血中タンパク質によりマラリアの重症度を判定(Proteins in the blood can reveal the severity of malaria)

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2025-07-14 カロリンスカ研究所(KI)

カロリンスカ研究所の研究チームが、マラリア患者の血液中タンパク質約700種を解析し、約250種が疾患重症度と関連することを発見。特に11種のバイオマーカーにより、数日間の検査で重症化リスクを高精度に予測可能な「重症度スコア」を構築。炎症や臓器損傷と関連するタンパク質の発現源も特定され、早期診断と治療判断の最適化に貢献。発展途上国での迅速診断にも応用が期待される。

<関連情報>

マラリア臨床のシステム解析から、プロテオミクスの摂動と生得的適応のクロストークが病気の重症度に関連していることが明らかになる Systems analysis of clinical malaria reveals proteomic perturbation and innate-adaptive crosstalk linked to disease severity

Maximilian Julius Lautenbach ∙ Katja Wyss ∙ Victor Yman ∙ … ∙ Mathias Uhlén ∙ Christopher Sundling ∙ Anna Färnert
Immunity  Published:July 14, 2025
DOI:https://doi.org/10.1016/j.immuni.2025.06.014

Graphical abstract

血中タンパク質によりマラリアの重症度を判定(Proteins in the blood can reveal the severity of malaria)

Highlights

  • Extensive plasma protein perturbations detected during natural P. falciparum malaria
  • Protein profiles stratified patients and revealed a disease-severity signature
  • Activated T cells emerge as key targets of innate immune-derived plasma proteins
  • A systems-level resource for malaria pathogenesis and biomarker discovery

Summary

Malaria presents with varying degrees of severity. To improve clinical management and prevention, it is crucial to understand the pathogenesis and host response. We analyzed 1,463 plasma proteins during and after acute Plasmodium falciparum malaria in adult travelers and linked responses to peripheral immune cells by integrating with single-cell RNA sequencing (RNA-seq) data from a subset of donors. We identified extensive perturbations in over 250 proteins with diverse origins, including many not previously analyzed in malaria patients, such as hormones, circulating receptors, and intracellular or membrane-bound proteins from affected tissues. The protein profiles clustered participants according to disease severity, enabling the identification of a compressed 11-protein signature enriched in severe malaria. Conceptually, this study advances our understanding of malaria by linking systemic proteomic changes to immune cell communication and organ-specific responses. This resource, which includes an interactive platform to explore data, opens new avenues for hypothesis generation, biomarker discovery, and therapeutic target identification.

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