Publications by authors named "Salif Sombie"

Background: Shifts in dietary patterns during lifestyle transitions are integral components of the dynamic interactions between humans and their environments. Investigating the link between dietary diversity, the composition of the human lipidome and infection is key to understanding the interplay between diet and susceptibility to pathogens.

Methods: Here we address this question by performing a comparative study of two ethnic groups with divergent dietary patterns: Fulani, who are nomad pastoralists with a dairy-centric diet, and Mossi, who are farmers with a plant-based diet.

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Background: The majority of Plasmodium spp infections in endemic countries are asymptomatic and a source of onward transmission to mosquitoes. We aimed to examine whether Plasmodium falciparum transmission and malaria burden could be reduced by improving early detection and treatment of infections with active screening approaches.

Methods: In this 18-month cluster randomised study in Sapone, Burkina Faso, households were enrolled and randomly assigned (1:1:1) to one of three groups: group 1 (control) received standard of care only, group 2 received active weekly, at home, fever screening by a community health worker regardless of symptoms, participants with a fever received a rapid diagnostic test (RDT) and treatment if RDT positive, and group 3 received active weekly fever screening (as in group 2) plus a monthly RDT regardless of symptoms, and treatment if RDT positive.

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Article Synopsis
  • - Malaria remains a major global health issue, with 249 million cases and 608,000 deaths reported in 2022, and drug resistance is complicating control efforts.
  • - A study conducted from June to October 2021 and 2022 in Burkina Faso analyzed 150 samples for various resistance genes, notably finding a high prevalence of specific mutations associated with drug resistance.
  • - The study underscores the importance of ongoing surveillance of resistance markers to improve malaria control and elimination strategies.
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  • Intermittent preventive treatment with sulfadoxine-pyrimethamine for malaria in pregnant women is crucial in Burkina Faso, but resistance to the drug needs further investigation due to insufficient data on genetic mutations.
  • A study conducted from April 2019 to March 2020 analyzed placentas from postpartum women in Ouagadougou to assess genetic diversity and mutation prevalence in malaria-causing parasites.
  • Findings revealed high rates of PCR-positive samples, widespread allelic families, and certain genetic mutations, indicating potential early warning signs for increasing resistance to sulfadoxine-pyrimethamine in the population.
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  • * The study developed a testing pipeline using direct membrane feeding assays (DMFA) to assess the effectiveness of various marketed and experimental drugs against gametocytes from field isolates, focusing on their transmission-blocking capabilities.
  • * Results showed that several compounds, particularly methylene-blue, MMV693183, DDD107498, atovaquone, and P218, demonstrated strong transmission-blocking activity, establishing a robust method for future evaluations of antimalarial drug effectiveness in blocking transmission.
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The regulation of immune cell responses to infection is a complex process that involves various molecular mechanisms, including epigenetic regulation. DNA methylation has been shown to play central roles in regulating gene expression and modulating cell response during infection. However, the nature and extent to which DNA methylation is involved in the host immune response in human malaria remains largely unknown.

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Article Synopsis
  • Seasonal Malaria Chemoprevention (SMC), which uses a combination of amodiaquine and sulfadoxine-pyrimethamine, is endorsed by the WHO as a method to reduce malaria cases in areas with intense seasonal transmission, especially among children under 5.
  • Despite its potential benefits, there are ongoing debates around its effectiveness due to issues like developing malaria-specific immunity, growing resistance to antimalarial drugs, and limited delivery to children.
  • The review highlights the need to evaluate the SMC's impact on malaria morbidity and resistance, and aims to identify factors affecting the success of the strategy to enhance malaria control in affected regions.
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Background: Malaria in pregnancy remains a public health problem in sub-Saharan Africa. Identifying risk factors for malaria in pregnancy could assist in developing interventions to reduce the risk of malaria in Burkina Faso and other countries in the region.

Methods: Two cross-sectional surveys were carried out to measure Plasmodium falciparum infection using microscopy in pregnant women in Saponé Health District, central Burkina Faso.

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  • Malaria infection causes different immune responses in children, largely due to metabolic changes that are not fully understood.
  • In a study of children from two ethnic groups in West Africa, researchers discovered specific metabolites associated with malaria that influence the immune system.
  • The findings highlight how steroids produced during infection can suppress immune function, pointing to new possibilities for malaria treatment strategies.
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A recent randomized controlled trial, the WANECAM (West African Network for Clinical Trials of Antimalarial Drugs) trial, conducted at seven centers in West Africa, found that artemether-lumefantrine, artesunate-amodiaquine, pyronaridine-artesunate, and dihydroartemisinin-piperaquine all displayed good efficacy. However, artemether-lumefantrine was associated with a shorter interval between clinical episodes than the other regimens. In a further comparison of these therapies, we identified cases of persisting submicroscopic parasitemia by quantitative PCR (qPCR) at 72 h posttreatment among WANECAM participants from 5 sites in Mali and Burkina Faso, and we compared treatment outcomes for this group to those with complete parasite clearance by 72 h.

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The mechanisms behind the ability of Plasmodium falciparum to evade host immune system are poorly understood and are a major roadblock in achieving malaria elimination. Here, we use integrative genomic profiling and a longitudinal pediatric cohort in Burkina Faso to demonstrate the role of post-transcriptional regulation in host immune response in malaria. We report a strong signature of miRNA expression differentiation associated with P.

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While significant advances have been made in understanding Plasmodium falciparum gametocyte biology and its relationship with malaria parasite transmission, the gametocyte sex ratio contribution to this process still remains a relevant research question. The present review discusses the biology of sex determination in P. falciparum, the underlying host and parasite factors, the sex specific susceptibility to drugs, the effect of sex ratio dynamics on malaria parasite transmission and the development of gametocyte sex specific diagnosis tools.

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