- Open Access
Immunological characterization of Plasmodium vivax Pv32, a novel predicted GPI-anchored merozoite surface protein
© The Author(s) 2018
- Received: 19 June 2018
- Accepted: 26 June 2018
- Published: 27 July 2018
The development of an effective malarial vaccine is an urgent need. Most glycosylphosphatidylinositol (GPI)-anchored proteins of Plasmodium parasites are exposed to neutralizing antibodies, and several are advanced vaccine candidates. In the present study, Plasmodium vivax Pv32 (PVX_084815) as a hypothetical, predicted GPI-anchored and cysteine-rich motif was identified from our previous findings with a focus on its antigenic profiling. The orthologue gene pv32, a predicted GPI anchor of P. falciparum PF3D7_1434400, has still not been well studied.
The gene information of pv32 was obtained from PlasmoDB. Recombinant Pv32 protein was expressed and purified using a wheat germ cell-free expression system and a glutathione-Sepharose column. Naturally acquired immune response to recombinant Pv32 protein was evaluated using a protein microarray with 96 parasite-infected patients and 96 healthy individuals. Antibodies against recombinant Pv32 proteins from immune animals were produced, used and analyzed for the subcellular localization of native Pv32 protein by an immunofluorescence assay. A total of 48 pv32 sequences from 11 countries retrieved from PlasmoDB were used to determine the genetic diversity, polymorphisms and genealogical relationships with DNAsp and NETWORK software packages.
Pv32 is encoded by a conserved gene with two introns that are located on chromosome 13 and expressed as a 32 kDa protein in mature asexual stage parasites. Immunofluorescence data showed that Pv32 localized on the merozoite surface in schizont-stage parasites. The recombinant Pv32 was recognized by 39.6% of antibodies from P. vivax-infected individuals compared with healthy individuals. Low levels of nucleotide diversity (π = 0.0028) and polymorphisms of pv32 were detected within worldwide isolates.
This study shows the identification and characterization of the hypothetical protein, Pv32. Pv32 provides important characteristics, including a merozoite surface protein, a predicted GPI motif and Cysteine-rich motif among Plasmodium species. These results suggested that Pv32 is immunogenic with a merozoite surface pattern to antibodies during natural infection in humans.
- Plasmodium vivax
- Predicted GPI-anchored protein
- Merozoite surface protein
- Immune response
Although infection by Plasmodium vivax has been called “benign tertian malaria”, it poses as a major threat to health in South and Southeast Asia, as well as in South America, where 2.6 billion people are at risk, resulting in more than a hundred million malarial infections annually [1, 2]. As a neglected parasite, only little is known regarding the pathobiology of P. vivax malaria . This understanding may be limited by the following: (1) the difficulty of long-term culturing of P. vivax may not be applicable for their functional analysis; (2) the standardized human/or animal challenge model was not well developed for pre-clinical trials of vivax vaccine candidates; and (3) P. vivax genomic diversity limits the discovery of a P. vivax vaccine roadmap.
In Plasmodium parasite pathobiology, invading and modifying human erythrocytes are essential processes . Most of the proteins that play key roles in invasion are either stored in the apical secretory organelles or located on the surface of the merozoite. On the parasite membrane surface, some merozoite surface proteins anchor into the merozoite surface via the glycosylphosphatidylinositol (GPI)-tail and form complexes with other non-covalently associated proteins, such as MSP6, MSP7 and Pf41 [5–7]. In addition, merozoite surface proteins are a direct factor in inducing host immune response during parasitic invasion into erythrocytes after being ruptured. In parasite-infected patients, antibodies to these proteins probably confer host protection by inhibiting parasite invasion, blocking intraerythrocytic parasites, and inducing mononuclear cell-mediated inhibition .
Among our previous findings, a predicted GPI-anchored protein, Pv32, has been identified for its reactions with P. vivax exposed sera . The homologue of Pv32, P. falciparum hypothetical protein (Pf32; PF3D7_1434400 and PF14_0325), has been expressed, and anti-Pf32 antibody reacted with blood-stage parasites . Although it was not clearly defined, its subcellular localization and functional activity as a Cysteine-rich protein may play a role during parasite invasion. Pv32 still needs to be further characterized for understanding the P. vivax malarial pathobiology. In this study, a predicted-GPI anchor Pv32 recombinant protein was successfully expressed and purified by a wheat germ cell-free (WGCF) expression system on the basis of the P. vivax Sal-I strain sequence. Antibody response was evaluated from clinical vivax-infected patients compared to healthy individual sera. Subcellular localization of native Pv32 was determined in the blood-stage parasites with immune serum by an immunofluorescence assay. The genetic diversity, polymorphisms and genealogical relationships of pv32 were also analyzed from worldwide isolates.
Gene identification and protein sequence analysis
Pv32 sequence data and gene expression profiles were analyzed from previous reports [11, 12] using the PlasmoDB website (http://plasmoDB.org; Accession No. PVX_084815). Predicted protein domains were further analyzed using the Simple Modular Architecture Research Tool (SMART) (http://smart.embl-heidelberg.de/) and SOSUIsignal (http://bp.nuap.nagoya-u.ac.jp/sosui/). Amino acid sequence identity between Pv32 and its orthologous sequences in P. falciparum (PF3D7_1434400), P. ovale curtisi (PocGH01_13025900), P. malariae (PmUG01_13025900) and P. knowlesi (PKNH_0421000) were determined using the Clustal W alignment program in Lasergene 7.0 (Dnastar Inc., Madison, WI, USA). Phylogenetic analysis was conducted using the maximum likelihood method on the Poisson correction model with 1000 bootstraps in MEGA v5.0 software.
Human serum samples
Positive serum samples for P. vivax malaria were collected from 96 patients (mean age, 34 years; range 3–79 years), who had symptoms including fever and parasitemia, by Giemsa-stained thin blood smear microscopy in 50 fields (mean parasitemia, 0.149%; range 0.008–0.750%) for P. vivax malaria at local health centers and clinics in endemic areas of the Republic of Korea (ROK). Ninety-six sera samples from healthy, microscopically negative individuals were collected from non-endemic areas of ROK and used for immune response analysis. This study was approved by the Institutional Review Board at Kangwon National University Hospital (IRB No. 2014-08-008-002).
Expression and purification of recombinant Pv32 (rPv32)
Pv32 was designed from the P. vivax Sal-I strain sequence (PlasmoDB, PVX_084815) and was amplified from the genomic DNA of P. vivax isolates from ROK. Genomic DNA was prepared as described previously . Gene coding of pv32 was amplified using genomic DNA with in-fusion cloning primers, Pv32_F (3′-GGGCGGATATCTCGAGGCAGGAGGCGTTTCCGA-5′) and Pv32_R (3′-GCGGTACCCGGGATCCTCAATTCTTGGGGTTACAAAACAAGTC-5′). The vector sequences are underlined, and the restriction enzyme sites (XhoI for the sense primer and BamHI for the anti-sense primer) are in italics. We expressed and purified rPv32, which lacked the signal peptide and GPI motif, by using WGCF expression . Briefly, amplified DNA fragments were cloned into the pEU-E01-GST-TEV-MCS-N2 vector (CellFree Sciences, Matsuyama, Japan), and the cloned inserts were sequenced using an ABI 3700 Genetic Analyzer (Genotech, Daejeon, Korea) as previously described . The glutathione S-transferase (GST) fusion protein was expressed using a WGCF system and was purified with a glutathione-Sepharose 4B column, according to the manufacturer’s instructions (GE Healthcare, Camarillo, CA, USA). Recombinant GST protein was purchased from Abcam (Cambridge, UK) and used for western blot and protein array as a control for GST-fusion protein.
Animal immunization with recombinant P. vivax merozoite surface protein 1-19 (rPvMSP1-19) and rPv32
Female BALB/c mice (DBL Co., Seoul, ROK) were used at 6–8 weeks of age. Three mice were injected intraperitoneally with approximately 30 µg of rPvMSP1-19 and phosphate buffered saline (PBS) with Freund’s complete adjuvant (Sigma-Aldrich, St. Louis, MO, USA). Booster injections were given 3 and 6 weeks later using the same amount of antigen with Freund’s incomplete adjuvant (Sigma-Aldrich). Mouse blood samples were taken 2 weeks after the last booster.
To generate antibodies against Pv32 for the immunofluorescence assay, one Japanese white rabbit was immunized subcutaneously with 250 μg of purified proteins and Freund’s complete adjuvant, as well as with 250 μg with Freund’s incomplete adjuvant thereafter. Immunizations were done 3 times at 3-week intervals. The antiserum was collected 14 days after the last immunization. All animal experimental protocols were approved by the Institutional Animal Care and Use Committee of Kangwon National University, and the experiments were conducted according to the Ethical Guidelines for Animal Experiments of Kangwon National University (KIACUC-16-0158).
SDS-PAGE and western blot analysis of rPv32
rPv32 was separated using 12% SDS-PAGE after denaturation with the reducing agent β-mercaptoethanol in sample buffer and then stained with Coomassie brilliant blue. For western blot analysis, recombinant proteins were transferred electrophoretically to PVDF membranes (Millipore Corp., Bedford, MA, USA) and incubated with blocking buffer (5% non-fat milk in PBS containing 0.2% Tween 20 and PBS/T) for 1 h at 37 °C. After blocking, either anti-GST antibody, mouse and rabbit immune sera or mixed patient sera was diluted with PBS/T 200 times. Secondary IRDye® goat anti-mouse (1:10,000 dilution), IRDye® goat anti-rabbit (1:20,000 dilution) or IRDye® goat anti-human (1:20,000) (LI-COR® Bioscience, Lincoln, NE, USA) were used to detect GST-tagged recombinant protein and immune serum of a specific quality. Sera from healthy people from the ROK and PBS-immunized rabbit serum were used as controls. Data were scanned with an Odyssey infrared imaging system (LI-COR Biosciences, Lincoln, NE, USA) and analyzed by Odyssey software (LI-COR, Inc.).
Indirect immunofluorescence assay (IFA)
The schizont stage-rich parasites obtained from short-term in vitro culture were spotted onto multi-well slides and fixed with ice-cold acetone for 3 min, dried, and stored at − 80 °C. Before use, the slides were thawed on silica gel blue (Samchun Chemical, Pyeongtaek, Gyeonggi, ROK) and blocked with PBS containing 5% non-fat milk at 37 °C for 30 min. The slides were incubated with 1:200 diluted primary antibodies (mouse anti-PvMSP1-19 and rabbit anti-Pv32) at 37 °C for 1 h. The PvMSP1-19 was used as the merozoite surface protein marker. After the primary antibody reactions, the slides were stained with Alexa 546-conjugated goat anti-rabbit IgG secondary antibody (Ab) or Alexa 488-conjugated goat anti-mouse IgG secondary Ab (Invitrogen Corp., Carlsbad, CA, USA), and nuclei were stained with 4′,6-diamidino-2-phenylindole (DAPI, Invitrogen Corp.) at 37 °C for 30 min. The slides were mounted with ProLong Gold antifade reagent (Invitrogen Corp.) and viewed under oil immersion with a confocal laser scanning FV200 microscope (Olympus, Tokyo, Japan) equipped with 20× dry and 60× oil objectives. Images were captured with FV10-ASW 3.0 viewer software and prepared for publication with Adobe Photoshop CS5 (Adobe Systems, San Jose, CA, USA).
Amine coated slides and protein arrays were prepared as described in previous studies [14–16]. Briefly, serum samples from 96 people with P. vivax malaria and 96 unexposed individuals were used for humoral immune response analysis. Purified rPv32 was spotted into duplicate wells for arrays at 25 ng/μl in PBS and incubated for 1 h at 37 °C. After blocking with 1.0 μl of blocking buffer (5% BSA in PBS with 0.1% Tween 20, PBS/T) for 1 h at 37 °C, the chips were probed with human sera from malaria patients or healthy individuals (1:50 dilution) that were first pre-absorbed against wheat germ lysate (1:100 dilution) to block anti-wheat germ antibodies. Samples were detected by Alexa Fluor 546 goat anti-human IgG (10 ng/μl, Invitrogen Corp.) in PBS/T, quantified as described previously and scanned by a fluorescence scanner (ScanArray Express, PerkinElmer, Boston, MA, USA) . The cut-off value is equal to the mean ± three standard deviations (SD) of the mean fluorescence intensity (MFI) of the 96 negative samples.
Sequence diversity, polymorphisms, and haplotype analysis of pv32 from worldwide isolates
Forty-eight pv32 sequences (718 bp, excluding the signal peptide and GPI motif) from 11 countries (Mexico, Peru, Thailand, Papua New Guinea, Brazil, Colombia, India, North Korea, China, Madagascar and Bolivia) along with the Sal-1 strain were retrieved from the PlasmoDB database (Additional file 1: Table S1). Sequences were aligned using the CLUSTAL-W program in MegAlign Lasergene ver. 7.0 (DNASTAR). Sequence diversity (π) was defined as the average number of nucleotide differences per site between two sequences, and the number of polymorphic sites was determined using the DNAsp ver. 5.0 software. The relationships among the haplotypes of pv32 were evaluated with the median-joining method using the NETWORK software ver. 188.8.131.52. (Fluxus Technology Ltd., Suffolk, UK).
The data were analyzed using GraphPad Prism (GraphPad Software, San Diego, CA) and SigmaPlot (Systat Software Inc., San Jose, CA, USA). Mann–Whitney t-tests were used to compare the differences between the means of each group for statistical significance. Statistical differences of p < 0.05 were considered significant. Simple scatter-regression was used to make the standard curve.
Expression of rPv32 and reactivity to immune sera
The purity and protein folding of rPv32 without SP and the predicted GPI motif expressed by the WGCF expression system were assessed (Fig. 1a). The truncated rPv32 (∆SP/∆GPI) was purified under non-denaturing conditions as shown in Fig. 1b. The integrity and purity of the purified recombinant proteins was assessed by SDS-PAGE. Purified rPv32 migrated as a single band of ~ 58 kDa in reducing conditions corresponding to 26 kDa tagged GST and expected rPv32 molecular weight (32 kDa). The corresponding immunoblots were probed with an anti-GST tag monoclonal antibody (GST), anti-Pv32 rabbit immune serum (R), and pooled P. vivax patient sera (P). The PBS-immune rabbit sera (NR) and the malaria-naïve human serum samples (H) obtained from individuals living in malaria-free regions of Gangwon, ROK were used as negative controls, and there was no reactivity in this group (Fig. 1c).
Analysis of humoral immune response to Pv32
IgG responses to recombinant Pv32 and GST control proteins in the sera of vivax patients and healthy individuals
No. of patient samples (n)
No. of healthy samples (n)
Pv32 localizes on the merozoite surface
Sequence analysis of pv32 from worldwide isolates
Estimates of DNA sequence polymorphism of the pv32 gene
No. sample (n)
No. haplotypes (h)
Haplotype diversity (Hd)
Nucleotide diversity (π)
Pv32 is a highly conserved cysteine-rich protein found in different Plasmodium spp. Pv32 is recognized by sera from individuals naturally infected with P. vivax, thus confirming its potential as a vaccine candidate. Its localization and expression during the schizont stage suggest that it has a similar role in host cell invasion to those of other GPI-anchored proteins.
GPI-anchored proteins have been found on the surfaces of extracellular merozoites or apical organelle membranes . Most GPI-anchored merozoite proteins are refractory to genetic deletion, suggesting that they play important roles in blood-stage development . Thirty predicted GPI-anchored proteins have been identified in P. vivax . The well-characterized GPI-anchored protein PvMSP1 has been selected as a malaria vaccine candidate for its immunogenic properties in a large proportion of individuals exposed to malaria [20, 21]. The PvMSP1 paralog is a GPI-anchored erythrocyte binding ligand  that induces a specific cellular immune response conferring protection against P. vivax . Recently, a GPI-anchored micronemal antigen, PvGAMA, has been shown to bind human erythrocytes independently of their Duffy antigen status . Furthermore, the GPI motif of these antigens is thought to be an important factor in inducing proinflammatory responses . In this study, we measured the response frequency to rPv32 in 96 patients with a P. vivax mono-infection from an endemic area in the ROK and found that nearly 42.7% of this population had antibodies against Pv32 (Table 1). These data reconfirmed a large number of serum samples as reliable data from previous preliminary findings of Pv32 antigenicity . However, two false positives have been detected in 96 non-exposed samples that may have cross-reacted with some other proteins from healthy individuals. Antibodies are essential for acquired human immunity to malaria. Antibodies are associated with patient age, exposure, active infection and antigens. The immunogenic activity of Pv32 may be because of a parasite surface protein that was frequently exposed to the host immune system. In this study, antibody titers against Pv32 showed median levels of antibody titers, not higher titers compared to other GPI-anchored antigens, such as PvMSP1, PvMSP1P, and PvRAMA from Korean patients [9, 14, 19]. Second, the low endemicity of vivax malaria in ROK also may be related with the low antibody responses from the low frequency of exposure to infective bites in field sites. Thus, functional analysis of Pv32 remains to be investigated regarding whether the anti-Pv32 antibody could inhibit parasite invasion or even be a protective antibody in human patients. Accordingly, P. knowlesi could be alternatively used for functional study due to the difficulty of P. vivax culture.
This study first described the identification and characterization of a GPI-anchored and cysteine-rich Pv32 as a merozoite surface protein. The characteristics of Pv32 were identified from the conserved gene sequence, the protein’s expression toward the schizont stage and its localization and the broad recognition presented by the sera from individuals infected with P. vivax. These data suggest that Pv32 could be a good potential vaccine candidate. Further immunogenicity and protection-inducing ability studies are thus needed in the Aotus experimental model to confirm the potential of Pv32-based vaccine against P. vivax malaria. As one of the few candidates with minimal polymorphism, it may potentially provide sustained protection against this antigenic variant.
YC and ETH conceived and designed the study. YC and BW collected the samples. YC, FL and MAA performed the acquisition of the data and data analysis. YC, BW, FL, and JHH conducted the laboratory work, data handling and analysis and reviewed the manuscript. All authors contributed to the writing of the manuscript. All authors read and approved the final manuscript.
The authors thank all study participants, local health officials and field doctors for their participation and support.
The authors declare that they have no competing interests.
Availability of data and materials
The datasets analyzed in this study are available from the research team but were used under license in this study, and as such, they are not publicly available; therefore, restrictions may apply. However, data are available from the corresponding authors upon reasonable request and are subject to obtaining permission from the original research team.
Consent for publication
Ethics approval and consent to participate
This study was approved by the Ethics Committee of Kangwon National University Hospital, ROK (IRB No. 2014-08-008-002). Informed consent was obtained from all of the participants.
This study was funded by grants from National Natural Science Foundation of China (81601787). This work was supported by a National Research Foundation of Korea (NRF) Grant funded by the Korean Government (MSIP; NRF-2014R1A2A1A11052079), by the Basic Science Research Program through the National NRF and funded by the Ministry of Science, ICT & Future Planning (2015R1A4A1038666), and by 2016 Research Grant from Kangwon National University (No. D1000810-01-01).
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- Price RN, Tjitra E, Guerra CA, Yeung S, White NJ, Anstey NM. Vivax malaria: neglected and not benign. Am J Trop Med Hyg. 2007;77:79–87.PubMedPubMed CentralView ArticleGoogle Scholar
- Hay SI, Guerra CA, Tatem AJ, Noor AM, Snow RW. The global distribution and population at risk of malaria: past, present, and future. Lancet Infect Dis. 2004;4:327–36.View ArticlePubMedPubMed CentralGoogle Scholar
- Carlton JM, Sina BJ, Adams JH. Why is Plasmodium vivax a neglected tropical disease? PLoS Negl Trop Dis. 2011;5:e1160.View ArticlePubMedPubMed CentralGoogle Scholar
- Miller LH, Good MF, Milon G. Malaria pathogenesis. Science. 1994;264:1878–83.View ArticlePubMedGoogle Scholar
- Pinzon CG, Curtidor H, Bermudez A, Forero M, Vanegas M, Rodriguez J, Patarroyo ME. Studies of Plasmodium falciparum rhoptry-associated membrane antigen (RAMA) protein peptides specifically binding to human RBC. Vaccine. 2008;26:853–62.View ArticlePubMedGoogle Scholar
- Kauth CW, Woehlbier U, Kern M, Mekonnen Z, Lutz R, Mucke N, Langowski J, Bujard H. Interactions between merozoite surface proteins 1, 6, and 7 of the malaria parasite Plasmodium falciparum. J Biol Chem. 2006;281:31517–27.View ArticlePubMedGoogle Scholar
- Sanders PR, Gilson PR, Cantin GT, Greenbaum DC, Nebl T, Carucci DJ, McConville MJ, Schofield L, Hodder AN, Yates JR 3rd, Crabb BS. Distinct protein classes including novel merozoite surface antigens in Raft-like membranes of Plasmodium falciparum. J Biol Chem. 2005;280:40169–76.View ArticlePubMedGoogle Scholar
- Richie TL, Saul A. Progress and challenges for malaria vaccines. Nature. 2002;415:694–701.View ArticlePubMedGoogle Scholar
- Lu F, Li J, Wang B, Cheng Y, Kong DH, Cui L, Ha KS, Sattabongkot J, Tsuboi T, Han ET. Profiling the humoral immune responses to Plasmodium vivax infection and identification of candidate immunogenic rhoptry-associated membrane antigen (RAMA). J Proteomics. 2014;102:66–82.View ArticlePubMedGoogle Scholar
- Dreyer AM, Beauchamp J, Matile H, Pluschke G. An efficient system to generate monoclonal antibodies against membrane-associated proteins by immunisation with antigen-expressing mammalian cells. BMC Biotechnol. 2010;10:87.View ArticlePubMedPubMed CentralGoogle Scholar
- Carlton JM, Adams JH, Silva JC, Bidwell SL, Lorenzi H, Caler E, Crabtree J, Angiuoli SV, Merino EF, Amedeo P, et al. Comparative genomics of the neglected human malaria parasite Plasmodium vivax. Nature. 2008;455:757–63.View ArticlePubMedPubMed CentralGoogle Scholar
- Bozdech Z, Mok S, Hu G, Imwong M, Jaidee A, Russell B, Ginsburg H, Nosten F, Day NP, White NJ, et al. The transcriptome of Plasmodium vivax reveals divergence and diversity of transcriptional regulation in malaria parasites. Proc Natl Acad Sci USA. 2008;105:16290–5.View ArticlePubMedGoogle Scholar
- Cheng Y, Li J, Ito D, Kong DH, Ha KS, Lu F, Wang B, Sattabongkot J, Lim CS, Tsuboi T, Han ET. Antigenicity and immunogenicity of PvRALP1, a novel Plasmodium vivax rhoptry neck protein. Malar J. 2015;14:186.View ArticlePubMedPubMed CentralGoogle Scholar
- Chen JH, Jung JW, Wang Y, Ha KS, Lu F, Lim CS, Takeo S, Tsuboi T, Han ET. Immunoproteomics profiling of blood stage Plasmodium vivax infection by high-throughput screening assays. J Proteome Res. 2010;9:6479–89.View ArticlePubMedGoogle Scholar
- Tsuboi T, Takeo S, Sawasaki T, Torii M, Endo Y. An efficient approach to the production of vaccines against the malaria parasite. Methods Mol Biol. 2010;607:73–83.View ArticlePubMedGoogle Scholar
- Cheng Y, Wang Y, Ito D, Kong DH, Ha KS, Chen JH, Lu F, Li J, Wang B, Takashima E, et al. The Plasmodium vivax merozoite surface protein 1 paralog is a novel erythrocyte-binding ligand of P. vivax. Infect Immun. 2013;81:1585–95.View ArticlePubMedPubMed CentralGoogle Scholar
- Muh F, Han JH, Nyunt MH, Lee SK, Jeon HY, Ha KS, Park WS, Hong SH, Ahmed MA, Na S, et al. Identification of a novel merozoite surface antigen of Plasmodium vivax, PvMSA180. Malar J. 2017;16:133.View ArticlePubMedPubMed CentralGoogle Scholar
- Putaporntip C, Udomsangpetch R, Pattanawong U, Cui L, Jongwutiwes S. Genetic diversity of the Plasmodium vivax merozoite surface protein-5 locus from diverse geographic origins. Gene. 2010;456:24–35.View ArticlePubMedPubMed CentralGoogle Scholar
- Sanders PR, Kats LM, Drew DR, O’Donnell RA, O’Neill M, Maier AG, Coppel RL, Crabb BS. A set of glycosylphosphatidyl inositol-anchored membrane proteins of Plasmodium falciparum is refractory to genetic deletion. Infect Immun. 2006;74:4330–8.View ArticlePubMedPubMed CentralGoogle Scholar
- Soares IS, Levitus G, Souza JM, Del Portillo HA, Rodrigues MM. Acquired immune responses to the N- and C-terminal regions of Plasmodium vivax merozoite surface protein 1 in individuals exposed to malaria. Infect Immun. 1997;65:1606–14.PubMedPubMed CentralGoogle Scholar
- de Oliveira CI, Wunderlich G, Levitus G, Soares IS, Rodrigues MM, Tsuji M, del Portillo HA. Antigenic properties of the merozoite surface protein 1 gene of Plasmodium vivax. Vaccine. 1999;17:2959–68.View ArticlePubMedGoogle Scholar
- Changrob S, Leepiyasakulchai C, Tsuboi T, Cheng Y, Lim CS, Chootong P, Han ET. Naturally-acquired cellular immune response against Plasmodium vivax merozoite surface protein-1 paralog antigen. Malar J. 2015;14:159.View ArticlePubMedPubMed CentralGoogle Scholar
- Cheng Y, Lu F, Wang B, Li J, Han JH, Ito D, Kong DH, Jiang L, Wu J, Ha KS, et al. Plasmodium vivax GPI-anchored micronemal antigen (PvGAMA) binds human erythrocytes independent of Duffy antigen status. Sci Rep. 2016;6:35581.View ArticlePubMedPubMed CentralGoogle Scholar
- Gowda DC. TLR-mediated cell signaling by malaria GPIs. Trends Parasitol. 2007;23:596–604.View ArticlePubMedGoogle Scholar