201. Acquisition of IgG to ICAM-1-Binding DBLβ Domains in the Plasmodium falciparum Erythrocyte Membrane Protein 1 Antigen Family Varies between Groups A, B, and C
- Author
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Kwadwo A. Kusi, Anja Bengtsson, Lars Hviid, Rebecca W. Olsen, Gertrude Ecklu-Mensah, Yvonne Adams, Anja T. R. Jensen, Michael F. Ofori, and Kwadwo A. Koram
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0301 basic medicine ,Male ,Erythrocytes ,Protozoan Proteins ,Antibodies, Protozoan ,Gene Expression ,Group A ,Ghana ,Severity of Illness Index ,Group B ,0302 clinical medicine ,antibodies ,Malaria, Falciparum ,Child ,reproductive and urinary physiology ,Endothelial protein C receptor ,biology ,Intercellular Adhesion Molecule-1 ,Infectious Diseases ,Cerebral Malaria ,Child, Preschool ,embryonic structures ,Female ,Seasons ,Antibody ,Protein Binding ,Protein family ,Immunology ,Plasmodium falciparum ,Malaria, Cerebral ,malaria ,Microbiology ,03 medical and health sciences ,Antigen ,Protein Domains ,parasitic diseases ,Humans ,Polymorphism, Genetic ,Cellular Microbiology: Pathogen-Host Cell Molecular Interactions ,Infant ,biology.organism_classification ,Molecular biology ,immunity ,PfEMP1 ,030104 developmental biology ,Immunoglobulin G ,biology.protein ,Parasitology ,030215 immunology - Abstract
Plasmodium falciparum erythrocyte membrane protein 1 (PfEMP1) is an important malaria virulence factor. The protein family can be divided into clinically relevant subfamilies. ICAM-1-binding group A PfEMP1 proteins also bind endothelial protein C receptor and have been associated with cerebral malaria in children. IgG to these PfEMP1 proteins is acquired later in life than that to group A PfEMP1 not binding ICAM-1., Plasmodium falciparum erythrocyte membrane protein 1 (PfEMP1) is an important malaria virulence factor. The protein family can be divided into clinically relevant subfamilies. ICAM-1-binding group A PfEMP1 proteins also bind endothelial protein C receptor and have been associated with cerebral malaria in children. IgG to these PfEMP1 proteins is acquired later in life than that to group A PfEMP1 not binding ICAM-1. The kinetics of acquisition of IgG to group B and C PfEMP1 proteins binding ICAM-1 is unclear and was studied here. Gene sequences encoding group B and C PfEMP1 with DBLβ domains known to bind ICAM-1 were used to identify additional binders. Levels of IgG specific for DBLβ domains from group A, B, and C PfEMP1 binding or not binding ICAM-1 were measured in plasma from Ghanaian children with or without malaria. Seven new ICAM-1-binding DBLβ domains from group B and C PfEMP1 were identified. Healthy children had higher levels of IgG specific for ICAM-1-binding DBLβ domains from group A than from groups B and C. However, the opposite pattern was found in children with malaria, particularly among young patients. Acquisition of IgG specific for DBLβ domains binding ICAM-1 differs between PfEMP1 groups.
- Published
- 2019
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