Cited by 34Malaria Research and ControlBlood groups and transfusionVector-borne infectious diseases

Functional Antibodies against VAR2CSA in Nonpregnant Populations from Colombia Exposed to Plasmodium falciparum and Plasmodium vivax

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Gnidehou, Sedami, Doritchamou, Justin, Arango, Eliana M., Cabrera, Ana, Arroyo, Maria Isabel, Kain, Kevin C., Ndam, Nicaise Tuikue, Maestre, Amanda +1 more·2014·Infection and Immunity

Abstract

In pregnancy, parity-dependent immunity is observed in response to placental infection with Plasmodium falciparum . Antibodies recognize the surface antigen, VAR2CSA, expressed on infected red blood cells and inhibit cytoadherence to the placental tissue. In most settings of malaria endemicity, antibodies against VAR2CSA are predominantly observed in multigravid women and infrequently in men, children, and nulligravid women. However, in Colombia, we detected antibodies against multiple constructs of VAR2CSA among men and children with acute P. falciparum and Plasmodium vivax infection. The majority of men and children (>60%) had high levels of IgGs against three recombinant domains of VAR2CSA: DBL5ε, DBL3X, and ID1-ID2. Surprisingly, these antibodies were observed only in pregnant women, men, and children exposed either to P. falciparum or to P. vivax . Moreover, the anti-VAR2CSA antibodies are of high avidity and efficiently inhibit adherence of infected red blood cells to chondroitin sulfate A in vitro , suggesting that they are specific and functional. These unexpected results suggest that there may be genotypic or phenotypic differences in the parasites of this region or in the host response to either P. falciparum or P. vivax infection outside pregnancy. These findings may hold significant clinical relevance to the pathophysiology and outcome of malaria infections in this region.

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Authors
Gnidehou, S., Doritchamou, J., Arango, E. M., Cabrera, A., Arroyo, M. I., Kain, K. C., Ndam, N. T., Maestre, A., & Yanow, S. K.
Affiliations
  • School of Public Health, University of Alberta, Edmonton, Canada
  • Sorbonne Paris Cité (FR)
  • Universidad de Antioquia (CO)
  • University Health Network (CA)
  • Grupo Salud y Comunidad, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia
  • University of Alberta (CA)
Venue
Infection and Immunity
Published
2014-06
Volume
82
Issue
6
Pages
2565-2573
ISSN
  • 0019-9567 (ISSN-L)
  • 1098-5522
OpenAlex
W2003942367
Cited by
34
References
47
Citations by year
2025: 3 · 2024: 1 · 2023: 2 · 2022: 2 · 2021: 4 · 2020: 5 · 2019: 2 · 2018: 5 · 2017: 2 · 2016: 4 · 2015: 4
FWCI
3.32
Type
journal article
Language
en
Open access
Locations
  • Infection and Immunity (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Institutional Repository University of Antioquia (University of Antioquia) (submittedVersion, cc-by)
Funders
Canadian Institutes of Health Research (125971_1, 13721, 115440, 115160_1)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Malaria Research and Control
  • Health Sciences › Medicine › Hematology › Blood groups and transfusion
  • Life Sciences › Immunology and Microbiology › Parasitology › Vector-borne infectious diseases
Keywords
VAR2CSA, Plasmodium falciparum, Plasmodium vivax, placental malaria, chondroitin sulfate A, cytoadherence, antibody avidity, malaria immunity, Colombia
MeSH terms
Adolescent, Adult, Aged, Antibodies, Protozoan, Antibody Affinity, Antigens, Protozoan, Child, Child, Preschool, Colombia, Enzyme-Linked Immunosorbent Assay, Female, Humans, Immunoglobulin G, Male, Middle Aged, Plasmodium falciparum, Plasmodium vivax, Pregnancy, Malaria, Falciparum, Malaria, Vivax, Young Adult

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