Antibody Biology Unit, Laboratory of Immunogenetics, National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health (NIH), Rockville, MD 20852, USA.
Malaria Infection Biology and Immunity Section, Laboratory of Immunogenetics, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Rockville, MD 20852, USA.
Sci Transl Med. 2021 Jun 23;13(599). doi: 10.1126/scitranslmed.abg2344.
Immunoglobulin (Ig)A antibodies play a critical role in protection against mucosal pathogens. However, the role of serum IgA in immunity to nonmucosal pathogens, such as , is poorly characterized, despite being the second most abundant isotype in blood after IgG. Here, we investigated the circulating IgA response in humans to sporozoites that are injected into the skin by mosquitoes and migrate to the liver via the bloodstream to initiate malaria infection. We found that circulating IgA was induced in three independent sporozoite-exposed cohorts: individuals living in an endemic region in Mali, malaria-naïve individuals immunized intravenously with three large doses of irradiated sporozoites, and malaria-naïve individuals exposed to a single controlled mosquito bite infection. Mechanistically, we found evidence in an animal model that IgA responses were induced by sporozoites at dermal inoculation sites. From malaria-resistant individuals, we isolated several IgA monoclonal antibodies that reduced liver parasite burden in mice. One antibody, MAD2-6, bound to a conserved epitope in the amino terminus of the circumsporozoite protein, the dominant protein on the sporozoite surface. Crystal structures of this antibody revealed a unique mode of binding whereby two Fabs simultaneously bound either side of the target peptide. This study reveals a role for circulating IgA in malaria and identifies the amino terminus of the circumsporozoite protein as a target of functional antibodies.
免疫球蛋白(Ig)A 抗体在抵御黏膜病原体方面发挥着关键作用。然而,血清 IgA 在针对非黏膜病原体(如 )的免疫中的作用尚未得到充分描述,尽管它是仅次于 IgG 的血液中第二丰富的同种型。在这里,我们研究了人类对疟原虫 的循环 IgA 反应,疟原虫 是由蚊子注射到皮肤中,并通过血流迁移到肝脏以引发疟疾感染。我们发现,在三个独立的受疟原虫 暴露的队列中诱导了循环 IgA:生活在马里流行地区的个体、静脉内免疫接种三剂辐照疟原虫的疟疾初治个体以及暴露于单次受控蚊子叮咬感染的疟疾初治个体。从机制上讲,我们在动物模型中发现了证据,表明 IgA 反应是由皮内接种部位的疟原虫 诱导的。我们从抗疟个体中分离出几种 IgA 单克隆抗体,这些抗体可减少小鼠肝脏中的寄生虫负担。一种抗体 MAD2-6 与疟原虫 表面的主要蛋白环子孢子蛋白的氨基末端的保守表位结合。该抗体的晶体结构揭示了一种独特的结合模式,其中两个 Fab 同时结合靶肽的两侧。这项研究揭示了循环 IgA 在疟疾中的作用,并确定了环子孢子蛋白的氨基末端是功能性抗体的靶标。
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