After the publication "Eradicating Malaria in Africa: Potentials and Challenges of Vaccine Deployment" I was inspired to see eradication from another point of view (POV) by applying my bioinfomatics skillset, I need to see firsthand what is happening in the genome, and what is causing resistance?
# Replication of Single-cell Transcriptomics Revealing Inter-ethnic Variation in Immune Response to *Plasmodium falciparum*
This repository contains a **full replication analysis** of the study:
> **Shahin et al. (2025)**
> *Single-cell transcriptomics reveals inter-ethnic variation in immune response to Falciparum malaria*
> **The American Journal of Human Genetics**, 112, 709–723
Using publicly available single-cell RNA sequencing data, this project reproduces and visualizes key findings demonstrating how **ethnicity-driven immune programming**, rather than infection status alone, shapes malaria outcomes.
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## 🎯 Scientific Motivation
Why do Fulani children in West Africa experience **less severe malaria** than neighboring Mossi children despite comparable exposure to *P. falciparum*?
This analysis addresses that question by exploring **baseline and infection-induced immune states** across more than **70,000 single immune cells**, revealing how population-level genetic and transcriptional differences shape disease tolerance.
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## 🧠 Key Biological Insights (Replication Summary)
### 1️⃣ Ethnicity Dominates Immune Variation
Across multiple immune cell types, **ethnicity explains 10–40× more transcriptional variation** than infection status itself.
**Implication:**
Disease severity may be predicted by **pre-infection immune states**, not just pathogen burden.
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### 2️⃣ Trained Tolerance in Fulani Monocytes
Fulani monocytes exhibit:
- ↓ Pro-inflammatory cytokines (TNF-α, IL-6, NF-κB)
- ↑ Phagocytic and parasite-clearance receptors (e.g. CD36)
**Interpretation:**
Parasites are cleared efficiently **without triggering harmful inflammation**, reducing risk of severe malaria.
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### 3️⃣ Compartmentalized Immune Strategy
Different immune compartments play distinct roles:
| Cell type | Dominant function |
|---------|------------------|
| Monocytes | Silent parasite clearance |
| B cells | Robust antibody activation |
| CD4⁺ T cells | Dampened activatio …