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Cover Page The handle http://hdl.handle.net/1887/41537 holds various files of this Leiden University dissertation Author: Mombo-Ngoma, Ghyslain Title: Parasitic infections during pregnancy : birth outcomes and immunological changes Issue Date: 2016-07-07

Parasitic Infections during Pregnancy in Gabon: Birth outcomes and immunological changes Ghyslain Mombo-Ngoma

ISBN: 978-94-6182-697-8 2016 Ghyslain Mombo-Ngoma Cover image: sand banc on the Ogooué River in Lambaréné with the bridge of Aduma. Printing of this thesis was supported by the Centre de Recherches Médicales de Lambaréné (CERMEL) Cover and layout design by G. Mombo-Ngoma Printing: Offpage, Amsterdam (www.offpage.nl) The investigations described in this thesis were supported by the European and African Developing Countries clinical Trials Partnership (EDCTP) and the Federal Ministry of Education and Research (BMBF FKZ: da01ka0803), Germany.

Parasitic Infections during Pregnancy in Gabon: Birth outcomes and immunological changes Proefschrift ~ ter verkrijging van de graad van Doctor aan de Universiteit Leiden, op gezag van Rector Magnificus prof.mr. C.J.J.M. Stolker, volgens besluit van het College voor Promoties te verdedigen op dinsdag 7 juli 2016 klokke 15:00 uur ~ door Ghyslain Mombo-Ngoma geboren te Libreville, Gabon in 1977

Promotores: Prof. dr. M. Yazdanbakhsh Prof. dr. PG. Kremsner (University of Tuebingen, Germany) Copromotores: Dr. M. Ramharter (Medical University of Vienna, Austria) Leden promotiecommissie: Dr. A. Luty (Institut de Recherche pour le Developpement, Paris, France) Dr. S.J. de Vlas (Erasmus Medisch Centrum, Universiteit Rotterdam) Prof. dr. A. Geluk Prof. dr. E.J. Kuijper Dr. C.H. Hokke

«Les petites privations fonts des grandes satisfactions» (Small privations are of great satisfactions) Heard from my father, «Douyassisne» Marcel Ngoma Moussavou, 1947-2014

Contents Chapter 1 General Introduction Chapter 2 Young Adolescent Girls are at High Risk for Adverse Pregnancy Outcomes in Sub-Saharan Africa: an Observational Multi-Country Study Ghyslain Mombo-Ngoma, J R Mackanga, R González, et al. 2016 In Press: http://dx.doi.org/10.1136/bmjopen-2016-011783 Chapter 3 Loa loa Infection in Pregnant Women, Gabon Mombo-Ngoma G, Mackanga JR, Basra A, et al. 2015 Emerg Infect Dis. doi: 10.3201/eid2105.141471 Chapter 4 Urogenital schistosomiasis during pregnancy is associated with low birth weight delivery: Analysis of a prospective cohort study in Gabon Ghyslain Mombo-Ngoma, Josiane Honkpehedji, Arti Basra, et al. 2016 Submitted for publication Chapter 5 Intermittent preventive treatment of malaria in pregnancy with mefloquine in HIV-negative women: a multicentre randomized controlled trial. González R, Mombo-Ngoma G, Ouédraogo S, et al. 2014 PLoS Med. doi: 10.1371/journal.pmed.1001733. Chapter 6 Efficacy of mefloquine intermittent preventive treatment in pregnancy against Schistosoma haematobium infection in Gabon: a nested randomized controlled assessor-blinded clinical trial. Basra A, Mombo-Ngoma G, Melser MC, et al. 2013 Clin Infect Dis. doi: 10.1093/cid/cis976. Chapter 7 CD4+CD25hiFOXP3+ cells in cord blood of neonates born from filaria infected mother are negatively associated with CD4+Tbet+ and CD4+RORγt+ T cells. Ateba-Ngoa U, Mombo-Ngoma G, Zettlmeissl E, et al. 2014 PLoS One. 2014 Dec 22;9(12):e114630. doi: 10.1371/journal.pone.0114630. ecollection 2014. Chapter 8 CD4+CD25hiFOXP3+ Regulatory T Cells and Cytokine Responses in Human Schistosomiasis before and after Treatment with Praziquantel. Schmiedel Y, Mombo-Ngoma G, Labuda LA, et al. 2015 PLoS Negl Trop Dis. 2015 Aug 20;9(8):e0003995. doi: 10.1371/journal.pntd.0003995. ecollection 2015 Aug. Chapter 9 Summarizing Discussion Addendum Nederlandse samenvatting List of publications Curriculum Vitae Acknowledgements 9 27 45 51 67 97 115 129 149 170 173 179 180