Relationship between malaria incidence and IgG levels to Plasmodium falciparum merozoite antigens in Malian children: impact of hemoglobins S and C

Heterozygous hemoglobin (Hb) AS (sickle-cell trait) and HbAC are hypothesized to protect against Plasmodium falciparum malaria in part by enhancing naturally-acquired immunity to this disease. To investigate this hypothesis, we compared antibody levels to four merozoite antigens from the P. falcipar...

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Veröffentlicht in:PloS one 2013-03, Vol.8 (3), p.e60182-e60182
Hauptverfasser: Miura, Kazutoyo, Diakite, Mahamadou, Diouf, Ababacar, Doumbia, Saibou, Konate, Drissa, Keita, Abdoul S, Moretz, Samuel E, Tullo, Gregory, Zhou, Hong, Lopera-Mesa, Tatiana M, Anderson, Jennifer M, Fairhurst, Rick M, Long, Carole A
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container_title PloS one
container_volume 8
creator Miura, Kazutoyo
Diakite, Mahamadou
Diouf, Ababacar
Doumbia, Saibou
Konate, Drissa
Keita, Abdoul S
Moretz, Samuel E
Tullo, Gregory
Zhou, Hong
Lopera-Mesa, Tatiana M
Anderson, Jennifer M
Fairhurst, Rick M
Long, Carole A
description Heterozygous hemoglobin (Hb) AS (sickle-cell trait) and HbAC are hypothesized to protect against Plasmodium falciparum malaria in part by enhancing naturally-acquired immunity to this disease. To investigate this hypothesis, we compared antibody levels to four merozoite antigens from the P. falciparum 3D7 clone (apical membrane antigen 1, AMA1-3D7; merozoite surface protein 1, MSP1-3D7; 175 kDa erythrocyte-binding antigen, EBA175-3D7; and merozoite surface protein 2, MSP2-3D7) in a cohort of 103 HbAA, 73 HbAS and 30 HbAC children aged 3 to 11 years in a malaria-endemic area of Mali. In the 2009 transmission season we found that HbAS, but not HbAC, significantly reduced the risk of malaria compared to HbAA. IgG levels to MSP1 and MSP2 at the start of this transmission season inversely correlated with malaria incidence after adjusting for age and Hb type. However, HbAS children had significantly lower IgG levels to EBA175 and MSP2 compared to HbAA children. On the other hand, HbAC children had similar IgG levels to all four antigens. The parasite growth-inhibitory activity of purified IgG samples did not differ significantly by Hb type. Changes in antigen-specific IgG levels during the 2009 transmission and 2010 dry seasons also did not differ by Hb type, and none of these IgG levels dropped significantly during the dry season. These data suggest that sickle-cell trait does not reduce the risk of malaria by enhancing the acquisition of IgG responses to merozoite antigens.
doi_str_mv 10.1371/journal.pone.0060182
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subjects Adolescent
Antigens
Antigens, Protozoan - immunology
Apical membrane antigen 1
Biology
Blood groups
Child
Child, Preschool
Children
Children & youth
Dry season
Erythrocytes
Female
Health risks
Hemoglobin
Hemoglobin C - metabolism
Hemoglobin, Sickle - metabolism
Humans
Immunity
Immunoglobulin G
Immunoglobulin G - immunology
Immunoglobulins
Incidence
Infant
Infectious diseases
Laboratories
Malaria
Malaria, Falciparum - epidemiology
Malaria, Falciparum - immunology
Male
Medicine
Merozoite surface protein 1
Merozoite surface protein 2
Merozoites - immunology
Pharmacy
Plasmodium falciparum
Plasmodium falciparum - immunology
Plasmodium falciparum - metabolism
Plasmodium falciparum - pathogenicity
Proteins
Seasons
Studies
Systematic review
Tropical diseases
Vector-borne diseases
title Relationship between malaria incidence and IgG levels to Plasmodium falciparum merozoite antigens in Malian children: impact of hemoglobins S and C
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