Institut für Tropenmedizin, Eberhard Karls Universität Tübingen, Tübingen, Germany.
Malar J. 2012 Feb 15;11:46. doi: 10.1186/1475-2875-11-46.
Malaria transmission in most of Latin America can be considered as controlled. In such a scenario, parameters of baseline immunity to malaria antigens are of specific interest with respect to future malaria eradication efforts.
A cross-sectional study was carried out in two indigenous population groups in Amazonas/Venezuela. Data from the regional malaria documentation system were extracted and participants from the ethnic groups of the Guahibo (n = 180) and Piaroa (n = 295) were investigated for the presence of Plasmodium parasites and naturally acquired antibodies to Plasmodium falciparum antigens in serum. The GMZ2 vaccine candidate proteins MSP3 and GLURP were chosen as serological markers.
The incidence of P. falciparum in both communities was found to be less than 2%, and none of the participants harboured P. falciparum at the time of the cross-sectional. Nearly a quarter of the participants (111/475; 23,4%) had positive antibody titres to at least one of the antigens. 53/475 participants (11.2%) were positive for MSP3, and 93/475 participants (19.6%) were positive for GLURP. High positive responses were detected in 36/475 participants (7.6%) and 61/475 participants (12.8%) for MSP3 and GLURP, respectively. Guahibo participants had significantly higher antibody titres than Piaroa participants.
Considering the low incidence of P. falciparum, submicroscopical infections may explain the comparatively high anti-P. falciparum antibody concentrations.
拉丁美洲大部分地区的疟疾传播已被认为得到控制。在这种情况下,疟疾抗原基础免疫力的参数对于未来的疟疾消除工作具有特殊意义。
在委内瑞拉亚马逊州的两个土著人群中进行了一项横断面研究。从区域疟疾档案系统中提取数据,并对瓜伊博族(n=180)和皮拉奥族(n=295)的参与者进行了调查,以确定他们是否存在疟原虫寄生虫以及血清中针对恶性疟原虫抗原的天然获得性抗体。选择 GMZ2 疫苗候选蛋白 MSP3 和 GLURP 作为血清学标志物。
发现这两个社区的恶性疟原虫发病率均低于 2%,且在横断面调查时,没有参与者携带恶性疟原虫。近四分之一的参与者(111/475;23.4%)对至少一种抗原具有阳性抗体滴度。475 名参与者中有 53 名(11.2%)对 MSP3 呈阳性,475 名参与者中有 93 名(19.6%)对 GLURP 呈阳性。在 36/475 名参与者(7.6%)和 61/475 名参与者(12.8%)中分别检测到 MSP3 和 GLURP 的高阳性反应。瓜伊博族参与者的抗体滴度明显高于皮拉奥族参与者。
考虑到恶性疟原虫的低发病率,亚微观感染可能解释了相对较高的抗恶性疟原虫抗体浓度。