Diversity of Antigens Expressed on the Surface of Erythrocytes Infected with Mature Plasmodium Falciparum Parasites in Papua New Guinea

Karen P. Forsyth Papua New Guinea Institute of Medical Research, Walter and Eliza Hall Institute of Medical Research, Madang, Papua New Guinea

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Gideon Philip Papua New Guinea Institute of Medical Research, Walter and Eliza Hall Institute of Medical Research, Madang, Papua New Guinea

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Trudy Smith Papua New Guinea Institute of Medical Research, Walter and Eliza Hall Institute of Medical Research, Madang, Papua New Guinea

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Eric Kum Papua New Guinea Institute of Medical Research, Walter and Eliza Hall Institute of Medical Research, Madang, Papua New Guinea

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Bridget Southwell Papua New Guinea Institute of Medical Research, Walter and Eliza Hall Institute of Medical Research, Madang, Papua New Guinea

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Graham V. Brown Papua New Guinea Institute of Medical Research, Walter and Eliza Hall Institute of Medical Research, Madang, Papua New Guinea

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Antigens were detected on the surface of erythrocytes from children with acute falciparum malaria in Madang, Papua New Guinea. These parasite-induced erythrocyte surface antigens (PIESA) were serotyped with convalescent sera from children and hyperimmune sera from adults in parasite infected cell agglutination assays (PICAs) and by inhibition of binding of infected cells to melanoma cells. Extensive serological diversity of PIESA was demonstrated. A significant correlation between serotypes defined by reactivity of immune sera in PICA and inhibition of melanoma cell binding (MCB) was observed. This suggests that both assays measure antibody responses to the same antigen(s). Increased recognition of different PIESA specificities with age is consistent with the hypothesis that repeated exposure to malaria confers immunity against a range of PIESA serotypes and parallels the development of clinical immunity to malaria in this area of Papua New Guinea.

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