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Cortisol and susceptibility to malaria during pregnancy
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We measured cortisol and prolactin concentrations in the peripheral venous blood of 23 non-pregnant and 59 pregnant Gabonese women from the second trimester of pregnancy until delivery. Cortisol concentrations were significantly higher in primigravidae women than in multigravidae women between 20 and 25 weeks' gestational age (166 vs. 132 ng/ml, respectively), between 28 and 37 weeks (226 vs. 161 ng/ml) and at delivery (287 vs. 188 ng/ml). Conversely, plasma prolactin levels were highest in multigravidae women. Cortisol and prolactin concentrations both increased with the period of pregnancy (P = 0.01 and P < 0.01, respectively), suggesting that a sustained increase in cortisol level underlies the increased susceptibility of pregnant women, particularly primigravidae women, to malaria. In support of this hypothesis, we found a significant association between cortisol concentration and Plasmodium falciparum infection, on the one hand, and strong correlations with parasite load in P. falciparum-infected primigravidae women, on the other hand (rho between 0.35 and 0.45 with P < 0.01).
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Increased cortisol levels have been associated with increased risk of malaria in pregnant women.
“Increased cortisol levels have been associated with increased risk of malaria in pregnant women.79”
From Malaria in pregnancy. (2013) · cites this paper as [79]
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Mayor, A. G., Ibitokou, S. A., & Deloron, P. (2015) · Springer eBooks · doi:10.1007/978-1-4614-8326-7_64
(2022) · Journal of Gynecology & Reproductive Medicine · doi:10.33140/jgrm.06.04.02
Kiemdé, F., Sorgho, H., Zango, S. H., Somé, G. F., Rouamba, T., Traoré, O., Kaboré, B., Natama, H. M., Hien, Y. E., Valéa, I., et al. (2024) · PLoS ONE · doi:10.1371/journal.pone.0310372
Atuhaire, C., Taseera, K., Atwine, D., Rukundo, G. Z., Byaruhanga, J., Maling, S., & Bajunirwe, F. (2025) · Discover Medicine · doi:10.1007/s44337-025-00486-4
Nangu, J., Yeka, A., Kitutu, F. E., & Okade, T. (2026) · Research Square · doi:10.21203/rs.3.rs-8435560/v1 · Cited by 1
The Characterization of the Role of Dendritic Cells in the Recrudescence Of Malaria in Pregnancy.
Gomez, O. J. M. (2018) · LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas)
Emerole, K. C., Tomalaev, A., & Vladimir, C. (2026) · IntechOpen eBooks · doi:10.5772/intechopen.1015751
Metadata
- Authors
- Bouyou-Akotet, M. K., Adegnika, A. A., Agnandji, S. T., Ngou-Milama, E., Kombila, M., Kremsner, P. G., & Mavoungou, E.
- Affiliations
- Albert Schweitzer Hospital (GA)
- Université des Sciences de la Santé (GA)
- Corresponding author
- Mavoungou, Elie
- Venue
- Microbes and Infection
- Publisher
- Elsevier BV
- Published
- 2005-08
- Volume
- 7
- Issue
- 11-12
- Pages
- 1217-1223
- ISSN
- 1286-4579 (ISSN-L)
- OpenAlex
- W1982229177
- Cited by
- 64
- References
- 53
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 3 · 2023: 2 · 2022: 1 · 2020: 2 · 2019: 3 · 2018: 3 · 2017: 5 · 2016: 3 · 2015: 3 · 2014: 3 · 2013: 3 · 2012: 4
- FWCI
- 5.24
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- www.elsevier.com/legal/tdmrep-license (tdm)
- www.elsevier.com/open-access/userlicense/1.0/ (vor, 6727 d)
- doi.org/10.15223/policy-017 (stm-asf)
- doi.org/10.15223/policy-037 (stm-asf)
- doi.org/10.15223/policy-012 (stm-asf)
- doi.org/10.15223/policy-029 (stm-asf)
- doi.org/10.15223/policy-004 (stm-asf)
- Locations
- Microbes and Infection (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Malaria Research and Control
- Life Sciences › Immunology and Microbiology › Immunology › Reproductive System and Pregnancy
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Keywords
- cortisol, prolactin, Plasmodium falciparum, infection intensity, primigravida, multigravidae, pregnancy, Gabon
- MeSH terms
- Adolescent, Adult, Disease Susceptibility, Female, Gestational Age, Humans, Hydrocortisone, Parity, Pregnancy, Prolactin, Pregnancy Complications, Parasitic, Malaria, Falciparum, Parasitemia, Gravidity
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