Assessment of putative tests for protective immunity to falciparum malaria
Tharavanij, S.; Tapchaisri, P.; Ketrangsee, S.; Kunnaphuti, J.; Mahakunkijcharoen, Y.; Chitayothin, O.; Thammapalerd, N.; Sabchareon, A.
Southeast Asian Journal of Tropical Medicine and Public Health 20(3): 385-397
1989
ISSN/ISBN: 0125-1562 PMID: 2699085 Document Number: 326781
Sera from clinically immune individuals comprising 10 hospitalised patients (Group 1), 30 persons residing in a malaria endemic area in Thailand (Group II) and 8 persons from a hyperendemic area in Ivory Coast (Group III) were tested by the parasite growth inhibition (PGI), indirect fluorescent antibody test of ring-infected erythrocyte surface antigen (RESA-IFA), urease-ELISA and Western blot. Paired sera from patients recovering from malaria (Group IV) as well as sera from blood donors were also tested. In the PGI test sera were tested against three uncloned isolates of P. falciparum comprising SO, I4 and AE9 (PGI-SO, PGI-I4 and PGI-AE9 respectively). When growth inhibiton of .gtoreq. 30% against any one of the three isolates was considered positive, the positive rate for combined Group I, II and III was 78.7%. Further analysis showed that the positive rates of PGI-SO, PGI-I4 and PGI-AE9 were 63.8%, 59.5% and 59.5% respectively and were not signifiantly different (p > 0.05). Comparison between PGI-SO, PGI-I4 and PGI-AE9 activities of Group I, II and III sera showed no significant differences in any comparison groups except with PGI-AE9 in which Group III sera were more frequently positive than Group II sera (p = 0.004). Follow-up of PGI-SO and PGI-AE9 activites in Group IV patients showed mostly a decrease or no changes in the activities of the convalescent sera taken 63 days later. RESA-IFA positive rate in the combined Groups I, II and III sera was 91.7%. There were no significant differences either in the seropositive rates or in the geometric mean antibody titers (GMT) between Groups I, II and III sera. Follow-up in Group IV patients showed no change in antibody titers in 64% of cases, decrease and increase in titers in k29% and 7% of cases respectively. The urease-ELISA seropositive rate in the combined Groups (I, II and III) was 89.5% which is not significantly different from that of RESA-IFA (p > 0.05). Comparison between individual Groups (I, II and III) likewise showed no significant differences in both GMT and seropositive rates. Follow-up in Group IV sera showed either no change or a decrease in antibody titers in 55.6% and 44.4% of cases respectively. Western blot analysis showed that 75% of the combined Groups I, II and III had antibodies against antigens of Mr > 220, Mr220, Mr120, Mr95, Mr40 and Mr23.5 Kd, among which the Mr95 and Mr54 molecules were similar in size to the putative function antigens of Mr96 and Mr55 Kd reported by other investigators. Antibodies to these two molecules deserve more thorough study in the future.