Modeling malaria infection and immunity against variant surface antigens in Príncipe Island, West Africa.

After remarkable success of vector control campaigns worldwide, concerns about loss of immunity against Plasmodium falciparum due to lack of exposure to the parasite are relevant since an increase of severe cases in less immune individuals is expected. We present a mathematical model to investigate...

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Main Authors: Cátia Bandeiras, Maria Jesus Trovoada, Lígia A Gonçalves, Cláudio R F Marinho, Louise Turner, Lars Hviid, Carlos Penha-Gonçalves, M Gabriela M Gomes
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24520349/pdf/?tool=EBI
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author Cátia Bandeiras
Maria Jesus Trovoada
Lígia A Gonçalves
Cláudio R F Marinho
Louise Turner
Lars Hviid
Carlos Penha-Gonçalves
M Gabriela M Gomes
author_facet Cátia Bandeiras
Maria Jesus Trovoada
Lígia A Gonçalves
Cláudio R F Marinho
Louise Turner
Lars Hviid
Carlos Penha-Gonçalves
M Gabriela M Gomes
author_sort Cátia Bandeiras
collection DOAJ
description After remarkable success of vector control campaigns worldwide, concerns about loss of immunity against Plasmodium falciparum due to lack of exposure to the parasite are relevant since an increase of severe cases in less immune individuals is expected. We present a mathematical model to investigate the impact of reducing exposure to the parasite on the immune repertoire against P. falciparum erythrocyte membrane protein 1 (PfEMP1) variants. The model was parameterized with data from Príncipe Island, West Africa, and applied to simulate two alternative transmission scenarios: one where control measures are continued to eventually drive the system to elimination; and another where the effort is interrupted after 6 years of its initiation and the system returns to the initial transmission potential. Population dynamics of parasite prevalence predict that in a few years infection levels return to the pre-control values, while the re-acquisition of the immune repertoire against PfEMP1 is slower, creating a window for increased severity. The model illustrates the consequences of loss of immune repertoire against PfEMP1 in a given setting and can be applied to other regions where similar data may be available.
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spelling doaj.art-36a0db755adf4f8abf855d4676f62fcb2022-12-21T21:43:25ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0192e8811010.1371/journal.pone.0088110Modeling malaria infection and immunity against variant surface antigens in Príncipe Island, West Africa.Cátia BandeirasMaria Jesus TrovoadaLígia A GonçalvesCláudio R F MarinhoLouise TurnerLars HviidCarlos Penha-GonçalvesM Gabriela M GomesAfter remarkable success of vector control campaigns worldwide, concerns about loss of immunity against Plasmodium falciparum due to lack of exposure to the parasite are relevant since an increase of severe cases in less immune individuals is expected. We present a mathematical model to investigate the impact of reducing exposure to the parasite on the immune repertoire against P. falciparum erythrocyte membrane protein 1 (PfEMP1) variants. The model was parameterized with data from Príncipe Island, West Africa, and applied to simulate two alternative transmission scenarios: one where control measures are continued to eventually drive the system to elimination; and another where the effort is interrupted after 6 years of its initiation and the system returns to the initial transmission potential. Population dynamics of parasite prevalence predict that in a few years infection levels return to the pre-control values, while the re-acquisition of the immune repertoire against PfEMP1 is slower, creating a window for increased severity. The model illustrates the consequences of loss of immune repertoire against PfEMP1 in a given setting and can be applied to other regions where similar data may be available.https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24520349/pdf/?tool=EBI
spellingShingle Cátia Bandeiras
Maria Jesus Trovoada
Lígia A Gonçalves
Cláudio R F Marinho
Louise Turner
Lars Hviid
Carlos Penha-Gonçalves
M Gabriela M Gomes
Modeling malaria infection and immunity against variant surface antigens in Príncipe Island, West Africa.
PLoS ONE
title Modeling malaria infection and immunity against variant surface antigens in Príncipe Island, West Africa.
title_full Modeling malaria infection and immunity against variant surface antigens in Príncipe Island, West Africa.
title_fullStr Modeling malaria infection and immunity against variant surface antigens in Príncipe Island, West Africa.
title_full_unstemmed Modeling malaria infection and immunity against variant surface antigens in Príncipe Island, West Africa.
title_short Modeling malaria infection and immunity against variant surface antigens in Príncipe Island, West Africa.
title_sort modeling malaria infection and immunity against variant surface antigens in principe island west africa
url https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24520349/pdf/?tool=EBI
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