Unless otherwise noted, such pairwise comparisons were made between infected pregnant and uninfected pregnant; and between infected pregnant and infected non-pregnant mice within strains; and between infected pregnant mice and infected non-pregnant mice across strains. Pregnancy outcome data were analysed by Fisher’s exact test or chi-squared test as appropriate. Differences with P < 0·05 were considered significant. In agreement with previous studies of virgin mice (15,24), pregnant A/J mice were susceptible to a lethal infection with P. chabaudi AS, whereas B6 mice were resistant (20). Among A/J mice, 100% of infected pregnant mice died by experiment day

12 (n = 7; Figure 1a) whereas B6 mice were resistant, with only 1 of 6 mice succumbing by experiment day 12 (Figure 1a). Because the interest of the study was to evaluate mid-gestational pregnancy outcome in both strains, serial sacrifices were subsequently performed up Protein Tyrosine Kinase inhibitor to experiment day 11. In A/J mice, a maximum peripheral parasite density of 39 ± 2% (mean ± SEM; n = 21) was observed PXD101 price in the infected pregnant group at experiment day 11, while the peak parasitemia for infected pregnant

B6 mice occurred on experiment day 10 at 25 ± 3% (n = 16; Figure 1b), a level significantly lower than in A/J mice. Consistent with previous reports (25,26), parasitemia was also significantly higher in infected non-pregnant A/J mice on experiment

day 9 through 11 relative to infected non-pregnant B6 mice (data not shown). Moreover, peripheral second blood parasite density was significantly higher in pregnant A/J mice relative to non-pregnant mice at experiment day 6 (0·5 ± 0·2% (n = 64) vs. 0·1 ± 0·0% (n = 104), respectively; P = 0·03) and at peak parasitemia (39·1 ± 1·9% (n = 21) vs. 33·4 ± 1·8% (n = 27), respectively; P = 0·04; Figure S1), suggesting that, as in B6 mice (20), pregnancy increases the susceptibility of A/J mice to malaria. While anaemia was not observed in uninfected pregnant A/J and B6 mice, haematocrit was substantially reduced over time in infected pregnant (Figure 1c) and infected non-pregnant (Figure S1 and data not shown; (20) mice of both strains. On experiment day 11, haematocrit in infected pregnant A/J mice was significantly lower than in infected pregnant B6 mice (Figure 1c). As expected in normal pregnancy, uninfected pregnant A/J and B6 mice gained weight over the course of the experiment (Figure 1d). In contrast, infected pregnant mice of both strains did not experience significant weight gain, and starting at experiment day 9, body weights fell steadily with reductions to below starting body weight at experiment day 11 (Figure 1d) (20). From experiment days 9 through 11, mean body weight was significantly lower in infected pregnant relative to uninfected pregnant mice for both strains (P < 0·05).