Binding brain better—matching var genes and endothelial receptors

Cerebral malaria remains a major cause of death for African children, and mechanistic insights regarding the establishment of brain pathology are greatly needed. Expression of specific domains of parasite's var genes promoting brain adhesion of infected erythrocytes had been previously identifi...

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Main Authors: Hannah Fleckenstein, Silvia Portugal
Format: Article
Language:English
Published: Springer Nature 2019-03-01
Series:EMBO Molecular Medicine
Online Access:https://doi.org/10.15252/emmm.201810137
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author Hannah Fleckenstein
Silvia Portugal
author_facet Hannah Fleckenstein
Silvia Portugal
author_sort Hannah Fleckenstein
collection DOAJ
description Cerebral malaria remains a major cause of death for African children, and mechanistic insights regarding the establishment of brain pathology are greatly needed. Expression of specific domains of parasite's var genes promoting brain adhesion of infected erythrocytes had been previously identified, but binding specificities and the receptor preference in the brain endothelial cells had not been fully described. The study by Storm et al () in this issue of EMBO Molecular Medicine demonstrates that binding to brain endothelial cells via EPCR and ICAM‐1 is increased in parasites causing cerebral malaria compared to parasites causing uncomplicated malaria. Furthermore, expression levels of var genes encoding the CIDRα1 domain with EPCR affinity correlate with the receptor‐dependent binding to brain, but not dermal endothelial cells, highlighting the important role of EPCR in cerebral malaria pathology.
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spelling doaj.art-901a62a01f3846d4b90b33bb9939a9ed2024-03-02T13:39:38ZengSpringer NatureEMBO Molecular Medicine1757-46761757-46842019-03-01113n/an/a10.15252/emmm.201810137Binding brain better—matching var genes and endothelial receptorsHannah Fleckenstein0Silvia Portugal1Center for Infectious Diseases, Parasitology Heidelberg University Hospital Heidelberg GermanyCenter for Infectious Diseases, Parasitology Heidelberg University Hospital Heidelberg GermanyCerebral malaria remains a major cause of death for African children, and mechanistic insights regarding the establishment of brain pathology are greatly needed. Expression of specific domains of parasite's var genes promoting brain adhesion of infected erythrocytes had been previously identified, but binding specificities and the receptor preference in the brain endothelial cells had not been fully described. The study by Storm et al () in this issue of EMBO Molecular Medicine demonstrates that binding to brain endothelial cells via EPCR and ICAM‐1 is increased in parasites causing cerebral malaria compared to parasites causing uncomplicated malaria. Furthermore, expression levels of var genes encoding the CIDRα1 domain with EPCR affinity correlate with the receptor‐dependent binding to brain, but not dermal endothelial cells, highlighting the important role of EPCR in cerebral malaria pathology.https://doi.org/10.15252/emmm.201810137
spellingShingle Hannah Fleckenstein
Silvia Portugal
Binding brain better—matching var genes and endothelial receptors
EMBO Molecular Medicine
title Binding brain better—matching var genes and endothelial receptors
title_full Binding brain better—matching var genes and endothelial receptors
title_fullStr Binding brain better—matching var genes and endothelial receptors
title_full_unstemmed Binding brain better—matching var genes and endothelial receptors
title_short Binding brain better—matching var genes and endothelial receptors
title_sort binding brain better matching var genes and endothelial receptors
url https://doi.org/10.15252/emmm.201810137
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AT silviaportugal bindingbrainbettermatchingvargenesandendothelialreceptors