Staalsoe Trine, Nielsen Morten A, Vestergaard Lasse S, Jensen Anja T R, Theander Thor G, Hviid Lars
Centre for Medical Parasitology at Department of Infectious Diseases, Copenhagen University Hospital, Copenhagen, Denmark.
Parasite Immunol. 2003 Aug-Sep;25(8-9):421-7. doi: 10.1111/j.1365-3024.2003.00652.x.
P. falciparum-infected red blood cells (IRBC) can adhere to endothelial host receptors through parasite-encoded, clonally variant surface antigens (VSA). The VSA-mediated IRBC adhesion and the acquired VSA-specific antibody response have both been linked to IRBC organ tropism and disease severity. Parasites isolated from young children with severe malaria (SM) tend to express a limited and conserved set of VSA (VSASM) that are both stronger and more commonly recognized by IgG in the plasma of malaria-exposed individuals than VSA (VSAUM) expressed by parasites causing uncomplicated malaria (UM) in older semi-immune children. Establishment of the genetic mechanism underlying changes in VSA expression in response to in vitro selective pressure is now possible because of the availability of the entire genomic sequence of the P. falciparum clone 3D7. As a first step towards direct molecular identification of VSASM-encoding genes in 3D7, we report here a method of enforcing expression of VSASM-like antigens in this parasite clone by a novel selection method using plasma from semi-immune children with low VSAUM-specific, but high VSASM-specific, IgG reactivity. In addition to the resulting increase in VSA-specific IgG recognition, VSASM-expressing 3D7(3D7-Dodowa1) showed reduced adhesion to CD36. Finally, levels of IgG specific for the VSA expressed by 3D7-Dodowa1 were uniformly higher than those of IgG with specificity for VSA expressed by the unselected 3D7 in plasma samples from geographically and epidemiologically diverse areas of endemic parasite transmission. The described selection method appears a useful tool in the identification of genes encoding VSA involved in severe and life-threatening P. falciparum malaria.
恶性疟原虫感染的红细胞(IRBC)可通过寄生虫编码的、克隆可变表面抗原(VSA)黏附于内皮宿主受体。VSA介导的IRBC黏附以及获得性VSA特异性抗体反应均与IRBC器官嗜性和疾病严重程度有关。从患有严重疟疾(SM)的幼儿中分离出的寄生虫往往表达一组有限且保守的VSA(VSASM),与导致年龄较大的半免疫儿童患非复杂性疟疾(UM)的寄生虫所表达的VSA(VSAUM)相比,VSASM在暴露于疟疾个体的血浆中更易被IgG识别且识别强度更高。由于恶性疟原虫克隆3D7的全基因组序列已可获取,现在有可能确定VSA表达变化响应体外选择压力的遗传机制。作为在3D7中直接分子鉴定编码VSASM基因的第一步,我们在此报告一种通过新型选择方法在该寄生虫克隆中强制表达VSASM样抗原的方法,该方法使用来自VSAUM特异性低但VSASM特异性高的IgG反应性的半免疫儿童的血浆。除了VSA特异性IgG识别增加外,表达VSASM的3D7(3D7-Dodowa1)对CD36的黏附减少。最后,在来自寄生虫传播流行的地理和流行病学不同地区的血浆样本中,3D7-Dodowa1表达的VSA特异性IgG水平始终高于未选择的3D7表达的VSA特异性IgG水平。所描述的选择方法似乎是鉴定参与严重和危及生命的恶性疟原虫疟疾的VSA编码基因的有用工具。