1. Development and validation of serological markers for detecting recent Plasmodium vivax infection
- Author
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Takafumi Tsuboi, Wang Nguitragool, Xavier C. Ding, Masayuki Morita, Iveth J. González, Zoe S J Liu, Eizo Takashima, Thomas Obadia, Rhea J. Longley, Christèle Huon, Wai-Hong Tham, Matthias Harbers, Fumie Matsuura, Marcus V. G. Lacerda, Jetsumon Sattabongkot, Michael T. White, Wuelton Marcelo Monteiro, Jessica Brewster, Julie Healer, Connie S N Li-Wai-Suen, Ivo Mueller, Carla Proietti, Chetan E. Chitnis, André Siqueira, James W. Kazura, Denise L. Doolan, Leanne J. Robinson, The Walter and Eliza Hall Institute of Medical Research (WEHI), University of Melbourne, Mahidol University [Bangkok], Malaria : parasites et hôtes - Malaria : parasites and hosts, Institut Pasteur [Paris], Ehime University [Matsuyama], Hub Bioinformatique et Biostatistique - Bioinformatics and Biostatistics HUB, Institut Pasteur [Paris]-Centre National de la Recherche Scientifique (CNRS), Burnet Institute [Melbourne, Victoria], CellFree Sciences Co., Ltd., Biologie de Plasmodium et Vaccins - Malaria Parasite Biology and Vaccines, Fundação de Medicina Tropical Doutor Heitor Vieira Dourado (FMT-HVD), Universidade do Estado do Amazonas (UEA), James Cook University (JCU), Queensland Institute of Medical Research, Fundação Oswaldo Cruz (FIOCRUZ), Réseau International des Instituts Pasteur (RIIP), Foundation for Innovative New Diagnostics (FIND), Center for Global Health and Diseases, School of Medicine-Case Western Reserve University [Cleveland], Instituto Leônidas e Maria Deane - Fiocruz Amazônia [Manaus, Brésil] (ILMD), Réseau International des Instituts Pasteur (RIIP)-Réseau International des Instituts Pasteur (RIIP), We acknowledge funding from the Global Health Innovative Technology Fund (T2015-142 to I.M.), the National Institute of Allergy and Infectious Diseases (National Institutes of Health grant 5R01 AI 104822 to J.S. and 5U19AI089686-06 to J.K.) and the National Health and Medical Research Council Australia (1092789 and 1134989 to I.M. and 1143187 to W.-H.T.). Cohort samples were derived from field studies originally funded by the TransEPI consortium (supported by the Bill and Melinda Gates Foundation). This work has been supported by FIND with funding from the Australian and British governments. We also acknowledge support from the National Research Council of Thailand. This work was made possible through Victorian State Government Operational Infrastructure Support and Australian Government National Health and Medical Research Council (NHMRC) Independent Research Institute Infrastructure Support Scheme. I.M. is supported by an NHMRC Senior Research Fellowship (1043345). D.L.D. is supported by an NHMRC Principal Research Fellowship (1023636). T.T. was supported in part by Japan Society for the Promotion of Science Grant-in-Aid for Scientific Research (KAKENHI, JP15H05276, JP16K15266). W.H.T. is a Howard Hughes Medical Institute–Wellcome Trust International Research Scholar (208693/Z/17/Z). R.J.L. received the Page Betheras Award from WEHI to provide funding for technical support for this project during parental leave. M.V.G.L. and W.M.M. are fellows of the Brazilian National Council for Scientific and Technological Development., Institut Pasteur [Paris] (IP), Ehime University [Matsuyama, Japon], Institut Pasteur [Paris] (IP)-Centre National de la Recherche Scientifique (CNRS), and Fundação Oswaldo Cruz / Oswaldo Cruz Foundation (FIOCRUZ)
- Subjects
0301 basic medicine ,Adult ,Time Factors ,Plasmodium vivax ,Sensitivity and Specificity ,General Biochemistry, Genetics and Molecular Biology ,Immunoglobulin G ,Serology ,Cohort Studies ,03 medical and health sciences ,0302 clinical medicine ,Antigen ,parasitic diseases ,Malaria, Vivax ,Prevalence ,Medicine ,Infection control ,Humans ,Serologic Tests ,Longitudinal Studies ,Child ,Uncategorized ,Infection Control ,biology ,business.industry ,General Medicine ,biology.organism_classification ,medicine.disease ,Thailand ,3. Good health ,030104 developmental biology ,Early Diagnosis ,030220 oncology & carcinogenesis ,Immunology ,biology.protein ,Biomarker (medicine) ,Melanesia ,business ,Malaria ,Biomarkers ,Brazil ,[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology ,Cohort study - Abstract
International audience; A major gap in the Plasmodium vivax elimination toolkit is the identification of individuals carrying clinically silent and undetectable liver-stage parasites, called hypnozoites. This study developed a panel of serological exposure markers capable of classifying individuals with recent P. vivax infections who have a high likelihood of harboring hypnozoites. We measured IgG antibody responses to 342 P. vivax proteins in longitudinal clinical cohorts conducted in Thailand and Brazil and identified candidate serological markers of exposure. Candidate markers were validated using samples from year-long observational cohorts conducted in Thailand, Brazil and the Solomon Islands and antibody responses to eight P. vivax proteins classified P. vivax infections in the previous 9 months with 80% sensitivity and specificity. Mathematical models demonstrate that a serological testing and treatment strategy could reduce P. vivax prevalence by 59-69%. These eight antibody responses can serve as a biomarker, identifying individuals who should be targeted with anti-hypnozoite therapy.
- Published
- 2020
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