伊朗不稳定疟疾地区自然感染患者中,恶性疟原虫动合子和子孢子细胞穿越蛋白(CelTOS)及血小板反应蛋白相关黏附蛋白(TRAP)天然获得性抗体获取情况的异质性。

Heterogeneity in the acquisition of naturally acquired antibodies to cell-traversal protein for ookinetes and sporozoites (CelTOS) and thrombospondin-related adhesion protein (TRAP) of Plasmodium falciparum in naturally infected patients from unstable malaria areas in Iran.

作者信息

Pirahmadi Sakineh, Zakeri Sedigheh, Mehrizi Akram Abouie, Karimi Leila, Djadid Navid Dinparast

机构信息

Malaria and Vector Research Group (MVRG), Biotechnology Research Center (BRC), Pasteur Institute of Iran, Tehran, Iran.

Malaria and Vector Research Group (MVRG), Biotechnology Research Center (BRC), Pasteur Institute of Iran, Tehran, Iran.

出版信息

Acta Trop. 2019 Feb;190:365-374. doi: 10.1016/j.actatropica.2018.12.014. Epub 2018 Dec 10.

Abstract

Currently, there is no subunit malaria vaccine capable of providing long-lasting protection, and a vaccine based on a single-antigen has shown moderate to unsatisfactory efficacies in clinical trials. As in malaria elimination and eradication strategies, the primary objective is reduction in disease and death due to P. falciparum, in the present investigation, for the first time, we attempted to determine and compare the naturally acquired immune responses to two well-recognized sporozoite antigens, cell-traversal protein for ookinetes and sporozoites (CelTOS) and thrombospondin-related adhesion protein (TRAP), in P. falciparum-infected individuals (n = 204) in low malaria transmission settings of Iran using ELISA. Besides, the profile of IgG isotype responses, the avidity of IgG, IgG1, and IgG3, and the association of anti-PfCelTOS and -PfTRAP antibodies with host age were evaluated. Positive antibody responses to PfCelTOS and PfTRAP antigens were detected in 16.2% and 31.9% of Iranian P. falciparum-infected individuals, respectively, indicating significantly lower immune response to PfCelTOS than PfTRAP (P <0.0001, McNemar's test). Also, among the positive samples for anti-PfCelTOS (n = 33) and -PfTRAP (n = 65) total IgG, the cytophilic IgG1 and IgG3 antibodies were predominant. A significant proportion of the examined positive responders had high- and intermediate-avidity for IgG (93.9%, 87.7%), IgG1 (96.3%, 87.7%), and IgG3 (76%, 78.7%) antibodies to both PfCelTOS and PfTRAP antigens, respectively, with no correlation with age (P >0.05; Spearman's correlation test). In conclusion, the present data suggests the acquisition of heterogenic immune responses to both antigens in the same patients naturally infected with P. falciparum from settings of low malaria transmission intensity in Iran in which their role in protection to malaria needs further study.

摘要

目前,尚无能够提供长期保护的亚单位疟疾疫苗,且基于单一抗原的疫苗在临床试验中显示出的疗效为中等至不尽人意。由于在疟疾消除和根除策略中,主要目标是减少恶性疟原虫导致的疾病和死亡,因此在本研究中,我们首次尝试使用酶联免疫吸附测定法(ELISA),在伊朗低疟疾传播地区的恶性疟原虫感染个体(n = 204)中,确定并比较对两种公认的子孢子抗原,即动合子和子孢子的细胞穿越蛋白(CelTOS)和血小板反应蛋白相关黏附蛋白(TRAP)的自然获得性免疫反应。此外,还评估了IgG同种型反应的特征、IgG、IgG1和IgG3的亲和力,以及抗PfCelTOS和抗PfTRAP抗体与宿主年龄的关联。在伊朗恶性疟原虫感染个体中,分别有16.2%和31.9%检测到对PfCelTOS和PfTRAP抗原的阳性抗体反应,这表明对PfCelTOS的免疫反应明显低于PfTRAP(P <0.0001,McNemar检验)。同样,在抗PfCelTOS(n = 33)和抗PfTRAP(n = 65)总IgG的阳性样本中,嗜细胞性IgG1和IgG3抗体占主导。在检测的阳性应答者中,相当大比例的人对PfCelTOS和PfTRAP抗原的IgG(分别为93.9%,87.7%)、IgG1(分别为96.3%,87.7%)和IgG3(分别为76%,78.7%)抗体具有高亲和力和中等亲和力,且与年龄无相关性(P >0.05;Spearman相关性检验)。总之,目前的数据表明,在伊朗低疟疾传播强度地区自然感染恶性疟原虫的同一患者中,对这两种抗原均获得了异质性免疫反应,其在疟疾保护中的作用有待进一步研究。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索