DOI QR코드

DOI QR Code

Genetic diversity of Plasmodium falciparum erythrocyte membrane protein 1 in field isolates from central Myanmar

  • Sylvatrie-Danne Dinzouna-Boutamba (Department of Parasitology and Tropical Medicine, School of Medicine, Kyungpook National University) ;
  • Sanghyun Lee (Division of Bio Bigdata, Department of Precision Medicine, Korea National Institute of Health, Korea Disease Control and Prevention Agency) ;
  • Zin Moon (Department of Parasitology and Tropical Medicine, School of Medicine, Kyungpook National University) ;
  • Dong-Il Chung (Department of Parasitology and Tropical Medicine, School of Medicine, Kyungpook National University) ;
  • Yeonchul Hong (Department of Parasitology and Tropical Medicine, School of Medicine, Kyungpook National University) ;
  • Moe Kyaw Myint (Department of Medical Research Pyin Oo Lwin Branch) ;
  • Haung Naw (Department of Parasitology and Tropical Medicine, Department of Convergence Medical Science, and Institute of Health Sciences, Gyeongsang National University College of Medicine) ;
  • Byoung-Kuk Na (Department of Parasitology and Tropical Medicine, Department of Convergence Medical Science, and Institute of Health Sciences, Gyeongsang National University College of Medicine) ;
  • Youn-Kyoung Goo (Department of Parasitology and Tropical Medicine, School of Medicine, Kyungpook National University)
  • Received : 2022.11.30
  • Accepted : 2022.12.27
  • Published : 2023.02.28

Abstract

Plasmodium falciparum erythrocyte membrane protein 1 (PfEMP1), encoded by the polymorphic var multigene family, is a highly polymorphic antigen that plays a crucial role in the pathology of malaria. The contribution of the genetic diversity of var toward the immune escape of P. falciparum has not yet been fully elucidated. This study aimed to characterize the diversity of var repertoires by screening P. falciparum Duffy-binding-like α domain (PfDBLα) among field isolates from central Myanmar. Genetic analysis revealed that the D-H segments of var in Myanmar populations have an extensive polymorphic repertoire, with high numbers of unique sequence types in each individual. However, var genes from the global population, including Myanmar, shared close genetic lineages regardless of their geographic origins, indicating that they have not undergone rapid evolutionary changes.

Keywords

Acknowledgement

This research was financially supported by the Basic Science Research Program (NRF-2019 R1C1C1002170) and Brain Pool program (NRF-2018H1D3A1A02074759) funded by the Ministry of Science, ICT and Future Planning through the National Research Foundation of Korea (NRF).

References

  1. World Health Organization. World Malaria Report 2021. World Health Organization. Geneva, Swithzerland. 2021.
  2. Deitsch KW, Dzikowski R. Variant gene expression and antigenic variation by malaria parasites. Annu Rev Microbiol 2017; 71:625-641. https://doi.org/10.1146/annurev-micro-090816-093841
  3. Taylor HM, Kyes SA, Harris D, Kriek N, Newbold CI. A study of var gene transcription in vitro using universal var gene primers. Mol Biochem Parasitol 2000;105(1):13-23. https://doi.org/10.1016/s0166-6851(99)00159-0
  4. Tembo D, Montgomery J. Var gene expression and human Plasmodium pathogenesis. Future Microbiol 2010;5(5):801-815. https://doi.org/10.2217/fmb.10.33
  5. Jensen AR, Adams Y, Hviid L. Cerebral Plasmodium falciparum malaria: the role of PfEMP1 in its pathogenesis and immunity, and PfEMP1-based vaccines to prevent it. Immunol Rev 2020;293(1):230-252. https://doi.org/10.1111/imr.12807
  6. Smith JD, Gamain B, Baruch DI, Kyes S. Decoding the language of var genes and Plasmodium falciparum sequestration. Trends Parasitol 2001;17(11):538-545. https://doi.org/10.1016/s1471-4922(01)02079-7
  7. Peterson DS, Miller LH, Wellems TE. Isolation of multiple sequences from the Plasmodium falciparum genome that encode conserved domains homologous to those in erythrocyte-binding proteins. Proc Natl Acad Sci U S A 1995;92(15):7100-7104. https://doi.org/10.1073/pnas.92.15.7100
  8. Baruch DI, Ma XC, Singh HB, Bi X, Pasloske BL, Howard RJ. Identification of a region of PfEMP1 that mediates adherence of Plasmodium falciparum infected erythrocytes to CD36: conserved function with variant sequence. Blood 1997;90(9):3766-3775. https://doi.org/10.1182/blood.V90.9.3766
  9. Chen Q, Barragan A, Fernandez V, Sundstrom A, Schlichtherle M, et al. Identification of Plasmodium falciparum erythrocyte membrane protein 1 (PfEMP1) as the rosetting ligand of the malaria parasite P. falciparum. J Exp Med 1998;187(1):15-23. https://doi.org/10.1084/jem.187.1.15
  10. Smith JD, Subramanian G, Gamain B, Baruch DI, Miller LH. Classification of adhesive domains in the Plasmodium falciparum erythrocyte membrane protein 1 family. Mol Biochem Parasitol 2000;110(2):293-310. https://doi.org/10.1016/s0166-6851(00)00279-6
  11. Cui L, Yan G, Sattabongkot J, Cao Y, Chen B, et al. Malaria in the Greater Mekong Subregion: heterogeneity and complexity. Acta Trop 2012;121(3):227-239. https://doi.org/10.1016/j.actatropica.2011.02.016
  12. Parker DM, Carrara VI, Pukrittayakamee S, McGready R, Nosten FH. Malaria ecology along the Thailand-Myanmar border. Malar J 2015;14:388. https://doi.org/10.1186/s12936-015-0921-y
  13. Ghinai I, Cook J, Hla TT, Htet HM, Hall T, et al. Malaria epidemiology in central Myanmar: identification of a multi-species asymptomatic reservoir of infection. Malar J 2017;16(1):16. https://doi.org/10.1186/s12936-016-1651-5
  14. Zhang Q, Zhang Y, Huang Y, Xue X, Yan H, et al. From in vivo to in vitro: dynamic analysis of Plasmodium falciparum var gene expression patterns of patient isolates during adaptation to culture. PLoS One 2011;6(6):e20591. https://doi.org/10.1371/journal.pone.0020591
  15. Sirisabhabhorn K, Chaijaroenkul W, Muhamad P, Na-Bangchang K. Genetic diversity and distribution patterns of PfEMP1 in Plasmodium falciparum isolates along the Thai-Myanmar border. Parasitol Int 2021;84:102397. https://doi.org/10.1016/j.parint.2021.102397
  16. Kang JM, Cho PY, Moe M, Lee J, Jun H, et al. Comparison of the diagnostic performance of microscopic examination with nested polymerase chain reaction for optimum malaria diagnosis in Upper Myanmar. Malar J 2017;16(1):119. https://doi.org/10.1186/s12936-017-1765-4
  17. Tessema SK, Nakajima R, Jasinskas A, Monk SL, Lekieffre L, et al. Protective immunity against severe malaria in children is associated with a limited repertoire of antibodies to conserved PfEMP1 variants. Cell Host Microbe 2019;26(5):579-590.e5. https://doi.org/10.1016/j.chom.2019.10.012
  18. Chen DS, Barry AE, Leliwa-Sytek A, Smith TA, Peterson I, et al. A molecular epidemiological study of var gene diversity to characterize the reservoir of Plasmodium falciparum in humans in Africa. PLoS One 2011;6(2):e16629. https://doi.org/10.1371/journal.pone.0016629
  19. Saita S, Pan-Ngum W, Phuanukoonnon S, Sriwichai P, Silawan T, et al. Human population movement and behavioural patterns in malaria hotspots on the Thai-Myanmar border: implications for malaria elimination. Malar J 2019;18(1):64. https://doi.org/10.1186/s12936-019-2704-3
  20. Naw H, Kang JM, Moe M, Lee J, Le HG, et al. Temporal changes in the genetic diversity of Plasmodium vivax merozoite surface protein-1 in Myanmar. Pathogens 2021;10(8):916. https://doi.org/10.3390/pathogens10080916
  21. Le HG, Thai TL, Kang JM, Lee J, Moe M, et al. Genetic polymorphism of merozoite surface protein-3 in Myanmar Plasmodium falciparum field isolates. Malar J 2020;19(1):184. https://doi.org/10.1186/s12936-020-03256-y
  22. Le HG, Kang JM, Jun H, Lee J, Thai TL, et al. Changing pattern of the genetic diversities of Plasmodium falciparum merozoite surface protein-1 and merozoite surface protein-2 in Myanmar isolates. Malar J 2019;18(1):241. https://doi.org/10.1186/s12936-019-2879-7
  23. Rottmann M, Lavstsen T, Mugasa JP, Kaestli M, Jensen ATR, et al. Differential expression of var gene groups is associated with morbidity caused by Plasmodium falciparum infection in Tanzanian children. Infect immun 2006;74(7):3904-3911. https://doi.org/10.1128/IAI.02073-05
  24. Tessema SK, Monk SL, Schultz MB, Tavul L, Reeder JC, et al. Phylogeography of var gene repertoires reveals fine-scale geospatial clustering of Plasmodium falciparum populations in a highly endemic area. Mol Ecol 2015;24(2):484-497. https://doi.org/10.1111/mec.13033
  25. Aguiar JC, Albrecht GR, Cegielski P, Greenwood BM, Jensen JB, et al. Agglutination of Plasmodium falciparum-infected erythrocytes from east and west African isolates by human sera from distant geographic regions. Am J Trop Med Hyg 1992; 47(5):621-632. https://doi.org/10.4269/ajtmh.1992.47.621
  26. Rask TS, Hansen DA, Theander TG, Gorm Pedersen A, Lavstsen T. Plasmodium falciparum erythrocyte membrane protein 1 diversity in seven genomes--divide and conquer. PLoS Comput Biol 2010;6(9):e1000933. https://doi.org/10.1371/journal.pcbi.1000933
  27. Lavstsen T, Salanti A, Jensen AT, Arnot DE, Theander TG. Subgrouping of Plasmodium falciparum 3D7 var genes based on sequence analysis of coding and non-coding regions. Malar J 2003;2:27. https://doi.org/10.1186/1475-2875-2-27
  28. Cham GK, Turner L, Lusingu J, Vestergaard L, Mmbando BP, et al. Sequential, ordered acquisition of antibodies to Plasmodium falciparum erythrocyte membrane protein 1 domains. J Immunol 2009;183(5):3356-3363. https://doi.org/10.4049/jimmunol.0901331
  29. Fowler EV, Peters JM, Gatton ML, Chen N, Cheng Q. Genetic diversity of the DBLalpha region in Plasmodium falciparum var genes among Asia-Pacific isolates. Mol Biochem Parasitol 2002;120(1):117-126. https://doi.org/10.1016/s0166-6851(01)00443-1
  30. Bull PC, Berriman M, Kyes S, Quail MA, Hall N, et al. Plasmodium falciparum variant surface antigen expression patterns during malaria. PLoS Pathog 2005;1(3):e26. https://doi.org/10.1371/journal.ppat.0010026
  31. Ozarkar A, Prakash D, Deobagkar D, Deobagkar D. Analysis of PfEMP1-var gene sequences in different Plasmodium falciparum malarial parasites. Sch Res Exch 2009;2009:1-10. https://doi.org/10.3814/2009/824949
  32. Barry AE, Leliwa-Sytek A, Tavul L, Imrie H, Migot-Nabias F et al. Population genomics of the immune evasion (var) genes of Plasmodium falciparum. PLoS Pathog 2007;3(5):e34. https://doi.org/10.1371/journal.ppat.0030034