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Published in: Malaria Journal 1/2007

Open Access 01-12-2007 | Research

Polymorphism and epitope sharing between the alleles of merozoite surface protein-1 of Plasmodium falciparum among Indian isolates

Authors: Anitha Mamillapalli, Sujatha Sunil, Suraksha S Diwan, Surya K Sharma, Prajesh K Tyagi, Tridibes Adak, Hema Joshi, Pawan Malhotra

Published in: Malaria Journal | Issue 1/2007

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Abstract

Background

The C-terminal region of merozoite surface protein-1 (MSP-1) is one of the leading candidates for vaccination against the erythrocytic stages of malaria. However, a major concern in the development of MSP-1 based malaria vaccine is the polymorphism observed in different geographical Plasmodium falciparum isolates. To explore whether the sequence heterogeneity of PfMSP-1 leads to variation in naturally acquired anti-MSP-119 antibodies, the present study was undertaken to study PfMSP-119 sequence polymorphism in malaria-endemic villages in eastern India and also carried out a competition enzyme-linked immunosorbent assay using three PfMSP-119 variant forms.

Methods

The sequence variations in the C-terminal region of PfMSP-119 were determined in a malaria endemic region. Three PfMSP-119 variants were produced in Escherichia coli (PfMSP119QKNG-L, PfMSP119EKNG-L and PfMSP119ETSR-F) and an immunodepletion assay was carried out using the corresponding patients' sera.

Results

Results revealed predominance of PfMAD20 allele among Indian field isolates. Seven PfMSP-119 variant forms were isolated in a singe geographical location. Three of PfMSP-119 variant forms when expressed in E. coli showed presence of cross-reaction as well as variant specific antibodies in malaria infected patient sera.

Conclusion

The present study demonstrates the existence of allele specific antibodies in P. falciparum-infected patient sera, however their role in protection requires further investigation. These results thereby, suggest the importance of a multi-allelic PfMSP-119 based vaccine for an effective malaria control.
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Literature
1.
go back to reference Richie TL, Saul A: Progress and challenges for malaria vaccines. Nature. 2002, 415: 694-701. 10.1038/415694a.CrossRefPubMed Richie TL, Saul A: Progress and challenges for malaria vaccines. Nature. 2002, 415: 694-701. 10.1038/415694a.CrossRefPubMed
2.
go back to reference Sachs J, Malaney P: The economic and social burden of malaria. Nature. 2002, 415: 680-685. 10.1038/415680a.CrossRefPubMed Sachs J, Malaney P: The economic and social burden of malaria. Nature. 2002, 415: 680-685. 10.1038/415680a.CrossRefPubMed
3.
go back to reference Good MF: Towards a blood-stage vaccine for malaria: are we following all the leads?. Nat Rev Immunol. 2001, 1: 117-125. 10.1038/35100540.CrossRefPubMed Good MF: Towards a blood-stage vaccine for malaria: are we following all the leads?. Nat Rev Immunol. 2001, 1: 117-125. 10.1038/35100540.CrossRefPubMed
4.
go back to reference Blackman MJ, Holder AA: Secondary processing of the Plasmodium falciparum merozoite surface protein-1 (MSP1) by a calcium-dependent membrane-bound serine protease shedding of MSP133 as a noncovalently associated complex with other fragments of the MSP1. Mol Biochem Parasitol. 1992, 50: 307-315. 10.1016/0166-6851(92)90228-C.CrossRefPubMed Blackman MJ, Holder AA: Secondary processing of the Plasmodium falciparum merozoite surface protein-1 (MSP1) by a calcium-dependent membrane-bound serine protease shedding of MSP133 as a noncovalently associated complex with other fragments of the MSP1. Mol Biochem Parasitol. 1992, 50: 307-315. 10.1016/0166-6851(92)90228-C.CrossRefPubMed
5.
go back to reference Cooper JA: Merozoite surface antigen-1 of Plasmodium. Parasitol Today. 1993, 9: 50-54. 10.1016/0169-4758(93)90031-A.CrossRefPubMed Cooper JA: Merozoite surface antigen-1 of Plasmodium. Parasitol Today. 1993, 9: 50-54. 10.1016/0169-4758(93)90031-A.CrossRefPubMed
6.
go back to reference Singh S, Kennedy C, Long CA, Saul AJ, Miller LH, Stowers AW: Biochemical and immunological characterization of bacterially expressed and refolded Plasmodium falciparum 42-kilodalton C-terminal merozoite surface protein 1. Infect Immun. 2003, 71: 6766-6774. 10.1128/IAI.71.12.6766-6774.2003.PubMedCentralCrossRefPubMed Singh S, Kennedy C, Long CA, Saul AJ, Miller LH, Stowers AW: Biochemical and immunological characterization of bacterially expressed and refolded Plasmodium falciparum 42-kilodalton C-terminal merozoite surface protein 1. Infect Immun. 2003, 71: 6766-6774. 10.1128/IAI.71.12.6766-6774.2003.PubMedCentralCrossRefPubMed
7.
go back to reference Singh S, Miura K, Zhou H, Muratova O, Keegan B, Miles A, Martin LB, Saul AJ, Miller LH, Long CA: Immunity to recombinant Plasmodium falciparum merozoite surface protein (MSP1): Protection in Aotus nancymai monkeys strongly correlates with anti-MSP1 antibody titer and in vitro parasite-inhibitory activity. Infect Immun. 2006, 74: 4573-4580. 10.1128/IAI.01679-05.PubMedCentralCrossRefPubMed Singh S, Miura K, Zhou H, Muratova O, Keegan B, Miles A, Martin LB, Saul AJ, Miller LH, Long CA: Immunity to recombinant Plasmodium falciparum merozoite surface protein (MSP1): Protection in Aotus nancymai monkeys strongly correlates with anti-MSP1 antibody titer and in vitro parasite-inhibitory activity. Infect Immun. 2006, 74: 4573-4580. 10.1128/IAI.01679-05.PubMedCentralCrossRefPubMed
8.
go back to reference Sachdeva S, Mohmmed A, Dasaradhi PVN, Crabb BS, Katyal A, Malhotra P, Chauhan VS: Immunogenicity and protective efficacy of Escherichia coli expressed Plasmodium falciparum merozoite surface protein-142 using human compatible adjuvants. Vaccine. 2006, 24: 2007-2016. 10.1016/j.vaccine.2005.11.041.CrossRefPubMed Sachdeva S, Mohmmed A, Dasaradhi PVN, Crabb BS, Katyal A, Malhotra P, Chauhan VS: Immunogenicity and protective efficacy of Escherichia coli expressed Plasmodium falciparum merozoite surface protein-142 using human compatible adjuvants. Vaccine. 2006, 24: 2007-2016. 10.1016/j.vaccine.2005.11.041.CrossRefPubMed
9.
go back to reference Chang SP, Case SE, Gosnell A, Hashimoto KJ, Kramer LQ, Tam CQ, Hashiro CM, Nikaido HL, Gibson CT, Lee-Ng , Barr PJ, Yokota BT, Hui GSN: A recombinant baculovirus 42-kilodalton C-terminal fragment of Plasmodium falciparum merozoite surface protein 2 protects Aotus monkeys against malaria. Infect Immun. 1996, 64: 253-261.PubMedCentralPubMed Chang SP, Case SE, Gosnell A, Hashimoto KJ, Kramer LQ, Tam CQ, Hashiro CM, Nikaido HL, Gibson CT, Lee-Ng , Barr PJ, Yokota BT, Hui GSN: A recombinant baculovirus 42-kilodalton C-terminal fragment of Plasmodium falciparum merozoite surface protein 2 protects Aotus monkeys against malaria. Infect Immun. 1996, 64: 253-261.PubMedCentralPubMed
10.
go back to reference Tian JH, Kumar S, Kaslow DC, Miller LH: Comparison of protection induced by immunization with recombinant proteins from different regions of merozoite surface protein 1 of Plasmodium yoelii. Infect Immun. 1997, 65: 3032-3036.PubMedCentralPubMed Tian JH, Kumar S, Kaslow DC, Miller LH: Comparison of protection induced by immunization with recombinant proteins from different regions of merozoite surface protein 1 of Plasmodium yoelii. Infect Immun. 1997, 65: 3032-3036.PubMedCentralPubMed
11.
go back to reference Egan A, Blackman MJ, Kaslow DC: Vaccine efficacy of recombinant Plasmodium falciparum merozoite surface protein 1 in malaria-naïve, -exposed, and/or, -rechallenged Aotus vociferans monkeys. Infect Immun. 2000, 68: 1418-1427. 10.1128/IAI.68.3.1418-1427.2000.PubMedCentralCrossRefPubMed Egan A, Blackman MJ, Kaslow DC: Vaccine efficacy of recombinant Plasmodium falciparum merozoite surface protein 1 in malaria-naïve, -exposed, and/or, -rechallenged Aotus vociferans monkeys. Infect Immun. 2000, 68: 1418-1427. 10.1128/IAI.68.3.1418-1427.2000.PubMedCentralCrossRefPubMed
12.
go back to reference Egan A, Burghaus P, Druilhe A, Holder A, Riley E: Human antibodies to the 19 kDa C-terminal fragment of Plasmodium falciparum merozoite protein 1 inhibit parasite growth in vitro. Parasite Immunol. 1999, 21: 133-139. 10.1046/j.1365-3024.1999.00209.x.CrossRefPubMed Egan A, Burghaus P, Druilhe A, Holder A, Riley E: Human antibodies to the 19 kDa C-terminal fragment of Plasmodium falciparum merozoite protein 1 inhibit parasite growth in vitro. Parasite Immunol. 1999, 21: 133-139. 10.1046/j.1365-3024.1999.00209.x.CrossRefPubMed
13.
go back to reference Daly TM, Long CM: Humoral response to a carboxyl-terminal region of the merozoite surface protein 1 plays a predominant role in controlling blood-stage infection in rodent malaria. Infect Immun. 1995, 64: 253-261. Daly TM, Long CM: Humoral response to a carboxyl-terminal region of the merozoite surface protein 1 plays a predominant role in controlling blood-stage infection in rodent malaria. Infect Immun. 1995, 64: 253-261.
14.
go back to reference Hirunpetcharat C, Tian J, Kaslow D, van Rooijen N, Kumar S, Berzofsky J, Miller L, Good M: Complete protective immunity induced in mice by immunization with the 19-kilodalton carboxyl-termianl fragment of the merozoite surface protein-1 (MSP[19]) of Plasmodium yoelii expressed in Saccharomyces cerevisiae: correlation of protection with antigen-specific antibody titer, but not with effector CD4+ T cells. J Immunol. 1997, 159: 3400-3411.PubMed Hirunpetcharat C, Tian J, Kaslow D, van Rooijen N, Kumar S, Berzofsky J, Miller L, Good M: Complete protective immunity induced in mice by immunization with the 19-kilodalton carboxyl-termianl fragment of the merozoite surface protein-1 (MSP[19]) of Plasmodium yoelii expressed in Saccharomyces cerevisiae: correlation of protection with antigen-specific antibody titer, but not with effector CD4+ T cells. J Immunol. 1997, 159: 3400-3411.PubMed
15.
go back to reference Tanabe KT, Mackay M, Goman M, Scaif JG: Allelic dimorphism in a surface antigen gene of the malaria parasite Plasmodium falciparum. J Mol Biol. 1987, 195: 273-287. 10.1016/0022-2836(87)90649-8.CrossRefPubMed Tanabe KT, Mackay M, Goman M, Scaif JG: Allelic dimorphism in a surface antigen gene of the malaria parasite Plasmodium falciparum. J Mol Biol. 1987, 195: 273-287. 10.1016/0022-2836(87)90649-8.CrossRefPubMed
16.
go back to reference Kang Y, Long CA: Sequence heterogeneity of the C-terminal, Cys-rich region of the merozoite surface protein-1 (MSP-1) in field samples of Plasmodium falciparum. Mol Biochem Parasitol. 1995, 73: 103-210. 10.1016/0166-6851(95)00102-7.CrossRefPubMed Kang Y, Long CA: Sequence heterogeneity of the C-terminal, Cys-rich region of the merozoite surface protein-1 (MSP-1) in field samples of Plasmodium falciparum. Mol Biochem Parasitol. 1995, 73: 103-210. 10.1016/0166-6851(95)00102-7.CrossRefPubMed
17.
go back to reference Cheng Q, Stowers A, Huang TY, Bustos D, Huang YM, Rzepckyk C, Saul A: Polymorphism in Plasmodium vivax MSA1 gene- the result of intragenic recombinations?. Parasitol. 1993, 106 (Pt 4): 335-345.CrossRef Cheng Q, Stowers A, Huang TY, Bustos D, Huang YM, Rzepckyk C, Saul A: Polymorphism in Plasmodium vivax MSA1 gene- the result of intragenic recombinations?. Parasitol. 1993, 106 (Pt 4): 335-345.CrossRef
18.
go back to reference Lalitha PV, Malhotra P, Chattopadhyay R, Chauhan VS: Plasmodium falciparum variations in the C-terminal cysteine rich region of the merozoite surface protein-1 field samples among Indian isolates. Exp Parasitol. 1999, 92: 12-18. 10.1006/expr.1999.4401.CrossRefPubMed Lalitha PV, Malhotra P, Chattopadhyay R, Chauhan VS: Plasmodium falciparum variations in the C-terminal cysteine rich region of the merozoite surface protein-1 field samples among Indian isolates. Exp Parasitol. 1999, 92: 12-18. 10.1006/expr.1999.4401.CrossRefPubMed
19.
go back to reference Qari SH, Ya-Ping Shi, Goldman IF, Nahlen BI, Tibaurenc M, Lal AA: Predicted and observed alleles of Plasmodium falciparum merozoite surface protein (MSP-1) and a potential malaria vaccine antigen. Mol Biochem Parasitol. 1998, 92: 241-252. 10.1016/S0166-6851(98)00010-3.CrossRefPubMed Qari SH, Ya-Ping Shi, Goldman IF, Nahlen BI, Tibaurenc M, Lal AA: Predicted and observed alleles of Plasmodium falciparum merozoite surface protein (MSP-1) and a potential malaria vaccine antigen. Mol Biochem Parasitol. 1998, 92: 241-252. 10.1016/S0166-6851(98)00010-3.CrossRefPubMed
20.
go back to reference Kumar S, Yadava A, Keister DB, Tain JH, Ohl KA: Immunogenicity and in vivo efficacy of recombinant Plasmodium falciparum merozoite surface protein-1 in Aotus monkeys. Mol Med. 2005, 1: 1-8. Kumar S, Yadava A, Keister DB, Tain JH, Ohl KA: Immunogenicity and in vivo efficacy of recombinant Plasmodium falciparum merozoite surface protein-1 in Aotus monkeys. Mol Med. 2005, 1: 1-8.
21.
go back to reference Raj DK, Das BR, Dash AP, Supakar C: Genetic diversity in the merozoite surface protein 1 gene of Plasmodium falciparum in different malariaendemic localities. Am J Trop Med Hyg. 2005, 71 (3): 285-289. Raj DK, Das BR, Dash AP, Supakar C: Genetic diversity in the merozoite surface protein 1 gene of Plasmodium falciparum in different malariaendemic localities. Am J Trop Med Hyg. 2005, 71 (3): 285-289.
22.
go back to reference Sharma SK, Chattopadhyay R, Chakraborti K, Pati SS, Srivastava VK, Tyagi PK, Mahanty S, Misra SK, Adak T, Das BS, Chitnis CE: Epidemiology of malaria transmission and development of natural immunity in a malaria endemic village, San Dulakudar, in Orissa state, India. Am J Trop Med Hyg. 2004, 71: 457-465.PubMed Sharma SK, Chattopadhyay R, Chakraborti K, Pati SS, Srivastava VK, Tyagi PK, Mahanty S, Misra SK, Adak T, Das BS, Chitnis CE: Epidemiology of malaria transmission and development of natural immunity in a malaria endemic village, San Dulakudar, in Orissa state, India. Am J Trop Med Hyg. 2004, 71: 457-465.PubMed
23.
go back to reference Wooden J, Kyes S, Sibley CH: PCR and strain identification in Plasmodium falciparum. Parasitol Today. 1993, 9: 303-305. 10.1016/0169-4758(93)90131-X.CrossRefPubMed Wooden J, Kyes S, Sibley CH: PCR and strain identification in Plasmodium falciparum. Parasitol Today. 1993, 9: 303-305. 10.1016/0169-4758(93)90131-X.CrossRefPubMed
24.
go back to reference Sachdeva S, Gul Ahmad G, Malhotra P, Mukherjee P, Chauhan VS: Comparison of immunogenicity of recombinant Plasmodium vivax merozoite surface protein 1 19- and 42- Kilodalton Fragments Expressed in Escherichia coli. Infect Immun. 2004, 72: 5775-5782. 10.1128/IAI.72.10.5775-5782.2004.PubMedCentralCrossRefPubMed Sachdeva S, Gul Ahmad G, Malhotra P, Mukherjee P, Chauhan VS: Comparison of immunogenicity of recombinant Plasmodium vivax merozoite surface protein 1 19- and 42- Kilodalton Fragments Expressed in Escherichia coli. Infect Immun. 2004, 72: 5775-5782. 10.1128/IAI.72.10.5775-5782.2004.PubMedCentralCrossRefPubMed
25.
go back to reference Jongwutiwes S, Tanabe K, Kanbara H: Sequence conservation in the Cterminal part of the precursor to the major merozoite surface proteins (MSP1) of Plasmodium falciparum from field isolates. Mol Biochem Parasitol. 1993, 59: 95-100. 10.1016/0166-6851(93)90010-U.CrossRefPubMed Jongwutiwes S, Tanabe K, Kanbara H: Sequence conservation in the Cterminal part of the precursor to the major merozoite surface proteins (MSP1) of Plasmodium falciparum from field isolates. Mol Biochem Parasitol. 1993, 59: 95-100. 10.1016/0166-6851(93)90010-U.CrossRefPubMed
26.
go back to reference Sharma SK, Tyagi PK, Padhan K, Upadhayay AK, HAque MA, Nanda N, Joshi H, Biswas S, Adak T, Das BS, Cahuhan VS, Chitnis CE, Subbarao SK: Epimediology of malaria transmission in forest and plain ecotype villages in Sundargarh district, Orissa, India. Trans R Soc Trop Med Hyg. 2006, 100: 917-925. 10.1016/j.trstmh.2006.01.007.CrossRefPubMed Sharma SK, Tyagi PK, Padhan K, Upadhayay AK, HAque MA, Nanda N, Joshi H, Biswas S, Adak T, Das BS, Cahuhan VS, Chitnis CE, Subbarao SK: Epimediology of malaria transmission in forest and plain ecotype villages in Sundargarh district, Orissa, India. Trans R Soc Trop Med Hyg. 2006, 100: 917-925. 10.1016/j.trstmh.2006.01.007.CrossRefPubMed
27.
go back to reference Miller L, Toberts T, Shahabuddin M, McCutchan TF: Analysis of sequence diversity in the Plasmodium falciparum merozoite surface protein-1 (MSP-1). Mol Biochem Parasitol. 1993, 59: 1-14. 10.1016/0166-6851(93)90002-F.CrossRefPubMed Miller L, Toberts T, Shahabuddin M, McCutchan TF: Analysis of sequence diversity in the Plasmodium falciparum merozoite surface protein-1 (MSP-1). Mol Biochem Parasitol. 1993, 59: 1-14. 10.1016/0166-6851(93)90002-F.CrossRefPubMed
28.
go back to reference Kaslow DC, Hui D, Kumar S: Expression and antigenticity of Plasmodium falciparum major surface protein (MSP119) variants secreted from Saccharomyces cerevisiae. Mol Biochem Parasitol. 1994, 63: 283-289. 10.1016/0166-6851(94)90064-7.CrossRefPubMed Kaslow DC, Hui D, Kumar S: Expression and antigenticity of Plasmodium falciparum major surface protein (MSP119) variants secreted from Saccharomyces cerevisiae. Mol Biochem Parasitol. 1994, 63: 283-289. 10.1016/0166-6851(94)90064-7.CrossRefPubMed
29.
go back to reference Mamillapalli A, Pattnaik P, Sharma M, Sharma SK, Tyagi PJ, Joshi H, Chitnis CE: Sequence polymorphisms in the receptor-binding domain of Plasmodium falciparum EBA-175: Implications for malaria vaccine development. Mol Biochem Parasitol. 2006, 146: 120-123. 10.1016/j.molbiopara.2005.09.019.CrossRefPubMed Mamillapalli A, Pattnaik P, Sharma M, Sharma SK, Tyagi PJ, Joshi H, Chitnis CE: Sequence polymorphisms in the receptor-binding domain of Plasmodium falciparum EBA-175: Implications for malaria vaccine development. Mol Biochem Parasitol. 2006, 146: 120-123. 10.1016/j.molbiopara.2005.09.019.CrossRefPubMed
30.
go back to reference Vijay Kumar S, Ranjan S, Saxena V, Rajesh V, Roy SK, Kochar D, Ranjan A, Das A: Plasmodium falciparum: Genetic diversity of C-terminal region of MSP-1 in isolates from Indian sub-continent. Exp Parasitol. 2005, 110: 384-388. 10.1016/j.exppara.2005.03.027.CrossRefPubMed Vijay Kumar S, Ranjan S, Saxena V, Rajesh V, Roy SK, Kochar D, Ranjan A, Das A: Plasmodium falciparum: Genetic diversity of C-terminal region of MSP-1 in isolates from Indian sub-continent. Exp Parasitol. 2005, 110: 384-388. 10.1016/j.exppara.2005.03.027.CrossRefPubMed
31.
go back to reference Diallo TO, Spiegel A, Doiuf A, Perraut R, Kaslow DC, Garraud O: IgG1/IgG3 antibody responses to various analogs of recombinant yPf MSP119- a study in immune adults living in areas of Plasmodium falciparum transmission. Am J Trop Med Hyg. 2001, 204-206. Diallo TO, Spiegel A, Doiuf A, Perraut R, Kaslow DC, Garraud O: IgG1/IgG3 antibody responses to various analogs of recombinant yPf MSP119- a study in immune adults living in areas of Plasmodium falciparum transmission. Am J Trop Med Hyg. 2001, 204-206.
32.
go back to reference Renia L, Ling IT, Marussig M, Miltgen F, Holder AA, Mazier D: Immunization with recombinant C-terminal fragment of Plasmodium yoelii merozoite protein 1 protects mice against homologous but not heterologous P. yoelii sporozoite challenge. Infect Immun. 1997, 65: 4419-4423.PubMedCentralPubMed Renia L, Ling IT, Marussig M, Miltgen F, Holder AA, Mazier D: Immunization with recombinant C-terminal fragment of Plasmodium yoelii merozoite protein 1 protects mice against homologous but not heterologous P. yoelii sporozoite challenge. Infect Immun. 1997, 65: 4419-4423.PubMedCentralPubMed
33.
go back to reference Rotamn HL, Daly TM, Long CC: Plasmodium: immunization with carboxyl-terminal regions of MSP-1 protects against homologous but not heterologous blood-stage parasite challenge. Exp Parasitol. 1999, 91: 78-85. 10.1006/expr.1999.4357.CrossRef Rotamn HL, Daly TM, Long CC: Plasmodium: immunization with carboxyl-terminal regions of MSP-1 protects against homologous but not heterologous blood-stage parasite challenge. Exp Parasitol. 1999, 91: 78-85. 10.1006/expr.1999.4357.CrossRef
34.
go back to reference Cox FE: Protective immunity between malaria parasite and piroplasms in mice. Bull World Health Organ. 1970, 43: 325-336.PubMedCentralPubMed Cox FE: Protective immunity between malaria parasite and piroplasms in mice. Bull World Health Organ. 1970, 43: 325-336.PubMedCentralPubMed
Metadata
Title
Polymorphism and epitope sharing between the alleles of merozoite surface protein-1 of Plasmodium falciparum among Indian isolates
Authors
Anitha Mamillapalli
Sujatha Sunil
Suraksha S Diwan
Surya K Sharma
Prajesh K Tyagi
Tridibes Adak
Hema Joshi
Pawan Malhotra
Publication date
01-12-2007
Publisher
BioMed Central
Published in
Malaria Journal / Issue 1/2007
Electronic ISSN: 1475-2875
DOI
https://doi.org/10.1186/1475-2875-6-95

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