Associations between IgG reactivity to Plasmodium falciparum erythrocyte membrane protein 1 (PfEMP1) antigens and Burkitt lymphoma in Ghana and Uganda case-control studies
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Associations between IgG reactivity to Plasmodium falciparum erythrocyte membrane protein 1 (PfEMP1) antigens and Burkitt lymphoma in Ghana and Uganda case-control studies. / Derkach, Andriy; Otim, Isaac; Pfeiffer, Ruth M.; Onabajo, Olusegun O.; Legason, Ismail D.; Nabalende, Hadijah; Ogwang, Martin D.; Kerchan, Patrick; Talisuna, Ambrose O.; Ayers, Leona W.; Reynolds, Steven J.; Nkrumah, Francis; Neequaye, Janet; Bhatia, Kishor; Theander, Thor G.; Prokunina-Olsson, Ludmila; Turner, Louise; Goedert, James J.; Lavstsen, Thomas; Mbulaiteye, Sam M.
In: EBioMedicine, Vol. 39, 2019, p. 358-368.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Associations between IgG reactivity to Plasmodium falciparum erythrocyte membrane protein 1 (PfEMP1) antigens and Burkitt lymphoma in Ghana and Uganda case-control studies
AU - Derkach, Andriy
AU - Otim, Isaac
AU - Pfeiffer, Ruth M.
AU - Onabajo, Olusegun O.
AU - Legason, Ismail D.
AU - Nabalende, Hadijah
AU - Ogwang, Martin D.
AU - Kerchan, Patrick
AU - Talisuna, Ambrose O.
AU - Ayers, Leona W.
AU - Reynolds, Steven J.
AU - Nkrumah, Francis
AU - Neequaye, Janet
AU - Bhatia, Kishor
AU - Theander, Thor G.
AU - Prokunina-Olsson, Ludmila
AU - Turner, Louise
AU - Goedert, James J.
AU - Lavstsen, Thomas
AU - Mbulaiteye, Sam M.
PY - 2019
Y1 - 2019
N2 - Background: Endemic Burkitt lymphoma (eBL) is an aggressive childhood B-cell lymphoma linked to Plasmodium falciparum (Pf) malaria in sub-Saharan Africa. We investigated antibody reactivity to several human receptor-binding domains of the Pf erythrocyte membrane protein 1 (PfEMP1) that play a key role in malaria pathogenesis and are targets of acquired immunity to malaria. Methods: Serum/plasma IgG antibody reactivity was measured to 22 Pf antigens, including 18 to PfEMP1 CIDR domains between cases and controls from two populations (149 eBL cases and 150 controls from Ghana and 194 eBL cases and 600 controls from Uganda). Adjusted odds ratios (aORs) for case-control associations were estimated by logistic regression. Findings: There was stronger reactivity to the severe malaria associated CIDRα1 domains than other CIDR domains both in cases and controls. eBL cases reacted to fewer antigens than controls (Ghana: p = 0·001; Uganda: p = 0·03), with statistically significant lower ORs associated with reactivity to 13+ antigens in Ghana (aOR 0·39, 95% CI 0·24–0·63; pheterogeneity = 0·00011) and Uganda (aOR 0·60, 95% CI 0.41–0·88; pheterogeneity = 0·008). eBL was inversely associated with reactivity, coded as quartiles, to group A variant CIDRδ1 (ptrend = 0·035) in Ghana and group B CD36-binding variants CIDRα2·2 (ptrend = 0·006) and CIDRα2·4 (ptrend = 0·033) in Uganda, and positively associated with reactivity to SERA5 in Ghana (ptrend = 0·017) and Uganda (ptrend = 0·007) and group A CIDRα1·5 variant in Uganda only (ptrend = 0·034). Interpretation: eBL cases reacted to fewer antigens than controls using samples from two populations, Ghana and Uganda. Attenuated humoral immunity to Pf EMP1 may contribute to susceptibility to low-grade malaria and eBL risk. Funding: Intramural Research Program, National Cancer Institute and National Institute of Allergy and Infectious Diseases, National Institutes of Health, Department of Health and Human Services.
AB - Background: Endemic Burkitt lymphoma (eBL) is an aggressive childhood B-cell lymphoma linked to Plasmodium falciparum (Pf) malaria in sub-Saharan Africa. We investigated antibody reactivity to several human receptor-binding domains of the Pf erythrocyte membrane protein 1 (PfEMP1) that play a key role in malaria pathogenesis and are targets of acquired immunity to malaria. Methods: Serum/plasma IgG antibody reactivity was measured to 22 Pf antigens, including 18 to PfEMP1 CIDR domains between cases and controls from two populations (149 eBL cases and 150 controls from Ghana and 194 eBL cases and 600 controls from Uganda). Adjusted odds ratios (aORs) for case-control associations were estimated by logistic regression. Findings: There was stronger reactivity to the severe malaria associated CIDRα1 domains than other CIDR domains both in cases and controls. eBL cases reacted to fewer antigens than controls (Ghana: p = 0·001; Uganda: p = 0·03), with statistically significant lower ORs associated with reactivity to 13+ antigens in Ghana (aOR 0·39, 95% CI 0·24–0·63; pheterogeneity = 0·00011) and Uganda (aOR 0·60, 95% CI 0.41–0·88; pheterogeneity = 0·008). eBL was inversely associated with reactivity, coded as quartiles, to group A variant CIDRδ1 (ptrend = 0·035) in Ghana and group B CD36-binding variants CIDRα2·2 (ptrend = 0·006) and CIDRα2·4 (ptrend = 0·033) in Uganda, and positively associated with reactivity to SERA5 in Ghana (ptrend = 0·017) and Uganda (ptrend = 0·007) and group A CIDRα1·5 variant in Uganda only (ptrend = 0·034). Interpretation: eBL cases reacted to fewer antigens than controls using samples from two populations, Ghana and Uganda. Attenuated humoral immunity to Pf EMP1 may contribute to susceptibility to low-grade malaria and eBL risk. Funding: Intramural Research Program, National Cancer Institute and National Institute of Allergy and Infectious Diseases, National Institutes of Health, Department of Health and Human Services.
KW - Africa
KW - Burkitt lymphoma
KW - Epstein-Barr virus
KW - Non-Hodgkin lymphoma
KW - PfEMP1
KW - Plasmodium falciparum malaria
U2 - 10.1016/j.ebiom.2018.12.020
DO - 10.1016/j.ebiom.2018.12.020
M3 - Journal article
C2 - 30579868
AN - SCOPUS:85058639957
VL - 39
SP - 358
EP - 368
JO - EBioMedicine
JF - EBioMedicine
SN - 2352-3964
ER -
ID: 212858898