A monoclonal antibody selectively recognizing PfEMP1 proteins associated with cerebral malaria

Nanna Dalgaard1, Rebecca W Olsen1, Yvonne Adams1

  • 1Centre for Translational Medicine and Parasitology, Department of Immunology and Microbiology, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.

Scientific Reports
|October 6, 2025
PubMed

Insights

A new antibody, mAb02, targets a key protein (PfEMP1) on malaria-infected red blood cells. This antibody blocks parasite adhesion in the brain, offering potential for cerebral malaria (CM) treatment and diagnosis.

Area of Science:

  • Immunology
  • Infectious Diseases
  • Molecular Biology

Background:

  • Cerebral malaria (CM) is often fatal, linked to infected red blood cells (IEs) adhering to brain blood vessels.
  • Plasmodium falciparum erythrocyte membrane protein 1 (PfEMP1) on IEs mediates this adhesion via specific motifs (DBLβmotif).
  • This PfEMP1 type binds to host receptors ICAM-1 and EPCR, contributing to CM pathogenesis.

Purpose of the Study:

  • To functionally characterize a novel monoclonal antibody, mAb02, targeting the DBLβmotif of PfEMP1.
  • To assess mAb02's ability to inhibit PfEMP1 binding to ICAM-1 and IE adhesion.
  • To investigate the epitope recognized by mAb02 and its implications for CM intervention.

Main Methods:

  • Generation of a mouse monoclonal antibody (mAb02) against DBLβmotif domains.
  • Testing mAb02's recognition of DBLβmotif-positive PfEMP1 proteins and IEs.
  • Evaluating mAb02's inhibition of PfEMP1-ICAM-1 binding and IE adhesion.
  • Epitope mapping of mAb02 on the DBLβmotif structure.

Main Results:

  • mAb02 selectively recognizes DBLβmotif-positive PfEMP1 proteins and IEs.
  • mAb02 effectively inhibits PfEMP1 binding to ICAM-1 and IE adhesion to ICAM-1.
  • The antibody's epitope is in a conserved linker region crucial for DBLβmotif-ICAM-1 interaction.
  • mAb02 targets a broadly conserved epitope implicated in CM pathogenesis.

Conclusions:

  • mAb02 targets a conserved PfEMP1 epitope involved in cerebral malaria pathogenesis.
  • This antibody shows potential for developing new monoclonal antibody-based interventions against CM.
  • mAb02 can identify infected red blood cells capable of causing cerebral malaria.