Functional Antibodies against VAR2CSA in Nonpregnant Populations from Colombia Exposed to Plasmodium falciparum and Plasmodium vivax
Open accessAbstract
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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Prior work, in conjunction with the data presented here, suggests that in this population and malaria transmission area, antibodies to the full-length VAR2CSA protein may be acquired outside of pregnancy.
“This prior work, in conjunction with the data presented here, suggests that in this population and malaria transmission area, antibodies to the full-length VAR2CSA protein may be acquired outside of pregnancy.”
From Clinical outcomes of submicroscopic infections and correlates of protection of VAR2CSA antibodies in a longitudinal study of pregnant women in Colombia (2018) · cites this paper as [30]
Pregnant women, men, and children who were infected with only P. vivax had antibodies that cross-reacted with the DBL5ε, DBL3X, and ID1-ID2 domains of VAR2CSA with similar frequencies.
“This is supported by our findings that pregnant women, men, and children who were infected with only P. vivax had antibodies that cross-reacted with the DBL5, DBL3X, and ID1-ID2 domains of VAR2CSA with similar frequencies (30).”
From Clinical outcomes of submicroscopic infections and correlates of protection of VAR2CSA antibodies in a longitudinal study of pregnant women in Colombia (2018) · cites this paper as [30]
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“[41] reported that in Colombia, children, men and pregnant women exposed to malaria have similar antibody levels to ID1– DBL2–ID2a, DBL3 and DBL5 domains.”
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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)
- ORCID
- Venue
- Infection and Immunity
- Publisher
- American Society for Microbiology
- Published
- 2014-06
- Volume
- 82
- Issue
- 6
- Pages
- 2565-2573
- ISSN
- 0019-9567 (ISSN-L)
- 1098-5522
- PMC
- PMC4019168
- 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
- bronze
- doi.org
- 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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