Publikationsdatenbank

Persistent Plasmodium falciparum infections enhance transmission-reducing immunity development (2021)

Art

Zeitschriftenartikel / wissenschaftlicher Beitrag

Autoren

Ayanful-Torgby, Ruth

Sarpong, Esther

Abagna, Hamza B.

Donu, Dickson

Obboh, Evans

Mensah, Benedicta A.

Adjah, Joshua (WE 6)

Williamson, Kim C.

Amoah, Linda E.

Quelle

Scientific reports

Bandzählung: 11

Heftzählung: 1

Seiten: Article number: 21380

ISSN: 2045-2322

Sprache

Englisch

Verweise

URL (Volltext): https://www.nature.com/articles/s41598-021-00973-5

DOI: 10.1038/s41598-021-00973-5

Pubmed: 34725428

Kontakt

Institut für Immunologie

Robert-von-Ostertag-Str. 7-13
14163 Berlin
+49 30 838 51834
immunologie@vetmed.fu-berlin.de

Abstract / Zusammenfassung

Subclinical infections that serve as reservoir populations to drive transmission remain a hurdle to malaria control. Data on infection dynamics in a geographical area is required to strategically design and implement malaria interventions. In a longitudinal cohort, we monitored Plasmodium falciparum infection prevalence and persistence, and anti-parasite immunity to gametocyte and asexual antigens for 10 weeks. Of the 100 participants, only 11 were never infected, whilst 16 had persistent infections detected by reverse transcriptase-quantitative polymerase chain reaction (RT-qPCR), and one participant had microscopic parasites at all visits. Over 70% of the participants were infected three or more times, and submicroscopic gametocyte prevalence was high, ≥ 48% of the parasite carriers. Naturally induced responses against recombinant Pfs48/45.6C, Pfs230proC, and EBA175RIII–V antigens were not associated with either infection status or gametocyte carriage, but the antigen-specific IgG titers inversely correlated with parasite and gametocyte densities consistent with partial immunity. Longitudinal analysis of gametocyte diversity indicated at least four distinct clones circulated throughout the study period. The high prevalence of children infected with distinct gametocyte clones coupled with marked variation in infection status at the individual level suggests ongoing transmission and should be targeted in malaria control programs.