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Published in: Malaria Journal 1/2010

Open Access 01-12-2010 | Research

Several domains from VAR2CSA can induce Plasmodium falciparum adhesion-blocking antibodies

Authors: Ali Salanti, Mafalda Resende, Sisse B Ditlev, Vera V Pinto, Madeleine Dahlbäck, Gorm Andersen, Tom Manczak, Thor G Theander, Morten A Nielsen

Published in: Malaria Journal | Issue 1/2010

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Abstract

Background

Malaria caused by Plasmodium falciparum can result in several different syndromes with severe clinical consequences for the about 200 million individuals infected each year. During pregnancy, women living in endemic areas become susceptible to malaria due to lack of antibodies against a unique P. falciparum membrane protein, named VAR2CSA. This antigen is not expressed in childhood infections, since it binds chondroitin sulphate A (CSA) expressed on the intervillous space in the placenta. A vaccine appears possible because women acquire protective antibodies hindering sequestration in the placenta as a function of parity. A challenge for vaccine development is to design small constructs of this large antigen, which can induce broadly protective antibodies. It has previously been shown that one domain of VAR2CSA, DBL4-FCR3, induces parasite adhesion-blocking antibodies. In this study, it is demonstrated that other domains of VAR2CSA also can induce antibodies with inhibitory activity.

Methods

All VAR2CSA domains from the 3D7 and HB3 parasites were produced in Baculovirus-transfected insect cells. Groups of three rats per protein were immunized and anti-sera were tested for surface reactivity against infected erythrocytes expressing FCR3 VAR2CSA and for the ability to inhibit FCR3CSA parasite adhesion to CSA. The fine specificity of the immune sera was analysed by VAR2CSA peptide arrays.

Results

Inhibitory antibodies were induced by immunization with DBL3-HB3 T1 and DBL1-3D7. However, unlike the previously characterised DBL4-FCR3 response the inhibitory response against DBL1-3D7 and DBL3-HB3 T1 was poorly reproduced in the second rounds of immunizations.

Conclusion

It is possible to induce parasite adhesion-blocking antibodies when immunizing with a number of different VAR2CSA domains. This indicates that the CSA binding site in VAR2CSA is comprised of epitopes from different domains.
Appendix
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Literature
2.
go back to reference Walter PR, Garin Y, Blot P: Placental pathologic changes in malaria. A histologic and ultrastructural study. Am J Pathol. 1982, 109: 330-342.PubMedCentralPubMed Walter PR, Garin Y, Blot P: Placental pathologic changes in malaria. A histologic and ultrastructural study. Am J Pathol. 1982, 109: 330-342.PubMedCentralPubMed
3.
go back to reference Kraemer SM, Smith JD: A family affair: var genes, PfEMP1 binding, and malaria disease. Curr Opin Microbiol. 2006, 9: 374-380. 10.1016/j.mib.2006.06.006.CrossRefPubMed Kraemer SM, Smith JD: A family affair: var genes, PfEMP1 binding, and malaria disease. Curr Opin Microbiol. 2006, 9: 374-380. 10.1016/j.mib.2006.06.006.CrossRefPubMed
4.
go back to reference Baruch DI, Pasloske BL, Singh HB, Bi X, Ma XC, Feldman M, Taraschi TF, Howard RJ: Cloning the P. falciparum gene encoding PfEMP1, a malarial variant antigen and adherence receptor on the surface of parasitized human erythrocytes. Cell. 1995, 82: 77-87. 10.1016/0092-8674(95)90054-3.CrossRefPubMed Baruch DI, Pasloske BL, Singh HB, Bi X, Ma XC, Feldman M, Taraschi TF, Howard RJ: Cloning the P. falciparum gene encoding PfEMP1, a malarial variant antigen and adherence receptor on the surface of parasitized human erythrocytes. Cell. 1995, 82: 77-87. 10.1016/0092-8674(95)90054-3.CrossRefPubMed
5.
go back to reference Smith JD, Chitnis CE, Craig AG, Roberts DJ, Hudson-Taylor DE, Peterson DS, Pinches R, Newbold CI, Miller LH: Switches in expression of Plasmodium falciparum var genes correlate with changes in antigenic and cytoadherent phenotypes of infected erythrocytes. Cell. 1995, 82: 101-110. 10.1016/0092-8674(95)90056-X.PubMedCentralCrossRefPubMed Smith JD, Chitnis CE, Craig AG, Roberts DJ, Hudson-Taylor DE, Peterson DS, Pinches R, Newbold CI, Miller LH: Switches in expression of Plasmodium falciparum var genes correlate with changes in antigenic and cytoadherent phenotypes of infected erythrocytes. Cell. 1995, 82: 101-110. 10.1016/0092-8674(95)90056-X.PubMedCentralCrossRefPubMed
6.
go back to reference Su XZ, Heatwole VM, Wertheimer SP, Guinet F, Herrfeldt JA, Peterson DS, Ravetch JA, Wellems TE: The large diverse gene family var encodes proteins involved in cytoadherence and antigenic variation of Plasmodium falciparum-infected erythrocytes. Cell. 1995, 82: 89-100. 10.1016/0092-8674(95)90055-1.CrossRefPubMed Su XZ, Heatwole VM, Wertheimer SP, Guinet F, Herrfeldt JA, Peterson DS, Ravetch JA, Wellems TE: The large diverse gene family var encodes proteins involved in cytoadherence and antigenic variation of Plasmodium falciparum-infected erythrocytes. Cell. 1995, 82: 89-100. 10.1016/0092-8674(95)90055-1.CrossRefPubMed
7.
go back to reference Bull PC, Lowe BS, Kortok M, Molyneux CS, Newbold CI, Marsh K: Parasite antigens on the infected red cell surface are targets for naturally acquired immunity to malaria. Nat Med. 1998, 4: 358-360. 10.1038/nm0398-358.PubMedCentralCrossRefPubMed Bull PC, Lowe BS, Kortok M, Molyneux CS, Newbold CI, Marsh K: Parasite antigens on the infected red cell surface are targets for naturally acquired immunity to malaria. Nat Med. 1998, 4: 358-360. 10.1038/nm0398-358.PubMedCentralCrossRefPubMed
8.
go back to reference Jensen ATR, Magistrado P, Sharp S, Joergensen L, Lavstsen T, Chiucciuini A, Salanti A, Vestergaard LS, Lusingu JP, Hermsen R, Sauerwein R, Christensen J, Nielsen MA, Hviid L, Sutherland C, Staalsoe T, Theander TG: Plasmodium falciparum associated with severe childhood malaria preferentially expresses PfEMP1 encoded by group A var genes. J Exp Med. 2004, 199: 1179-1190. 10.1084/jem.20040274.PubMedCentralCrossRefPubMed Jensen ATR, Magistrado P, Sharp S, Joergensen L, Lavstsen T, Chiucciuini A, Salanti A, Vestergaard LS, Lusingu JP, Hermsen R, Sauerwein R, Christensen J, Nielsen MA, Hviid L, Sutherland C, Staalsoe T, Theander TG: Plasmodium falciparum associated with severe childhood malaria preferentially expresses PfEMP1 encoded by group A var genes. J Exp Med. 2004, 199: 1179-1190. 10.1084/jem.20040274.PubMedCentralCrossRefPubMed
9.
go back to reference Rottmann M, Lavstsen T, Mugasa JP, Kaestli M, Jensen AT, Muller D, Theander T, Beck HP: Differential expression of var gene groups is associated with morbidity caused by Plasmodium falciparum infection in Tanzanian children. Infect Immun. 2006, 74: 3904-3911. 10.1128/IAI.02073-05.PubMedCentralCrossRefPubMed Rottmann M, Lavstsen T, Mugasa JP, Kaestli M, Jensen AT, Muller D, Theander T, Beck HP: Differential expression of var gene groups is associated with morbidity caused by Plasmodium falciparum infection in Tanzanian children. Infect Immun. 2006, 74: 3904-3911. 10.1128/IAI.02073-05.PubMedCentralCrossRefPubMed
10.
go back to reference Tuikue Ndam NG, Salanti A, Bertin G, Dahlback M, Fievet N, Turner L, Gaye A, Theander T, Deloron P: High level of var2csa transcription by Plasmodium falciparum isolated from the placenta. J Infect Dis. 2005, 192: 331-335. 10.1086/430933.CrossRefPubMed Tuikue Ndam NG, Salanti A, Bertin G, Dahlback M, Fievet N, Turner L, Gaye A, Theander T, Deloron P: High level of var2csa transcription by Plasmodium falciparum isolated from the placenta. J Infect Dis. 2005, 192: 331-335. 10.1086/430933.CrossRefPubMed
11.
go back to reference Salanti A, Staalsoe T, Lavstsen T, Jensen ATR, Sowa MPK, Arnot DE, Hviid L, Theander TG: Selective upregulation of a single distinctly structured var gene in chondroitin sulphate A-adhering Plasmodium falciparum involved in pregnancy-associated malaria. Mol Microbiol. 2003, 49: 179-191. 10.1046/j.1365-2958.2003.03570.x.CrossRefPubMed Salanti A, Staalsoe T, Lavstsen T, Jensen ATR, Sowa MPK, Arnot DE, Hviid L, Theander TG: Selective upregulation of a single distinctly structured var gene in chondroitin sulphate A-adhering Plasmodium falciparum involved in pregnancy-associated malaria. Mol Microbiol. 2003, 49: 179-191. 10.1046/j.1365-2958.2003.03570.x.CrossRefPubMed
12.
go back to reference Magistrado P, Salanti A, Tuikue Ndam NG, Mwakalinga SB, Resende M, Dahlback M, Hviid L, Lusingu J, Theander TG, Nielsen MA: VAR2CSA expression on the surface of placenta-derived Plasmodium falciparum-infected erythrocytes. J Infect Dis. 2008, 198: 1071-1074. 10.1086/591502.CrossRefPubMed Magistrado P, Salanti A, Tuikue Ndam NG, Mwakalinga SB, Resende M, Dahlback M, Hviid L, Lusingu J, Theander TG, Nielsen MA: VAR2CSA expression on the surface of placenta-derived Plasmodium falciparum-infected erythrocytes. J Infect Dis. 2008, 198: 1071-1074. 10.1086/591502.CrossRefPubMed
13.
go back to reference Salanti A, Dahlback M, Turner L, Nielsen MA, Barfod L, Magistrado P, Jensen AT, Lavstsen T, Ofori MF, Marsh K, Hviid L, Theander TG: Evidence for the involvement of VAR2CSA in pregnancy-associated malaria. J Exp Med. 2004, 200: 1197-1203. 10.1084/jem.20041579.PubMedCentralCrossRefPubMed Salanti A, Dahlback M, Turner L, Nielsen MA, Barfod L, Magistrado P, Jensen AT, Lavstsen T, Ofori MF, Marsh K, Hviid L, Theander TG: Evidence for the involvement of VAR2CSA in pregnancy-associated malaria. J Exp Med. 2004, 200: 1197-1203. 10.1084/jem.20041579.PubMedCentralCrossRefPubMed
14.
go back to reference Viebig NK, Gamain B, Scheidig C, Lepolard C, Przyborski J, Lanzer M, Gysin J, Scherf A: A single member of the Plasmodium falciparum var multigene family determines cytoadhesion to the placental receptor chondroitin sulphate A. EMBO Rep. 2005, 6: 775-781. 10.1038/sj.embor.7400466.PubMedCentralCrossRefPubMed Viebig NK, Gamain B, Scheidig C, Lepolard C, Przyborski J, Lanzer M, Gysin J, Scherf A: A single member of the Plasmodium falciparum var multigene family determines cytoadhesion to the placental receptor chondroitin sulphate A. EMBO Rep. 2005, 6: 775-781. 10.1038/sj.embor.7400466.PubMedCentralCrossRefPubMed
15.
go back to reference Resende M, Ditlev SB, Nielsen MA, Bodevin S, Bruun S, Pinto VV, Clausen H, Turner L, Theander TG, Salanti A, Dahlback M: Chondroitin sulphate A (CSA)-binding of single recombinant Duffy-binding-like domains is not restricted to Plasmodium falciparum Erythrocyte Membrane Protein 1 expressed by CSA-binding parasites. Int J Parasitol. 2009, 39: 1195-1204. 10.1016/j.ijpara.2009.02.022.CrossRefPubMed Resende M, Ditlev SB, Nielsen MA, Bodevin S, Bruun S, Pinto VV, Clausen H, Turner L, Theander TG, Salanti A, Dahlback M: Chondroitin sulphate A (CSA)-binding of single recombinant Duffy-binding-like domains is not restricted to Plasmodium falciparum Erythrocyte Membrane Protein 1 expressed by CSA-binding parasites. Int J Parasitol. 2009, 39: 1195-1204. 10.1016/j.ijpara.2009.02.022.CrossRefPubMed
16.
go back to reference Dahlback M, Rask TS, Andersen PH, Nielsen MA, Ndam NT, Resende M, Turner L, Deloron P, Hviid L, Lund O, Pedersen AG, Theander TG, Salanti A: Epitope mapping and topographic analysis of VAR2CSA DBL3X involved in P. falciparum placental sequestration. PLoS Pathog. 2006, 2: e124-10.1371/journal.ppat.0020124.PubMedCentralCrossRefPubMed Dahlback M, Rask TS, Andersen PH, Nielsen MA, Ndam NT, Resende M, Turner L, Deloron P, Hviid L, Lund O, Pedersen AG, Theander TG, Salanti A: Epitope mapping and topographic analysis of VAR2CSA DBL3X involved in P. falciparum placental sequestration. PLoS Pathog. 2006, 2: e124-10.1371/journal.ppat.0020124.PubMedCentralCrossRefPubMed
17.
go back to reference Khunrae P, Philip JM, Bull DR, Higgins MK: Structural comparison of two CSPG-binding DBL domains from the VAR2CSA protein important in malaria during pregnancy. J Mol Biol. 2009, 393: 202-213. 10.1016/j.jmb.2009.08.027.PubMedCentralCrossRefPubMed Khunrae P, Philip JM, Bull DR, Higgins MK: Structural comparison of two CSPG-binding DBL domains from the VAR2CSA protein important in malaria during pregnancy. J Mol Biol. 2009, 393: 202-213. 10.1016/j.jmb.2009.08.027.PubMedCentralCrossRefPubMed
18.
go back to reference Gamain B, Trimnell AR, Scheidig C, Scherf A, Miller LH, Smith JD: Identification of multiple chondroitin sulfate A (CSA)-binding domains in the var2CSA gene transcribed in CSA-binding parasites. J Infect Dis. 2005, 191: 1010-1013. 10.1086/428137.CrossRefPubMed Gamain B, Trimnell AR, Scheidig C, Scherf A, Miller LH, Smith JD: Identification of multiple chondroitin sulfate A (CSA)-binding domains in the var2CSA gene transcribed in CSA-binding parasites. J Infect Dis. 2005, 191: 1010-1013. 10.1086/428137.CrossRefPubMed
19.
go back to reference Fried M, Nosten F, Brockman A, Brabin BJ, Duffy PE: Maternal antibodies block malaria. Nature. 1998, 395: 851-852. 10.1038/27570.CrossRefPubMed Fried M, Nosten F, Brockman A, Brabin BJ, Duffy PE: Maternal antibodies block malaria. Nature. 1998, 395: 851-852. 10.1038/27570.CrossRefPubMed
20.
go back to reference Fernandez P, Kviebig N, Dechavanne S, Lepolard C, Gysin J, Scherf A, Gamain B: Var2CSA DBL6-epsilon domain expressed in HEK293 induces limited cross-reactive and blocking antibodies to CSA binding parasites. Malar J. 2008, 7: 170-10.1186/1475-2875-7-170.PubMedCentralCrossRefPubMed Fernandez P, Kviebig N, Dechavanne S, Lepolard C, Gysin J, Scherf A, Gamain B: Var2CSA DBL6-epsilon domain expressed in HEK293 induces limited cross-reactive and blocking antibodies to CSA binding parasites. Malar J. 2008, 7: 170-10.1186/1475-2875-7-170.PubMedCentralCrossRefPubMed
21.
go back to reference Nielsen MA, Pinto VV, Resende M, Dahlback M, Ditlev SB, Theander TG, Salanti A: Induction of adhesion-inhibitory antibodies against placental Plasmodium falciparum parasites by using single domains of VAR2CSA. Infect Immun. 2009, 77: 2482-2487. 10.1128/IAI.00159-09.PubMedCentralCrossRefPubMed Nielsen MA, Pinto VV, Resende M, Dahlback M, Ditlev SB, Theander TG, Salanti A: Induction of adhesion-inhibitory antibodies against placental Plasmodium falciparum parasites by using single domains of VAR2CSA. Infect Immun. 2009, 77: 2482-2487. 10.1128/IAI.00159-09.PubMedCentralCrossRefPubMed
22.
go back to reference Nielsen MA, Resende M, Alifrangis M, Turner L, Hviid L, Theander TG, Salanti A: Plasmodium falciparum: VAR2CSA expressed during pregnancy-associated malaria is partially resistant to proteolytic cleavage by trypsin. Exp Parasitol. 2007, 117: 1-8. 10.1016/j.exppara.2007.03.002.CrossRefPubMed Nielsen MA, Resende M, Alifrangis M, Turner L, Hviid L, Theander TG, Salanti A: Plasmodium falciparum: VAR2CSA expressed during pregnancy-associated malaria is partially resistant to proteolytic cleavage by trypsin. Exp Parasitol. 2007, 117: 1-8. 10.1016/j.exppara.2007.03.002.CrossRefPubMed
23.
go back to reference Andersen P, Nielsen MA, Resende M, Rask TS, Dahlback M, Theander T, Lund O, Salanti A: Structural insight into epitopes in the pregnancy-associated malaria protein VAR2CSA. PLoS Pathog. 2008, 4: e42-10.1371/journal.ppat.0040042.PubMedCentralCrossRefPubMed Andersen P, Nielsen MA, Resende M, Rask TS, Dahlback M, Theander T, Lund O, Salanti A: Structural insight into epitopes in the pregnancy-associated malaria protein VAR2CSA. PLoS Pathog. 2008, 4: e42-10.1371/journal.ppat.0040042.PubMedCentralCrossRefPubMed
24.
go back to reference Barfod L, Nielsen MA, Turner L, Dahlback M, Jensen AT, Hviid L, Theander TG, Salanti A: Baculovirus-expressed constructs induce immunoglobulin G that recognizes VAR2CSA on Plasmodium falciparum-infected erythrocytes. Infect Immun. 2006, 74: 4357-4360. 10.1128/IAI.01617-05.PubMedCentralCrossRefPubMed Barfod L, Nielsen MA, Turner L, Dahlback M, Jensen AT, Hviid L, Theander TG, Salanti A: Baculovirus-expressed constructs induce immunoglobulin G that recognizes VAR2CSA on Plasmodium falciparum-infected erythrocytes. Infect Immun. 2006, 74: 4357-4360. 10.1128/IAI.01617-05.PubMedCentralCrossRefPubMed
25.
go back to reference Trimnell AR, Kraemer SM, Mukherjee S, Phippard DJ, Janes JH, Flamoe E, Su XZ, Awadalla P, Smith JD: Global genetic diversity and evolution of var genes associated with placental and severe childhood malaria. Mol Biochem Parasitol. 2006, 148: 169-180. 10.1016/j.molbiopara.2006.03.012.CrossRefPubMed Trimnell AR, Kraemer SM, Mukherjee S, Phippard DJ, Janes JH, Flamoe E, Su XZ, Awadalla P, Smith JD: Global genetic diversity and evolution of var genes associated with placental and severe childhood malaria. Mol Biochem Parasitol. 2006, 148: 169-180. 10.1016/j.molbiopara.2006.03.012.CrossRefPubMed
26.
go back to reference Fried M, Muga RO, Misore AO, Duffy PE: Malaria elicits type 1 cytokines in the human placenta: IFN-gamma and TNF-alpha associated with pregnancy outcomes. J Immunol. 1998, 160: 2523-2530.PubMed Fried M, Muga RO, Misore AO, Duffy PE: Malaria elicits type 1 cytokines in the human placenta: IFN-gamma and TNF-alpha associated with pregnancy outcomes. J Immunol. 1998, 160: 2523-2530.PubMed
27.
go back to reference Duffy PE, Fried M: Plasmodium falciparum adhesion in the placenta. Curr Opin Microbiol. 2003, 6: 371-376. 10.1016/S1369-5274(03)00090-0.CrossRefPubMed Duffy PE, Fried M: Plasmodium falciparum adhesion in the placenta. Curr Opin Microbiol. 2003, 6: 371-376. 10.1016/S1369-5274(03)00090-0.CrossRefPubMed
28.
go back to reference Bockhorst J, Lu F, Janes JH, Keebler J, Gamain B, Awadalla P, Su XZ, Samudrala R, Jojic N, Smith JD: Structural polymorphism and diversifying selection on the pregnancy malaria vaccine candidate VAR2CSA. Mol Biochem Parasitol. 2007, 155: 103-112. 10.1016/j.molbiopara.2007.06.007.CrossRefPubMed Bockhorst J, Lu F, Janes JH, Keebler J, Gamain B, Awadalla P, Su XZ, Samudrala R, Jojic N, Smith JD: Structural polymorphism and diversifying selection on the pregnancy malaria vaccine candidate VAR2CSA. Mol Biochem Parasitol. 2007, 155: 103-112. 10.1016/j.molbiopara.2007.06.007.CrossRefPubMed
29.
go back to reference Higgins MK: The structure of a chondroitin sulfate-binding domain important in placental malaria. J Biol Chem. 2008, 283: 21842-21846. 10.1074/jbc.C800086200.PubMedCentralCrossRefPubMed Higgins MK: The structure of a chondroitin sulfate-binding domain important in placental malaria. J Biol Chem. 2008, 283: 21842-21846. 10.1074/jbc.C800086200.PubMedCentralCrossRefPubMed
Metadata
Title
Several domains from VAR2CSA can induce Plasmodium falciparum adhesion-blocking antibodies
Authors
Ali Salanti
Mafalda Resende
Sisse B Ditlev
Vera V Pinto
Madeleine Dahlbäck
Gorm Andersen
Tom Manczak
Thor G Theander
Morten A Nielsen
Publication date
01-12-2010
Publisher
BioMed Central
Published in
Malaria Journal / Issue 1/2010
Electronic ISSN: 1475-2875
DOI
https://doi.org/10.1186/1475-2875-9-11

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