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Autoantibodies against red blood cell antigens are common in a Malaria endemic area

Saleh, Bandar Hasan LU ; Lugaajju, Allan LU ; Storry, Jill R LU and Persson, Kristina E M LU (2023) In Microbes and Infection 25(3).
Abstract

Plasmodium falciparum malaria can cause severe anemia. Even after treatment, hematocrit can decrease. The role of autoantibodies against erythrocytes is not clearly elucidated and how common they are, or what they are directed against, is still largely unknown. We have investigated antibodies against erythrocytes in healthy adult men living in a highly malaria endemic area in Uganda. We found antibodies in more than half of the individuals, which is significantly more than in a non-endemic area (Sweden). Some of the Ugandan samples had a broad reactivity where it was not possible to determine the exact target of the autoantibodies, but we also found specific antibodies directed against erythrocyte surface antigens known to be of... (More)

Plasmodium falciparum malaria can cause severe anemia. Even after treatment, hematocrit can decrease. The role of autoantibodies against erythrocytes is not clearly elucidated and how common they are, or what they are directed against, is still largely unknown. We have investigated antibodies against erythrocytes in healthy adult men living in a highly malaria endemic area in Uganda. We found antibodies in more than half of the individuals, which is significantly more than in a non-endemic area (Sweden). Some of the Ugandan samples had a broad reactivity where it was not possible to determine the exact target of the autoantibodies, but we also found specific antibodies directed against erythrocyte surface antigens known to be of importance for merozoite invasion such as glycophorin A (anti-En
a, anti-M) and glycophorin B (anti-U, anti-S). In addition, several autoantibodies had partial specificities against glycophorin C and the blood group systems Rh, Diego (located on Band 3), Duffy (located on ACKR1), and Cromer (located on CD55), all of which have been described to be important for malaria and therefore of interest for understanding how autoantibodies could potentially stop parasites from entering the erythrocyte. In conclusion, specific autoantibodies against erythrocytes are common in a malaria endemic area.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Microbes and Infection
volume
25
issue
3
article number
105060
publisher
Elsevier
external identifiers
  • pmid:36270601
  • scopus:85146912093
ISSN
1769-714X
DOI
10.1016/j.micinf.2022.105060
language
English
LU publication?
yes
id
a5e35a2a-d78f-48ff-a7c3-4616bbcb543d
date added to LUP
2022-10-30 15:12:45
date last changed
2024-04-17 23:27:33
@article{a5e35a2a-d78f-48ff-a7c3-4616bbcb543d,
  abstract     = {{<p>Plasmodium falciparum malaria can cause severe anemia. Even after treatment, hematocrit can decrease. The role of autoantibodies against erythrocytes is not clearly elucidated and how common they are, or what they are directed against, is still largely unknown. We have investigated antibodies against erythrocytes in healthy adult men living in a highly malaria endemic area in Uganda. We found antibodies in more than half of the individuals, which is significantly more than in a non-endemic area (Sweden). Some of the Ugandan samples had a broad reactivity where it was not possible to determine the exact target of the autoantibodies, but we also found specific antibodies directed against erythrocyte surface antigens known to be of importance for merozoite invasion such as glycophorin A (anti-En<br>
 a, anti-M) and glycophorin B (anti-U, anti-S). In addition, several autoantibodies had partial specificities against glycophorin C and the blood group systems Rh, Diego (located on Band 3), Duffy (located on ACKR1), and Cromer (located on CD55), all of which have been described to be important for malaria and therefore of interest for understanding how autoantibodies could potentially stop parasites from entering the erythrocyte. In conclusion, specific autoantibodies against erythrocytes are common in a malaria endemic area.<br>
 </p>}},
  author       = {{Saleh, Bandar Hasan and Lugaajju, Allan and Storry, Jill R and Persson, Kristina E M}},
  issn         = {{1769-714X}},
  language     = {{eng}},
  number       = {{3}},
  publisher    = {{Elsevier}},
  series       = {{Microbes and Infection}},
  title        = {{Autoantibodies against red blood cell antigens are common in a Malaria endemic area}},
  url          = {{http://dx.doi.org/10.1016/j.micinf.2022.105060}},
  doi          = {{10.1016/j.micinf.2022.105060}},
  volume       = {{25}},
  year         = {{2023}},
}