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      <title>High level of soluble human leukocyte antigen (HLA)-G at beginning of pregnancy as predictor of risk of malaria during infancy</title>
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    <abstract>Placental malaria has been associated with an immune tolerance phenomenon and a higher susceptibility to malaria infection during infancy. HLA-G is involved in fetal maternal immune tolerance by inhibiting maternal immunity. During infections HLA-G can be involved in immune escape of pathogens by creating a tolerogenic environment. Recent studies have shown an association between the risk of malaria and HLA-G at both genetic and protein levels. Moreover, women with placental malaria have a higher probability of giving birth to children exhibiting high sHLA-G, independently of their own level during pregnancy. Our aim was to explore the association between the level of maternal soluble HLA-G and the risk of malaria infection in their newborns. Here, 400 pregnant women and their children were actively followed-up during 24 months. The results show a significant association between the level of sHLA-G at the first antenatal visit and the time to first malaria infection during infancy adjusted to the risk of exposure to vector bites (aHR = 1.02, 95% CI [1.01-1.03], p = 0.014). The level of sHLA-G is a significant predictor of the occurrence of malaria infection during infancy consistent with the hypothesis that mother sHLA-G could be a biomarker of malaria susceptibility in children.</abstract>
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      <geographic>BENIN</geographic>
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    <classification authority="local">052</classification>
    <classification authority="local">050</classification>
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      <titleInfo>
        <title>Scientific Reports - Nature</title>
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          <number>9</number>
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        <extent unit="pages">
          <list> art. 9160 [9 p.]</list>
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      <originInfo>
        <dateIssued>2019</dateIssued>
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      <identifier type="issn">2045-2322</identifier>
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    <identifier type="uri">https://www.documentation.ird.fr/hor/fdi:010076157</identifier>
    <identifier type="doi">10.1038/s41598-019-45688-w</identifier>
    <identifier type="issn">2045-2322</identifier>
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