Abstract

BackgroundPlasmodium falciparum EBA175 and PfRh2 belong to two main families involved in parasite invasion, and both are potential vaccine candidates. Current knowledge is limited regarding which target antigens and subclasses of antibodies are actually important for protection, and how naturally acquired immunity is achieved.MethodsRepeated blood samples were collected from individuals in Nigeria over a period of almost one year. ELISA was used to analyse subclasses of IgG responses.ResultsFor both EBA175 (region III-V) and (a fragment of) PfRh2, the dominant antibody responses consisted of IgG1 and IgG3 followed by IgG2, while for PfRh2 there was also a relatively prominent response for IgG4. High levels of IgG1, IgG2 and IgG3 for EBA175 and total IgG for PfRh2 correlated significantly with a lower parasitaemia during the study period. Children with HbAS had higher levels of some subclasses compared to children with HbAA, while in adults the pattern was the opposite. The half-lives of IgG2 and IgG4 against EBA175 were clearly shorter than those for IgG1 and IgG3.ConclusionEBA175 and PfRh2 are potential targets for protective antibodies since both correlated with lower parasitaemia. The shorter half-lives for IgG2 and IgG4 might explain why these subclasses are often considered less important in protection against malaria. Triggering the right subclass responses could be of critical importance in a successful vaccine. Further studies are needed to evaluate the role of haemoglobin polymorphisms and their malaria protective effects in this process.

Highlights

  • Plasmodium falciparum EBA175 and PfRh2 belong to two main families involved in parasite invasion, and both are potential vaccine candidates

  • For EBA175, the total IgG levels in the study group increased from August with peak in November (followed by decline in the following months (Figure 1)

  • To elucidate whether IgG4 is protective or counter-acting protection, further studies are needed, but this study indicates that more subclass analysis should be included in studies of immunity in malaria

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Summary

Introduction

Plasmodium falciparum EBA175 and PfRh2 belong to two main families involved in parasite invasion, and both are potential vaccine candidates. The protozoa Plasmodium falciparum still remains a major global health problem. It is a leading cause of death among children under the age of five and pregnant women in sub-Saharan Africa [1,2]. The P. falciparum blood stage invasion involves many complex interactions between merozoite antigens and erythrocyte receptors. There are two main merozoite invasion families: erythrocyte binding-like (EBL) proteins and reticulocyte binding protein homologue (RBP/PfRh) proteins [4,5]. The EBL proteins include the erythrocyte binding antigens (EBAs), which are found in the micronemes of the merozoite and include EBA140, EBA175 and EBA181. EBA175 binds to glycophorin A on the erythrocyte surface [4], but the receptor for PfRh2 is not yet known

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