蚊叮诱导的间日疟原虫或恶性疟原虫人工感染可引起针对同源和异源红细胞前期和红细胞期抗原的免疫应答。

Mosquito Bite-Induced Controlled Human Malaria Infection with Plasmodium vivax or P. falciparum Generates Immune Responses to Homologous and Heterologous Preerythrocytic and Erythrocytic Antigens.

机构信息

Malaria Vaccine Branch, U.S. Military Malaria Research Program, Walter Reed Army Institute of Research, Silver Spring, Maryland, USA.

Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.

出版信息

Infect Immun. 2019 Feb 21;87(3). doi: 10.1128/IAI.00541-18. Print 2019 Mar.

Abstract

Seroepidemiological studies on the prevalence of antibodies to malaria antigens are primarily conducted on individuals from regions of endemicity. It is therefore difficult to accurately correlate the antibody responses to the timing and number of prior malaria infections. This study was undertaken to assess the evolution of antibodies to the dominant surface antigens of and following controlled human malaria infection (CHMI) in malaria-naive individuals. Serum samples from malaria-naive adults, collected before and after CHMI with either ( = 18) or ( = 18), were tested for the presence of antibodies to the circumsporozoite protein (CSP) and the 42-kDa fragment of merozoite surface protein 1 (MSP-1) of and using an enzyme-linked immunosorbent assay (ELISA). Approximately 1 month following CHMI with either or , >60% of subjects seroconverted to homologous CSP and MSP-1. More than 50% of the subjects demonstrated reactivity to heterologous CSP and MSP-1, and a similar proportion of subjects remained seropositive to homologous MSP-1 >5 months after CHMI. Computational analysis provides insight into the presence of cross-reactive responses. The presence of long-lived and heterologous reactivity and its functional significance, if any, need to be taken into account while evaluating malaria exposure in field settings.

摘要

对疟疾抗原抗体流行率的血清流行病学研究主要在流行地区的个体中进行。因此,很难准确地将抗体反应与先前疟疾感染的时间和次数相关联。本研究旨在评估在疟疾初治个体中,经受控的人体疟疾感染(CHMI)后,对 和 主要表面抗原的抗体演变。在 CHMI 之前和之后,从疟疾初治成年人(分别用 ( = 18)或 ( = 18)进行 CHMI)收集血清样本,使用酶联免疫吸附试验(ELISA)检测血清样本中针对 和 的环子孢子蛋白(CSP)和裂殖体表面蛋白 1(MSP-1)42kDa 片段的抗体存在情况。在 CHMI 后约 1 个月,用 或 进行 CHMI 的受试者中,超过 60%的受试者对同源 CSP 和 MSP-1 发生血清转化。超过 50%的受试者对异源 CSP 和 MSP-1 表现出反应性,而在 CHMI 后 >5 个月,仍有类似比例的受试者对同源 MSP-1 呈血清阳性。计算分析提供了对交叉反应性反应存在的深入了解。在评估野外疟疾暴露时,需要考虑到长期存在的和异源反应性及其可能的功能意义。

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