Evidence map›Paper›PMID 19956710›Full record

ArticlePloS one2009

Antibody-dependent transplacental transfer of malaria blood-stage antigen using a human ex vivo placental perfusion model.

Karen May, Markus Grube, Indu Malhotra, Carole A Long, Sanjay Singh, Kishor Mandaliya, Werner Siegmund, Christoph Fusch, Henning Schneider, Christopher L King

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
5.6field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 61 citations in OpenAlex.

  1. Article
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  7. Review
  8. Review
  9. Article
  10. Review
  11. Maternal Immunization: Nature Meets Nurture.Frontiers in microbiology · 2020
    Review
  12. Review
  13. The immune response to malaria in utero.Immunological reviews · 2020
    Review
  14. The Neonatal Fc Receptor (FcRn): A Misnomer?Frontiers in immunology · 2019
    Review
  15. AnStem cell investigation · 2019
    Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 4 countries.

Karen MayDepartment of Pharmacology, Ernst Moritz Arndt University of Greifswald, Greifswald, Germany.
Markus Grube
Indu Malhotra
Carole A Long
Sanjay Singh
Kishor Mandaliya
Werner Siegmund
Christoph Fusch
Henning Schneider
Christopher L King
Universität Greifswald · DECenter for Global Health · USMinistry of Health · KENational Institutes of Health · USUniversity of Bern · CHVector Oncology (United States) · US

Funding

Host Immune Responses to Antigens of Malaria ParasitesZIAAI001020 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI LONG, CAROLE · 2009 to 2025
$13.6M
Fetal Immunity to Falciparum MalariaR01AI064687 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI KING, CHRISTOPHER L · 2005 to 2015
$3.7M
NIAID NIH HHS AI064687NIAID NIH HHS R01 AI064687
6 · The paper itself

Abstract

Prenatal exposure to allergens or antigens released by infections during pregnancy can stimulate an immune response or induce immunoregulatory networks in the fetus affecting susceptibility to infection and disease later in life. How antigen crosses from the maternal to fetal environment is poorly understood. One hypothesis is that transplacental antigen transfer occurs as immune complexes, via receptor-mediated transport across the syncytiotrophoblastic membrane and endothelium of vessels in fetal villi. This hypothesis has never been directly tested. Here we studied Plasmodium falciparum merozoite surface protein 1 (MSP1) that is released upon erythrocyte invasion. We found MSP1 in cord blood from a third of newborns of malaria-infected women and in >90% following treatment with acid dissociation demonstrating MSP1 immune complexes. Using an ex vivo human placental model that dually perfuses a placental cotyledon with independent maternal and fetal circuits, immune-complexed MSP1 transferred from maternal to fetal circulation. MSP1 alone or with non-immune plasma did not transfer; pre-incubation with human plasma containing anti-MSP1 was required. MSP1 bound to IgG was detected in the fetal perfusate. Laser scanning confocal microscopy demonstrated MSP1 in the fetal villous stroma, predominantly in fetal endothelial cells. MSP1 co-localized with IgG in endothelial cells, but not with placental macrophages. Thus we show, for the first time, antibody-dependent transplacental transfer of an antigen in the form of immune complexes. These studies imply frequent exposure of the fetus to certain antigens with implications for management of maternal infections during pregnancy and novel approaches to deliver vaccines or drugs to the fetus.

Indexed as

Infectious Disease Transmission, VerticalAntigens, ProtozoanFemaleFetal BloodHumansInfant, NewbornMalariaMalaria, FalciparumMaternal-Fetal ExchangeMerozoite Surface Protein 1Models, BiologicalPlacentaPlasmodium falciparumPregnancyPregnancy Complications, ParasiticAntigens, ProtozoanMerozoite Surface Protein 1

Identifiers

PMID19956710
PMCPMC2777305
OpenAlexW2032147470

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.