Plasmodium vivax malaria serological exposure markers: Assessing the degree and implications of cross-reactivity with P. knowlesi.

Plasmodium vivax malaria serological exposure markers: Assessing the degree and implications of cross-reactivity with P. knowlesi.
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DOI:
10.1016/j.xcrm.2022.100662
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发表时间:
2022-06-21
影响因子:
14.3
通讯作者:
Mueller, Ivo
Mueller, Ivo
中科院分区:
医学1区
文献类型:
--
作者:
Longley, Rhea J.;Grigg, Matthew J.;Schoffer, Kael;Obadia, Thomas;Hyslop, Stephanie;Piera, Kim A.;Nekkab, Narimane;Mazhari, Ramin;Takashima, Eizo;Tsuboi, Takafumi;Harbers, Matthias;Tetteh, Kevin;Drakeley, Chris;Chitnis, Chetan E.;Healer, Julie;Tham, Wai-Hong;Sattabongkot, Jetsumon;White, Michael T.;Cooper, Daniel J.;Rajahram, Giri S.;Barber, Bridget E.;William, Timothy;Anstey, Nicholas M.;Mueller, Ivo

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Serological markers are a promising tool for surveillance and targeted interventions for Plasmodium vivax malaria. P. vivax is closely related to the zoonotic parasite P. knowlesi, which also infects humans. P. vivax and P. knowlesi are co-endemic across much of South East Asia, making it important to design serological markers that minimize cross-reactivity in this region. To determine the degree of IgG cross-reactivity against a panel of P. vivax serological markers, we assayed samples from human patients with P. knowlesi malaria. IgG antibody reactivity is high against P. vivax proteins with high sequence identity with their P. knowlesi ortholog. IgG reactivity peaks at 7 days post-P. knowlesi infection and is short-lived, with minimal responses 1 year post-infection. We designed a panel of eight P. vivax proteins with low levels of cross-reactivity with P. knowlesi. This panel can accurately classify recent P. vivax infections while reducing misclassification of recent P. knowlesi infections. Serology is promising for actionable surveillance for Plasmodium vivax malaria P. knowlesi infections induce cross-reactive IgG antibodies to P. vivax proteins Cross-reactive IgG antibodies are short-lived following infection Misclassification due to cross-reactivity can be reduced through antigen selection Longley et al. characterize cross-reactivity against Plasmodium vivax proteins in people infected with the closely related parasite species Plasmodium knowlesi. They propose an approach to maintain sensitivity of P. vivax serological exposure markers while reducing misclassification due to cross-reactivity with P. knowlesi.
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