Oxidative metabolic response of peripheral blood monocytes of monkeys during primary and chronic Plasmodium knowlesi infection.

The oxygen free radical generation (as determined by cytochrome c reduction) and respiratory burst enzyme activities were measured in the peripheral blood monocytes before infecting normal animals, during primary Plasmodium knowlesi infection, after treatment of primary infection with chloroquine, after administration of various subcurative doses following reinfection and after establishment of chronicity. For all the parameters of the oxidative response, no significant difference was observed during primary infection and after curing of primary infection. However, the response was significantly increased in the reinfected monkeys given subcurative therapy; this was followed by a sharp decline after the 4th subcurative dose, after which the response continued to be low until the attainment of chronicity. The results of the present study exclude the possibility of the increase in oxidative metabolism being the effect of the drug (i.e. chloroquine), since no significant difference was observed during primary infection and after its cure. The sustained low grade parasitaemia in the chronic stage, in spite of the sharp decrease in the oxidative response, suggests that some nonoxidant parasitic killing mechanism might be playing a role in the regulation of parasitaemia.