Effect of dietary iron on the course of Plasmodium berghei malaria in young rats

RESUMO

Clinical and experimental evidence suggests that iron-deficient hosts are less susceptible to severe malaria and that iron supplementation aggravates infection. In the present study, 60 weanling Wistar rats were fed standard diets with different iron concentrations 21 mg/kg (group 1), 45 mg/kg (group 2) and 113 mg/kg (group 3). Ferrous sulfate (FeSO4 x 7H2O) was added to the normal-iron and iron-supplemented diets (groups 2 and 3, respectively). Data are reported as mean +/- SEM. After 16 days of regimen, eight rats from each group were killed to measure serum iron concentration (SI) and transferrin saturation capacity (TSC). At this moment, rats from group 1 were underweight and their dietary intake was significantly lower than that of animals from the other groups. Severe iron deficiency (SI = 49.2 +/- 4.5 micrograms/100 ml and TSC = 8.3 +/- 0.7 per cent ) was observed in rats from group 1, while the animals from the other groups were iron-sufficient (group 2 SI = 186.5 +/- 28.5 micrograms/100 ml and TSC = 27.3 +/- 3.4 per cent ; group 3 SI = 137.3 +/- 18.2 micrograms/100 ml and TSC = 21.3 +/- 2.3 per cent ). Nine animals from each group were then infected with the malaria parasite Plasmodium berghei, whereas three animals from each group were used as noninfected controls. Parasitemias ( per cent of infected red blood cells) peaked 7 days post-infection in animals from groups 2 and 3 (mean values of 2.4 per cent and 1.7 per cent , respectively), but in animals from group 1 parasitemias increased until the 9th day post-infection (mean at peak, 2.3 per cent ) and parasite clearance was significantly slower than in the other groups.(ABSTRACT TRUNCATED AT 250 WORDS)