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Infection and Immunity, February 2001, p. 959-967, Vol. 69, No. 2
Department of Microbiology, Monash
University, Clayton, Victoria 3800, Australia1;
Institute for Malariology, Parasitology and Entomology, Hanoi,
Vietnam2; and Malaria Program, Naval
Medical Research Center, Silver Spring, Maryland
209103
Received 23 May 2000/Returned for modification 26 June
2000/Accepted 20 November 2000
Individuals living in areas where Plasmodium falciparum
is endemic experience numerous episodes of infection. These
episodes may or may not be symptomatic, with the outcome depending on a combination of parasite and host factors, several of which are poorly
understood. One factor is believed to be the particular alleles of
several parasite proteins to which the host is capable of mounting
protective immune responses. We report a study examining antibody
responses to MSP2 in 15 semi-immune teenagers and adults living in the
Khanh-Hoa area of southern-central Vietnam, where P. falciparum is highly endemic; subjects were serially infected with multiple strains of P. falciparum. The MSP2 alleles
infecting these subjects were determined by nucleotide sequencing. A
total of 62 MSP2 genes belonging to both dimorphic families were
identified, of which 33 contained distinct alleles, with 61% of
the alleles being detected once. Clear changes in the repertoire
occurred between infections. Most infections contained a
mixture of parasites expressing MSP2 alleles from both dimorphic
families. Two examples of reinfection with a strain expressing a
previously encountered allele were detected. Significant changes in
antibody levels to various regions of MSP2 were detected over the
course of the experiment. There was no clear relation between the
infecting form of MSP2 and the ensuing antibody response. This
study highlights the complexity of host-parasite relationship for this
important human pathogen.
0019-9567/01/$04.00+0 DOI: 10.1128/IAI.69.2.959-967.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
Antibody Responses to Infections with Strains of
Plasmodium falciparum Expressing Diverse Forms of
Merozoite Surface Protein 2

*
Corresponding author. Mailing address: Department of
Microbiology, Monash University, Clayton, Victoria 3800, Australia.
Phone: 613-9905-4822. Fax: 613-9905-4811. E-mail:
ross.coppel{at}med.monash.edu.au.
Present address: Department of Microbiology and Immunology, The
University of Melbourne, Parkville, Victoria 3052, Australia.
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