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When parasites slow down viruses: VdF Doctoral Award for Dr Jana Hey

New clues from Madagascar on the interaction between schistosomiasis and dengue

Dr Jana Hey from the Bernhard Nocht Institute for Tropical Medicine (BNITM) has received the doctoral award of the Vereinigung der Freunde des Tropeninstituts Hamburg e.V. (VdF). In her doctoral research, she investigated why Madagascar reports only few dengue cases despite favourable conditions, and what role the parasitic worm disease schistosomiasis might play. The award is endowed with €2,500.

Photo: From left to right: Jürgen May, Jana Hey, Rolf Horstmann in the historic lecture hall. In the background some listeners.
©BNITM | Julia Rauner

Madagascar would seem to offer ideal conditions for dengue: the climate is suitable, and both the virus and its vector, Aedes mosquitoes, are present. Yet dengue appears far less frequently in official reports than expected. At the same time, schistosomiasis is among the most common neglected tropical diseases in Madagascar, affecting more than half of the population. This striking combination led Dr Hey, who works in the Implementation Research group, to her PhD research question: do Schistosoma infections influence the occurrence of dengue virus infections? To answer this question, she combined epidemiological analyses with laboratory investigations.

The figure shows a map of Madagascar, on which the country’s regions are marked. Two regions are highlighted in dark green. Data was collected in these areas. Pie charts are also shown for these two regions, indicating the percentage of people who have been exposed to the dengue virus.
Study sites in Madagascar: In two coastal regions (Boeny, 488 samples; Atsinanana, 990 samples), the team used blood samples to determine how many people had already been exposed to the dengue virus (3.3 per cent and 3.2 per cent) and to dengue-related viruses (6.8 per cent and 13.6 per cent). This data was not analysed for another region in the highlands (Haute Matsiatra, 65 samples) because very few cases of dengue transmission have been reported from the mountainous regions to date.   ©Hey et al. 2026

Her results show that, in the regions studied in Madagascar, only a small proportion of people had evidence of previous contact with the dengue virus (up to 3.3 percent). In laboratory experiments, Dr Hey observed that blood serum from people with schistosomiasis, particularly those with a severe chronic form of the disease, can measurably reduce dengue virus infection in cell culture. This finding could indicate that schistosomiasis offers some protection against dengue fever.

The available data do not yet fully explain how this effect occurs. Dr Hey therefore explored which changes in the immune system might play a role. Among other things, she analysed inflammatory signalling molecules (cytokines) and IgE (immunoglobulin E), a class of antibodies that the body produces especially during allergic reactions and when responding to parasitic infections.

She also examined immune cells from blood samples of people with schistosomiasis in more detail, using modern methods such as single-cell RNA sequencing. This technique makes it possible, in effect, to read out cell by cell which genes are active in an individual immune cell at a given time. Dr Hey was particularly interested in genes involved in antiviral immune responses.

Her work highlights why co-infections deserve more attention: in regions where several pathogens circulate at the same time, they may influence one another. This can affect risk, disease burden and prevention.

The VdF doctoral prizes are awarded annually to recognise outstanding achievements and to support early-career researchers at the BNITM.

Das Foto zeigt Jana Hey, wie sie in einer Sterilbank arbeitet. Sie trägt einen blauen Kittel und blaue Sicherheitshandschuhe. Sie pipettiert und vor ihr stehen Probenröhrchen in Ständern.
Jana Hey arbeitet unter einer Sterilbank, sie isoliert Immunzellen aus Blutproben.   ©BNITM | Jana Hey

Original publication:

Hey J. et al. An exploratory study to assess the influence of schistosomiasis on the occurrence of dengue virus in Madagascar. Infectious Diseases of Poverty 2025. DOI: doi.org/10.1186/s40249-025-01370-0 

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