Evidence map›Paper›PMID 34011972›Full record

ArticleNature communications2021

Cryo-EM reveals the architecture of placental malaria VAR2CSA and provides molecular insight into chondroitin sulfate binding.

Kaituo Wang, Robert Dagil, Thomas Lavstsen, Sandeep K Misra, Charlotte B Spliid, Yong Wang, Tobias Gustavsson, Daniel R Sandoval, Elena Ethel Vidal-Calvo, Swati Choudhary and 8 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
3.0field-weighted citation impact, top 8% 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

35 citing papers in PubMed, 51 citations in OpenAlex.

  1. Review
  2. Review
  3. Coarse-Grained Martini 3 Model of Chondroitin Sulfate A.Journal of chemical theory and computation · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Malaria: past, present, and future.Signal transduction and targeted therapy · 2025
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Identification ofFrontiers in immunology · 2025
    Article
  15. Malaria vaccines: a new era of prevention and control.Nature reviews. Microbiology · 2024
    Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. Variable Surface Antigens ofProtein and peptide letters · 2024
    Review
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

18 authors at 3 institutions in 3 countries.

Kaituo Wang *Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0002-5922-7109
Robert Dagil *Centre for Medical Parasitology at Department for Immunology and Microbiology, Faculty of Health and Medical Sciences, University of Copenhagen and Department of Infectious Disease, Copenhagen University Hospital, Copenhagen, Denmark.ORCID 0000-0002-5594-0716
Thomas LavstsenCentre for Medical Parasitology at Department for Immunology and Microbiology, Faculty of Health and Medical Sciences, University of Copenhagen and Department of Infectious Disease, Copenhagen University Hospital, Copenhagen, Denmark.
Sandeep K MisraDepartment of BioMolecular Sciences, University of Mississippi, Oxford, MS, USA.ORCID 0000-0001-9165-3987
Charlotte B SpliidCentre for Medical Parasitology at Department for Immunology and Microbiology, Faculty of Health and Medical Sciences, University of Copenhagen and Department of Infectious Disease, Copenhagen University Hospital, Copenhagen, Denmark.
Yong WangStructural Biology and NMR Laboratory & Linderstrøm-Lang Centre for Protein Science,Department of Biology, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0001-9156-0377
Tobias GustavssonCentre for Medical Parasitology at Department for Immunology and Microbiology, Faculty of Health and Medical Sciences, University of Copenhagen and Department of Infectious Disease, Copenhagen University Hospital, Copenhagen, Denmark.
Daniel R SandovalDepartment of Cellular and Molecular Medicine, University of California, San Diego, La Jolla, CA, USA.
Elena Ethel Vidal-CalvoCentre for Medical Parasitology at Department for Immunology and Microbiology, Faculty of Health and Medical Sciences, University of Copenhagen and Department of Infectious Disease, Copenhagen University Hospital, Copenhagen, Denmark.ORCID 0000-0001-9655-2106
Swati ChoudharyCentre for Medical Parasitology at Department for Immunology and Microbiology, Faculty of Health and Medical Sciences, University of Copenhagen and Department of Infectious Disease, Copenhagen University Hospital, Copenhagen, Denmark.
Mette Ø AgerbaekCentre for Medical Parasitology at Department for Immunology and Microbiology, Faculty of Health and Medical Sciences, University of Copenhagen and Department of Infectious Disease, Copenhagen University Hospital, Copenhagen, Denmark.
Kresten Lindorff-LarsenStructural Biology and NMR Laboratory & Linderstrøm-Lang Centre for Protein Science,Department of Biology, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0002-4750-6039
Morten A NielsenCentre for Medical Parasitology at Department for Immunology and Microbiology, Faculty of Health and Medical Sciences, University of Copenhagen and Department of Infectious Disease, Copenhagen University Hospital, Copenhagen, Denmark.ORCID 0000-0003-2668-4992
Thor G TheanderCentre for Medical Parasitology at Department for Immunology and Microbiology, Faculty of Health and Medical Sciences, University of Copenhagen and Department of Infectious Disease, Copenhagen University Hospital, Copenhagen, Denmark.
Joshua S SharpDepartment of BioMolecular Sciences, University of Mississippi, Oxford, MS, USA.ORCID 0000-0002-0115-0276
Thomas Mandel ClausenDepartment of Cellular and Molecular Medicine, University of California, San Diego, La Jolla, CA, USA.
Pontus GourdonDepartment of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark. pontus@sund.ku.dk.ORCID 0000-0002-8631-3539
Ali SalantiCentre for Medical Parasitology at Department for Immunology and Microbiology, Faculty of Health and Medical Sciences, University of Copenhagen and Department of Infectious Disease, Copenhagen University Hospital, Copenhagen, Denmark. Salanti@sund.ku.dk.ORCID 0000-0003-2207-5575
University of Copenhagen · DKUniversity of California San Diego · USUniversity of Mississippi · US

Funding

TR&D3. Approaches to Proteoglycan Function at Biochemical and Cellular LevelsP41GM103390 · NIGMS · UNIVERSITY OF GEORGIA · PI MOREMEN, KELLEY W. · 2012 to 2019
$14.5M
Molecular Structure Determination by Mass Spectrometry and Computational ModelingR01GM127267 · NIGMS · UNIVERSITY OF MISSISSIPPI · PI Joshua S Sharp · 2018 to 2026
$3.8M
NIGMS NIH HHS P41 GM103390NIGMS NIH HHS R01 GM127267
6 · The paper itself

Abstract

Placental malaria can have severe consequences for both mother and child and effective vaccines are lacking. Parasite-infected red blood cells sequester in the placenta through interaction between parasite-expressed protein VAR2CSA and the glycosaminoglycan chondroitin sulfate A (CS) abundantly present in the intervillous space. Here, we report cryo-EM structures of the VAR2CSA ectodomain at up to 3.1 Å resolution revealing an overall V-shaped architecture and a complex domain organization. Notably, the surface displays a single significantly electropositive patch, compatible with binding of negatively charged CS. Using molecular docking and molecular dynamics simulations as well as comparative hydroxyl radical protein foot-printing of VAR2CSA in complex with placental CS, we identify the CS-binding groove, intersecting with the positively charged patch of the central VAR2CSA structure. We identify distinctive conserved structural features upholding the macro-molecular domain complex and CS binding capacity of VAR2CSA as well as divergent elements possibly allowing immune escape at or near the CS binding site. These observations will support rational design of second-generation placental malaria vaccines.

Indexed as

Amino Acid SequenceAntigens, ProtozoanChondroitin SulfatesCryoelectron MicroscopyFemaleHumansImmune EvasionMalaria, FalciparumMolecular Docking SimulationMolecular Dynamics SimulationMutagenesisPlacentaPlasmodium falciparumPregnancyPregnancy Complications, ParasiticProtein BindingAntigens, ProtozoanChondroitin SulfatesVAR2CSA protein, Plasmodium falciparum

Identifiers

PMID34011972
PMCPMC8134449
OpenAlexW3139464566

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.