Customize your JAMA Network experience by selecting one or more topics from the list below.
Identify all potential conflicts of interest that might be relevant to your comment.
Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.
Err on the side of full disclosure.
If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.
Not all submitted comments are published. Please see our commenting policy for details.
van den Elsen LWJ, Verhasselt V, Egwang T. Malaria Antigen Shedding in the Breast Milk of Mothers From a Region With Endemic Malaria. JAMA Pediatr. Published online January 06, 2020. doi:10.1001/jamapediatrics.2019.5209
More than 200 million cases of malaria occur yearly, with most in Africa, where infants younger than 5 years account for two-thirds of all malaria deaths.1 This highlights the need for successful prevention of malaria infection, especially in early life. Breastfeeding is the most efficient way to prevent child morbidity and mortality attributable to respiratory and gastrointestinal tract infectious diseases.2 In contrast, there is conflicting evidence on malaria prevention by breastfeeding.3-5 Mouse and human data have shown that the presence of foreign antigens in breast milk, such as allergens or viral antigens, could elicit strong immune responses in offspring who are breastfed.6 Therefore, we propose what is to our knowledge an original hypothesis: the presence of malaria antigen in breast milk stimulates antimalarial immune defenses and reduces malaria risk in infants who are breastfed. Here, as a critical first step to address this hypothesis, we investigated whether Plasmodium falciparum histidine-rich protein 2 (pHRP-2) and lactate dehydrogenase (pLDH) are detectable in the breast milk of mothers from Uganda, a country with endemic malaria.1
Create a personal account or sign in to: