Abstract

Invasion of human red blood cells by Plasmodium merozoites is vital for replication and survival of the parasite and, as such, is an attractive target for therapeutic intervention. Merozoite invasion is mediated by specific interactions between parasite ligands and host erythrocyte receptors. The P. vivax Duffy-binding protein (PvDBP) is heavily dependent on the interaction with the human Duffy blood group antigen/receptor for chemokines (DARC) for invasion. Region II of PvDBP contains many allelic polymorphisms likely to have arisen by host immune selection. Successful vaccine development necessitates a deeper understanding of the role of these polymorphisms in both parasite function and evasion of host immunity. A 3D structure of the homologous P. knowlesi DBP predicts that most variant residues are surface-exposed, including N417K, which is a dimorphic residue change that has previously been shown to be part of a linked haplotype that alters DBP sensitivity to inhibitory antibody. In natural isolates only two residues are found at this site, asparagine (N) and lysine (K). Site-directed mutagenesis of residue 417 was used to create a panel of 20 amino acid variants that were then examined for their binding phenotype and response to immune sera. Our results suggest that the observed dimorphism likely arose due to both structural requirements and immune selection pressure. To our knowledge, this is the first exhaustive examination of this kind of the role of a single amino acid residue in antigenic character and binding ability. Our results demonstrate that a single amino acid substitution can dramatically alter both the ability of the PvDBP to bind to human erythrocytes and its antigenic character.

Highlights

  • Plasmodium vivax is responsible for 70–80 million cases of clinical malaria annually and has a wide distribution that causes more than 50% of malaria cases outside of Africa [1]

  • Our previous study of genetic analysis of pvdbp in clinical isolates has shown that variation at residue 417 is often linked to residues 437 and 503 [23]

  • Some antigens like the P. vivax Duffy binding protein (DBP) offer the potential of vulnerable epitopes associated with functionally sensitive motifs required for receptor recognition

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Summary

Introduction

Plasmodium vivax is responsible for 70–80 million cases of clinical malaria annually and has a wide distribution that causes more than 50% of malaria cases outside of Africa [1]. DBP contains the prototypical Duffy-binding ligand (DBL) domain or region II, which is a cysteine-rich region (12 consensus cysteines) responsible for receptor recognition in a wide variety of parasite cytoadhesion proteins [7]. A site critical for erythrocyte receptor (Duffy antigen/ receptor for chemokines, or DARC) recognition has been mapped to an area between cysteines 4 and 7 of the DBL domain [11,12,13] This is the most highly polymorphic region of the entire open reading frame with a high ratio of nonsynonymous to synonymous polymorphisms, suggesting positive selection indicative of immune pressure [14,15,16]. We hypothesize that the same mechanism of immune evasion operates to drive allelic diversity of DBP

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