Details

Autor(en) / Beteiligte

• Markwalter, Christine F
• Petersen, Jens E V
• Zeno, Erica E
• Sumner, Kelsey M
• Freedman, Elizabeth
• Mangeni, Judith N
• Abel, Lucy
• Obala, Andrew A
• Prudhomme-O'Meara, Wendy
• Taylor, Steve M
• Haque, Ashraful

Titel

Symptomatic malaria enhances protection from reinfection with homologous Plasmodium falciparum parasites

Ist Teil von

• PLoS pathogens, 2023-06, Vol.19 (6), p.e1011442-e1011442

Ort / Verlag

United States: Public Library of Science

Erscheinungsjahr

2023

Quelle

Free E-Journal (出版社公開部分のみ）

Beschreibungen/Notizen

• A signature remains elusive of naturally-acquired immunity against Plasmodium falciparum. We identified P. falciparum in a 14-month cohort of 239 people in Kenya, genotyped at immunogenic parasite targets expressed in the pre-erythrocytic (circumsporozoite protein, CSP) and blood (apical membrane antigen 1, AMA-1) stages, and classified into epitope type based on variants in the DV10, Th2R, and Th3R epitopes in CSP and the c1L region of AMA-1. Compared to asymptomatic index infections, symptomatic malaria was associated with reduced reinfection by parasites bearing homologous CSP-Th2R (adjusted hazard ratio [aHR]:0.63; 95% CI:0.45-0.89; p = 0.008) CSP-Th3R (aHR:0.71; 95% CI:0.52-0.97; p = 0.033), and AMA-1 c1L (aHR:0.63; 95% CI:0.43-0.94; p = 0.022) epitope types. The association of symptomatic malaria with reduced hazard of homologous reinfection was strongest for rare epitope types. Symptomatic malaria provides more durable protection against reinfection with parasites bearing homologous epitope types. The phenotype represents a legible molecular epidemiologic signature of naturally-acquired immunity by which to identify new antigen targets.