- Michelow, Ian C;
- Park, Sangshin;
- Tsai, Shu-Whei;
- Rayta, Bonnie;
- Pasaje, Charisse Flerida A;
- Nelson, Sara;
- Early, Angela M;
- Frosch, Anne P;
- Ayodo, George;
- Raj, Dipak K;
- Nixon, Christina E;
- Nixon, Christian P;
- Pond-Tor, Sunthorn;
- Friedman, Jennifer F;
- Fried, Michal;
- Duffy, Patrick E;
- Le Roch, Karine G;
- Niles, Jacquin C;
- Kurtis, Jonathan D
We previously identified a Plasmodium falciparum (Pf) protein of unknown function encoded by a single-copy gene, PF3D7_1134300, as a target of antibodies in plasma of Tanzanian children in a whole-proteome differential screen. Here we characterize this protein as a blood-stage antigen that localizes to the surface membranes of both parasitized erythrocytes and merozoites, hence its designation as Pf erythrocyte membrane and merozoite antigen 1 (PfEMMA1). Mouse anti-PfEMMA1 antisera and affinity-purified human anti-PfEMMA1 antibodies inhibited growth of P. falciparum strains by up to 68% in growth inhibition assays. Following challenge with uniformly fatal Plasmodium berghei (Pb) ANKA, up to 40% of mice immunized with recombinant PbEMMA1 self-cured, and median survival of lethally infected mice was up to 2.6-fold longer than controls (21 vs. 8 d, P = 0.005). Furthermore, high levels of naturally acquired human anti-PfEMMA1 antibodies were associated with a 46% decrease in parasitemia over 2.5 yr of follow-up of Tanzanian children. Together, these findings suggest that antibodies to PfEMMA1 mediate protection against malaria.