Complement in malaria: immune evasion strategies and role in protective immunity.

Abstract:

:The malaria parasite has for long been thought to escape host complement attack as a survival strategy. However, it was only recently that complement evasion mechanisms of the parasite were described. Simultaneously, the role of complement in antibody-mediated naturally acquired and vaccine-induced protection against malaria has also been reported. Such findings should be considered in future vaccine design, given the current need to develop more efficacious vaccines against malaria. Parasite antigens derived from molecules mediating functions crucial for parasite survival, such as complement evasion, or parasite antigens against which antibody responses lead to an efficient complement attack could present new candidates for vaccines. In this review, we discuss recent findings on complement evasion by the malaria parasites and the emerging role of complement in antibody-mediated protection against malaria. We emphasize that immune responses to vaccines based on complement inhibitors should not only induce complement-activating antibodies but also neutralize the escape mechanisms of the parasite.

journal_name

FEBS Lett

journal_title

FEBS letters

authors

Kiyuka PK,Meri S,Khattab A

doi

10.1002/1873-3468.13772

subject

Has Abstract

pub_date

2020-08-01 00:00:00

pages

2502-2517

issue

16

eissn

0014-5793

issn

1873-3468

journal_volume

594

pub_type

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