Table 2. Concentration of invasion- modulating factors in pooled serum from uninfected and P. falciparum infected women at enrolment.
Analyte | reported effect on trophoblast invasion | mean (SD) conc. in uninfected women | mean (SD) conc. in P.f infected women | P value |
IGF-I | + | 180 (2) | 114 (1) | 0.07 |
IGF-II | + | 1964 (82) | 1470 (60) | 0.1 |
IL-8 | + | 163 (3) | 87 (15) | 0.09 |
hCG | – | 23 (1) | 27 (1) | 0.1 |
IL-10 | – | 5.2 (0.1) | 17.4 (2.0) | 0.08 |
IL-1β | – | not detected | 2.2 (0.9) | – |
TNFα | – | not detected | 1.6 (0.4) | – |
IL-6 | +/− | 4.2 (0.8) | 4.4 (0.3) | – |
IL-12p70 | unreported | not detected | 1.9 (0.9) | – |
Note: Mean concentrations (and SD) of invasion stimulatory factors (IGF-I, IGF-II, and IL-8) were lower in pooled serum from women with P. falciparum infection compared to match uninfected controls. In the same pooled serum samples, factors that inhibit trophoblast invasion (hCG, IL-10) were higher in infected women than in uninfected women. IGF- Insulin like growth factor, IL- interleukin, TNF tumor necrosis factor, hCG human chorionic gonadotrophin. (+) indicates known previously reported trophoblast invasion-promoting effects [46], [47], [48], [49], [50], known trophoblast invasion inhibitory effects are indicated by (−) [48], [49], [51], [52], reports of both inhibitory and promoting effects are indicated by (+/−) [53], and (unreported) indicates an absence of previous reports on trophoblast invasion. All analyte concentrations in pooled serum were measured once and are expressed as pg/ml, except hCG (IU/ml). IGF-I, IGF-II and hCG were measured in triplicate (analyzed using the Mann-Whitney test), and all cytokines were measured in duplicate (analyzed using unpaired t test with Welch’s correction).