在疟疾流行季节,增强儿童对疟原虫裂殖子抗原的抗体反应。
Boosting antibody responses to Plasmodium falciparum merozoite antigens in children with highly seasonal exposure to infection.
机构信息
Medical Research Council Laboratories, Fajara, The Gambia.
出版信息
Parasite Immunol. 2010 Apr;32(4):296-304. doi: 10.1111/j.1365-3024.2009.01193.x.
Longitudinal cohort studies are important to describe the dynamics of naturally acquired antibody response profiles to defined Plasmodium falciparum malaria antigens relative to clinical malaria episodes. In children under 7 years of age in The Gambia, serum IgG responses were measured to P. falciparum merozoite antigens AMA1, EBA175, MSP1(19), MSP2 and crude schizont extract, over a 10-month period. Persistence of antibody responses was measured in 152 children during the dry season when there was virtually no malaria transmission, and 103 children were monitored for new episodes of clinical malaria during the subsequent wet season when transmission occurred. Children who experienced clinical malaria had lower antibody levels at the start of the study than those who remained free from malaria. Associations between dry season antibody persistence and subsequent wet season antibody levels suggested robust immunological memory responses. Mean antibody levels to all antigens were elevated by the end of the wet season in children who experienced clinical malaria; each of these children had a boosted antibody response to at least one antigen. In all children, antibody avidities were lower against MSP2 than other antigens, a difference that did not change throughout the study period or in relation to clinical malaria episodes.
纵向队列研究对于描述自然获得的针对特定疟原虫 falciparum 疟疾抗原的抗体反应谱的动态与临床疟疾发作的关系非常重要。在冈比亚 7 岁以下的儿童中,在 10 个月的时间里,测量了针对疟原虫裂殖子抗原 AMA1、EBA175、MSP1(19)、MSP2 和粗裂殖体提取物的血清 IgG 反应。在没有疟疾传播的旱季,对 152 名儿童进行了抗体反应持久性测量,在随后的雨季,当发生传播时,对 103 名儿童监测了新的临床疟疾发作。与未患疟疾的儿童相比,发生临床疟疾的儿童在研究开始时的抗体水平较低。旱季抗体持久性与随后雨季抗体水平之间的关联表明存在强大的免疫记忆反应。在经历临床疟疾的儿童中,所有抗原的平均抗体水平在雨季结束时均升高;这些儿童中的每一位都对至少一种抗原产生了增强的抗体反应。在所有儿童中,针对 MSP2 的抗体亲和力均低于其他抗原,这种差异在整个研究期间或与临床疟疾发作无关时均未改变。