Rapid onset of transmission-reducing antibodies in javanese migrants exposed to malaria in papua, indonesia

Am J Trop Med Hyg. 2006 Mar;74(3):425-31.

Abstract

Transmission of Plasmodium falciparum malaria is initiated by sexual stages in the mosquito. Anti-Pfs48/45 and anti-Pfs230 sexual stage antibodies that are ingested together with parasites can reduce parasite development and subsequently malaria transmission. Acquisition of sexual stage immunity was studied in a cohort of 102 non-immune Javanese individuals migrating to hyperendemic Papua Indonesia. Seroprevalence of antibodies against Pfs48/45 and Pfs230 and functional transmission-reducing activity (TRA) were measured upon arrival and at 6, 12, and 24 months. Asexual parasitemia and gametocytemia were assessed every two weeks. The TRA and seroreactivity increased with the number of P. falciparum infections. The longitudinally sustained association between TRA and antibodies against Pfs48/45 (odds ratio [OR] = 3.74, 95% confidence interval [CI] = 1.51-9.29) and Pfs230 (OR = 3.72, 95% CI = 1.36-10.17) suggests that functional transmission reducing immunity is acquired after limited exposure to infection.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adult
  • Animals
  • Antibodies, Protozoan / blood
  • Antigens, Protozoan / blood
  • Antigens, Protozoan / immunology*
  • Child
  • Cohort Studies
  • Humans
  • Indonesia / epidemiology
  • Longitudinal Studies
  • Malaria, Falciparum / blood
  • Malaria, Falciparum / epidemiology
  • Malaria, Falciparum / immunology*
  • Malaria, Falciparum / transmission
  • Membrane Glycoproteins / blood
  • Membrane Glycoproteins / immunology*
  • Parasitemia / epidemiology
  • Parasitemia / immunology
  • Parasitemia / transmission
  • Plasmodium falciparum / immunology*
  • Protozoan Proteins / blood
  • Protozoan Proteins / immunology*
  • Seroepidemiologic Studies
  • Transients and Migrants

Substances

  • Antibodies, Protozoan
  • Antigens, Protozoan
  • Membrane Glycoproteins
  • Pfs230 antigen, Plasmodium falciparum
  • Protozoan Proteins
  • pfs48-45 protein, Plasmodium falciparum