{"title":"反思黄疸","authors":"Joachim Kloehn, Dominique Soldati-Favre","doi":"","DOIUrl":null,"url":null,"abstract":"<div >Malaria continues to be among the major devastating infectious diseases in the world (<i>1</i>). It is caused by a protozoan parasite of the genus <i>Plasmodium</i> that is transmitted by mosquitoes in the <i>Anopheles</i> genus. Unfortunately, resistance to drugs and insecticides, as well as climate change, are threatening progress in malaria prevention, control, and treatment over the past decades. Certain human genetic traits confer some protection against malaria and are prevalent in malaria-endemic regions. On page 1181 of this issue, Figueiredo <i>et al</i>. (<i>2</i>) report a genetic trait that may provide protection from the disease—the decreased expression of a bilirubin conjugation enzyme. As a result, unconjugated bilirubin concentrations increase, which has antimalarial effects.</div>","PeriodicalId":21678,"journal":{"name":"Science","volume":"388 6752","pages":""},"PeriodicalIF":45.8000,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Rethinking jaundice\",\"authors\":\"Joachim Kloehn, Dominique Soldati-Favre\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div >Malaria continues to be among the major devastating infectious diseases in the world (<i>1</i>). It is caused by a protozoan parasite of the genus <i>Plasmodium</i> that is transmitted by mosquitoes in the <i>Anopheles</i> genus. Unfortunately, resistance to drugs and insecticides, as well as climate change, are threatening progress in malaria prevention, control, and treatment over the past decades. Certain human genetic traits confer some protection against malaria and are prevalent in malaria-endemic regions. On page 1181 of this issue, Figueiredo <i>et al</i>. (<i>2</i>) report a genetic trait that may provide protection from the disease—the decreased expression of a bilirubin conjugation enzyme. As a result, unconjugated bilirubin concentrations increase, which has antimalarial effects.</div>\",\"PeriodicalId\":21678,\"journal\":{\"name\":\"Science\",\"volume\":\"388 6752\",\"pages\":\"\"},\"PeriodicalIF\":45.8000,\"publicationDate\":\"2025-06-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Science\",\"FirstCategoryId\":\"103\",\"ListUrlMain\":\"https://www.science.org/doi/10.1126/science.ady7161\",\"RegionNum\":1,\"RegionCategory\":\"综合性期刊\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"MULTIDISCIPLINARY SCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Science","FirstCategoryId":"103","ListUrlMain":"https://www.science.org/doi/10.1126/science.ady7161","RegionNum":1,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"MULTIDISCIPLINARY SCIENCES","Score":null,"Total":0}
Malaria continues to be among the major devastating infectious diseases in the world (1). It is caused by a protozoan parasite of the genus Plasmodium that is transmitted by mosquitoes in the Anopheles genus. Unfortunately, resistance to drugs and insecticides, as well as climate change, are threatening progress in malaria prevention, control, and treatment over the past decades. Certain human genetic traits confer some protection against malaria and are prevalent in malaria-endemic regions. On page 1181 of this issue, Figueiredo et al. (2) report a genetic trait that may provide protection from the disease—the decreased expression of a bilirubin conjugation enzyme. As a result, unconjugated bilirubin concentrations increase, which has antimalarial effects.
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