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Atypical memory B cells are greatly expanded in individuals living in a malaria-endemic area

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TLDR
Evidence is provided that a phenotypically similar atypical MBC population is significantly expanded in Pf-exposed Malian adults and children as young as 2 years of age as compared with healthy U.S. adult controls.
Abstract
Epidemiological observations in malaria endemic areas have long suggested a deficiency in the generation and maintenance of B cell memory to Plasmodium falciparum (Pf) in individuals chronically reinfected with the parasite. Recently, a functionally and phenotypically distinct population of FCRL4(+) hyporesponsive memory B cells (MBCs) was reported to be expanded in HIV-infected individuals with high viral loads. In this study, we provide evidence that a phenotypically similar atypical MBC population is significantly expanded in Pf-exposed Malian adults and children as young as 2 years of age as compared with healthy U.S. adult controls. The number of these atypical MBCs was higher in children with chronic asymptomatic Pf infections compared with uninfected children, suggesting that the chronic presence of the parasite may drive expansion of these distinct MBCs. This is the first description of an atypical MBC phenotype associated with malaria. Understanding the origin and function of these MBCs could be important in informing the design of malaria vaccines.

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T cell exhaustion

TL;DR: Advances in the molecular delineation of T cell exhaustion are clarifying the underlying causes of this state of differentiation and also suggest promising therapeutic opportunities.
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Memory B cells.

TL;DR: This Review discusses the underlying mechanisms that are required for rapid and effective recall antibody responses in memory B cells, focusing on the contributions of other types of cells, such as memory T follicular helper cells.
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Reference values for B cell subpopulations from infancy to adulthood

TL;DR: In this article, the authors characterized developmental changes in peripheral B cell populations from infancy to adulthood in order to define age-dependent reference values using a flow cytometric approach and analyzed the frequencies as well as the absolute counts of naive, switched and non-switched memory B cells.
References
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Journal ArticleDOI

The global distribution of clinical episodes of Plasmodium falciparum malaria

TL;DR: It is estimated that there were 515 (range 300–660) million episodes of clinical P. falciparum malaria in 2002, up to 50% higher than those reported by the World Health Organization and 200% higher for areas outside Africa, reflecting the WHO's reliance upon passive national reporting for these countries.
Journal ArticleDOI

Molecular Signature of CD8+ T Cell Exhaustion during Chronic Viral Infection

TL;DR: T cell exhaustion was progressive, and gene-expression profiling indicated that T cell exhaustion and anergy were distinct processes, which provides a framework for designing rational immunotherapies during chronic infections.
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