Serologial evidence ofdiscrete spatial clusters of Plasmodium falciparum parasites

Philip Bejon, Louise Turner, Thomas Lavstsen, Gerald Cham, Ally Olotu, Chris J. Drakeley, Marc Lievens, Johan Vekemans, Barbara Savarese, John Lusingu, Lorenz von Seidlein, Peter C. Bull, Kevin Marsh, Thor G. Theander

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    Background: Malaria transmission may be considered to be homogenous with well-mixed parasite populations (as in the classic Ross/Macdonald models). Marked fine-scale heterogeneity of transmission has been observed in the field (i.e., over a few kilometres), but there are relatively few data on the degree of mixing. Since the Plasmodium falciparum Erythrocyte Membrane Protein 1 (PfEMP1) is highly polymorphic, the host's serological responses may be used to infer exposure to parasite sub-populations.

    Methods and Findings: We measured the antibody responses to 46 individual PfEMP1 domains at four time points among 450 children in Kenya, and identified distinct spatial clusters of antibody responses to individual domains. 35 domains showed strongly significant sero-clusters at p = 0.001. Individuals within the high transmission hotspot showed the greatest diversity of anti-PfEMP1 responses. Individuals outside the hotspot had a less diverse range of responses, even if as individuals they were at relatively intense exposure.

    Conclusions: We infer that antigenically distinct sub-populations of parasites exist on a fine spatial scale in a study area of rural Kenya. Further studies should examine antigenic variation over longer periods of time and in different study areas.

    Original languageEnglish
    Article numbere21711
    JournalPLoS One
    Issue number6
    Publication statusPublished - 29 Jun 2011


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