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Antimicrobial Agents and Chemotherapy, April 2007, p. 1321-1326, Vol. 51, No. 4
0066-4804/07/$08.00+0 doi:10.1128/AAC.01216-06
Copyright © 2007, American Society for Microbiology. All Rights Reserved.

Katie E. Steen,1,
Ahmed Raza,1
Monica Arman,1
George Warimwe,2
Peter C. Bull,2
Ivan Havlik,3 and
J. Alexandra Rowe1*
Institute of Immunology and Infection Research, School of Biological Sciences, University of Edinburgh, Edinburgh EH9 3JT, United Kingdom,1 KEMRI-Wellcome Trust Collaborative Programme, P.O. Box 230, Kilifi, Kenya,2 Department of Pharmacy and Pharmacology, University of the Witwatersrand, 7 York Road, Parktown 2193, South Africa3
Received 27 September 2006/ Returned for modification 5 November 2006/ Accepted 24 January 2007
Spontaneous binding of infected erythrocytes to uninfected erythrocytes to form rosettes is a property of some strains of Plasmodium falciparum that is linked to severe complications of malaria. Curdlan sulfate (CRDS) is a sulfated glycoconjugate compound that is chemically similar to known rosette-inhibiting drugs such as heparin. CRDS has previously been shown to have antimalarial activity in vitro and is safe for clinical use. Here we show that CRDS at therapeutic levels (10 to 100 µg/ml) significantly reduces rosette formation in vitro in seven P. falciparum laboratory strains and in a group of 18 African clinical isolates. The strong ability to inhibit rosetting suggests that CRDS has the potential to reduce the severe complications and mortality rates from P. falciparum malaria among African children. Our data support further clinical trials of CRDS.
Published ahead of print on 5 February 2007.
These authors contributed equally to the work.
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