Inflammation and hemostasis in loiasis before and after ivermectin treatment: A biological pilot cross-sectional study
We assessed the impact of loiasis and its treatment with ivermectin on hemostasis and inflammation in 38 adults in Cameroon. Participants were divided into four balanced groups based on their Loa loa microfilarial densities. At baseline, eosinophils and platelets increased with microfilarial densities (p<0.001 and p = 0.044, respectively). At day 4 following ivermectin administration, median eosinophils rose from 171/μL to 1,095/μL (p<0.001) and median D-dimers increased from 582 ng/mL to 745 ng/mL (p = 0.024) with a median relative variation of +34.7%. C-reactive protein, fibrinogen, and alpha-1-globulin also increased significantly after treatment. Ivermectin treatment appeared to induce inflammation, coagulation activation and fibrinolysis.
Authors
- Jérémy T. Campillo (ORCID: https://orcid.org/0000-0002-4400-5204)
- Claude Tagny Tayou
- Tristan M. Lepage (ORCID: https://orcid.org/0000-0003-1710-2110)
- Narcisse Nzune-Toche (ORCID: https://orcid.org/0000-0002-8875-7088)
- Hugues C. Nana-Djeunga (ORCID: https://orcid.org/0000-0002-4496-6048)
- Charlotte Boullé (ORCID: https://orcid.org/0000-0002-3800-6315)
- Cédric B. Chesnais (ORCID: https://orcid.org/0000-0002-8779-977X)
- Michel Boussinesq (ORCID: https://orcid.org/0000-0001-6312-0681)
- Sébastien D. S. Pion (ORCID: https://orcid.org/0000-0002-9468-7020)
- Lucie A. Nkwengoua
- Joseph Kamgno
Institutions
- Université de Yaoundé I (CM)
- Inserm (FR)
- Université de Montpellier (FR)
- Centre Hospitalier Universitaire de Montpellier (FR)
- Ministry of Scientific Research and Innovation (CM)
- University Teaching Hospital of Yaounde (CM)
- Institut de Recherche pour le Développement (FR)
Publication Details
- Journal
- PLoS neglected tropical diseases
- Published
- 2024-12-16
- DOI
- https://doi.org/10.1371/journal.pntd.0012491
- Primary Topic
- Parasitic Diseases Research and Treatment
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- European Commission
- H2020 European Research Council