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Natural selection and genetic diversity of domain I of Plasmodium falciparum apical membrane antigen-1 on Bioko Island
Malaria Journal volume 18, Article number: 317 (2019)
Plasmodium falciparum apical membrane antigen-1 (PfAMA-1) is a promising candidate antigen for a blood-stage malaria vaccine. However, antigenic variation and diversity of PfAMA-1 are still major problems to design a universal malaria vaccine based on this antigen, especially against domain I (DI). Detail understanding of the PfAMA-1 gene polymorphism can provide useful information on this potential vaccine component. Here, general characteristics of genetic structure and the effect of natural selection of DIs among Bioko P. falciparum isolates were analysed.
214 blood samples were collected from Bioko Island patients with P. falciparum malaria between 2011 and 2017. A fragment spanning DI of PfAMA-1 was amplified by nested polymerase chain reaction and sequenced. Polymorphic characteristics and the effect of natural selection were analysed using MEGA 5.0, DnaSP 6.0 and Popart programs. Genetic diversity in 576 global PfAMA-1 DIs were also analysed. Protein function prediction of new amino acid mutation sites was performed using PolyPhen-2 program.
131 different haplotypes of PfAMA-1 were identified in 214 Bioko Island P. falciparum isolates. Most amino acid changes identified on Bioko Island were found in C1L. 32 amino acid changes identified in PfAMA-1 sequences from Bioko Island were found in predicted RBC-binding sites, B cell epitopes or IUR regions. Overall patterns of amino acid changes of Bioko PfAMA-1 DIs were similar to those in global PfAMA-1 isolates. Differential amino acid substitution frequencies were observed for samples from different geographical regions. Eight new amino acid changes of Bioko island isolates were also identified and their three-dimensional protein structural consequences were predicted. Evidence for natural selection and recombination event were observed in global isolates.
Patterns of nucleotide diversity and amino acid polymorphisms of Bioko Island isolates were similar to those of global PfAMA-1 DIs. Balancing natural selection across DIs might play a major role in generating genetic diversity in global isolates. Most amino acid changes in DIs occurred in predicted B-cell epitopes. Novel sites mapped on a three dimensional structure of PfAMA-1 showed that these regions were located at the corner. These results may provide significant value in the design of a malaria vaccine based on this antigen.
Although global morbidity and mortality have decreased substantially, malaria is still a great public health concern, especially in Africa . The World Malaria Report 2018 draws on data from 87 countries and areas with ongoing malaria transmission. Recent research shows that after an unprecedented period of success in global malaria control, progress has stalled. An estimated 219 million (95% confidence interval [CI]: 203–262 million) persons suffer from malaria infections worldwide, with 435,000 malaria deaths in 2017. Fifteen countries accounted for 80% of global malaria deaths in 2017, and the 10 highest burdened African countries saw an estimated 3.5 million more malaria cases in 2017 compared with the previous year . Malaria is endemic in Equatorial Guinea, a country in Central West Africa with a population of around 1 million inhabitants. In 2004, the government and private parties formed a Public–Private Partnership that has spent the last 15 years controlling malaria on Bioko Island and parts of the mainland in an effort to reduce malaria’s burden on the population. The Bioko Island Malaria Control Project (BIMCP) implemented by the U.S. NGO, Medical Care Development International (MCDI) and the Ministry of Health and Social Welfare of the Government of Equatorial Guinea, has reduced malaria prevalence from 74% (by thick blood smear) in 2003 to 11% (by rapid diagnostic test) in 2017 in children 2 to 14 years of age. Infant mortality due to malaria infection has reduced by 85% (by rapid diagnostic test). However, it has proven difficult to eliminate malaria from this region despite the increasing intensity of malaria intervention. With the emergence and geographical expansion of anti-malarial resistance worldwide, molecular markers are essential tools for the surveillance of resistant Plasmodium parasites . The decrease of island-wide P. falciparum prevalence was steep in the first year following the implementation of malaria intervention. However, it is still a major obstacle to public health and economic growth for countries in the tropics and subtropical regions .
Vaccines are the most cost effective and efficient method of protecting against malaria. However, malaria, one of the oldest and deadliest pathogens in human history, remains without a marketed vaccine. The Equato-Guinean Malaria Vaccine Initiative (EGMVI) is engaging in conducting a series of clinical trials that will advance a PfSPZ vaccine through to phase III clinical trials and eventually test the public health utility of the vaccine in malaria elimination projects. Therefore, the development of an effective vaccine against P. falciparum is a necessary priority, particularly due to the increased resistance of this parasite to anti-malarial drugs [3, 5]. Up to date, several candidate proteins, including circumsporozoite protein (CSP), Duffy-binding protein (DBP), merozoite surface protein-1 (MSP-1), apical membrane antigen-1 (AMA-1), and thrombospondin-related anonymous protein (TRAP) have been tested for their potential as candidate antigens for the development of effective vaccines . For MSP-1, previous report showed high genetic diversity and MOI values among the P. falciparum population . A high prevalence of Pfdhfr-Pfdhps quadruple mutations were detected, which is associated with sulfadoxine resistance in P. falciparum isolates on Bioko Island. This result reflects both the high endemic level of malaria and its transmission on Bioko Island .
AMA-1 is an 83-kDa type I integral membrane protein localized to the apical complex . It is mainly expressed in the merozoite and sporozoite stages of malaria parasites and appears to be transported to the merozoite surface in late schizonts and free merozoites [9,10,11,12,13,14]. AMA-1 consists of a signal sequence, a cysteine-rich ectodomain, a conserved cytoplasmic region and a transmembrane region . The ectodomain of AMA-1 is subdivided into three immunogenic domains, and natural immune responses against this domain have been reported in patients infected with P. falciparum [16, 17]. The biological function of AMA-1 is not understood thoroughly, though its stage-specific expression and localization suggest that this protein might play a crucial role in invasion [9, 12, 18, 19]. There is also several evidence that suggest that AMA-1 forms a complex with RON2 to form the moving junction during invasion of merozoites into erythrocytes [17,18,19,20,21,22,23]. According to a previous report, AMA-1 can induce a protective immune response that produces antibodies that can effectively inhibit P. falciparum from invading red blood cells . However, polymorphism of protozoan antigen and immune evasion of plasmodium have impeded the development of a malaria vaccine. PfAMA1 is the main candidate antigen of a red-blood stage vaccine and has entered a phase II clinical trial . Due to its essential role for parasite survival and high level of immunogenicity during natural infection in humans, vaccination studies conducted in BALB/C mouse models have confirmed that AMA-1 is a potential vaccine antigen against P. falciparum .
Independent studies provide strong evidence that balancing selection acts to maintain these polymorphisms in the population, reflecting the importance of AMA-1 as a target of protective immunity [27,28,29,30]. However, these antibodies can recognize either conserved or allele-specific epitopes of AMA-1, resulting in limited protection for different alleles . Several polymorphisms can be observed in DI of AMA-1, suggesting that this region seems to be the main target of anti-AMA-1 protective antibodies [30, 32,33,34,35]. Nevertheless, genetic diversity of AMA-1 among Plasmodium field isolates and the presence of variant forms in different geographic areas present hurdles in successful malaria vaccine design. Therefore, in order to design an efficient and protective malaria vaccine, it is essential to monitor genetic variations of candidate vaccine antigens in global malaria isolates circulating in endemic areas .
Although the incidence of malaria has decreased significantly through BIMCP, P. falciparum is still the most critical concern for malaria control and prevention on Bioko Island with the emergence of artemisinin resistance [3, 5]. In this study, natural selection and genetic diversity of AMA-1 DI region in Bioko P. falciparum isolates were analysed.
The study was carried out in the clinic of the Chinese medical aid team for the Republic of Equatorial Guinea, Malabo Regional Hospital. Ethical approval was obtained from the Ethics Committee of Malabo Regional Hospital (EGCNGD-071). Bioko Island, the largest island of Equatorial Guinea, is located in the Gulf of Guinea, approximately 100 km off the coast of southern Nigeria and 160 km northwest of continental Equatorial Guinea (Fig. 1). The island has a population of 334,463 inhabitants (2015 census, of which approximately 90% live in Malabo, the capital city of Equatorial Guinea) and a humid tropical environment.
Plasmodium falciparum clinical samples (from individuals 4 months to 80 years of age) were collected from 214 confirmed P. falciparum malaria cases identified by microscopic examination and an immuno-colloidal gold test kit (ICT Diagnostics) in 2011–2017. Informed consent was obtained from all participating subjects or their parents. Blood samples were collected on filter paper (Whatman 3 mm, GE Healthcare, Pittsburg, USA) for further molecular analysis, air-dried and stored in sealed plastic bags at ambient temperature. Thick blood smears were air dried and stained with 10% fresh Giemsa following standard procedures. After coding and recording the patient medical records, the dried blood filters were then stored in plastic sealing bags and stored at − 80 °C.
Parasite DNA was extracted from dried filter blood spots by following the Chelex-100 extraction method described in previous article . The DNA products were collected in sterile tubes and stored at −20 °C.
Amplification and sequencing analysis of DI of PfAMA-1
AMA-1 sequences were amplified by nested PCR. For the first round PCR, 1 μl of DNA was added to 12.5 μl 2× MasterMix (DNA polymerase, dNTP mixture, PCR buffer), 1 μl of 10 μmol/l forward primer (5′-TGAAGAAGTTCATGGTTCAGGT-3′), 1 μl of 10 μmol/l reverse primer (5′-GCACTTTTGATCATACTAGCGTT-3′), and sterile ultrapure water to a final volume of 25 μl. Thermal cycling parameters for PCR were as follows: one cycle of an initial denaturation at 94 °C for 3 min, 30 cycles of 94 °C for 30 s, annealing at 55 °C for 30 s and extension at 72 °C for 2 min, followed by a final extension step at 72 °C for 5 min. For the second round PCR, 2 μl of the primary PCR product was amplified in a 50 μl reaction volume comprised of 25 μl 2× Master Mix (DNA polymerase, dNTP mixture, PCR buffer), 2 μl of 10 μmol/l forward primer (5′-GTTGATCCGAAGCACTCA-3′), 2 μl of 10 μmol/l reverse primer (5′-AGATGCTGAAGTAGCTGGAA-3′), and sterile ultrapure water to a final volume of 50 μl. All PCR products were analysed using 2.0% agarose gel electrophoresis, and then, they were purified and sequenced by using an ABI 3730 × L Automated Sequencer (Shanghai Yingjun Biotechnology Co., LTD, Guangzhou branch). In our study, DI (nt: 445 ~ 906 bp; 149–302 aa) sequences of the PfAMA-1 gene in 214 P. falciparum isolates were successfully amplified, including the C1 region (559–693 bp; 187–207 aa), C1L region (586–621 bp; 197–207 aa), C2 region (724–735 bp; 242–245 aa and 844–858 bp; 282–286 aa) and C3 region (514–525 bp; 172–175 aa). To ensure the accuracy of the sequencing, at least two clones of each isolate was sequenced. Sequencing primers were the reverse primers of the second round PCR, all sequences were analysed and integrated by Bioedit and MEGA5.0 software. These nucleotide sequences have been deposited at SRA under accession numbers (SRX4999365–SRX4999578).
Nucleotide sequence polymorphism analysis and neutrality test
Nucleotide and predicted amino acid sequences of DI were analysed using MEGA5.0 . Nucleotide sequence polymorphism analysis was conducted for 214 sequences . Numbers of segregating sites (S), haplotypes (H), haplotype diversity (Hd), nucleotide diversity (π), and average number of pair-wise nucleotide differences within a population (K) were estimated using DnaSP6.0 . The value of π was calculated to estimate step-wise diversity throughout DI based on a sliding window of 100 bases with a step size of 5 bp. Values of non-synonymous (dN) and synonymous (dS) substitutions were estimated and compared using the Z test (P < 0.05 was considered significant) in the MEGA5.0 program  based on method of Nei and Gojobori  with Jukes and Cantor correction. Tajima’s D value  and Fu and Li’s D and F values  were analysed using DnaSP 6.0 to evaluate the neutral theory of evolution . Recombination parameters (R), which included the effective population size and probability of recombination between adjacent nucleotides per generation, and minimum number of recombination events (Rm) were analysed by DnaSP6.0 . Linkage disequilibrium (LD) between different polymorphic sites was computed based on the R2 index using DnaSP6.0 . Protein function prediction of new amino acid mutation sites was performed using the PolyPhen-2 program .
Population diversity of PfAMA-1 DIs among other global P. falciparum isolates
Genetic diversity of PfAMA-1 DIs in other global P. falciparum isolates was analysed. Parasite populations from Ghana (n = 37, AB71569–AB715734), Tanzania (n = 62, AB715636–AB715697), Nigeria (n = 51, AJ408300–AJ408350), Solomon (n = 50, AB715960–AB716009), Gambia (n = 114, FJ555752–FJ555865), Kenya (n = 129, FN869569–FN869697), Benin (n = 23, AJ271168–AJ271190), Thailand (n = 80, AB715735–AB715814), and Venezuela (n = 30, EU332414–EU332443) were included in the analysis. All publicly available sequences covered the DI sequences of PfAMA-1. Nucleotide sequence polymorphism analysis and neutrality test for each population were performed using programs DnaSP6.0  and MEGA5.0  as described above. Genetic differentiation among parasite populations was calculated based on the fixation index (Fst) to estimate pairwise DNA sequence diversity between and within populations using Arlequin 3.5 . To investigate relationships among PfAMA-1 haplotypes, the haplotype network for a total of 790 PfAMA-1 sequences, including 214 Bioko Island sequences and the 576 publicly available sequences from Benin, Gambia, Ghana, Kenya, Nigeria, Solomon, Tanzania, Thailand and Venezuela, was constructed using the Median Joining algorithm of Popart program . To assess whether genetic diversity in DI within P. falciparum isolates was associated with host immune pressure, genetic diversity in predicted B-cell epitopes, intrinsically unstructured/disordered regions (IUR), and RBC binding regions in other global PfAMA-1 were analysed [45,46,47,48]. Nucleotide diversity and natural selection of each region were analysed using DnasP6.0 as described above .
Sequence polymorphism in DI sequences of PfAMA-1 on Bioko Island
One hundred thirty-one different haplotypes of DI were identified in 214 Bioko P. falciparum isolates. Comparison of 214 DI sequences with PfAMA-1 sequences from the 3D7 P. falciparum clone (GenBank Accession Number U65407) revealed amino acid changes at 40 positions in 214 Bioko PfAMA-1 sequences, including 26 di-morphic amino acid changes and 14 tri-, tetra-, or penta-morphic amino acid changes (Additional file 1). Most amino acid changes were in C1 region (14 amino acid changes), and these amino acid changes were distributed throughout each Bioko PfAMA-1 haplotype. Of the 14 tri-, tetra-, or penta-morphic amino acid changes, eight (E187K/N/D, L189P/H, D196N/K, E197Q/G/H/D/R/C, H200L/D/R/V/G, F201L/S, D204 N/K and K230Q/E) were found in C1 region, whereas others (C149K/Y/*, G172E/V, Y175D/H, K243E/N, K245E/N, I282K/E) were found primarily in the C2 and C3 regions. Among 26 dimorphic amino acid changes identified in Bioko PfAMA-1 isolates, 18 have been previously reported in other geographical P. falciparum isolates. However, the remaining 8 changes P150T (2.29%), V151I (0.76%), I158S (1.53%), G180C (2.29%), A182V (0.76%), D266N (3.82%), S272N (0.76%) and D281H (1.53%) were novel (Additional file 1). Function prediction, using the PolyPhen-2 program, of the 8 novel sites showed that all 8 mutations were likely to affect the structure and function of PfAMA-1 (Table 5). The protein structural bioinformatics analysis inferred that these 8 mutations distributing the corner area of PfAMA-1 protein (Fig. 2).
Amino acid polymorphisms in DIs of Bioko Island PfAMA-1 compared to global PfAMA-1 isolates
When patterns of amino acid polymorphisms identified in DI of Bioko Island PfAMA-1 isolates were compared to those from other countries, similar but not identical polymorphic patterns were observed. Most amino acid changes of DI, previously identified in the global PfAMA-1 sequence databank, were found in the C1 region (Fig. 3). Most notable amino acid changes identified in Bioko PfAMA-1 DI were Y175D/H (92.37%), E197H/R/D/G/Q/C (92.37%), which present in Bioko Island sequences commonly, meanwhile their frequencies were also high in other global PfAMA-1 isolates. Frequencies of Y175D/H variation in other global isolates were as follows: Benin (80.95%), Gambia (92.00%), Ghana (95.24%), Kenya (92.06%), Nigeria (97.06%), Solomon (87.50%), Tanzania (91.18%), Thailand (77.78%), and Venezuela (40.00%). Substitutions E197H/R/D/G/Q/C were also high in C1L region from most countries: Benin (76.19%), Gambia (88.00%), Ghana (90.48%), Kenya (93.65%), Nigeria (94.12%), Solomon (87.50%), Tanzania (85.30%), and Thailand (94.45%), but not Venezuela (60.00%). High frequencies of H200D/L/R/V/G (77.09%), K206E (83.97%), I225 N (77.86%) and I282 K/E (90.83%) variations were also observed in C1 and C2 regions of Bioko PfAMA-1 isolates. Highly polymorphic patterns of these four amino acid changes were also present in other global PfAMA-1 isolates. Two amino acid changes (D244 N, N286D) in C2 region were common in some of the African PfAMA-1 sequences (Gambia, Kenya, and Tanzania), but they were not identified or very rarely identified in the DI region from other countries. Moreover, P150T, V151I, I158S, G180C, A182 V, D266 N, S272 N, D281H mutations were uniquely identified in Bioko PfAMA-1 isolates, although their substitution frequencies were very low.
Nucleotide diversity and natural selection of DIs from Bioko P. falciparum isolates
Nucleotide diversity and natural selection of DIs from 214 Bioko P. falciparum isolates were analysed (Table 1). The K value was 12.795. The highest nucleotide differences were found in C1 region (K = 7.489), whereas the lowest were found in C3 region (K = 0.925). Haplotype diversity for DIs was 0.991 ± 0.0017. This value was higher for the C1 region (0.976 ± 0.003) than for the C2 (0.599 ± 0.031 and 0.777 ± 0.018) or C3 (0.692 ± 0.020) region. The π value of DIs was 0.02776 ± 0.00042. Analysis of π values for the C1, C1L, C2, and C3 regions revealed that the most nucleotide diversity was concentrated in the C1L and C2 regions. To examine whether natural selection has contributed to generation of DI diversity in Bioko P. falciparum populations, the value of dN − dS was estimated using the Nei and Gojobori method. The value of dN − dS for DIs was 0.0327, suggesting that balancing natural selection might have occurred in DIs of the Bioko P. falciparum populations. Considering high positive dN − dS values for the C1L (0.1378) and C2 (0.1669) regions, these regions might experience the most pressure from balancing natural selection forces. The estimated Tajima’s D value of DIs was 0.56734 (P > 0.10). When Tajima’s D value was analysed for each domain, the C1 (1.49861, P > 0.10) and C1L (1.24277, P > 0.10) regions showed higher positive Tajima’s D values compared to other regions.
Nucleotide diversity and natural selection of DIs in other global P. falciparum isolates
Nucleotide diversity of DIs among other global isolates, including Benin, Gambia, Ghana, Kenya, Nigeria, Solomon, Tanzania, Thailand and Venezuela were analysed, and compared to Bioko PfAMA-1 isolates. K values of DIs among African PfAMA-1 isolates (Ghana, K = 12.555; Kenya, K = 12.886) were higher than those of Asian (Thailand, K = 11.428) and South American (Venezuela, K = 5.617) PfAMA-1 isolates (Table 2). Nucleotide diversity across DIs from different countries also slightly differed by geographical area. The level of nucleotide diversity across the DIs of Bioko Island P. falciparum isolates (π = 0.02776) was higher than that from Venezuela (π = 0.01216) or Thailand (π = 0.02474) isolates, but similar to that from Ghana (π = 0.02717), Benin (π = 0.02577), Tanzania (π = 0.02697) and Solomon (π = 0.02552). A sliding window plot of π revealed that DIs from different geographical areas shared highly similar patterns of nucleotide diversity through their sequences, with two peaks in the C1 region. Maximum diversity was found in the C1 region (Fig. 4a). All DI sequences from different countries showed positive Tajima’s D values, suggesting a pattern of balancing selection across DIs in global P. falciparum samples (Table 2). A sliding window plot analysis also showed that DIs of other global PfAMA-1 genes had a similar pattern for Tajima’s D across the board, albeit some differences were identified among DIs with different geographical origins (Fig. 4b).
Recombination and linkage disequilibrium
The minimum number of recombination events between adjacent polymorphic sites (Rm) for DIs of Bioko PfAMA-1 was estimated to be 21. The R values between adjacent sites (Ra) and per gene (Rb) were 0.2646 and 122, respectively. Possible recombination events were also identified in DIs of other global PfAMA-1 genes. The highest R values were predicted for DIs of African PfAMA-1 (Nigeria and Kenya) populations, whereas the lowest R values were predicted for DIs of Venezuela PfAMA-1 isolates (Table 3). The LD index (R2) for DIs of global PfAMA-1 genes also decreased with increasing distance across this gene (Additional file 2).
Nucleotide differentiation among DIs of other global PfAMA-1
To investigate the degree of gene flow and genetic differentiation among DIs of global PfAMA-1 sequences, Fst values were evaluated for DIs from different geographical P. falciparum populations deposited in GenBank (Table 4). Fst values between different geographical PfAMA-1 populations varied from 0.00317 (−, P > 0.05) between Kenya and Nigeria to 0.32747 (+, P < 0.05) between Venezuela and Benin, except negative values. Three negative values appeared in the Fst analysis, which may be due to the close geographical location of the sample source and the short sequence interval analysed in this study.
Haplotype network analysis
Haplotype network analysis of PfAMA-1 haplotypes from global P. falciparum populations showed a dense network with pretty complex relationships (Fig. 5). A total of 268 haplotypes were identified in 790 PfAMA-1 sequences, of which 66.04% was singleton. Haplotype prevalence ranged from 0.12 to 4.17%. The most prevalent haplotype was haplotype 48 (Hap_48) with a frequency of 4.17%. Haplotypes 4, 5, 34, 58, 72, 132 and 141 (Hap_4, 5, 34, 58, 72, 132 and 141) were other major haplotypes with high prevalence (2.53 to 3.29%). Only Haplotype_48 (Hap_48) contained haplotypes from three continents. Haplotypes_58, 140, 141, 142 and 145 (Hap_58, 140, 141, 142 and 145) were composed of haplotypes from two continents (Asian and African populations). Haplotypes from Venezuela were more likely to be distributed alone (Hap_132, 133, 134 and 135). Haplotypes from Bioko Island were mostly scattered with no particular distribution pattern (red pie, Fig. 5).
Association between natural selection and host immune pressure
The selective pressure of host immunity on DIs was evaluated by analyzing genetic polymorphisms in predicted RBC-binding sites, B-cell epitopes and IUR regions. Results showed that most amino acid changes caused by SNPs were found in predicted RBC-binding sites, B-cell epitopes or IUR regions of PfAMA-1 (Fig. 6a). Seven amino acid changes were found in predicted RBC-2 binding sites, two of which (Y175D/H (92.37%), E187 N/K/D (67.18%)) were high frequency and two (G180C, A182 V) were novel sites. Five and sixteen amino acid changes were found in predicted B cell-3 and 4 regions, respectively. Most of them were commonly identified in global PfAMA-1 isolates, each of these two predicted regions has a new amino acid change, I158S was in the predicted B cell-3 region and D266 N was in the predicted B cell-4 region. Also, four amino acid changes were found in the predicted IUR-2 (I225 N, N228 K, K230Q/E and D242Y) and IUR-3 (D266 N, E267Q, K269I and S272 N) regions, respectively, and were all commonly identified in global PfAMA-1. The π value and Tajima’s D value of these regions were calculated in the different countries (Fig. 6b). In particular, high levels of π were predicted for RBC-2 region, and the value varied little by different country except Venezuela (0.0333). Tajima’s D values for the predicted RBC-2, B cell-3, 4 and IUR-3 regions were all positive, indicating balancing selection. Meanwhile, Tajima’s D values for predicted IUR-2 were negative (Benin and Nigeria) (Fig. 6b). The several predicted regions contained major polymorphic amino acid changes in global PfAMA-1 isolates, and five of eight novel sites were found in these regions (Fig. 6a).
The World Malaria Report 2018 draws on data from 87 countries and areas with ongoing malaria transmission. These reports show that after an unprecedented period of success in global malaria control, progress has stalled . This study provides useful information for the prevention and control of P. falciparum on Bioko Island by analyzing the DI region of AMA-1 gene for a P. falciparum vaccine, as well as characterize the genetic polymorphism and molecular evolution. Although the frequencies of these new mutation sites are not very high, four of them are distributed in B cell-3 (I158T), RBC-2 (G180C, A182V) and B cell-4 (D266N), respectively. The predicted results showed that all 8 mutations are likely to affect the structure and function of PfAMA-1 (probably damaging). Most of these proteins are distributed in the corner area. Whether these mutations cause changes in protein structure and function and affect the binding with human host protein remains to be verified (Table 5, Fig. 2). Moreover, it was found that mutations in DI domain, especially in the C1, C1L, C2 and C3 regions, are highly correlated with the pathogenicity of the host after parasite antigen escape and infection . Nucleotide sequence analysis of these 214 PfAMA-1 sequences from Bioko populations compared to PfAMA-1 from P. falciparum clone 3D7 (GenBank Accession Number U65407) revealed 131 different haplotypes. Most amino acid changes identified from Bioko PfAMA-1 isolates were clustered in C1 region, especially the C1L region, which is consistent with previous reports on the DI region mutations of PfAMA-1 from other endemic areas [45, 50]. Overall distribution patterns and frequencies of amino acid changes found on Bioko Island were similar to those of other PfAMA-1 changes found globally, but several differences between Bioko Island and other global PfAMA-1 isolates have also been identified in this study. The implication of these geographic differences is not entirely clear. Considering that only the DI region and a limited number of PfAMA-1 isolates in each geographical area were analysed in this study, these amino acid changes and their different frequencies may not be statistically significant. In fact, many of these amino acid changes in other PfAMA-1 genes were generally found and distributed globally in other PfAMA-1 sequences, although their frequencies varied between and among populations. Therefore, to better understand the polymorphism of nucleotide and amino acid of PfAMA-1 on Bioko Island, more PfAMA-1 sequences are required.
The π value for global PfAMA-1 varies, ranging from 0.01216 (Venezuela) to 0.02789 (Kenya). The π values of African PfAMA-1 sequences (Bioko Island, Ghana, Tanzania, Nigeria, Gambia, Kenya and Benin) are higher than those in South American and Asian PfAMA-1 sequences. The π values are higher on Bioko Island (0.02776) than in other African countries except Kenya (0.02789). Indeed, nucleotide diversity was not distributed throughout Bioko Island PfAMA-1. The C2 (844–858 bp) and C3 (514–525 bp) regions show low levels of nucleotide diversity, indicating that these regions might be more conserved, with a lower frequency of polymorphisms. Moreover, much higher values of nucleotide diversity are observed in the C1L (586–621 bp) and another C2 region (724–735 bp) regions, indicating that a higher frequency of polymorphisms occurs at these regions. Indeed, DI, especially the C1 and C1L regions, are targets of the host’s immune system. The high number of DI polymorphisms in the Bioko Island population suggests that this region is under the selection of host immune pressure during evolution. Previous studies on disease-blocking vaccines using PfAMA-1 monoclonal antibody showed that amino acid mutations in the C1 region (197/200/201/204/225) of PfAMA-1 could block the binding of monoclonal antibody to PfAMA-1, thereby inhibiting the effectiveness of the vaccine. In this study, the C1 region showed a high number of polymorphisms at the gene and amino acid levels, suggesting that the above region may affect the effectiveness of vaccines. Although the values are different among and between other global PfAMA-1 isolates, highly similar distribution patterns of nucleotide diversity have been detected in global PfAMA-1 genes analysed in this study, strongly indicating that these PfAMA-1 genes might share highly similar nucleotide diversity. The dN − dS value for Bioko Island PfAMA-1 DIs is positive, suggesting involvement of balancing selection. Also, the dN − dS value for all regions of DI is positive, indicating positive natural selection throughout DIs. The positive Tajima’s D values for Bioko Island PfAMA-1 also suggested that this gene might have evolved under balancing selection. In the sliding plot analysis of Tajima’s D, general patterns of Tajima’s D values across Bioko Island PfAMA-1 were similar to those of other PfAMA-1 genes, although differences among and between PfAMA-1s from different countries were also found. Regardless of the slight difference in values, C1, C2 and C3 regions all shared pretty similar distribution patterns of Tajima’s D values, strongly indicating that these regions might be major targets for the host immune response. Fu and Li’s D and F tests also provide enough evidence for balancing selection of PfAMA-1 on Bioko Island. These values suggest that PfAMA-1 DIs from Bioko Island populations are highly polymorphic with a strong selection force acting on it, similar to other global PfAMA-1 genes. In addition to natural selection, recombination also contributes to the diversity of PfAMA-1. Meiotic recombination that occurs between the adjacent polymorphic sites is responsible for the high allelic diversity in DI . These results also indicate that a high level of recombination events have occurred in PfAMA-1 isolates on Bioko Island. High levels of recombination in PfAMA-1 from different geographical isolates have been previously reported [28, 35, 45, 46, 50,51,52,53,54]. High recombination events were found in Bioko Island PfAMA-1 sequences compare to samples from other geographical areas. This might be due to special island location of Bioko region, which attribute an opportunity to PfAMA-1 to undergo more recombination. Moreover, the incidence of recombination events in African countries is also generally higher than other areas, confirming the previous conclusions of recombination events. This is supported by the decline of the LD index R2 with increasing nucleotide distance in PfAMA-1 isolates on Bioko Island, consistent with previous reports [28, 45, 46, 50,51,52,53,54]. In conclusion, recombination is the most important factor generating genetic diversity in global PfAMA-1 populations.
The Fst value is one of the most useful methods for analyzing overall genetic differentiation (range from 0 to + 1). Fst values at each locus are considered as having no differentiation (0), low genetic differentiation (0–0.05), moderate differentiation (0.05–0.15) or high differentiation (0.15–0.25) . The Fst values for PfAMA-1 DIs on Bioko Island show a lower level of genetic differentiation than that of PfAMA-1 in other geographical populations except Benin, which occurs at a moderate level, as well as the values of Fst for most Asian and African countries. Also, a high level of genetic differentiation is found between Bioko Island and Venezuela. All of these indicate that Fst values between PfAMA-1 populations belonging to the same geographical area are relatively low. The negative values in the table were considered because DI of PfAMA-1 is too limited. However, Bioko Island shows a high Fst value for Venezuela (0.22087), providing strong evidence for geographical isolation and population segmentation in these regions. Total Fst values of DI between and among global PfAMA-1 isolates are in the low to medium differentiation range, indicating that PfAMA-1 has limited genetic differentiation among other parasite populations around the world.
It is important to understand the haplotype network of PfAMA-1 on Bioko Island with other global areas in order to develop a globally effective malaria vaccine based on this gene. A total of 296 different haplotypes were identified by network analysis of 790 PfAMA-1 sequences. Haplotype network analysis shows that haplotypes on Bioko Island are scattered among other haplotypes from different countries, which is consistent with a previous report . Compared with the African continent, Bioko Island is an independent Island with a special geographical location. It is an offshore Island, with special species diversity and evolution, but very close to seriously affected areas of malaria in West Africa. As a result, the distribution of P. falciparum on Bioko Island may to have no differences with the continent of Africa, but the distribution of the different geographic strains on the island is unclear. Therefore, the genetic diversity of PfAMA-1 DI regions on Bioko Island were analysed to carry out a detailed investigation on the distribution of different geographical strains to help understand the situation in this region and provide a reference for drug resistance investigations and medication guidance. Many single haplotypes appear in both clusters, but no pie completely covering all haplotypes was found in all geographic areas in this study. A recent report suggested that mutations in the PfAMA-1 sequence are not necessarily strong predictors of antigenic differences or cross-inhibitory antibody activity levels, since not all polymorphic residues contribute equally to antibody generation and escape . Due to the limited diversity of PfAMA-1 antigens, vaccines targeting a small number of PfAMA-1 alleles might be sufficient to cover naturally circulating populations of P. falciparum in different endemic areas . These results also indicate that the global genetic diversity of PfAMA-1 is relatively limited, even though substantial geographic differentiation can also be identified among populations. Nevertheless, global PfAMA-1 is undergoing natural selection and high levels of meiotic recombination, which can produce new alleles in a gene population. Therefore, consideration should be given to the development of PfAMA-1-based malaria vaccines using a polyallelic approach to maximize vaccine effectiveness.
To assess the association between host immune pressure and natural selection of PfAMA-1, genetic polymorphisms in predicted B-cell epitopes and IUR regions were analysed. Based on a recent report, detailed information on potential RBC-binding regions, B-cell epitopes and IURs across the ectodomain of PfAMA-1 were obtained . Most amino acid changes found in DI of PfAMA-1 on Bioko Island are predicted to be localized at predicted B-cell epitopes or IUR regions in DI. In this study, B-cell epitopes 3 and 4 show high levels of nucleotide diversity in PfAMA-1 on Bioko Island. Tajima’s D values for these predicted B-cell epitopes also suggest that these epitopes are under natural selection. The π values of RBC-2 regions in different geographical areas are close to each other, which suggests that the nucleotide diversity of DIs is similar in these regions. In Bioko Island PfAMA-1 isolates analysed in this study, the DI region shows clustering of amino acid polymorphisms in the C1L region. The C1L region is located near the hydrophobic pocket of DIs, which affects the binding of inhibitory monoclonal antibodies and thus leads to escape from antibody targeting [55, 56]. This shows that the important role of natural selection in generating PfAMA-1 gene diversity is very obvious just as the effect of natural selection of P. falciparum on Bioko Island, and also supports the idea that natural selection can promote host immune escape in this region [57, 58]. Therefore, it may be necessary to consider the polymorphism in DI in order to obtain more efficient vaccine components.
A major problem in the development of effective malaria vaccines is the genetic polymorphism observed in isolates worldwide. PfAMA-1 is one of the most promising malaria vaccine candidates for the blood stage of P. falciparum. The overall pattern of nucleotide diversity and distribution of amino acid changes of PfAMA-1 on Bioko Island is similar to those from other global isolates, although several novel amino acid changes are found on Bioko Island. Natural selection to balance across PfAMA-1 and high levels of recombination events observed on Bioko Island and other global PfAMA-1 genes suggest that natural selection and intragenic recombination might be the main drivers of genetic diversity in global PfAMA-1. High levels of nucleotide diversity and natural selection suggest that strong natural selection might have an effect on immune stress-related epitopes of PfAMA-1 hosts. The amino acid changes of DIs in PfAMA-1 on Bioko Island are mainly in predicted B cell epitopes. Although a highly complex haplotype diversity has been found in global populations, genetic diversity of PfAMA-1 between and among global parasite populations remains limited. Follow-up studies such as more samples and the expansion of PfAMA-1 may yield more representative mutation trends. The results of this study ensure the continuous detection of PfAMA-1 nucleotide and amino acid changes in global PfAMA-1, so as to provide more useful information for the development of malaria vaccine.
Availability of data and materials
The datasets supporting the conclusions of this article are included with in the article.
Plasmodium falciparum apical membrane antigen-1
merozoite surface protein-1
thrombospondin-related anonymous protein
The Bioko Island Malaria Control Project
numbers of segregating sites
average number of pair-wise nucleotide differences within a population
values of non-synonymous
values of synonymous
minimum number of recombination events
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The authors thank the Department of Health of Guangdong Province and the Department of Aid to Foreign Countries of the Ministry of Commerce of the People’s Republic of China for their help. Special thanks to Stanley Li Lin for helping to revise and polish the language of the manuscript.
This study was supported by the Natural Science Foundation of Guangdong Province to Jiang-Tao Chen (Grant No. 2016A03031311).
Ethics approval and consent to participate
Participants in the clinical study provided written informed consent before their enrolment, and the study was approved by the institutional ethics committee of Malabo Regional Hospital, Bioko, Equatorial Guinea. All participants received adequate anti-malarial treatment.
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