Antibodies against multiple merozoite surface antigens of the human malaria parasite Plasmodium falciparum inhibit parasite maturation and red blood cell invasion
Malaria Journal volume 9, Article number: 77 (2010)
Plasmodium falciparum merozoites expose at their surface a large protein complex, which is composed of fragments of merozoite surface protein 1 (MSP-1; called MSP-183, MSP-130, MSP-138, and MSP-142) plus associated processing products of MSP-6 and MSP-7. During erythrocyte invasion this complex, as well as an integral membrane protein called apical membrane antigen-1 (AMA-1), is shed from the parasite surface following specific proteolysis. Components of the MSP-1/6/7 complex and AMA-1 are presently under development as malaria vaccines.
The specificities and effects of antibodies directed against MSP-1, MSP-6, MSP-7 on the growth of blood stage parasites were studied using ELISA and the pLDH-assay. To understand the mode of action of these antibodies, their effects on processing of MSP-1 and AMA-1 on the surface of merozoites were investigated.
Antibodies targeting epitopes located throughout the MSP-1/6/7 complex interfere with shedding of MSP-1, and as a consequence prevent erythrocyte invasion. Antibodies targeting the MSP-1/6/7 complex have no effect on the processing and shedding of AMA-1 and, similarly, antibodies blocking the shedding of AMA-1 do not affect cleavage of MSP-1, suggesting completely independent functions of these proteins during invasion. Furthermore, some epitopes, although eliciting highly inhibitory antibodies, are only poorly recognized by the immune system when presented in the structural context of the intact antigen.
The findings reported provide further support for the development of vaccines based on MSP-1/6/7 and AMA-1, which would possibly include a combination of these antigens.
The severe pathophysiological manifestations of malaria caused by Plasmodium falciparum are a direct consequence of the parasite's blood stage replication cycle, during which merozoites repeatedly invade, multiply within, and destroy red blood cells (RBCs). A number of parasite proteins are involved in RBC invasion, of which some, such as MSP-1, MSP-6 and MSP-7, are constitutively exposed at the merozoite surface, while others like apical membrane antigen 1 (AMA-1) are translocated to the merozoite surface only during invasion. All these proteins undergo extensive proteolytic processing at around the point of invasion (Figure 1), and at least two of them - MSP-1 and AMA-1 - are essential in asexual blood-stages [1, 2], making them and their maturation potential targets for therapeutic interventions.
MSP-1, which constitutes the major protein component at the merozoite surface , is synthesized as a ~190 kDa precursor  which is deposited at the parasite plasma membrane via a GPI anchor. During the final stages of merozoite maturation, just prior to schizont rupture, MSP-1 is cleaved by a parasite subtilisin-like protease called PfSUB1 into four major subunits, MSP-183, MSP-130, MSP-138, and MSP-142, which remain non-covalently associated [5, 6]. The MSP-1 complex interacts with processed forms of MSP-6 and MSP-7, (called MSP-636 and MSP-722) which are thereby peripherally attached to the parasite surface [7–11]. Invasion of RBCs requires a second processing event, which converts MSP-142 into MSP-133 plus a 10 kDa GPI-anchored C-terminal species called MSP-119, which contains tandem epidermal growth factor (EGF)-like domains (Figure 1A). As a result of this processing, the entire MSP-1/6/7 complex is shed from the parasite's surface, except for MSP-119 which is carried into the newly invaded erythrocyte .
AMA-1 is initially trafficked as an 83 kDa protein to apical merozoite secretory organelles called micronemes. There, an N-terminal "prosequence" is removed resulting in a 66 kDa processing product called AMA-166. Upon schizont rupture AMA-166 is released from micronemes to become distributed across the merozoite surface, where, at around the point of invasion, it is proteolytically cleaved just upstream of its transmembrane domain. This results in the release of a fragment, comprising the bulk of the AMA-1 ectodomain (called AMA-148/44) from the parasite surface. As a result, only the residual membrane-bound AMA-1 juxtamembrane 'stub' region and associated cytoplasmic domain are transferred into the host RBC [13–15].
Shedding of both MSP-1 and AMA-1 (referred to in both cases as secondary processing) is catalyzed by a second, membrane-bound merozoite subtilisin-like 'sheddase' called PfSUB2, which is released from apical organelles called micronemes onto the merozoite surface at or just prior to invasion [14, 16]. For both, MSP-1 and AMA-1, antibodies have been identified which prevent proteolytic processing and RBC invasion in vitro [17–20]. In the case of MSP-1, detailed characterization of a panel of monoclonal antibodies targeting conformational epitopes within the C-terminal EGF-like domains revealed that only those that inhibited conversion of MSP-142 into MSP-133 and MSP-119 also prevented invasion [18, 21]. Whether antibodies targeting other epitopes within MSP-1/6/7 can block secondary processing and shedding of the complex was hitherto unknown. It is also not known whether antibodies that block shedding of parasite surface proteins by PfSUB2 only affect shedding of their cognate target antigen, or whether they can act in a non-antigen selective manner, thereby suggesting some direct cooperation between these surface proteins during the invasion process.
Recent studies showed that antibodies targeting epitopes throughout MSP-1, MSP-6 and MSP-7 efficiently inhibit parasite growth in vitro [11, 22]. To gain insight into the mechanisms by which these potentially protective antibodies may act, the effects of these and other invasion-inhibitory antibodies on secondary processing of MSP-1 and AMA-1 have been examined. The current study shows that antibodies targeting numerous epitopes located throughout the multipartite MSP-1/6/7 complex can prevent PfSUB2-mediated secondary processing of MSP-1, suggesting that some antibodies targeting MSP-6 and MSP-7 may act via a different mode. Polyclonal antibodies directed against the ectodomain of AMA-1 effectively prevent processing and shedding of AMA-1. Both sets of antibodies appear to function in an entirely specific manner, having no effect on shedding of the other protein(s). MSP-1 epitopes elicit highly inhibitory antibodies, although not as immunogenic in various animal species when presented in the context of the intact antigen. These findings are of relevance for the development of vaccines based on the antigens studied here.
Production of recombinant AMA-1 ectodomain and MSP proteins
The P. falciparum FVO AMA-1 corresponding to domains I-III of the ectodomain (Ile97-Lys546) was expressed in Pichia pastoris and purified as described previously [19, 23, 24]. The MSP-1 (3D7) derived proteins were produced in Escherichia coli from synthetic codon optimized DNA sequences as described previously . The MSP-1 complex (p83/30+p38/42) as well as the MSP-1 subunits MSP-183, MSP-130, MSP-138 and MSP-142 were purified as described [26, 27]. Production in E. coli and purification of N-terminally GST-fused MSP-6 and MSP-7 precursor proteins as well as N-terminally His6-tagged MSP-636, MSP-636Δ and MSP-722 was described previously [11, 28]. The N-terminally His6-fused MSP-1 fragments MSP-142ΔEGF (Ala1327-Gln1612) and MSP-133 (Ala1327-Leu1606) were prepared from inclusion bodies which were solubilized in buffer 1 (50 mM Tris, pH 8.0, 4 M guanidine hydrochloride, 3 mM β-mercaptoethanol, 5 mM EDTA) and applied to Ni2+-chelate column equilibrated with buffer 1. After washing with buffer 2 (buffer 1 plus 10 mM imidazole), MSP-142ΔEGF or MSP-133 was eluted with buffer 3 (buffer 1 plus 300 mM imidazole). The eluted material was renatured by dialysis against 50 mM Tris, pH 8.0, 1 M arginine, 5 mM DTT, 2 mM EDTA. The MSP-119 fragment (Asn1607-Asn1702) was produced with an N-terminally fused GST-tag in soluble form and applied to a GSH affinity chromatography in PBS, pH 7.4, 5 mM DTT. After washing with the same buffer p19 was eluted with PBS, pH 7.4, 5 mM DTT, 15 mM GSH. All proteins used herein were buffered in PBS, pH 7.4.
IgG purified from sera specific for MSP-183, MSP-130, MSP-138, MSP-142, MSP-6 and MSP-7, were described previously [11, 22]. The preparation of IgG from pre-immune serum, and of IgG against Escherichia coli protein ClpB, used as malaria unrelated control antibody, were described previously [11, 22]. For the other antibodies, groups of two or three New Zealand White rabbits were primed on day 0 with 100 μg of purified MSP-142ΔEGF, MSP-119, or MSP-636 in Freund's complete adjuvant (CFA), followed by three boosts on day 28, 42 and 56 with the same amount of protein in Freund's incomplete adjuvant. Serum samples were withdrawn prior to each immunization and two weeks after the last boost total sera were collected. Purified antibody preparations (IgG) from all rabbit sera were obtained by ammonium sulphate precipitation and stored in PBS, pH 7.4, as previously described .
Balb/c mice were immunized with purified recombinant AMA-1 ectodomain either in its native state or following reduction and alkylation as described earlier  generating 'N' and 'R' sera.
MSP-119 specific mouse mAb 12.8, 12.10, 7.5, the MSP-183 specific mouse mAb 89.1, and the MSP-133 specific human mAb X509 have all been described previously [5, 12], as has been the AMA-1 specific rat mAb 4G2  and the mouse mAb 4F3 (αRAP-1: personal communication, Dr. B. Clough, NIMR, UK).
Enzyme linked immunosorbent assay (ELISA)
Microtiter plates (96 well) were coated with recombinant protein by overnight incubation with 0.1 ml of 100 nM protein in 50 mM sodium carbonate buffer, pH 9.6 at 4°C. Plates were washed twice with TBST (10 mM Tris-HCl, pH 8.0, 150 mM NaCl, 0.05% Tween 20) before incubation for 1 h at room temperature with blocking buffer (TBST containing 1% milk powder). Antibodies were diluted serially in blocking buffer and incubated with antigen-coated plates for 2 h at room temperature. After three washes with TBST, goat anti-rabbit IgG-alkaline phosphatase conjugate (Sigma, Munich, Germany) diluted 1:2,500 in blocking buffer, was added to the plates and incubated for 1 h at room temperature. The substrate p-nitrophenyl-phosphate (1 mg/ml in 0.96% (vol/vol) diethanolamine, pH 9.5, and 1 mM MgCl2) was added, and incubated for 1 h at room temperature in the dark. The reaction was stopped with 0.1 ml of 2 M NaOH, and absorbance was measured at 405 nm. Antibody endpoint titers were calculated as the dilution that produced an absorbance (optical density at 405 nm, OD405) of 1.0. Pre-immune antibody was used as a negative control serum.
The effect of antibodies on shedding of AMA-1 and MSP-1 from isolated merozoites was assayed as described [14, 31]. Briefly, 3D7 merozoites purified from cultures containing 10 mM EGTA were washed, suspended in 50 mM Tris-HCl, 5 mM CaCl2 (pH 7.6) and divided into equal aliquots of approximately 4 × 108 merozoites, on ice. Aliquots were supplemented with mouse sera, purified rabbit IgGs or monoclonal antibodies, PMSF or control buffers and transferred to 37°C for 2 h. In assays with rabbit antibodies a malaria unrelated control antibody (C) specific for the ClpB protein from Escherichia coli was used as a control . Merozoites were pelleted, and shed AMA-148+44 or MSP-133 detected in merozoite supernatants by western blot using mAb 4G2 or mAb X509 respectively.
SDS-PAGE and western blotting
Parasite lysates were fractionated by SDS-PAGE under non-reducing conditions prior to transfer to Hybond-C extra nitrocellulose membrane (Amersham Biosciences). Membranes were probed with mAbs as previously described .
Parasite growth inhibition assay
Purified rabbit IgGs were examined for their potency in inhibiting P. falciparum replication by measuring LDH levels in late trophozoite/early schizont stage cultures as described . Prior to use in growth inhibition assay, rabbit antibody preparations were preadsorbed on type A human RBCs. For this 1 ml of antibody solution was incubated with 50 μl of RBCs (>90% haematocrit) for 1 h. The RBCs were then pelleted by centrifugation, and supernatants were dialyzed against 100 volumes of RPMI medium before use in assays. Plasmodium falciparum strain 3D7 was synchronized by magnetic cell separation, cultures were adjusted to 0.4% parasitaemia with human type A erythrocytes at a final haematocrit of 1%, and the final assay volume of cultures was 100 μl containing 25% or 40% (v/v) purified rabbit antibody solution. For monitoring concentration dependencies of antibodies, antibodies were added to the assay in a total volume of 25 μl which contained the respective amount of antibody preparation (3.125 - 25 μl) adjusted to a final volume of 25 μl with pre-immune antibody (PI) whenever required. 25% (v/v) purified pre-immune antibody was used as a control. For monitoring the additive effect of antibodies, antibodies were added to the assay in a total volume of 40 μl, which contained the respective amount of antibody preparation (10 or 20 μl) adjusted to a final volume of 40 μl with pre-immune antibody (PI) whenever required. 40% (v/v) purified pre-immune antibody was used as a control. Plasmodium falciparum growth was assayed after 40 h. Inhibition was measured at 650 nm and calculated as follows: % inhibition = 100% - (ODimmune antibody - ODRBC/ODpre-immune antibody - ODRBC) × 100.
Inhibition of MSP-1 secondary processing by MSP-1 specific antibodies
Secondary processing of MSP-1 is readily assayed by monitoring the cleavage of MSP-142 into MSP-133 and MSP-119 in preparations of isolated merozoites . Monoclonal antibodies that prevent this cleavage also inhibit invasion of RBCs by the parasite, as previously demonstrated . Since all these monoclonal antibodies recognize epitopes within MSP-119, it is likely that they act by steric hindrance, preventing access of PfSUB2 to the secondary cleavage site . It was, therefore, of interest to examine whether growth inhibitory antibodies targeting distant regions of MSP-1 also prevent secondary processing, or whether some of them act through a different mechanism.
To allow for comparisons in this assay, concentrations of antibodies specific for the various MSP-1 fragments were adjusted for maximal invasion inhibition, while still in the range of linear dependency on dilution. All αMSP-1 preparations showed inhibition of secondary processing as judged by visual analysis of the western blot data (Figure 2A), correlating well with their in vitro inhibition of parasite multiplication. These findings were confirmed by further experiments in which secondary processing assays were performed using different concentrations of αMSP-183, αMSP-142 and αMSP-142ΔEGF antibodies (Figure 2B). Throughout, levels of processing inhibition correlated with antibody concentration.
Inhibition of parasite growth in vitro by antibodies specific for MSP-6 and MSP-7
Antibodies directed against recombinant MSP-6 and MSP-7 inhibit parasite multiplication with comparable efficiency to antibodies raised against MSP-1 subunits, as previously reported . To examine this observation in more detail, rabbit antibodies raised against recombinant MSP-6, MSP-636 and MSP-7, were analysed via ELISA using various protein constructs as capture antigen. Immunization with the MSP-6 precursor elicited primarily antibodies directed against the N-terminal part of the molecule not present in the MSP-1/6/7 complex, whereas good titers against the processed product were obtained upon immunization with MSP-636 (Figure 3A). Surprisingly, αMSP-636 antibodies reacted better with the MSP-6 precursor than with the inducing antigen MSP-636. Moreover, when the αMSP-6 and αMSP-636 antibodies were probed against MSP-636 and MSP-636Δ, no difference between the two capture antigens was observed, indicating that the missing C-terminal 51 aa of MSP-636Δ are virtually non-immunogenic in this context.
Immunization with the MSP-7 precursor induced antibodies directed primarily against the N-terminally located processing product, which is not part of the MSP-1/6/7 complex, whereas the C-terminal MSP-722 (Figure 1), when used as capture antigen, revealed only low titers showing its low immunogenicity in the context of the MSP-7 precursor molecule (Figure 3B).
As previously reported , combinations of antibodies directed against different parts of MSP-1 have an additive effect on growth inhibition in vitro, raising the question of whether combinations of αMSP-6 and αMSP-7 antibodies are additive in their growth inhibitory effect as well. To address this issue, various rabbit antibodies specific for MSP-6, MSP-636 and MSP-7 were combined with antibodies specific for the major MSP-1 subunits as well as with each other and examined for their growth inhibitory potential. As shown in Figure 3C, all combinations demonstrated that the antibodies targeting the various epitopes within the MSP-1/6/7 complex act in an additive manner.
Inhibition of MSP-1 secondary processing by antibodies specific for MSP-6 and MSP-7
It was of interest to examine whether invasion-inhibitory antibodies targeting MSP-636 and MSP-722 could inhibit secondary processing of MSP-1. As shown in Figure 4, antibodies targeting MSP-6 and its processed form MSP-636, as well as antibodies specific for MSP-7, all reproducibly inhibited MSP-1 secondary processing, confirming that this maturation step is highly sensitive to antibody binding even when the antibodies specifically target the MSP-6 and MSP-7-derived components of the complex.
Processing-inhibitory antibodies act in a target-specific manner
Shedding (secondary cleavage) of both MSP-1 and AMA-1 from the merozoites surface is mediated by the same protease, PfSUB2 [14, 16]. Previous work by others has shown that antibodies against AMA-1 effectively interfere with AMA-1 shedding, and it has been suggested that this may represent one mechanism by which αAMA1 antibodies prevent invasion [17, 20]. In view of the above findings, it was explored whether antibodies targeting either the MSP-1/6/7 complex or AMA-1 could affect the processing and shedding of the alternate surface protein. Using mouse sera raised against recombinant AMA-1 ectodomain [19, 23], indeed antibodies specific for correctly folded AMA-1 - but not those raised against reduced and alkylated AMA-1 - were found to effectively inhibited processing and shedding of this protein (Figure 5A). However, neither set of sera had any discernible effect on secondary processing of MSP-1 in the same merozoite preparations (Figure 5A, lower panel). Interestingly, no inhibition of AMA-1 processing was observed in the presence of the AMA-1-specific monoclonal antibody 4G2, which contrasts with the findings of Dutta et al . Further exploration showed that the effect of αAMA-1 sera was dose-dependent and required their presence during the assay (Figure 5B). Next the most effective αAMA-1 serum (N5) was compared with monoclonal antibodies known to inhibit MSP-1 processing (mAb 12.8, mAb 12.10, mAb 89.1) (Figure 6C). The results confirmed that processing inhibition by these antibodies was exquisitely antigen-specific: N5 serum significantly blocked AMA-1 shedding but had no effect on MSP-1 processing, and, vice versa, the αMSP-1 monoclonal antibodies strongly inhibited MSP-1 processing without affecting AMA-1. Again, these effects were dose-dependent, and in the presence of both N5 serum and mAb 12.8, processing of both MSP-1 and AMA-1 was effectively blocked (Figure 5D).
Inhibition of parasite growth in vitro by MSP-142 specific antibodies
Previous studies , examining the growth-inhibitory potential of rabbit antibodies raised against recombinant proteins corresponding to the four primary processing products of MSP-1, revealed not only that antibodies targeting epitopes throughout MSP-1 can effectively interfere with parasite multiplication in vitro, but also that the four processing products of MSP-1 differ significantly in their immunogenicity, as reflected by antibody titers in the serum of immunized animals and of individuals living in malaria endemic regions of West Africa  and India . The most immunogenic processing product was found to be MSP-142, which also encompasses the secondary processing product MSP-119 (Figure 1A). Immunogenicity did not correlate with the inhibitory potential of the respective antibody preparations .
To further dissect the antibody response against MSP-142, the rabbit αMSP-142 antibodies were analysed by ELISA against recombinant full-length MSP-1 , MSP-142, MSP-133, and a truncated form of MSP-142, called MSP-142ΔEGF. This latter protein contains the entire cleavage site at the junction between MSP-133 and MSP-119 and an adjacent six amino acids comprising a C-terminal extension into the N-terminus of MSP-119, but it lacks the C-terminal EGF-like domains. The results of these assays (Figure 6A) indicated that by far the most immunogenic region of MSP-142 lies within the MSP-119 portion of the molecule, since about 70% of the αMSP-142 antibodies were found to be directed against this latter region. As expected, the αMSP-142ΔEGF antibodies showed little reactivity with MSP-119, (the low reactivity observed is possibly due to the six amino acid residues shared by the two proteins). However, the αMSP-142ΔEGF antibodies exhibited a high titer against MSP-133 compared to that obtained by immunization with full-length MSP-142. A major fraction of these antibodies presumably targets epitopes, which do not efficiently compete in the context of full-length MSP-1 or MSP-142 (Figure 6A). By contrast MSP-119 alone (fused C-terminally to GST) was significantly less immunogenic, indicating a strong context dependency, which apparently is favourable only when this sequence is embedded in intact MSP-142.
It is well documented that antibodies directed against MSP-119 can efficiently inhibit parasite growth in vitro, and that humoral responses against MSP-119-based experimental vaccines can be protective in animal models [34–36]. It was, therefore, of interest to examine whether antibodies raised against MSP-142ΔEGF could inhibit parasite growth in vitro. As shown in Figure 6B αMSP-142ΔEGF antibodies indeed inhibited parasite multiplication by 50% when 25% v/v purified antibodies are used in the assay. In comparison αMSP-142 and αMSP-119 reach the same level of inhibition with about 15% and 10% v/v purified antibodies in used in the assay. Relating titers of the antibody preparations shown in Figure 6A with inhibitory potential, the most effective antibodies appear to target MSP-119.
In summary, these analyses support previous findings that multiple epitopes throughout MSP-1 can elicit antibodies, which inhibit parasite growth in vitro.
Several lines of evidence indicate that humoral immune responses against P. falciparum merozoite surface antigens are major, if not decisive, contributors to the partial immunity acquired by individuals subject to repeated infections. Accordingly, numerous efforts aiming at developing vaccines against P. falciparum malaria have focused on such antigens, of which MSP-1 and AMA-1 are particularly promising candidates.
As recently shown [11, 22], parasite growth in vitro is efficiently inhibited by antibodies targeting different areas of the multipartite MSP-1/6/7 complex, indicating a multitude of epitopes potentially relevant for vaccine development. Such polyclonal antibodies preparations, while primarily preventing invasion of erythrocytes by merozoites, are also capable of inhibiting the intracellular development of the parasite . Moreover, as also revealed in these studies, MSP-1 exhibits an immunogenicity profile in which some epitopes, which induce highly effective inhibitory antibodies, are rather poorly recognized by the immune system as reflected by low titers in serum of mice, rabbits, monkeys and humans.
For vaccine development it is important to not only learn more about relevant epitopes of candidate antigens but also to gain insights into mechanisms by which growth inhibitory antibodies act. Prevention of PfSUB2 mediated secondary processing of MSP-1 and AMA-1, a prerequisite for the shedding of these antigens from the surface of the parasite, has been identified as a plausible mechanism by which inhibitory antibodies targeting these proteins function [17, 18, 20, 38].
Here it was examined whether antibodies specific for the four subunits of MSP-1, MSP-6, or MSP-7 - all of which efficiently inhibit parasite growth in vitro - also affect secondary processing and shedding of the complex, or whether additional mechanisms of action may have to be envisioned. The data presented clearly show that antibodies targeting each of the distinct components of the MSP-1/6/7 complex can indeed perturb the function of PfSUB2, and thus are capable of interrupting this important step in the parasite's maturation pathway.
These results are interesting in several regards. Firstly, it would not necessarily be predicted that secondary cleavage, which occurs close to the C-terminus of MSP-1 would be affected by antibodies binding to sites likely to be rather distant from the cleavage site, e.g. within MSP-183, or even within MSP-6 and MSP-7. This may indicate that antibodies bound to the complex may simply sterically hinder access of PfSUB2 to its substrate near the MSP-1 C-terminus. Alternatively, the MSP-1/6/7 complex may constitute a rather dynamic structure sensitive to conformational perturbations, which may occur in any of its domains when antibodies bind. Detailed structure-function studies of the MSP-1/6/7 complex are necessary to provide more insight into either of these hypotheses. Second, as the proteolytic action of PfSUB2 is thought to be a prerequisite for the generation of invasion competent merozoites, it is of interest to note that the MSP-1/6/7 complex obviously offers many targets for antibodies through which the action of PfSUB2 can be inhibited. Indeed, combinations of antibodies targeting different subunits of the complex act in an additive manner. In the context of vaccine development it could, therefore, be of considerable advantage to combine these antigens. Third, it could be shown that inhibitory polyclonal antibodies raised against subunits of the MSP-1/6/7 complex and against the AMA-1 ectodomain respectively, act in a fully specific and independent manner. They interfere neither positively nor negatively with the processing of the "other" protein, suggesting that at least at this stage there is no direct cooperation between these surface proteins. The observation that the invasion-inhibitory αAMA-1 monoclonal antibody 4G2 does not affect processing of AMA-1 is in contrast with the earlier findings of Dutta et al . There is no explanation for this discrepancy, but in fact the findings are perfectly in accord with previous data indicating that 4G2 blocks invasion by interfering with interactions between AMA-1 and a partner parasite protein called RON4, implicated in formation of the moving junction between the parasite and host erythrocyte at invasion .
When looking at some results described previously  and the data reported here in a more quantitative way, two observations deserve discussion in more detail: (i) it appears that some of the most effective MSP-1-specific inhibitory antibodies are elicited by epitopes which are not efficiently presented to the immune system, under natural as well as under laboratory (immunization of laboratory animals with purified antigen) conditions; (ii) antibodies directed against MSP-6 and particularly against MSP-7 are more effective in inhibiting parasite growth than in preventing secondary processing of MSP-1.
To address the first issue, the humoral response against the most immunogenic region of MSP-1 covered by MSP-142 was analysed further. The striking results of these experiments show that epitopes within the highly immunogenic subregion of MSP-142, i.e. within MSP-119, apparently outcompete potentially valuable epitopes located upstream within MSP-133/MSP-142ΔEGF. Thus, immunization of rabbits with antigen devoid of the two highly immunogenic C-terminal EGF-like domains elicits high titers of growth inhibitory antibodies, which target regions upstream of MSP-119. These data demonstrate that epitopes within the MSP-1 complex, though not efficiently recognized by the immune system when presented in their natural context, are nevertheless accessible at the surface of the parasite, where the binding of their respective antibodies effectively prevents secondary processing of MSP-1 and thus RBC invasion. Similar constraints likely hold for epitopes located within MSP-130 and MSP-138 .
The recognition of the majority of MHC II restricted epitopes depends strongly on structural parameters defined largely by the context in which they are embedded in the antigen , whereby local flexibility may play an additional role . Results described here and previously [11, 22] have revealed that some of the MSP-1 encoded epitopes which elicit the most effective inhibitory antibodies, are not efficiently recognized by the immune system when presented in the context of the complete antigen, although they are apparently readily accessible to antibodies at the surface of the parasite. The low immunogenicity of such epitopes may actually be one of the reasons why long-lasting, pathogen-clearing humoral responses develop only after repeated exposure to the parasite. For vaccine development it appears therefore important to reconcile particularly such epitopes.
As previously shown , polyclonal antibodies specific for the four subunits of MSP-1 inhibit parasite growth not only individually but also when combined, acting in an additive mode. Here, the same holds true when antibodies against MSP-6 and MSP-7 are included in the analysis. In addition antibodies raised against the MSP-6 precursor are more effective inhibitors of secondary MSP-1 processing and of parasite growth, than those induced by MSP-636 (the processed and MSP-1 associated form). These findings suggest that either the MSP-6 precursor more efficiently induces antibodies that bind to MSP-636, or that antibodies directed towards the N-terminal portion of the MSP-6 precursor (not present in the mature MSP-1/6/7 complex) act independently and through a different mechanism. Equally interesting is the observation that antibodies specific for the MSP-7 precursor, which effectively inhibit parasite growth , have only a minor effect on the secondary processing of MSP-1, again suggesting further mechanisms of action.
The present study has yielded a number of insights, which may be summarized as follows: (i) secondary processing of MSP-1, a prerequisite for antigen shedding and subsequent RBC invasion can be inhibited by antibodies targeting numerous epitopes distributed throughout the MSP-1/6/7 complex; (ii) when combined, these antibodies act in an additive manner; (iii) antibodies which prevent PfSUB2 mediated processing of AMA-1 and MSP-1 respectively act independently and do not affect the processing of the alternate protein; (iv) data obtained with MSP-6 and MSP-7 suggest additional mechanisms by which antibodies against the surface proteins studied here may inhibit parasite growth; (v) by dissecting the immunogenicity of MSP-142 further, epitopes were revealed which, in the context of the antigen, do not induce an effective antibody response, even though at the parasite surface they are accessible to their respective antibodies and capable of mediating efficient inhibition of secondary processing and erythrocyte invasion.
The findings presented here provide new insights in the mode of action of antibodies targeting the merozoite surface antigens MSP-1, MSP-6, MSP-7 and AMA-1, and suggest that for optimal vaccine development a more detailed understanding of the structure-function relationship of these antigens is necessary. Equally, these findings provide further support for the feasibility of the development of vaccines or immunization regimens based on these antigens.
apical membrane antigen-1
epidermal growth factor
merozoite surface protein
major histocompatibility complex
Plasmodium lactate dehydrogenase
red blood cell
Plasmodium falciparum subtilisin-like protease.
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We are grateful to Dr. Patricio Manque for valuable discussion. This work was supported by special research funds of the State of Baden-Wuerttemberg, by the Deutsche Forschungsgemeinschaft (SFB 544), by the Vakzine Projekt Management GmbH, Braunschweig, Germany, and by the Medical Research Council (UK). This work is part of the activities of the BioMalPar European Network of Excellence supported by a European grant (LSHP-CT-2004-503578) from the Priority 1 "Life Sciences, Genomics and Biotechnology for Health" in the 6th Framework Programme.
The authors declare that they have no competing interests.
UW: Participated in the expression and purification of recombinant antigens of the MSP-1/6/7 complex, and production of rabbit antibodies, designed and performed ELISA and pLDH assays, analysed data and drafted the manuscript. CE: Participated in the expression and purification of the recombinant antigens of the MSP-1/6/7 complex, and production of rabbit antibodies, and assisted in editing the manuscript. FH: Produced mouse antibodies and purified merozoites. MJB: Designed and performed the processing inhibition experiments, analysed data and edited the manuscript. HB: Participated in the study design, planning of the experiments, data analysis, and edited the manuscript. All authors read and approved the final manuscript.
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Woehlbier, U., Epp, C., Hackett, F. et al. Antibodies against multiple merozoite surface antigens of the human malaria parasite Plasmodium falciparum inhibit parasite maturation and red blood cell invasion. Malar J 9, 77 (2010). https://doi.org/10.1186/1475-2875-9-77
- Secondary Processing
- Parasite Growth
- Inhibitory Antibody
- Antibody Preparation
- Secondary Cleavage