Differential Patterns of IgG Subclass Responses to Plasmodium falciparum Antigens in Relation to Malaria Protection and RTS,S Vaccination

Naturally acquired immunity (NAI) to Plasmodium falciparum malaria is mainly mediated by IgG antibodies but the subclasses, epitope targets and effector functions have not been unequivocally defined. Dissecting the type and specificity of antibody responses mediating NAI is a key step toward develop...

Full description

Bibliographic Details
Main Authors: Carlota Dobaño, Rebeca Santano, Marta Vidal, Alfons Jiménez, Chenjerai Jairoce, Itziar Ubillos, David Dosoo, Ruth Aguilar, Nana Aba Williams, Núria Díez-Padrisa, Aintzane Ayestaran, Clarissa Valim, Kwaku Poku Asante, Seth Owusu-Agyei, David Lanar, Virander Chauhan, Chetan Chitnis, Sheetij Dutta, Evelina Angov, Benoit Gamain, Ross L. Coppel, James G. Beeson, Linda Reiling, Deepak Gaur, David Cavanagh, Ben Gyan, Augusto J. Nhabomba, Joseph J. Campo, Gemma Moncunill
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-03-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fimmu.2019.00439/full
_version_ 1819315475395379200
author Carlota Dobaño
Carlota Dobaño
Rebeca Santano
Marta Vidal
Alfons Jiménez
Alfons Jiménez
Chenjerai Jairoce
Itziar Ubillos
David Dosoo
Ruth Aguilar
Nana Aba Williams
Núria Díez-Padrisa
Aintzane Ayestaran
Clarissa Valim
Clarissa Valim
Kwaku Poku Asante
Seth Owusu-Agyei
Seth Owusu-Agyei
David Lanar
Virander Chauhan
Chetan Chitnis
Sheetij Dutta
Evelina Angov
Benoit Gamain
Ross L. Coppel
James G. Beeson
Linda Reiling
Deepak Gaur
Deepak Gaur
David Cavanagh
Ben Gyan
Ben Gyan
Augusto J. Nhabomba
Joseph J. Campo
Joseph J. Campo
Gemma Moncunill
Gemma Moncunill
author_facet Carlota Dobaño
Carlota Dobaño
Rebeca Santano
Marta Vidal
Alfons Jiménez
Alfons Jiménez
Chenjerai Jairoce
Itziar Ubillos
David Dosoo
Ruth Aguilar
Nana Aba Williams
Núria Díez-Padrisa
Aintzane Ayestaran
Clarissa Valim
Clarissa Valim
Kwaku Poku Asante
Seth Owusu-Agyei
Seth Owusu-Agyei
David Lanar
Virander Chauhan
Chetan Chitnis
Sheetij Dutta
Evelina Angov
Benoit Gamain
Ross L. Coppel
James G. Beeson
Linda Reiling
Deepak Gaur
Deepak Gaur
David Cavanagh
Ben Gyan
Ben Gyan
Augusto J. Nhabomba
Joseph J. Campo
Joseph J. Campo
Gemma Moncunill
Gemma Moncunill
author_sort Carlota Dobaño
collection DOAJ
description Naturally acquired immunity (NAI) to Plasmodium falciparum malaria is mainly mediated by IgG antibodies but the subclasses, epitope targets and effector functions have not been unequivocally defined. Dissecting the type and specificity of antibody responses mediating NAI is a key step toward developing more effective vaccines to control the disease. We investigated the role of IgG subclasses to malaria antigens in protection against disease and the factors that affect their levels, including vaccination with RTS,S/AS01E. We analyzed plasma and serum samples at baseline and 1 month after primary vaccination with RTS,S or comparator in African children and infants participating in a phase 3 trial in two sites of different malaria transmission intensity: Kintampo in Ghana and Manhiça in Mozambique. We used quantitative suspension array technology (qSAT) to measure IgG1−4 responses to 35 P. falciparum pre-erythrocytic and blood stage antigens. Our results show that the pattern of IgG response is predominantly IgG1 or IgG3, with lower levels of IgG2 and IgG4. Age, site and RTS,S vaccination significantly affected antibody subclass levels to different antigens and susceptibility to clinical malaria. Univariable and multivariable analysis showed associations with protection mainly for cytophilic IgG3 levels to selected antigens, followed by IgG1 levels and, unexpectedly, also with IgG4 levels, mainly to antigens that increased upon RTS,S vaccination such as MSP5 and MSP1 block 2, among others. In contrast, IgG2 was associated with malaria risk. Stratified analysis in RTS,S vaccinees pointed to novel associations of IgG4 responses with immunity mainly involving pre-erythrocytic antigens upon RTS,S vaccination. Multi-marker analysis revealed a significant contribution of IgG3 responses to malaria protection and IgG2 responses to malaria risk. We propose that the pattern of cytophilic and non-cytophilic IgG antibodies is antigen-dependent and more complex than initially thought, and that mechanisms of both types of subclasses could be involved in protection. Our data also suggests that RTS,S efficacy is significantly affected by NAI, and indicates that RTS,S vaccination significantly alters NAI.
first_indexed 2024-12-24T10:00:42Z
format Article
id doaj.art-32aa5029682c4bfd9b0f38f363686bb5
institution Directory Open Access Journal
issn 1664-3224
language English
last_indexed 2024-12-24T10:00:42Z
publishDate 2019-03-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Immunology
spelling doaj.art-32aa5029682c4bfd9b0f38f363686bb52022-12-21T17:01:05ZengFrontiers Media S.A.Frontiers in Immunology1664-32242019-03-011010.3389/fimmu.2019.00439433511Differential Patterns of IgG Subclass Responses to Plasmodium falciparum Antigens in Relation to Malaria Protection and RTS,S VaccinationCarlota Dobaño0Carlota Dobaño1Rebeca Santano2Marta Vidal3Alfons Jiménez4Alfons Jiménez5Chenjerai Jairoce6Itziar Ubillos7David Dosoo8Ruth Aguilar9Nana Aba Williams10Núria Díez-Padrisa11Aintzane Ayestaran12Clarissa Valim13Clarissa Valim14Kwaku Poku Asante15Seth Owusu-Agyei16Seth Owusu-Agyei17David Lanar18Virander Chauhan19Chetan Chitnis20Sheetij Dutta21Evelina Angov22Benoit Gamain23Ross L. Coppel24James G. Beeson25Linda Reiling26Deepak Gaur27Deepak Gaur28David Cavanagh29Ben Gyan30Ben Gyan31Augusto J. Nhabomba32Joseph J. Campo33Joseph J. Campo34Gemma Moncunill35Gemma Moncunill36ISGlobal, Hospital Clínic - Universitat de Barcelona, Barcelona, SpainCentro de Investigação em Saúde de Manhiça (CISM), Manhiça, MozambiqueISGlobal, Hospital Clínic - Universitat de Barcelona, Barcelona, SpainISGlobal, Hospital Clínic - Universitat de Barcelona, Barcelona, SpainISGlobal, Hospital Clínic - Universitat de Barcelona, Barcelona, SpainSpanish Consortium for Research in Epidemiology and Public Health (CIBERESP), Barcelona, SpainCentro de Investigação em Saúde de Manhiça (CISM), Manhiça, MozambiqueISGlobal, Hospital Clínic - Universitat de Barcelona, Barcelona, SpainKintampo Health Research Centre, Kintampo, GhanaISGlobal, Hospital Clínic - Universitat de Barcelona, Barcelona, SpainISGlobal, Hospital Clínic - Universitat de Barcelona, Barcelona, SpainISGlobal, Hospital Clínic - Universitat de Barcelona, Barcelona, SpainISGlobal, Hospital Clínic - Universitat de Barcelona, Barcelona, SpainDepartment of Osteopathic Medical Specialties, Michigan State University, East Lansing, MI, United StatesDepartment of Immunology and Infectious Diseases, Harvard T.H. Chen School of Public Health, Boston, MA, United StatesKintampo Health Research Centre, Kintampo, GhanaKintampo Health Research Centre, Kintampo, GhanaDisease Control Department, London School of Hygiene and Tropical Medicine, London, United KingdomMalaria Vaccine Branch, Walter Reed Army Institute of Research, Silver Spring, MD, United StatesMalaria Group, International Centre for Genetic Engineering and Biotechnology (ICGEB), New Delhi, IndiaMalaria Group, International Centre for Genetic Engineering and Biotechnology (ICGEB), New Delhi, IndiaMalaria Vaccine Branch, Walter Reed Army Institute of Research, Silver Spring, MD, United StatesMalaria Vaccine Branch, Walter Reed Army Institute of Research, Silver Spring, MD, United States0Unité Biologie Intégrée du Globule Rouge, Laboratoire d'Excellence GR-Ex, UMR_S1134, Inserm, INTS, Université Sorbonne Paris Cité, Université Paris Diderot, Paris, France1Infection and Immunity Program, Monash Biomedicine Discovery Institute, Department of Microbiology, Monash University, Melbourne, VIC, Australia2Burnet Institute, Melbourne, VIC, Australia2Burnet Institute, Melbourne, VIC, AustraliaMalaria Group, International Centre for Genetic Engineering and Biotechnology (ICGEB), New Delhi, India3Laboratory of Malaria and Vaccine Research, School of Biotechnology, Jawaharlal Nehru University, New Delhi, India4Ashworth Laboratories, Centre for Immunity, Infection and Evolution, School of Biological Sciences, Institute of Immunology and Infection Research, University of Edinburgh, Edinburgh, United KingdomKintampo Health Research Centre, Kintampo, Ghana5Noguchi Memorial Institute for Medical Research, University of Ghana, Accra, GhanaCentro de Investigação em Saúde de Manhiça (CISM), Manhiça, MozambiqueISGlobal, Hospital Clínic - Universitat de Barcelona, Barcelona, SpainCentro de Investigação em Saúde de Manhiça (CISM), Manhiça, MozambiqueISGlobal, Hospital Clínic - Universitat de Barcelona, Barcelona, SpainCentro de Investigação em Saúde de Manhiça (CISM), Manhiça, MozambiqueNaturally acquired immunity (NAI) to Plasmodium falciparum malaria is mainly mediated by IgG antibodies but the subclasses, epitope targets and effector functions have not been unequivocally defined. Dissecting the type and specificity of antibody responses mediating NAI is a key step toward developing more effective vaccines to control the disease. We investigated the role of IgG subclasses to malaria antigens in protection against disease and the factors that affect their levels, including vaccination with RTS,S/AS01E. We analyzed plasma and serum samples at baseline and 1 month after primary vaccination with RTS,S or comparator in African children and infants participating in a phase 3 trial in two sites of different malaria transmission intensity: Kintampo in Ghana and Manhiça in Mozambique. We used quantitative suspension array technology (qSAT) to measure IgG1−4 responses to 35 P. falciparum pre-erythrocytic and blood stage antigens. Our results show that the pattern of IgG response is predominantly IgG1 or IgG3, with lower levels of IgG2 and IgG4. Age, site and RTS,S vaccination significantly affected antibody subclass levels to different antigens and susceptibility to clinical malaria. Univariable and multivariable analysis showed associations with protection mainly for cytophilic IgG3 levels to selected antigens, followed by IgG1 levels and, unexpectedly, also with IgG4 levels, mainly to antigens that increased upon RTS,S vaccination such as MSP5 and MSP1 block 2, among others. In contrast, IgG2 was associated with malaria risk. Stratified analysis in RTS,S vaccinees pointed to novel associations of IgG4 responses with immunity mainly involving pre-erythrocytic antigens upon RTS,S vaccination. Multi-marker analysis revealed a significant contribution of IgG3 responses to malaria protection and IgG2 responses to malaria risk. We propose that the pattern of cytophilic and non-cytophilic IgG antibodies is antigen-dependent and more complex than initially thought, and that mechanisms of both types of subclasses could be involved in protection. Our data also suggests that RTS,S efficacy is significantly affected by NAI, and indicates that RTS,S vaccination significantly alters NAI.https://www.frontiersin.org/article/10.3389/fimmu.2019.00439/fullMalariaPlasmodium falciparumantibodyIgG subclassnaturally acquired immunityprotection
spellingShingle Carlota Dobaño
Carlota Dobaño
Rebeca Santano
Marta Vidal
Alfons Jiménez
Alfons Jiménez
Chenjerai Jairoce
Itziar Ubillos
David Dosoo
Ruth Aguilar
Nana Aba Williams
Núria Díez-Padrisa
Aintzane Ayestaran
Clarissa Valim
Clarissa Valim
Kwaku Poku Asante
Seth Owusu-Agyei
Seth Owusu-Agyei
David Lanar
Virander Chauhan
Chetan Chitnis
Sheetij Dutta
Evelina Angov
Benoit Gamain
Ross L. Coppel
James G. Beeson
Linda Reiling
Deepak Gaur
Deepak Gaur
David Cavanagh
Ben Gyan
Ben Gyan
Augusto J. Nhabomba
Joseph J. Campo
Joseph J. Campo
Gemma Moncunill
Gemma Moncunill
Differential Patterns of IgG Subclass Responses to Plasmodium falciparum Antigens in Relation to Malaria Protection and RTS,S Vaccination
Frontiers in Immunology
Malaria
Plasmodium falciparum
antibody
IgG subclass
naturally acquired immunity
protection
title Differential Patterns of IgG Subclass Responses to Plasmodium falciparum Antigens in Relation to Malaria Protection and RTS,S Vaccination
title_full Differential Patterns of IgG Subclass Responses to Plasmodium falciparum Antigens in Relation to Malaria Protection and RTS,S Vaccination
title_fullStr Differential Patterns of IgG Subclass Responses to Plasmodium falciparum Antigens in Relation to Malaria Protection and RTS,S Vaccination
title_full_unstemmed Differential Patterns of IgG Subclass Responses to Plasmodium falciparum Antigens in Relation to Malaria Protection and RTS,S Vaccination
title_short Differential Patterns of IgG Subclass Responses to Plasmodium falciparum Antigens in Relation to Malaria Protection and RTS,S Vaccination
title_sort differential patterns of igg subclass responses to plasmodium falciparum antigens in relation to malaria protection and rts s vaccination
topic Malaria
Plasmodium falciparum
antibody
IgG subclass
naturally acquired immunity
protection
url https://www.frontiersin.org/article/10.3389/fimmu.2019.00439/full
work_keys_str_mv AT carlotadobano differentialpatternsofiggsubclassresponsestoplasmodiumfalciparumantigensinrelationtomalariaprotectionandrtssvaccination
AT carlotadobano differentialpatternsofiggsubclassresponsestoplasmodiumfalciparumantigensinrelationtomalariaprotectionandrtssvaccination
AT rebecasantano differentialpatternsofiggsubclassresponsestoplasmodiumfalciparumantigensinrelationtomalariaprotectionandrtssvaccination
AT martavidal differentialpatternsofiggsubclassresponsestoplasmodiumfalciparumantigensinrelationtomalariaprotectionandrtssvaccination
AT alfonsjimenez differentialpatternsofiggsubclassresponsestoplasmodiumfalciparumantigensinrelationtomalariaprotectionandrtssvaccination
AT alfonsjimenez differentialpatternsofiggsubclassresponsestoplasmodiumfalciparumantigensinrelationtomalariaprotectionandrtssvaccination
AT chenjeraijairoce differentialpatternsofiggsubclassresponsestoplasmodiumfalciparumantigensinrelationtomalariaprotectionandrtssvaccination
AT itziarubillos differentialpatternsofiggsubclassresponsestoplasmodiumfalciparumantigensinrelationtomalariaprotectionandrtssvaccination
AT daviddosoo differentialpatternsofiggsubclassresponsestoplasmodiumfalciparumantigensinrelationtomalariaprotectionandrtssvaccination
AT ruthaguilar differentialpatternsofiggsubclassresponsestoplasmodiumfalciparumantigensinrelationtomalariaprotectionandrtssvaccination
AT nanaabawilliams differentialpatternsofiggsubclassresponsestoplasmodiumfalciparumantigensinrelationtomalariaprotectionandrtssvaccination
AT nuriadiezpadrisa differentialpatternsofiggsubclassresponsestoplasmodiumfalciparumantigensinrelationtomalariaprotectionandrtssvaccination
AT aintzaneayestaran differentialpatternsofiggsubclassresponsestoplasmodiumfalciparumantigensinrelationtomalariaprotectionandrtssvaccination
AT clarissavalim differentialpatternsofiggsubclassresponsestoplasmodiumfalciparumantigensinrelationtomalariaprotectionandrtssvaccination
AT clarissavalim differentialpatternsofiggsubclassresponsestoplasmodiumfalciparumantigensinrelationtomalariaprotectionandrtssvaccination
AT kwakupokuasante differentialpatternsofiggsubclassresponsestoplasmodiumfalciparumantigensinrelationtomalariaprotectionandrtssvaccination
AT sethowusuagyei differentialpatternsofiggsubclassresponsestoplasmodiumfalciparumantigensinrelationtomalariaprotectionandrtssvaccination
AT sethowusuagyei differentialpatternsofiggsubclassresponsestoplasmodiumfalciparumantigensinrelationtomalariaprotectionandrtssvaccination
AT davidlanar differentialpatternsofiggsubclassresponsestoplasmodiumfalciparumantigensinrelationtomalariaprotectionandrtssvaccination
AT viranderchauhan differentialpatternsofiggsubclassresponsestoplasmodiumfalciparumantigensinrelationtomalariaprotectionandrtssvaccination
AT chetanchitnis differentialpatternsofiggsubclassresponsestoplasmodiumfalciparumantigensinrelationtomalariaprotectionandrtssvaccination
AT sheetijdutta differentialpatternsofiggsubclassresponsestoplasmodiumfalciparumantigensinrelationtomalariaprotectionandrtssvaccination
AT evelinaangov differentialpatternsofiggsubclassresponsestoplasmodiumfalciparumantigensinrelationtomalariaprotectionandrtssvaccination
AT benoitgamain differentialpatternsofiggsubclassresponsestoplasmodiumfalciparumantigensinrelationtomalariaprotectionandrtssvaccination
AT rosslcoppel differentialpatternsofiggsubclassresponsestoplasmodiumfalciparumantigensinrelationtomalariaprotectionandrtssvaccination
AT jamesgbeeson differentialpatternsofiggsubclassresponsestoplasmodiumfalciparumantigensinrelationtomalariaprotectionandrtssvaccination
AT lindareiling differentialpatternsofiggsubclassresponsestoplasmodiumfalciparumantigensinrelationtomalariaprotectionandrtssvaccination
AT deepakgaur differentialpatternsofiggsubclassresponsestoplasmodiumfalciparumantigensinrelationtomalariaprotectionandrtssvaccination
AT deepakgaur differentialpatternsofiggsubclassresponsestoplasmodiumfalciparumantigensinrelationtomalariaprotectionandrtssvaccination
AT davidcavanagh differentialpatternsofiggsubclassresponsestoplasmodiumfalciparumantigensinrelationtomalariaprotectionandrtssvaccination
AT bengyan differentialpatternsofiggsubclassresponsestoplasmodiumfalciparumantigensinrelationtomalariaprotectionandrtssvaccination
AT bengyan differentialpatternsofiggsubclassresponsestoplasmodiumfalciparumantigensinrelationtomalariaprotectionandrtssvaccination
AT augustojnhabomba differentialpatternsofiggsubclassresponsestoplasmodiumfalciparumantigensinrelationtomalariaprotectionandrtssvaccination
AT josephjcampo differentialpatternsofiggsubclassresponsestoplasmodiumfalciparumantigensinrelationtomalariaprotectionandrtssvaccination
AT josephjcampo differentialpatternsofiggsubclassresponsestoplasmodiumfalciparumantigensinrelationtomalariaprotectionandrtssvaccination
AT gemmamoncunill differentialpatternsofiggsubclassresponsestoplasmodiumfalciparumantigensinrelationtomalariaprotectionandrtssvaccination
AT gemmamoncunill differentialpatternsofiggsubclassresponsestoplasmodiumfalciparumantigensinrelationtomalariaprotectionandrtssvaccination