VAR2CSA Serology to Detect Plasmodium falciparum Transmission Patterns in Pregnancy
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VAR2CSA Serology to Detect Plasmodium falciparum Transmission Patterns in Pregnancy. / Fonseca, Ana Maria; González, Raquel; Bardají, Azucena; Jairoce, Chenjerai; Rupérez, Maria; Jiménez, Alfons; Quintó, Llorenç; Cisteró, Pau; Vala, Anifa; Sacoor, Charfudin; Gupta, Himanshu; Hegewisch-Taylor, Jennifer; Brew, Joe; Ndam, Nicaise Tuikue; Kariuki, Simon; López, Marta; Dobaño, Carlota; Chitnis, Chetan E; Ouma, Peter; Ramharter, Michael; Abdulla, Salim; Aponte, John J; Massougbodji, Achille; Briand, Valerie; Mombo-Ngoma, Ghyslain; Desai, Meghna; Cot, Michel; Nhacolo, Arsenio; Sevene, Esperança; Macete, Eusebio; Menéndez, Clara; Mayor, Alfredo.
In: EMERG INFECT DIS, Vol. 25, No. 10, 10.2019, p. 1851-1860.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - VAR2CSA Serology to Detect Plasmodium falciparum Transmission Patterns in Pregnancy
AU - Fonseca, Ana Maria
AU - González, Raquel
AU - Bardají, Azucena
AU - Jairoce, Chenjerai
AU - Rupérez, Maria
AU - Jiménez, Alfons
AU - Quintó, Llorenç
AU - Cisteró, Pau
AU - Vala, Anifa
AU - Sacoor, Charfudin
AU - Gupta, Himanshu
AU - Hegewisch-Taylor, Jennifer
AU - Brew, Joe
AU - Ndam, Nicaise Tuikue
AU - Kariuki, Simon
AU - López, Marta
AU - Dobaño, Carlota
AU - Chitnis, Chetan E
AU - Ouma, Peter
AU - Ramharter, Michael
AU - Abdulla, Salim
AU - Aponte, John J
AU - Massougbodji, Achille
AU - Briand, Valerie
AU - Mombo-Ngoma, Ghyslain
AU - Desai, Meghna
AU - Cot, Michel
AU - Nhacolo, Arsenio
AU - Sevene, Esperança
AU - Macete, Eusebio
AU - Menéndez, Clara
AU - Mayor, Alfredo
PY - 2019/10
Y1 - 2019/10
N2 - Pregnant women constitute a promising sentinel group for continuous monitoring of malaria transmission. To identify antibody signatures of recent Plasmodium falciparum exposure during pregnancy, we dissected IgG responses against VAR2CSA, the parasite antigen that mediates placental sequestration. We used a multiplex peptide-based suspension array in 2,354 samples from pregnant women from Mozambique, Benin, Kenya, Gabon, Tanzania, and Spain. Two VAR2CSA peptides of limited polymorphism were immunogenic and targeted by IgG responses readily boosted during infection and with estimated half-lives of <2 years. Seroprevalence against these peptides reflected declines and rebounds of transmission in southern Mozambique during 2004-2012, reduced exposure associated with use of preventive measures during pregnancy, and local clusters of transmission that were missed by detection of P. falciparum infections. These data suggest that VAR2CSA serology can provide a useful adjunct for the fine-scale estimation of the malaria burden among pregnant women over time and space.
AB - Pregnant women constitute a promising sentinel group for continuous monitoring of malaria transmission. To identify antibody signatures of recent Plasmodium falciparum exposure during pregnancy, we dissected IgG responses against VAR2CSA, the parasite antigen that mediates placental sequestration. We used a multiplex peptide-based suspension array in 2,354 samples from pregnant women from Mozambique, Benin, Kenya, Gabon, Tanzania, and Spain. Two VAR2CSA peptides of limited polymorphism were immunogenic and targeted by IgG responses readily boosted during infection and with estimated half-lives of <2 years. Seroprevalence against these peptides reflected declines and rebounds of transmission in southern Mozambique during 2004-2012, reduced exposure associated with use of preventive measures during pregnancy, and local clusters of transmission that were missed by detection of P. falciparum infections. These data suggest that VAR2CSA serology can provide a useful adjunct for the fine-scale estimation of the malaria burden among pregnant women over time and space.
KW - Adult
KW - Antibodies, Protozoan/immunology
KW - Antigens, Protozoan/blood
KW - Benin/epidemiology
KW - Female
KW - Gabon/epidemiology
KW - Humans
KW - Immunoglobulin G/immunology
KW - Kenya/epidemiology
KW - Malaria, Falciparum/complications
KW - Mozambique/epidemiology
KW - Plasmodium falciparum/immunology
KW - Pregnancy
KW - Pregnancy Complications, Parasitic/blood
KW - Serologic Tests/methods
KW - Spain/epidemiology
KW - Tanzania/epidemiology
KW - Young Adult
U2 - 10.3201/eid2510.181177
DO - 10.3201/eid2510.181177
M3 - SCORING: Journal article
C2 - 31538557
VL - 25
SP - 1851
EP - 1860
JO - EMERG INFECT DIS
JF - EMERG INFECT DIS
SN - 1080-6040
IS - 10
ER -