Naturally acquired inhibitory antibodies to Plasmodium vivax Duffy binding protein are short-lived and allele-specific following a single malaria infection

Clin Exp Immunol. 2009 Jun;156(3):502-10. doi: 10.1111/j.1365-2249.2009.03931.x.

Abstract

The Duffy binding protein of Plasmodium vivax (DBP) is a critical adhesion ligand that participates in merozoite invasion of human Duffy-positive erythrocytes. A small outbreak of P. vivax malaria, in a village located in a non-malarious area of Brazil, offered us an opportunity to investigate the DBP immune responses among individuals who had their first and brief exposure to malaria. Thirty-three individuals participated in the five cross-sectional surveys, 15 with confirmed P. vivax infection while residing in the outbreak area (cases) and 18 who had not experienced malaria (non-cases). In the present study, we found that only 20% (three of 15) of the individuals who experienced their first P. vivax infection developed an antibody response to DBP; a secondary boosting can be achieved with a recurrent P. vivax infection. DNA sequences from primary/recurrent P. vivax samples identified a single dbp allele among the samples from the outbreak area. To investigate inhibitory antibodies to the ligand domain of the DBP (cysteine-rich region II, DBP(II)), we performed in vitro assays with mammalian cells expressing DBP(II) sequences which were homologous or not to those from the outbreak isolate. In non-immune individuals, the results of a 12-month follow-up period provided evidence that naturally acquired inhibitory antibodies to DBP(II) are short-lived and biased towards a specific allele.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Alleles
  • Animals
  • Antibodies, Protozoan / blood*
  • Antigens, Protozoan / genetics
  • Antigens, Protozoan / immunology*
  • Brazil / epidemiology
  • Cross-Sectional Studies
  • DNA, Protozoan / genetics
  • Disease Outbreaks
  • Humans
  • Malaria, Vivax / epidemiology
  • Malaria, Vivax / immunology*
  • Malaria, Vivax / parasitology
  • Merozoite Surface Protein 1 / immunology
  • Middle Aged
  • Plasmodium vivax / genetics
  • Plasmodium vivax / immunology*
  • Protozoan Proteins / genetics
  • Protozoan Proteins / immunology*
  • Receptors, Cell Surface / genetics
  • Receptors, Cell Surface / immunology*
  • Young Adult

Substances

  • Antibodies, Protozoan
  • Antigens, Protozoan
  • DNA, Protozoan
  • Duffy antigen binding protein, Plasmodium
  • Merozoite Surface Protein 1
  • Protozoan Proteins
  • Receptors, Cell Surface