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Experimental infection and protection against ... - TI Pharma

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122 Chapter 6<br />

Figure 1. (A) Parasite density in blood measured by quantitative PCR in 48 volunteers<br />

participating in seven sporozoite challenge trials at the Radboud University Medical<br />

Centre Nijmegen. Grey lines are measurements for individual volunteers, the black line<br />

shows geometric mean parasitemia. Q-PCR cycle threshold above 45 was plotted as zero.<br />

(B) Geometric mean parasite density per multiplication cycle for individual volunteers.<br />

(C) Multiplication rate for every individual by taking the ratio of geometric mean<br />

parasitemia from two cycles. Shown are the ratio of multiplication cycle 2 with cycle 1,<br />

cycle 3 with cycle 2 <strong>and</strong> square root of the ratio of cycle 3 with cycle 1. Lines indicate<br />

geometric mean of ratios.<br />

Results<br />

Parasite densities showed a consistent cyclical pattern of blood-stage parasite<br />

growth in all volunteers (Figure 1A). The following multiplication cycle intervals<br />

were identified: first cycle from day 6.5 until day 8.5, second cycle from day 8.5<br />

until day 10.5 <strong>and</strong> third cycle from day 10.5 until day 12.5. All individuals deve-

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