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Global genetic diversity of var2csa in Plasmodium falciparum with implications for malaria in pregnancy and vaccine development

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dc.creator Diez Benavente, Ernest
dc.creator Oresegun, Damilola R.
dc.creator Florez de Sessions, Paola
dc.creator Walker, Eloise M.
dc.creator Roper, Cally
dc.creator Dombrowski, Jamille G.
dc.creator de Souza, Rodrigo M.
dc.creator Marinho, Claudio R. F.
dc.creator Sutherland, Colin J.
dc.creator Hibberd, Martin L.
dc.creator Mohareb, Fady R.
dc.creator Baker, David A.
dc.creator Clark, Taane G.
dc.creator Campino, Susana
dc.date 2018-10-24T13:44:38Z
dc.date 2018-10-24T13:44:38Z
dc.date 2018-10-18
dc.date.accessioned 2022-05-25T16:39:10Z
dc.date.available 2022-05-25T16:39:10Z
dc.identifier Ernest Diez Benavente, Damilola R. Oresegun, Paola Florez de Sessions, et al., Global genetic diversity of var2csa in Plasmodium falciparum with implications for malaria in pregnancy and vaccine development. Scientific Reports, Volume 8, Issue 1, Article number 15429
dc.identifier 2045-2322
dc.identifier https://doi.org/10.1038/s41598-018-33767-3
dc.identifier http://dspace.lib.cranfield.ac.uk/handle/1826/13562
dc.identifier.uri http://localhost:8080/xmlui/handle/CUHPOERS/182417
dc.description Malaria infection during pregnancy, caused by the sequestering of Plasmodium falciparum parasites in the placenta, leads to high infant mortality and maternal morbidity. The parasite-placenta adherence mechanism is mediated by the VAR2CSA protein, a target for natural occurring immunity. Currently, vaccine development is based on its ID1-DBL2Xb domain however little is known about the global genetic diversity of the encoding var2csa gene, which could influence vaccine efficacy. In a comprehensive analysis of the var2csa gene in >2,000 P. falciparum field isolates across 23 countries, we found that var2csa is duplicated in high prevalence (>25%), African and Oceanian populations harbour a much higher diversity than other regions, and that insertions/deletions are abundant leading to an underestimation of the diversity of the locus. Further, ID1-DBL2Xb haplotypes associated with adverse birth outcomes are present globally, and African-specific haplotypes exist, which should be incorporated into vaccine design.
dc.language en
dc.publisher Nature Publishing Group
dc.rights Attribution 4.0 International
dc.rights http://creativecommons.org/licenses/by/4.0/
dc.title Global genetic diversity of var2csa in Plasmodium falciparum with implications for malaria in pregnancy and vaccine development
dc.type Article


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