Author
Listed:
- Mary Lopez-Perez
(University of Copenhagen)
- Zakaria Seidu
(University of Copenhagen
University of Ghana
University of Ghana
University for Development Studies)
- Mads Delbo Larsen
(Sanquin Research
Utrecht University
Copenhagen University Hospital)
- Wenjun Wang
(Leiden University Medical Center)
- Jan Nouta
(Leiden University Medical Center)
- Manfred Wuhrer
(Leiden University Medical Center)
- Gestur Vidarsson
(Sanquin Research
Utrecht University)
- Michael F. Ofori
(University of Ghana)
- Lars Hviid
(University of Copenhagen
Rigshospitalet)
Abstract
Protective immunity to malaria depends on acquisition of parasite-specific antibodies, with Plasmodium falciparum erythrocyte membrane protein 1 (PfEMP1) being one of the most important target antigens. The effector functions of PfEMP1-specific IgG include inhibition of infected erythrocyte (IE) sequestration and opsonization of IEs for cell-mediated destruction. IgG glycosylation modulates antibody functionality, with increased affinity to FcγRIIIa for IgG lacking fucose in the Fc region (Fc-afucosylation). We report here that selective Fc-afucosylation of PfEMP1-specific IgG1 increases with age in P. falciparum-exposed children and is associated with reduced risk of anemia, independent of the IgG levels. A similar association was found for children having PfEMP1-specific IgG1 inducing multiple effector functions against IEs, particularly those associated with antibody-dependent cellular cytotoxicity (ADCC) by NK cells. Our findings provide new insights regarding protective immunity to P. falciparum malaria and highlight the importance of cell-mediated destruction of IgG-opsonized IEs.
Suggested Citation
Mary Lopez-Perez & Zakaria Seidu & Mads Delbo Larsen & Wenjun Wang & Jan Nouta & Manfred Wuhrer & Gestur Vidarsson & Michael F. Ofori & Lars Hviid, 2025.
"Acquisition of Fc-afucosylation of PfEMP1-specific IgG is age-dependent and associated with clinical protection against malaria,"
Nature Communications, Nature, vol. 16(1), pages 1-12, December.
Handle:
RePEc:nat:natcom:v:16:y:2025:i:1:d:10.1038_s41467-024-55543-w
DOI: 10.1038/s41467-024-55543-w
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