Age- and exposure-dependent immune responses during a
malaria episode may be key to understanding the role of these factors in the acquisition of immunity to
malaria. Plasma/serum samples collected from naïve Mozambican children (n=48), European adults (naïve travelers, n=22; expatriates with few prior
malaria exposures, n=15) and Mozambican adults with long-life
malaria exposure (n=99) during and after a
malaria episode were analyzed for
IgG against merozoite
proteins by Luminex and against infected erythrocytes by flow cytometry.
Cytokines and
chemokines were analyzed in plasmas/sera by
suspension array technology. No differences were detected between children and adults with a primary
infection, with the exception of higher
IgG levels against 3D7 MSP-1(42) (P=0.030) and a P. falciparum isolate (P=0.002), as well as higher
IL-12 (P=0.020) in children compared to other groups. Compared to
malaria-exposed adults, children, travelers and expatriates had higher concentrations of IFN-γ (P ≤ 0.0090),
IL-2 (P ≤ 0.0379) and
IL-8 (P ≤ 0.0233). Children also had higher
IL-12 (P=0.0001),
IL-4 (P=0.003), IL-1β (P=0.024) and TNF (P=0.006) levels compared to
malaria-exposed adults. Although
IL-12 was elevated in children, overall the data do not support a role of age in immune responses to a first
malaria episode. A T(H)1/pro-inflammatory response was the hallmark of non-immune subjects.