversity in human Fc receptor II for immunoglobulin G: Fcγ receptor IIA ligand-binding polymorphism. Clin Diagn Lab Immunol. 1994, 1: 640-644.PubMedCentralPubMed
26.
go back to reference Modiano D, Luoni G, Petrarca V, Sodiomon Sirima B, De Luca M, Simpore J, Coluzzi M, Bodmer JG, Modiano G: HLA class I in three West African ethnic groups: genetic distances from sub-Saharan and Caucasoid populations. Tissue Antigens. 2001, 57: 128-137. 10.1034/j.1399-0039.2001.057002128.x.CrossRefPubMed Modiano D, Luoni G, Petrarca V, Sodiomon Sirima B, De Luca M, Simpore J, Coluzzi M, Bodmer JG, Modiano G: HLA class I in three West African ethnic groups: genetic distances from sub-Saharan and Caucasoid populations. Tissue Antigens. 2001, 57: 128-137. 10.1034/j.1399-0039.2001.057002128.x.CrossRefPubMed
27.
go back to reference Omi K, Ohashi J, Patarapotikul J, Hananantachai H, Naka I, Looareesuwan S, Tokunaga K: Fcγ receptor IIA and IIIB polymorphisms are associated with susceptibility to cerebral malaria. Parasitol Int. 2002, 51: 361-366. 10.1016/S1383-5769(02)00040-5.CrossRefPubMed Omi K, Ohashi J, Patarapotikul J, Hananantachai H, Naka I, Looareesuwan S, Tokunaga K: Fcγ receptor IIA and IIIB polymorphisms are associated with susceptibility to cerebral malaria. Parasitol Int. 2002, 51: 361-366. 10.1016/S1383-5769(02)00040-5.CrossRefPubMed
28.
go back to reference Brouwer KC, Lal AA, Mirel LB, Otieno J, Ayisi J, Van Eijk AM, Lal RB, Steketee R, Nahlen BL, Shi YP: Polymorphism of Fc receptor IIa for immunoglobulin G is associated with placental malaria in HIV-1-positive women in western Kenya. J Infect Dis. 2004, 190: 1192-1198. 10.1086/422850.CrossRef Brouwer KC, Lal AA, Mirel LB, Otieno J, Ayisi J, Van Eijk AM, Lal RB, Steketee R, Nahlen BL, Shi YP: Polymorphism of Fc receptor IIa for immunoglobulin G is associated with placental malaria in HIV-1-positive women in western Kenya. J Infect Dis. 2004, 190: 1192-1198. 10.1086/422850.CrossRef
29.
go back to reference Shi YP, Nahlen BL, Kariuki S, Urdahl KB, McElroy PD, Roberts JM, Lal AA: Fcγ receptor IIa (CD32) polymorphism is associated with protection of infants against high-density Plasmodium falciparum infection. VII. Asembo Bay Cohort Project. J Infect Dis. 2001, 184: 107-111. 10.1086/320999.CrossRefPubMed Shi YP, Nahlen BL, Kariuki S, Urdahl KB, McElroy PD, Roberts JM, Lal AA: Fcγ receptor IIa (CD32) polymorphism is associated with protection of infants against high-density Plasmodium falciparum infection. VII. Asembo Bay Cohort Project. J Infect Dis. 2001, 184: 107-111. 10.1086/320999.CrossRefPubMed
30.
go back to reference Bereczky S, Liljander A, Rooth I, Faraja L, Granath F, Montgomery SM, Färnert A: Multiclonal asymptomatic Plasmodium falciparum infections predict a reduced risk of malaria disease in a Tanzanian population. Microbes Infect. 2007, 9: 103-110. 10.1016/j.micinf.2006.10.014.CrossRefPubMed Bereczky S, Liljander A, Rooth I, Faraja L, Granath F, Montgomery SM, Färnert A: Multiclonal asymptomatic Plasmodium falciparum infections predict a reduced risk of malaria disease in a Tanzanian population. Microbes Infect. 2007, 9: 103-110. 10.1016/j.micinf.2006.10.014.CrossRefPubMed
31.
go back to reference Färnert A: Plasmodium falciparum population dynamics: only snapshots in time?. Trends Parasitol. 2008, 24: 340-344. 10.1016/j.pt.2008.04.008.CrossRef Färnert A: Plasmodium falciparum population dynamics: only snapshots in time?. Trends Parasitol. 2008, 24: 340-344. 10.1016/j.pt.2008.04.008.CrossRef
32.
go back to reference Groux H, Gysin J: Opsonization as an effector mechanism in human protection against asexual blood stages of Plasmodium falciparum: functional role of IgG subclasses. Res Immunol. 1990, 141: 529-542. 10.1016/0923-2494(90)90021-P.CrossRefPubMed Groux H, Gysin J: Opsonization as an effector mechanism in human protection against asexual blood stages of Plasmodium falciparum: functional role of IgG subclasses. Res Immunol. 1990, 141: 529-542. 10.1016/0923-2494(90)90021-P.CrossRefPubMed
Metadata
Title
Differences in Fcgamma receptor IIa genotypes and IgG subclass pattern of anti-malarial antibodies between sympatric ethnic groups in Mali
Authors
Elisabeth Israelsson
Manijeh Vafa
Bakary Maiga
Anna Lysén
Nnaemeka C Iriemenam
Amagana Dolo
Ogobara K Doumbo
Marita Troye-Blomberg
Klavs Berzins
Publication date
01-12-2008
Publisher
BioMed Central
Published in
Malaria Journal / Issue 1/2008
Electronic ISSN: 1475-2875
DOI
https://doi.org/10.1186/1475-2875-7-175

Other articles of this Issue 1/2008

Malaria Journal 1/2008 Go to the issue
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.