Professional Documents
Culture Documents
Cohen, S. Et Al. Gamma-Globulin and Acquired Immunity To Human Malaria
Cohen, S. Et Al. Gamma-Globulin and Acquired Immunity To Human Malaria
10' • 12
~50
=
10
..,
~
""~"
s " 0
e."=
.Q
8
to• :e 40 8
~ 6
a
§
~
'
& ~
"
~
"0
.Q .Q
..
~
0
0
30 6
e"" .t""
.Q
.t""
0
E-o I P. falciparum 0
101
= 20 4
..
I
!! I ..
. Jl' ... ~ ·~
:§' .. I .!i
1
P. malarial' 2
~
.;:. 10 1
p.. ~
10
2 4 6 8 10
ttlt Days
y-Giobulln therapy
Fig. 2. 'frophozoite counts of Plasmodium falciparum and P.
malariae In a child with a mixed infection treated with immune
y-globulin; arrows show times of administration of y-globulin by
intra-muscular Injection
23000
_..q
10 ()'- ~
1 4 6 8 10
Days 8
First y-glo bulin
Injection
"""'~
01
-
::s I
v
0
4 I \
was equivalent to 10-20 per cent of the recipient's "
own y-globulin. ~ I
The infections were predominantly synchronous :;;"' I
I
I
Unprotected G3
\
50
10'
8 Gomma Globulin
s
.£.
=
..,"'
0
" 10'
;:::
GS
20
"'
"'
E
.
=
~
10' Gamma
4 8 12 16 20
Days
Fig. 5. Plasma elimination of "'!-albumin and 1161-y-globulin in
an unprotected adult Gambian and in a similar subject who had
received 'Pyrimethamine' (25 mgm./week) for 6 years
W. Africans in Great 4
(7·8--8·6)
8·6
{8·4-8·7)
I (1·5-2·4)
1·8
{1·6-2·0)
{3Q-67)
45
(38-55)
{0·6-0·8)
0·8
{0·7-0·9)
{8·5-15·4)
8·2
{7·8-9·3)
{4·6-5·7)
8·7
{2·7-4·3)
(8Q-Il3)
5!)
(42-57)
Britain
Europeans in Great 5 1·1 37 0·8 5·1 2·1 23
Britain (ref. 11)
I (1·0-1·1) (28-44) {0·6-0·9) {4·Q-5·7) {1·5-2·4) (18-28)
I
~
.. 150
vided optimum conditions for demonstrating the
potency of naturally occurring malarial antibodies
active against Plasmodium falciparum and probably
0 also against P. malariae. The results show that the
..0
mechanism of acquired malarial immunity is basically
j 100 similar to that observed with many other infections,
being primarily dependent on the presence of pro-
1 tective antibodies which are associated with 78
1 y-globulin. The response to immune y-globulin
z~ 50
100
~<l
20
Infection
The distribution and turnover of separate plasma
protein fractions can be measured simultaneously by
using two isotopes of iodine (iodine-131 and iodine-
"..."'
8"' 100
125) having different y-emission spectra 11 • Using .s
this method, rates of albumin andy-globulin synthesis ~
have been measured in apparently healthy Gambian 8p.
adults exposed to malarial infection but not showing 3 50
detectable parasitoomia. Similar studies were carried .8
out on 5 Gambian adults who had received an anti- s
malarial prophylactic weekly for 4-5 years (Fig. 5) ""
_§_
and also on 4 West African medical students who had 0
suffered from malaria in childhood, but had been "-
resident in England for 3-10 years. The experimental 20
procedure has previously been described 11 • 12 ; results
were analysed according to the method ofMatthews 13 •
The rate of albumin synthesis was similar in the
three groups of Africans and within the range for
healthy Europeans. On the other hand, the rate of
y-globulin synthesis in unprotected Gambians was 4 8 12 16 20 24 28
about 7 times that observed in Europeans; protection Days
by anti-malarial therapy considerably reduced the Fig. 7. Comparison in two unprotected African adults of the plas!lla
rate ofy-globulin synthesis (Table land Fig. 6). The elimination of y-globulin prepared from European and Gambtan
donors and labelled with iodjne-125 and lodlne-131 respectively.
rapid turnover of y-globulin in unprotected adults e, European y-globulin; Q, Gambian y-globulln