Passie voor gezondheid!

Het bevorderen van gezondheid is vaak gericht op het voorko ´men en bestrijden van ziekte, waarbij het zoeken naar determinanten van ziekte en gezondheidsrisico’s voorop staat, zowel op individueel als maatschappelijke niveau. Met deze benadering is op zichzelf niets mis. Er zijn zo onmiskenbaar grote successen geboekt. Toch knaagt er iets omdat deze benadering van gezondheid vooral focust op ziekte, beperkingen en ongezonde keuzes, terwijl gezondheid op zich een positief concept is

Limited variation of the 5’cis-control region of the transmission blocking vaccine candidate Pfs25 amid great genetic diversity of Plasmodium falciparum in Cameroon

Genetic recombination during sexual reproduction within Plasmodium sp. contributes to parasite diversity and altered gene expression of certain surface markers. The pfs25 gene involved in the upsetof gametocytogenesis is a candidate antigen in transmission blocking vaccine. This study investigated the polymorphism of Pfs25 within its 5’cis-control region in field isolates from different ecotypes inCameroon. Symptomatic patients and asymptomatic healthy school children with a positive smear and from different ecozones were included. Parasite DNA was extracted and polymorphisms within pfs25,cg2-, msp-1, msp-2 and glurp genes were investigated by PCR-RFLP and DNA sequencing. Putative control elements of the 5’cis control regions of Pfs25 were identified by PCGENE software andenzymes were selected whose sequences produced or abolished restriction sites by mutations. Malaria infection was mainly caused by Plasmodium falciparum with sporadic occurrence of Plasmodiummalariae and Plasmodium ovale. Analysis of the Pfs25 5’ cis-control region identified only one polymorphism (0.002%) that abolished an RsaI restriction site as part of the sequence TTTCTGTAC,located 40 bp downstream of the promoter and found at – 478 bp of the ATG. Analysis of the 5’ ciscontrol sequence of Pfs25 revealed minimal variation of the promoter region amid great zonal differences in parasite population. Altitudinal differences in parasite populations were not easily discernable