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• W2167223311 abstract "Malaria causes an acute systemic human disease that bears many similarities, both clinically and mechanistically, to those caused by bacteria, rickettsia, and viruses. Over the past few decades, a literature has emerged that argues for most of the pathology seen in all of these infectious diseases being explained by activation of the inflammatory system, with the balance between the pro and anti-inflammatory cytokines being tipped towards the onset of systemic inflammation. Although not often expressed in energy terms, there is, when reduced to biochemical essentials, wide agreement that infection with falciparum malaria is often fatal because mitochondria are unable to generate enough ATP to maintain normal cellular function. Most, however, would contend that this largely occurs because sequestered parasitized red cells prevent sufficient oxygen getting to where it is needed. This review considers the evidence that an equally or more important way ATP deficiency arises in malaria, as well as these other infectious diseases, is an inability of mitochondria, through the effects of inflammatory cytokines on their function, to utilise available oxygen. This activity of these cytokines, plus their capacity to control the pathways through which oxygen supply to mitochondria are restricted (particularly through directing sequestration and driving anaemia), combine to make falciparum malaria primarily an inflammatory cytokine-driven disease." @default.
• W2167223311 created "2016-06-24" @default.
• W2167223311 creator A5010298548 @default.
• W2167223311 creator A5032488465 @default.
• W2167223311 creator A5051504430 @default.
• W2167223311 creator A5084713074 @default.
• W2167223311 date "2006-10-10" @default.
• W2167223311 modified "2023-10-16" @default.
• W2167223311 title "Human malarial disease: a consequence of inflammatory cytokine release" @default.
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