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Variant surface antigens from Plasmodium falciparum-infected erythrocytes in Brazilian Amazon: adherence to endothelium receptors (CD36 and ICAM-1) and antibodies recognition.

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Author(s):
Bianca Cechetto Carlos
Total Authors: 1
Document type: Doctoral Thesis
Press: São Paulo.
Institution: Universidade de São Paulo (USP). Instituto de Ciências Biomédicas (ICB/SDI)
Defense date:
Examining board members:
Marcelo Urbano Ferreira; Leonardo Jose de Moura Carvalho; Luzia Helena Carvalho; Maria Imaculada Muniz Barboza Junqueira; Claudio Romero Farias Marinho
Advisor: Marcelo Urbano Ferreira; Gerhard Wunderlich
Abstract

The relative rarity of severe malaria in Brazil suggests that the local Plasmodium falciparum isolates are less virulent than African and Asian parasites. This work investigated adherence patterns to CD36 and ICAM-1, two receptors of the vascular endothelium, in P. falciparum isolates from an area of the Brazilian Amazonia, where severe malaria is rare. We also analyzed, in the same area, the antibody responses of people against eight VSAs. We found that: (a) local P. falciparum isolates express VSAs capable to adhere to both receptors, CD36 and ICAM-1; (b) we detected antibodies against VSAs in a human population exposed to malaria, expressed from local parasites and the 3D7 control; (c) we found in vitro that some sera contained naturally acquired antibodies which blocked the adherence of the parasitized RBCs to ICAM-1 and CD36; (d) we detected a low frequency of the S allele (hemoglobin S) in the study population. (AU)