differential induction of functional igg using the plasmodium falciparum placental malaria vaccine candidate var2csa微分感应功能使用恶性疟原虫免疫球蛋白var2csa胎盘疟疾疫苗候选人.pdfVIP
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differential induction of functional igg using the plasmodium falciparum placental malaria vaccine candidate var2csa微分感应功能使用恶性疟原虫免疫球蛋白var2csa胎盘疟疾疫苗候选人
Differential Induction of Functional IgG Using the
Plasmodium falciparum Placental Malaria Vaccine
Candidate VAR2CSA
1,2 1,2 1,2 1,2 ¨ 1,2
Vera V. Pinto , Sisse B. Ditlev , Kamilla E. Jensen , Mafalda Resende , Madeleine Dahlback , Gorm
Andersen1,2, Pernille Andersen1,2, Thor G. Theander1,2, Ali Salanti1,2, Morten A. Nielsen1,2*
1 Centre for Medical Parasitology at Department of International Health, Immunology and Microbiology, University of Copenhagen, Copenhagen, Denmark, 2 Department
of Infectious Diseases, Copenhagen University Hospital (Rigshospitalet), Copenhagen, Denmark
Abstract
Background: In Plasmodium falciparum malaria endemic areas placental malaria (PM) is an important complication of
malaria. The recurrence of malaria in primigravidae women irrespective of acquired protection during childhood is caused
by the interaction between the parasite-expressed VAR2CSA antigen and chondroitin sulfate A (CSA) in the placental
intervillous space and lack of protective antibodies. PM impairs fetal development mainly by excessive inflammation
processes. After infections during pregnancy women acquire immunity to PM conferred by antibodies against VAR2CSA.
Ideally, a vaccine against PM will induce antibody-mediated immune responses that block the adhesion of infected
erythrocytes (IE) in the placenta.
Principal Findings: We have previously shown that antibodies raised in rat against individual domains of VAR2CSA can
block IE binding to CSA. In this study we have immunized mice, rats and rabbits with each individual domain and the full-
length protein corresponding to the FCR3 VAR2CSA variant. We
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