Impact of hemoglobin S trait on cell surface antibody recognition of Palsmodium falciparum - infected erythrocytes in pregnancy - associated malaria

Autor: Chauvet, M., Tétard, M., Cottrell, Gilles, Aussenac, Florentin, Brossier, E., Denoyel, L., Lohezic, M., Milet, Jacqueline, Tuikue Ndam, Nicaise, Pineau, D., Roman, Jocelyne, Luty, Adrian, Gamain, B., Migot Nabias, Florence, Merckx, A.
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Popis: Background: Sickle cell trait (HbAS) confers partial protection against malaria by reducing the adhesion of Plasmodium falciparum-infected erythrocytes to host receptors, but little is known about its potential protection against placental malaria. Methods: Using flow cytometry, we assessed the recognition of HbAA and HbAS VAR2CSA-expressing infected erythrocytes, by plasma from 159 Beninese pregnant women with either HbAA (normal) or HbAS. Using multivariate linear models adjusted for gravidity, parasite infection at delivery, glucose-6-phosphate dehydrogenase deficiency, and α-thalassemia carriage, we observed significantly reduced cell surface antibody binding of HbAS-infected erythrocytes by plasma from HbAS compared with HbAA women (P < 10–3). Results: The difference in cell surface antibody binding was only observed when infected erythrocytes and plasma were associated according to the same hemoglobin genotype. Similar levels of VAR2CSA-specific antibody were measured by enzyme-linked immunosorbent assay in the 2 groups, suggesting that the altered interaction between VAR2CSA and HbAS women's antibodies could reflect abnormal display of VAR2CSA on HbAS erythrocytes. Conclusions: Our data stress the need for assessments of erythrocyte disorders such as the sickle cell trait in a population group when studying immunological responses to P falciparum.
Databáze: OpenAIRE