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Trop Med Int Health. 2015 May;20(5):665-672. doi: 10.1111/tmi.12464. Epub 2015 Feb 09.

Association between malaria exposure and Kaposi's sarcoma-associated herpes virus seropositivity in Uganda.

Tropical medicine & international health : TM & IH

Angela Nalwoga, Stephen Cose, Katie Wakeham, Wendell Miley, Juliet Ndibazza, Christopher Drakeley, Alison Elliott, Denise Whitby, Robert Newton

Affiliations

  1. Medical Research Council/Uganda Virus Research Institute, Entebbe, Uganda.
  2. London School of Hygiene & Tropical Medicine, London, UK.
  3. Institute of Cancer Sciences, University of Glasgow, Glasgow, UK.
  4. Viral Oncology Section, Frederick National Laboratory for Cancer Research, Frederick, MD, USA.
  5. University of York, York, UK.
  6. International Agency for Research on Cancer, Lyon, France.

PMID: 25611008 PMCID: PMC4390463 DOI: 10.1111/tmi.12464

Abstract

OBJECTIVE: Unlike other herpes viruses, Kaposi's sarcoma-associated herpes virus (KSHV) is not ubiquitous worldwide and is most prevalent in sub-Saharan Africa. The reasons for this are unclear. As part of a wider investigation of factors that facilitate transmission in Uganda, a high prevalence country, we examined the association between antimalaria antibodies and seropositivity against KSHV.

METHODS: Antibodies against P. falciparum merozoite surface protein (PfMSP)-1, P. falciparum apical membrane antigen (PfAMA)-1 and KSHV antigens (ORF73 and K8.1) were measured in samples from 1164 mothers and 1227 children.

RESULTS: Kaposi's sarcoma-associated herpes virus seroprevalence was 69% among mothers and 15% children. Among mothers, KSHV seroprevalence increased with malaria antibody titres: from 60% to 82% and from 54% to 77%, comparing those with the lowest and highest titres for PfMSP-1 and PfAMA-1, respectively (P < 0.0001). Among children, only antibodies to PfAMA-1 were significantly associated with KSHV seropositivity, (P < 0.0001). In both mothers and children, anti-ORF73 antibodies were more strongly associated with malaria antibodies than anti-K8.1 antibodies.

CONCLUSION: The association between malaria exposure and KSHV seropositivity suggests that malaria is a cofactor for KSHV infection or reactivation.

© 2015 The Authors. Tropical Medicine & International Health published by John Wiley & Sons Ltd.

Keywords: Kaposi's sarcoma-associated herpes virus; Ouganda; Uganda; herpes virus asociado al sarcoma de Kaposi; malaria; paludisme; virus de l'herpès associé au sarcome de Kaposi

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