Acquisition and decay of IgM and IgG responses to merozoite antigens after Plasmodium falciparum malaria in Ghanaian children

Developing a vaccine against Plasmodium falciparum malaria has been challenging, primarily due to high levels of antigen polymorphism and a complex parasite lifecycle. Immunization with the P. falciparum merozoite antigens PfMSRP5, PfSERA9, PfRAMA, PfCyRPA and PfRH5 has been shown to give rise to gr...

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Veröffentlicht in:PloS one 2020-12, Vol.15 (12), p.e0243943-e0243943
Hauptverfasser: Walker, Melanie R, Knudsen, Anne S, Partey, Frederica D, Bassi, Maria R, Frank, Asger M, Castberg, Filip C, Sarbah, Edem W, Ofori, Michael F, Hviid, Lars, Barfod, Lea
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container_title PloS one
container_volume 15
creator Walker, Melanie R
Knudsen, Anne S
Partey, Frederica D
Bassi, Maria R
Frank, Asger M
Castberg, Filip C
Sarbah, Edem W
Ofori, Michael F
Hviid, Lars
Barfod, Lea
description Developing a vaccine against Plasmodium falciparum malaria has been challenging, primarily due to high levels of antigen polymorphism and a complex parasite lifecycle. Immunization with the P. falciparum merozoite antigens PfMSRP5, PfSERA9, PfRAMA, PfCyRPA and PfRH5 has been shown to give rise to growth inhibitory and synergistic antisera. Therefore, these five merozoite proteins are considered to be promising candidates for a second-generation multivalent malaria vaccine. Nevertheless, little is known about IgG and IgM responses to these antigens in populations that are naturally exposed to P. falciparum. In this study, serum samples from clinically immune adults and malaria exposed children from Ghana were studied to compare levels of IgG and IgM specific for PfMSRP5, PfSERA9, PfRAMA, PfCyRPA and PfRH5. All five antigens were found to be specifically recognized by both IgM and IgG in serum from clinically immune adults and from children with malaria. Longitudinal analysis of the latter group showed an early, transient IgM response that was followed by IgG, which peaked 14 days after the initial diagnosis. IgG levels and parasitemia did not correlate, whereas parasitemia was weakly positively correlated with IgM levels. These findings show that IgG and IgM specific for merozoite antigens PfMSRP5, PfSERA9, PfRAMA, PfCyRPA and PfRH5 are high in children during P. falciparum malaria, but that the IgM induction and decline occurs earlier in infection than that of IgG.
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Immunization with the P. falciparum merozoite antigens PfMSRP5, PfSERA9, PfRAMA, PfCyRPA and PfRH5 has been shown to give rise to growth inhibitory and synergistic antisera. Therefore, these five merozoite proteins are considered to be promising candidates for a second-generation multivalent malaria vaccine. Nevertheless, little is known about IgG and IgM responses to these antigens in populations that are naturally exposed to P. falciparum. In this study, serum samples from clinically immune adults and malaria exposed children from Ghana were studied to compare levels of IgG and IgM specific for PfMSRP5, PfSERA9, PfRAMA, PfCyRPA and PfRH5. All five antigens were found to be specifically recognized by both IgM and IgG in serum from clinically immune adults and from children with malaria. Longitudinal analysis of the latter group showed an early, transient IgM response that was followed by IgG, which peaked 14 days after the initial diagnosis. 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Walker, Melanie R</au><au>Knudsen, Anne S</au><au>Partey, Frederica D</au><au>Bassi, Maria R</au><au>Frank, Asger M</au><au>Castberg, Filip C</au><au>Sarbah, Edem W</au><au>Ofori, Michael F</au><au>Hviid, Lars</au><au>Barfod, Lea</au><au>Braga, Érika Martins</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acquisition and decay of IgM and IgG responses to merozoite antigens after Plasmodium falciparum malaria in Ghanaian children</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2020-12-17</date><risdate>2020</risdate><volume>15</volume><issue>12</issue><spage>e0243943</spage><epage>e0243943</epage><pages>e0243943-e0243943</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Developing a vaccine against Plasmodium falciparum malaria has been challenging, primarily due to high levels of antigen polymorphism and a complex parasite lifecycle. Immunization with the P. falciparum merozoite antigens PfMSRP5, PfSERA9, PfRAMA, PfCyRPA and PfRH5 has been shown to give rise to growth inhibitory and synergistic antisera. Therefore, these five merozoite proteins are considered to be promising candidates for a second-generation multivalent malaria vaccine. Nevertheless, little is known about IgG and IgM responses to these antigens in populations that are naturally exposed to P. falciparum. In this study, serum samples from clinically immune adults and malaria exposed children from Ghana were studied to compare levels of IgG and IgM specific for PfMSRP5, PfSERA9, PfRAMA, PfCyRPA and PfRH5. All five antigens were found to be specifically recognized by both IgM and IgG in serum from clinically immune adults and from children with malaria. Longitudinal analysis of the latter group showed an early, transient IgM response that was followed by IgG, which peaked 14 days after the initial diagnosis. IgG levels and parasitemia did not correlate, whereas parasitemia was weakly positively correlated with IgM levels. These findings show that IgG and IgM specific for merozoite antigens PfMSRP5, PfSERA9, PfRAMA, PfCyRPA and PfRH5 are high in children during P. falciparum malaria, but that the IgM induction and decline occurs earlier in infection than that of IgG.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>33332459</pmid><doi>10.1371/journal.pone.0243943</doi><tpages>e0243943</tpages><orcidid>https://orcid.org/0000-0002-1140-5527</orcidid><orcidid>https://orcid.org/0000-0001-6510-495X</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Adults
Aged
Antibodies
Antibodies, Protozoan - immunology
Antigens
Antigens, Protozoan - immunology
Antisera
Biology and Life Sciences
Child
Child, Preschool
Children
Development and progression
Erythrocytes
Ethics
Female
Health aspects
Hospitals
Humans
Immune response
Immunization
Immunoglobulin G
Immunoglobulin G - immunology
Immunoglobulin M
Immunoglobulin M - immunology
Immunology
Infant
Infections
Life cycle analysis
Malaria
Malaria vaccine
Malaria Vaccines - immunology
Malaria, Falciparum - immunology
Malaria, Falciparum - parasitology
Male
Medical research
Medicine and Health Sciences
Merozoites - immunology
Merozoites - pathogenicity
Microscopy
Middle Aged
Parasite antigens
Parasitemia
Parasites
Parasitology
Pediatric research
Plasmids
Plasmodium falciparum
Plasmodium falciparum - immunology
Plasmodium falciparum - pathogenicity
Polymorphism
Prevention
Research and Analysis Methods
Vaccines
Vector-borne diseases
Viruses
West Nile virus
Young Adult
title Acquisition and decay of IgM and IgG responses to merozoite antigens after Plasmodium falciparum malaria in Ghanaian children
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