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Peer-reviewedCC BY 4.0JCI Insight

Previous malaria exposure attenuates monocyte-driven inflammation and correlates with modulation of the B cell response

  1. 1Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden.
  2. 2Department of Infectious Diseases and
  3. 3Center for Molecular Medicine, Karolinska University Hospital, Stockholm, Sweden.

Abstract

Clinical immunity to malaria develops after repeated malaria episodes. In this process, the inflammatory response is modulated to respond less vigorously upon reinfection. Monocytes are a major source of proinflammatory mediators during blood-stage infection and are known to adapt to repeated pathogen exposure. Here, we investigated the effect of previous malaria exposure on monocytes during blood-stage malaria by comparing the response in previously exposed and primary infected individuals. We observed reduced levels of several proinflammatory chemokines in previously exposed individuals, linked to changes in monocytes. Similarly, BAFF levels were lower in these individuals and associated with modulation of monocyte and dendritic cells. This affected the BAFF/BAFF-R axis, crucial for B cell responses, correlating with increasing parasite-specific antibody levels. Collectively, we present insights into how previous malaria exposure shapes monocyte responses during acute malaria and how these, in turn, correlate with modulation of the B cell compartment and humoral immune response.

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BibTeX
@article{lautenbach2026previous,
  title = {{Previous malaria exposure attenuates monocyte-driven inflammation and correlates with modulation of the B cell response}},
  author = {Maximilian Julius Lautenbach and Pengjun Xi and Linn Kleberg and Alan-Dine Courey-Ghaouzi and Maia Serene Gower and Carolina Sousa Silva and Felicia Chammas and Anna Färnert and Christopher Sundling},
  journal = {JCI Insight},
  year = {2026},
  month = sep,
  doi = {10.1172/jci.insight.199206},
  url = {https://doi.org/10.1172/jci.insight.199206},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Previous malaria exposure attenuates monocyte-driven inflammation and correlates with modulation of the B cell response
AU  - Maximilian Julius Lautenbach
AU  - Pengjun Xi
AU  - Linn Kleberg
AU  - Alan-Dine Courey-Ghaouzi
AU  - Maia Serene Gower
AU  - Carolina Sousa Silva
AU  - Felicia Chammas
AU  - Anna Färnert
AU  - Christopher Sundling
PY  - 2026
DA  - 2026/09/08
JO  - JCI Insight
DO  - 10.1172/jci.insight.199206
UR  - https://doi.org/10.1172/jci.insight.199206
AB  - Clinical immunity to malaria develops after repeated malaria episodes. In this process, the inflammatory response is modulated to respond less vigorously upon reinfection. Monocytes are a major source of proinflammatory mediators during blood-stage infection and are known to adapt to repeated pathogen exposure. Here, we investigated the effect of previous malaria exposure on monocytes during blood-stage malaria by comparing the response in previously exposed and primary infected individuals. We observed reduced levels of several proinflammatory chemokines in previously exposed individuals, linked to changes in monocytes. Similarly, BAFF levels were lower in these individuals and associated with modulation of monocyte and dendritic cells. This affected the BAFF/BAFF-R axis, crucial for B cell responses, correlating with increasing parasite-specific antibody levels. Collectively, we present insights into how previous malaria exposure shapes monocyte responses during acute malaria and how these, in turn, correlate with modulation of the B cell compartment and humoral immune response.
SN  - 2379-3708
ER  -