Acquisition of Fc-afucosylation of PfEMP1-specific IgG is age-dependent and associated with clinical protection against malaria
Mary Lopez-Perez (),
Zakaria Seidu,
Mads Delbo Larsen,
Wenjun Wang,
Jan Nouta,
Manfred Wuhrer,
Gestur Vidarsson,
Michael F. Ofori and
Lars Hviid ()
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Mary Lopez-Perez: University of Copenhagen
Zakaria Seidu: University of Copenhagen
Mads Delbo Larsen: Sanquin Research
Wenjun Wang: Leiden University Medical Center
Jan Nouta: Leiden University Medical Center
Manfred Wuhrer: Leiden University Medical Center
Gestur Vidarsson: Sanquin Research
Michael F. Ofori: University of Ghana
Lars Hviid: University of Copenhagen
Nature Communications, 2025, vol. 16, issue 1, 1-12
Abstract:
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.
Date: 2025
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Persistent link: https://EconPapers.repec.org/RePEc:nat:natcom:v:16:y:2025:i:1:d:10.1038_s41467-024-55543-w
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DOI: 10.1038/s41467-024-55543-w
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