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Cryo-EM reveals the conformational epitope of human monoclonal antibody PAM1.4 broadly reacting with polymorphic malarial protein VAR2CSA

Raghavan, Sai Sundar Rajan ; Dagil, Robert ; Lopez-Perez, Mary ; Conrad, Julian ; Bassi, Maria Rosaria ; del Pilar Quintana, Maria ; Choudhary, Swati ; Gustavsson, Tobias ; Wang, Yong and Gourdon, Pontus LU , et al. (2022) In PLoS Pathogens 18(11).
Abstract

Malaria during pregnancy is a major global health problem caused by infection with Plasmodium falciparum parasites. Severe effects arise from the accumulation of infected erythrocytes in the placenta. Here, erythrocytes infected by late blood-stage parasites adhere to placental chondroitin sulphate A (CS) via VAR2CSA-type P. falciparum erythrocyte membrane protein 1 (PfEMP1) adhesion proteins. Immunity to placental malaria is acquired through exposure and mediated through antibodies to VAR2CSA. Through evolution, the VAR2CSA proteins have diversified in sequence to escape immune recognition but retained their overall macromolecular structure to maintain CS binding affinity. This structural conservation may also have allowed development... (More)

Malaria during pregnancy is a major global health problem caused by infection with Plasmodium falciparum parasites. Severe effects arise from the accumulation of infected erythrocytes in the placenta. Here, erythrocytes infected by late blood-stage parasites adhere to placental chondroitin sulphate A (CS) via VAR2CSA-type P. falciparum erythrocyte membrane protein 1 (PfEMP1) adhesion proteins. Immunity to placental malaria is acquired through exposure and mediated through antibodies to VAR2CSA. Through evolution, the VAR2CSA proteins have diversified in sequence to escape immune recognition but retained their overall macromolecular structure to maintain CS binding affinity. This structural conservation may also have allowed development of broadly reactive antibodies to VAR2CSA in immune women. Here we show the negative stain and cryo-EM structure of the only known broadly reactive human monoclonal antibody, PAM1.4, in complex with VAR2CSA. The data shows how PAM1.4’s broad VAR2CSA reactivity is achieved through interactions with multiple conserved residues of different sub-domains forming conformational epitope distant from the CS binding site on the VAR2CSA core structure. Thus, while PAM1.4 may represent a class of antibodies mediating placental malaria immunity by inducing phagocytosis or NK cell-mediated cytotoxicity, it is likely that broadly CS binding-inhibitory antibodies target other epitopes at the CS binding site. Insights on both types of broadly reactive monoclonal antibodies may aid the development of a vaccine against placental malaria.

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publishing date
type
Contribution to journal
publication status
published
subject
in
PLoS Pathogens
volume
18
issue
11
article number
e1010924
publisher
Public Library of Science (PLoS)
external identifiers
  • pmid:36383559
  • scopus:85142402566
ISSN
1553-7366
DOI
10.1371/journal.ppat.1010924
language
English
LU publication?
yes
id
ba0a19aa-67a5-480d-994b-ac14db1a16b4
date added to LUP
2022-12-29 10:49:26
date last changed
2024-05-16 20:53:10
@article{ba0a19aa-67a5-480d-994b-ac14db1a16b4,
  abstract     = {{<p>Malaria during pregnancy is a major global health problem caused by infection with Plasmodium falciparum parasites. Severe effects arise from the accumulation of infected erythrocytes in the placenta. Here, erythrocytes infected by late blood-stage parasites adhere to placental chondroitin sulphate A (CS) via VAR2CSA-type P. falciparum erythrocyte membrane protein 1 (PfEMP1) adhesion proteins. Immunity to placental malaria is acquired through exposure and mediated through antibodies to VAR2CSA. Through evolution, the VAR2CSA proteins have diversified in sequence to escape immune recognition but retained their overall macromolecular structure to maintain CS binding affinity. This structural conservation may also have allowed development of broadly reactive antibodies to VAR2CSA in immune women. Here we show the negative stain and cryo-EM structure of the only known broadly reactive human monoclonal antibody, PAM1.4, in complex with VAR2CSA. The data shows how PAM1.4’s broad VAR2CSA reactivity is achieved through interactions with multiple conserved residues of different sub-domains forming conformational epitope distant from the CS binding site on the VAR2CSA core structure. Thus, while PAM1.4 may represent a class of antibodies mediating placental malaria immunity by inducing phagocytosis or NK cell-mediated cytotoxicity, it is likely that broadly CS binding-inhibitory antibodies target other epitopes at the CS binding site. Insights on both types of broadly reactive monoclonal antibodies may aid the development of a vaccine against placental malaria.</p>}},
  author       = {{Raghavan, Sai Sundar Rajan and Dagil, Robert and Lopez-Perez, Mary and Conrad, Julian and Bassi, Maria Rosaria and del Pilar Quintana, Maria and Choudhary, Swati and Gustavsson, Tobias and Wang, Yong and Gourdon, Pontus and Ofori, Michael Fokuo and Christensen, Sebastian Boje and Minja, Daniel Thomas Remias and Schmiegelow, Christentze and Nielsen, Morten Agertoug and Barfod, Lea and Hviid, Lars and Salanti, Ali and Lavstsen, Thomas and Wang, Kaituo}},
  issn         = {{1553-7366}},
  language     = {{eng}},
  number       = {{11}},
  publisher    = {{Public Library of Science (PLoS)}},
  series       = {{PLoS Pathogens}},
  title        = {{Cryo-EM reveals the conformational epitope of human monoclonal antibody PAM1.4 broadly reacting with polymorphic malarial protein VAR2CSA}},
  url          = {{http://dx.doi.org/10.1371/journal.ppat.1010924}},
  doi          = {{10.1371/journal.ppat.1010924}},
  volume       = {{18}},
  year         = {{2022}},
}