
handle: 10616/41764
Malaria is one of the most important infectious diseases in the world and the Plasmodium falciparum parasite is the causative agent of most of the severe cases. The pathogenesis of the disease is complex but sequestration and hence microvascular obstruction is associated with virulence of the parasite. Rosetting, the adhesion of a parasitized red cell (pRBC) to two or more non-parasitized RBC is central in the adhesion phenomena. The adhesin Plasmodium falciparum Erythrocyte Membrane Protein-1 (PfEMP1) mediates rosetting through its adhesive head structure composed of the NTS-Duffy Binding Like (DBL) 1α domain. Specific PfEMP1 antibodies (Abs) acquired after repeated exposures to parasites are associated with immunity to severe disease. In order to design effective therapies against severe malaria a deeper knowledge of the rosetting phenomenon is required. A panel of monoclonal antibodies (mAbs) to NTS-DBL1α was generated by vaccination with recombinant protein. Epitopes recognized by the antibodies were mapped using a peptide array revealing that the reactivity of rosette disruptive monoclonal antibodies is localized in a specific region of subdomain 3 of DBL1α, independently of the parasite strain tested. In addition, the majority of anti-rosetting antibodies in a polyclonal IgG preparation towards NTS-DBL1α targeted the same area. This suggests subdomain 3 of NTS-DBL1α to be one of the major targets for rosette-disruptive antibodies. Further, generation of biologically active antibodies was consistent in different animal species and cross-recognition of heterologous rosetting domains was common in ELISA but not on live pRBC. In parallel, to overcome the strain-specificity of the antibodies, a sequence motif present in subdomain 2 of the DBL1α sequence and previously associated with severe malaria was used for immunization. The peptide elicited a strain-transcending antibody response, with immune IgG recognizing a number of genetically distinct parasites, including both laboratory strains and patient isolates. ...
570, Thesis, 610
570, Thesis, 610
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