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  • Neutralization of Plasmodiu...
    Douglas, Alexander D; Williams, Andrew R; Knuepfer, Ellen; Illingworth, Joseph J; Furze, Julie M; Crosnier, Cécile; Choudhary, Prateek; Bustamante, Leyla Y; Zakutansky, Sara E; Awuah, Dennis K; Alanine, Daniel G W; Theron, Michel; Worth, Andrew; Shimkets, Richard; Rayner, Julian C; Holder, Anthony A; Wright, Gavin J; Draper, Simon J

    The Journal of immunology (1950), 01/2014, Letnik: 192, Številka: 1
    Journal Article

    There is intense interest in induction and characterization of strain-transcending neutralizing Ab against antigenically variable human pathogens. We have recently identified the human malaria parasite Plasmodium falciparum reticulocyte-binding protein homolog 5 (PfRH5) as a target of broadly neutralizing Abs, but there is little information regarding the functional mechanism(s) of Ab-mediated neutralization. In this study, we report that vaccine-induced polyclonal anti-PfRH5 Abs inhibit the tight attachment of merozoites to erythrocytes and are capable of blocking the interaction of PfRH5 with its receptor basigin. Furthermore, by developing anti-PfRH5 mAbs, we provide evidence of the following: 1) the ability to block the PfRH5-basigin interaction in vitro is predictive of functional activity, but absence of blockade does not predict absence of functional activity; 2) neutralizing mAbs bind spatially related epitopes on the folded protein, involving at least two defined regions of the PfRH5 primary sequence; 3) a brief exposure window of PfRH5 is likely to necessitate rapid binding of Ab to neutralize parasites; and 4) intact bivalent IgG contributes to but is not necessary for parasite neutralization. These data provide important insight into the mechanisms of broadly neutralizing anti-malaria Abs and further encourage anti-PfRH5-based malaria prevention efforts.