ASSOCIATION OF HAPTOGLOBIN LEVELS WITH AGE, PARASITE DENSITY, AND HAPTOGLOBIN GENOTYPE IN A MALARIA-ENDEMIC AREA OF GABON

FREYA J. I. FOWKES Peter Medawar Building for Pathogen Research and Department of Zoology, University of Oxford, Oxford, United Kingdom; Institut de Recherche pour le Développement, Dakar, Senegal; Papua New Guinea Institute of Medical Research, Madang, Papua New Guinea; Institut de Recherche pour le Développement, Unité de Recherche 10 Mother and Child in the Tropics, Faculté de Pharmacie, Paris, France; Human Parasitology, Institute for Tropical Medicine, University of Tübingen, Tübingen, Germany; Department of Medical Parasitology, New York University, New York

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HEATHER IMRIE Peter Medawar Building for Pathogen Research and Department of Zoology, University of Oxford, Oxford, United Kingdom; Institut de Recherche pour le Développement, Dakar, Senegal; Papua New Guinea Institute of Medical Research, Madang, Papua New Guinea; Institut de Recherche pour le Développement, Unité de Recherche 10 Mother and Child in the Tropics, Faculté de Pharmacie, Paris, France; Human Parasitology, Institute for Tropical Medicine, University of Tübingen, Tübingen, Germany; Department of Medical Parasitology, New York University, New York

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FLORENCE MIGOT-NABIAS Peter Medawar Building for Pathogen Research and Department of Zoology, University of Oxford, Oxford, United Kingdom; Institut de Recherche pour le Développement, Dakar, Senegal; Papua New Guinea Institute of Medical Research, Madang, Papua New Guinea; Institut de Recherche pour le Développement, Unité de Recherche 10 Mother and Child in the Tropics, Faculté de Pharmacie, Paris, France; Human Parasitology, Institute for Tropical Medicine, University of Tübingen, Tübingen, Germany; Department of Medical Parasitology, New York University, New York

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PASCAL MICHON Peter Medawar Building for Pathogen Research and Department of Zoology, University of Oxford, Oxford, United Kingdom; Institut de Recherche pour le Développement, Dakar, Senegal; Papua New Guinea Institute of Medical Research, Madang, Papua New Guinea; Institut de Recherche pour le Développement, Unité de Recherche 10 Mother and Child in the Tropics, Faculté de Pharmacie, Paris, France; Human Parasitology, Institute for Tropical Medicine, University of Tübingen, Tübingen, Germany; Department of Medical Parasitology, New York University, New York

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ANITA JUSTICE Peter Medawar Building for Pathogen Research and Department of Zoology, University of Oxford, Oxford, United Kingdom; Institut de Recherche pour le Développement, Dakar, Senegal; Papua New Guinea Institute of Medical Research, Madang, Papua New Guinea; Institut de Recherche pour le Développement, Unité de Recherche 10 Mother and Child in the Tropics, Faculté de Pharmacie, Paris, France; Human Parasitology, Institute for Tropical Medicine, University of Tübingen, Tübingen, Germany; Department of Medical Parasitology, New York University, New York

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PHILLIPE DELORON Peter Medawar Building for Pathogen Research and Department of Zoology, University of Oxford, Oxford, United Kingdom; Institut de Recherche pour le Développement, Dakar, Senegal; Papua New Guinea Institute of Medical Research, Madang, Papua New Guinea; Institut de Recherche pour le Développement, Unité de Recherche 10 Mother and Child in the Tropics, Faculté de Pharmacie, Paris, France; Human Parasitology, Institute for Tropical Medicine, University of Tübingen, Tübingen, Germany; Department of Medical Parasitology, New York University, New York

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ADRIAN J. F. LUTY Peter Medawar Building for Pathogen Research and Department of Zoology, University of Oxford, Oxford, United Kingdom; Institut de Recherche pour le Développement, Dakar, Senegal; Papua New Guinea Institute of Medical Research, Madang, Papua New Guinea; Institut de Recherche pour le Développement, Unité de Recherche 10 Mother and Child in the Tropics, Faculté de Pharmacie, Paris, France; Human Parasitology, Institute for Tropical Medicine, University of Tübingen, Tübingen, Germany; Department of Medical Parasitology, New York University, New York

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KAREN P. DAY Peter Medawar Building for Pathogen Research and Department of Zoology, University of Oxford, Oxford, United Kingdom; Institut de Recherche pour le Développement, Dakar, Senegal; Papua New Guinea Institute of Medical Research, Madang, Papua New Guinea; Institut de Recherche pour le Développement, Unité de Recherche 10 Mother and Child in the Tropics, Faculté de Pharmacie, Paris, France; Human Parasitology, Institute for Tropical Medicine, University of Tübingen, Tübingen, Germany; Department of Medical Parasitology, New York University, New York

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Haptoglobin (Hp) levels were investigated in relation to host genotype in a malaria-endemic area in Gabon. A cross-sectional study of 1–12-year-old children was conducted in the rainy season, a period of high malaria transmission, to examine this relationship. Variables that influenced Hp levels were Hp genotype, location, and age interacting with parasite density. At low parasite densities, there was a negative correlation between Hp levels and age. At higher densities, there was a positive correlation with age. This suggests that in the presence of greater parasite-induced hemolysis, older children are capable of increased production of Hp. Sickle cell trait and ABO blood group was not associated with Hp levels in this population.

Author Notes

Reprint requests: Karen P. Day, Department of Medical Parasitology, New York University School of Medicine, 341 East 25th Street, New York, NY 10010.
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