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Sergio Wittlin, PhD Parasite Chemotherapy Unit Malaria A short introduction Sao Paulo, November 13 th 2014

Malaria - Fapesp · 5.4 days 9 days 15 mins 1h 12-36h 9-12 days. Thank you ! Backup slides. Murray et al. (Lancet Feb 2012) South America is world famous for its fight against malaria

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Page 1: Malaria - Fapesp · 5.4 days 9 days 15 mins 1h 12-36h 9-12 days. Thank you ! Backup slides. Murray et al. (Lancet Feb 2012) South America is world famous for its fight against malaria

Sergio Wittlin, PhD

Parasite Chemotherapy Unit

Malaria

A short introduction

Sao Paulo, November 13th 2014

Page 2: Malaria - Fapesp · 5.4 days 9 days 15 mins 1h 12-36h 9-12 days. Thank you ! Backup slides. Murray et al. (Lancet Feb 2012) South America is world famous for its fight against malaria

Why did Jeremy nominate me to give this talk ?

• Because of the 12 year long work relationship our group

has with MMV ?

• Or because my hair gets more and more grey ?

Whatever the answer is…

I will certainly do my best to bring those «up to speed»,

who do not work in the malaria field.

Page 3: Malaria - Fapesp · 5.4 days 9 days 15 mins 1h 12-36h 9-12 days. Thank you ! Backup slides. Murray et al. (Lancet Feb 2012) South America is world famous for its fight against malaria

Brazil: Many, many researchers are working on malaria

One scientist who immediately came into my mind:

Prof. Carlos Morel

Page 4: Malaria - Fapesp · 5.4 days 9 days 15 mins 1h 12-36h 9-12 days. Thank you ! Backup slides. Murray et al. (Lancet Feb 2012) South America is world famous for its fight against malaria

Carlos Morel

• Long list of activities

• Participated in the creation of several global programs of research

and development for neglected diseases: Global Forum for Health

Research, Medicines for Malaria Venture, Global Alliance for TB Drug

Development, becoming this Organization's first Chairman of the

Board, and Drugs for Neglected Diseases initiative.

• Director of the Center for Technological Development in Health

(CDTS) and a Senior Researcher at the Oswaldo Cruz Foundation

(Fiocruz)

• On top of that he is…

Page 5: Malaria - Fapesp · 5.4 days 9 days 15 mins 1h 12-36h 9-12 days. Thank you ! Backup slides. Murray et al. (Lancet Feb 2012) South America is world famous for its fight against malaria

• Chair of external review board at Swiss TPH !

1943: Created as Swiss Tropical Institute (STI)

Page 6: Malaria - Fapesp · 5.4 days 9 days 15 mins 1h 12-36h 9-12 days. Thank you ! Backup slides. Murray et al. (Lancet Feb 2012) South America is world famous for its fight against malaria

10 FACTS ON MALARIA

(by WHO)

Page 7: Malaria - Fapesp · 5.4 days 9 days 15 mins 1h 12-36h 9-12 days. Thank you ! Backup slides. Murray et al. (Lancet Feb 2012) South America is world famous for its fight against malaria

Five different Plasmodium species

that cause malaria in humans: (P.

malariae, P. ovale, P. knowlesi, P.

vivax and P. falciparum)

Page 8: Malaria - Fapesp · 5.4 days 9 days 15 mins 1h 12-36h 9-12 days. Thank you ! Backup slides. Murray et al. (Lancet Feb 2012) South America is world famous for its fight against malaria

www.malariacomic.com

Page 9: Malaria - Fapesp · 5.4 days 9 days 15 mins 1h 12-36h 9-12 days. Thank you ! Backup slides. Murray et al. (Lancet Feb 2012) South America is world famous for its fight against malaria

Animated lifecycle of the malaria parasite

9

TRANSMISSION

TO MAN

TRANSMISSION

TO MAN

LIVER

Sporozoites

Nucleus

Hypnozoite

Infected

Hepatocyte

Schizont

Merozoites

Erythrocyte

Ring

Trophozoite

Schizont

43 – 48 h

Cycle leading

to clinical

symptoms

P. vivax

dormant stage

Gametocytes

TRANSMISSION

TO MOSQUITO

Macro-

gametocyte

Macro-

gametocyte

(Exflagellation)

Diploid

Zygote

Ookinete

Oocysts

Sporozoites

15-30 mins

5.4 days

9 days

15 mins

1h

12-36h

9-12 days

Page 10: Malaria - Fapesp · 5.4 days 9 days 15 mins 1h 12-36h 9-12 days. Thank you ! Backup slides. Murray et al. (Lancet Feb 2012) South America is world famous for its fight against malaria
Page 11: Malaria - Fapesp · 5.4 days 9 days 15 mins 1h 12-36h 9-12 days. Thank you ! Backup slides. Murray et al. (Lancet Feb 2012) South America is world famous for its fight against malaria
Page 12: Malaria - Fapesp · 5.4 days 9 days 15 mins 1h 12-36h 9-12 days. Thank you ! Backup slides. Murray et al. (Lancet Feb 2012) South America is world famous for its fight against malaria
Page 13: Malaria - Fapesp · 5.4 days 9 days 15 mins 1h 12-36h 9-12 days. Thank you ! Backup slides. Murray et al. (Lancet Feb 2012) South America is world famous for its fight against malaria
Page 14: Malaria - Fapesp · 5.4 days 9 days 15 mins 1h 12-36h 9-12 days. Thank you ! Backup slides. Murray et al. (Lancet Feb 2012) South America is world famous for its fight against malaria
Page 15: Malaria - Fapesp · 5.4 days 9 days 15 mins 1h 12-36h 9-12 days. Thank you ! Backup slides. Murray et al. (Lancet Feb 2012) South America is world famous for its fight against malaria
Page 16: Malaria - Fapesp · 5.4 days 9 days 15 mins 1h 12-36h 9-12 days. Thank you ! Backup slides. Murray et al. (Lancet Feb 2012) South America is world famous for its fight against malaria

Thank you !

Page 17: Malaria - Fapesp · 5.4 days 9 days 15 mins 1h 12-36h 9-12 days. Thank you ! Backup slides. Murray et al. (Lancet Feb 2012) South America is world famous for its fight against malaria

Backup slides

Page 18: Malaria - Fapesp · 5.4 days 9 days 15 mins 1h 12-36h 9-12 days. Thank you ! Backup slides. Murray et al. (Lancet Feb 2012) South America is world famous for its fight against malaria
Page 19: Malaria - Fapesp · 5.4 days 9 days 15 mins 1h 12-36h 9-12 days. Thank you ! Backup slides. Murray et al. (Lancet Feb 2012) South America is world famous for its fight against malaria

Murray et al. (Lancet Feb 2012)

Page 20: Malaria - Fapesp · 5.4 days 9 days 15 mins 1h 12-36h 9-12 days. Thank you ! Backup slides. Murray et al. (Lancet Feb 2012) South America is world famous for its fight against malaria
Page 21: Malaria - Fapesp · 5.4 days 9 days 15 mins 1h 12-36h 9-12 days. Thank you ! Backup slides. Murray et al. (Lancet Feb 2012) South America is world famous for its fight against malaria
Page 22: Malaria - Fapesp · 5.4 days 9 days 15 mins 1h 12-36h 9-12 days. Thank you ! Backup slides. Murray et al. (Lancet Feb 2012) South America is world famous for its fight against malaria

South America is world famous for its fight against malaria

Manuel Patarroyo

• Made in 1987 the world's first attempt to create a synthetic malaria

vaccine (SPf66)

• In 2009, a comprehensive Cochrane review assessed the SPf66 as

being not efficacious in Africa and Asia, and as having a statistically

significant efficacy of 28% in South America

Page 23: Malaria - Fapesp · 5.4 days 9 days 15 mins 1h 12-36h 9-12 days. Thank you ! Backup slides. Murray et al. (Lancet Feb 2012) South America is world famous for its fight against malaria

Animated lifecycle of the malaria parasite

23

TRANSMISSION

TO MAN

TRANSMISSION

TO MAN

LIVER

Sporozoites

Nucleus

Hypnozoite

Infected

Hepatocyte

Schizont

Merozoites

Erythrocyte

Ring

Trophozoite

Schizont

43 – 48 h

Cycle leading

to clinical

symptoms

P. vivax

dormant stage

Gametocytes

TRANSMISSION

TO MOSQUITO

Macro-

gametocyte

Macro-

gametocyte

(Exflagellation)

Diploid

Zygote

Ookinete

Oocysts

Sporozoites

15-30 mins

5.4 days

9 days

15 mins

1h

12-36h

9-12 days