Infants' Peripheral Blood Lymphocyte Composition Reflects Both Maternal and Post-Natal Infection with Plasmodium falciparum

PLoS One. 2015 Nov 18;10(11):e0139606. doi: 10.1371/journal.pone.0139606. eCollection 2015.

Abstract

Maternal parasitoses modulate fetal immune development, manifesting as altered cellular immunological activity in cord blood that may be linked to enhanced susceptibility to infections in early life. Plasmodium falciparum typifies such infections, with distinct placental infection-related changes in cord blood exemplified by expanded populations of parasite antigen-specific regulatory T cells. Here we addressed whether such early-onset cellular immunological alterations persist through infancy. Specifically, in order to assess the potential impacts of P. falciparum infections either during pregnancy or during infancy, we quantified lymphocyte subsets in cord blood and in infants' peripheral blood during the first year of life. The principal age-related changes observed, independent of infection status, concerned decreases in the frequencies of CD4+, NKdim and NKT cells, whilst CD8+, Treg and Teff cells' frequencies increased from birth to 12 months of age. P. falciparum infections present at delivery, but not those earlier in gestation, were associated with increased frequencies of Treg and CD8+ T cells but fewer CD4+ and NKT cells during infancy, thus accentuating the observed age-related patterns. Overall, P. falciparum infections arising during infancy were associated with a reversal of the trends associated with maternal infection i.e. with more CD4+ cells, with fewer Treg and CD8+ cells. We conclude that maternal P. falciparum infection at delivery has significant and, in some cases, year-long effects on the composition of infants' peripheral blood lymphocyte populations. Those effects are superimposed on separate and independent age- as well as infant infection-related alterations that, respectively, either match or run counter to them.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Antigens, Protozoan / genetics
  • Antigens, Protozoan / immunology
  • Benin
  • CD8-Positive T-Lymphocytes / immunology
  • CD8-Positive T-Lymphocytes / pathology
  • Female
  • Fetal Blood / immunology*
  • Fetal Blood / parasitology
  • Humans
  • Immunophenotyping
  • Infant
  • Killer Cells, Natural / immunology
  • Killer Cells, Natural / pathology
  • Lymphocyte Count
  • Malaria, Falciparum / immunology*
  • Malaria, Falciparum / parasitology
  • Malaria, Falciparum / pathology
  • Natural Killer T-Cells / immunology
  • Natural Killer T-Cells / pathology
  • Placenta / immunology
  • Placenta / parasitology
  • Placenta / pathology
  • Plasmodium falciparum / immunology
  • Pregnancy
  • Pregnancy Complications, Parasitic / immunology*
  • Pregnancy Complications, Parasitic / parasitology
  • Pregnancy Complications, Parasitic / pathology
  • Retrospective Studies
  • T-Lymphocyte Subsets / immunology*
  • T-Lymphocyte Subsets / pathology

Substances

  • Antigens, Protozoan

Grants and funding

This paper describes work undertaken in the context of the STOPPAM project, 'Strategies To Prevent Pregnancy Associated Malaria' (www.stoppam.org), a Small & Medium Scale Collaborative Project supported by the European 7th Framework Programme under contract number 200889. This work was also supported by the Ministère des Affaires Etrangères of France (project REFS No. 2006-22), the Institut de Recherche pour le Développement, which contributed to the study financially and with research material. Financial support was also provided by the AIRD-DPF to SI and KG (PhD research scholarship) and the French Ambassy to KG (PhD research scholarship). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.