# Correlates of severity of disease in Macaca mulatta infected with Plasmodium cynomolgi

## TL;DR

This study investigates the immune and transcriptomic responses in Macaca mulatta infected with Plasmodium cynomolgi, identifying molecular signatures associated with severe malaria to better understand disease severity.

## Contribution

It provides an integrative analysis linking gene expression, cytokine profiles, and immune responses to disease severity in primate malaria models.

## Key findings

- Severe infections show up-regulation of PAMP and cytokine response genes.
- Distinct transcriptional profiles are associated with severe versus mild malaria.
- Molecular signatures identified may inform understanding of severe malaria mechanisms.

## Abstract

Characterization of host responses associated with severe malaria through an integrative approach is necessary to understand the dynamics of a \textit{Plasmodium cynomolgi} infection. In this study, we conducted temporal immune profiling, cytokine profiling and transcriptomic analysis of five \textit{Macaca mulatta} infected with \textit{P. cynomolgi}. This experiment resulted in two severe infections, and two mild infections. Our analysis reveals that differential transcriptional up-regulation of genes linked with response to pathogen-associated molecular pattern (PAMP) and pro-inflammatory cytokines is characteristic of hosts experiencing severe malaria. Furthermore, our analysis discovered associations of transcriptional differential regulation unique to severe hosts with specific cellular and cytokine responses. The combined data provide a molecular and cellular basis for the development of severe malaria during \textit{P. cynomolgi} infection.