Fasting blood glucose in a Ghanaian adult is causally affected by malaria parasite load: a mechanistic case study using convergent cross mapping

Autor: Carol A. Abidha, Yaw Ampem Amoako, Richard King Nyamekye, George Bedu-Addo, Florian Grziwotz, Frank P. Mockenhaupt, Arndt Telschow, Ina Danquah
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Malaria Journal, Vol 21, Iss 1, Pp 1-8 (2022)
Druh dokumentu: article
ISSN: 1475-2875
DOI: 10.1186/s12936-022-04076-y
Popis: Abstract Background Adults with diabetes mellitus (DM) in malaria-endemic areas might be more susceptible to Plasmodium infection than healthy individuals. Herein, the study was aimed at verifying the hypothesis that increased fasting blood glucose (FBG) promotes parasite growth as reflected by increased parasite density. Methods Seven adults without DM were recruited in rural Ghana to determine the relationships between FBG and malaria parasite load. Socio-economic data were recorded in questionnaire-based interviews. Over a period of 6 weeks, FBG and Plasmodium sp. Infection were measured in peripheral blood samples photometrically and by polymerase chain reaction (PCR)-assays, respectively. Daily physical activity and weather data were documented via smartphone recording. For the complex natural systems of homeostatic glucose control and Plasmodium sp. life cycle, empirical dynamic modelling was applied. Results At baseline, four men and three women (median age, 33 years; interquartile range, 30–48) showed a median FBG of 5.5 (5.1–6.0 mmol/L); one participant had an asymptomatic Plasmodium sp. infection (parasite density: 240/µL). In this participant, convergent cross mapping (CCM) for 34 consecutive days, showed that FBG was causally affected by parasite density (p 0.05). Additionally, daily ambient temperature affected parasite density (p
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