Malaria-induced dysregulation of selected micronutrients (Ca, Mg, Na, K, Zn, Fe, Co) and plasma free amino acids; implications for pathogenesis and host immunity in a Nigerian population.

Malaria remains a significant global health burden, particularly in regions like Nigeria. This study investigated the impact of malaria infection on plasma amino acid and micronutrient levels in a Nigerian population. A cross-sectional study was conducted on 200 participants, including malarious and healthy controls. Plasma levels of amino acids and selected micronutrients (Ca, Mg, Na, K, Zn, Fe, Co) were measured using HPLC and ICP-MS, respectively. Results revealed significant alterations (p < 0.01) in plasma amino acid profiles (except histidine and proline) with increasing malaria severity. Essential amino acids including branched-chain amino acids like leucine and valine were depleted, indicating metabolic disruptions in the diseases. Aromatic and immune-related amino acids (arginine, tyrosine, tryptophan, glutamine, methionine, and cysteine) were reduced significantly (p < 0.01) compared to the uninfected groups. Additionally, malarious individuals exhibited significant deficiencies in several micronutrients, including calcium, sodium, zinc, and iron (p < 0.01). Malaria infection induces a complex metabolic response, leading to nutrient imbalances that may contribute to disease severity. Further research is warranted to explore the potential of targeted nutritional interventions to improve patient outcomes.