PMID- 32038611 OWN - NLM STAT- MEDLINE DCOM- 20201111 LR - 20201111 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 10 DP - 2019 TI - Detection of EXP1-Specific CD4+ T Cell Responses Directed Against a Broad Range of Epitopes Including Two Promiscuous MHC Class II Binders During Acute Plasmodium falciparum Malaria. PG - 3037 LID - 10.3389/fimmu.2019.03037 [doi] LID - 3037 AB - Background: T cells are thought to play a major role in conferring immunity against malaria. This study aimed to comprehensively define the breadth and specificity of the Plasmodium falciparum (P. falciparum)-specific CD4+ T cell response directed against the exported protein 1 (EXP1) in a cohort of patients diagnosed with acute malaria. Methods: Peripheral blood mononuclear cells of 44 patients acutely infected with P. falciparum, and of one patient infected with P. vivax, were stimulated and cultured in vitro with an overlapping set of 31 P. falciparum-specific 13-17-mer peptides covering the entire EXP1 sequence. EXP1-specific T cell responses were analyzed by ELISPOT and intracellular cytokine staining for interferon-gamma production after re-stimulation with individual peptides. For further characterization of the epitopes, in silico and in vitro human leukocyte antigen (HLA) binding studies and fine mapping assays were performed. Results: We detected one or more EXP1-specific CD4+ T cell responses (mean: 1.09, range 0-5) in 47% (21/45) of our patients. Responses were directed against 15 of the 31 EXP1 peptides. Peptides EXP1-P13 (aa60-74) and P15 (aa70-85) were detected by 18% (n = 8) and 27% (n = 12) of the 45 patients screened. The optimal length, as well as the corresponding most likely HLA-restriction, of each of these two peptides was assessed. Interestingly, we also identified one CD4+ T cell response against peptide EXP1-P15 in a patient who was infected with P. vivax but not falciparum. Conclusions: This first detailed characterization of novel EXP1-specific T cell epitopes provides important information for future analysis with major histocompatibility complex-multimer technology as well as for immunomonitoring and vaccine design. CI - Copyright (c) 2020 Heide, Wildner, Ackermann, Wittner, Marget, Sette, Sidney, Jacobs and Schulze zur Wiesch. FAU - Heide, Janna AU - Heide J AD - Infectious Diseases Unit, I. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. AD - German Center for Infection Research (DZIF), Partner Site Hamburg-Lubeck-Borstel-Riems, Hamburg, Germany. FAU - Wildner, Nils H AU - Wildner NH AD - Infectious Diseases Unit, I. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. FAU - Ackermann, Christin AU - Ackermann C AD - Infectious Diseases Unit, I. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. FAU - Wittner, Melanie AU - Wittner M AD - Infectious Diseases Unit, I. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. AD - German Center for Infection Research (DZIF), Partner Site Hamburg-Lubeck-Borstel-Riems, Hamburg, Germany. FAU - Marget, Matthias AU - Marget M AD - Department of Transfusion Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. FAU - Sette, Alessandro AU - Sette A AD - Division of Vaccine Discovery, La Jolla Institute for Immunology, La Jolla, CA, United States. AD - Division of Infectious Diseases, Department of Medicine, University of California, San Diego, La Jolla, CA, United States. FAU - Sidney, John AU - Sidney J AD - Division of Vaccine Discovery, La Jolla Institute for Immunology, La Jolla, CA, United States. FAU - Jacobs, Thomas AU - Jacobs T AD - Protozoa Immunology, Bernhard-Nocht-Institute for Tropical Medicine, Hamburg, Germany. FAU - Schulze Zur Wiesch, Julian AU - Schulze Zur Wiesch J AD - Infectious Diseases Unit, I. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. AD - German Center for Infection Research (DZIF), Partner Site Hamburg-Lubeck-Borstel-Riems, Hamburg, Germany. LA - eng GR - R21 AI134127/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20200122 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 RN - 0 (Antigens, Protozoan) RN - 0 (Epitopes, T-Lymphocyte) RN - 0 (Histocompatibility Antigens Class II) RN - 0 (Peptides) RN - 0 (QF116 antigen, Plasmodium falciparum) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Amino Acid Sequence MH - Antigens, Protozoan/chemistry/immunology MH - CD4-Positive T-Lymphocytes/*immunology/metabolism MH - Enzyme-Linked Immunospot Assay MH - Epitope Mapping MH - Epitopes, T-Lymphocyte/chemistry/*immunology MH - Female MH - Histocompatibility Antigens Class II/*immunology/metabolism MH - Host-Parasite Interactions/*immunology MH - Humans MH - Immunophenotyping MH - Malaria, Falciparum/diagnosis/*immunology/*prevention & control MH - Male MH - Middle Aged MH - Peptides/chemistry/immunology MH - Plasmodium falciparum/*immunology MH - Protein Binding MH - Young Adult PMC - PMC6993587 OTO - NOTNLM OT - CD4+ OT - CD8+ OT - HLA binding OT - HLA class II OT - Plasmodium falciparum OT - Plasmodium vivax OT - T cell epitope OT - malaria EDAT- 2020/02/11 06:00 MHDA- 2020/11/12 06:00 PMCR- 2019/01/01 CRDT- 2020/02/11 06:00 PHST- 2019/09/12 00:00 [received] PHST- 2019/12/11 00:00 [accepted] PHST- 2020/02/11 06:00 [entrez] PHST- 2020/02/11 06:00 [pubmed] PHST- 2020/11/12 06:00 [medline] PHST- 2019/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2019.03037 [doi] PST - epublish SO - Front Immunol. 2020 Jan 22;10:3037. doi: 10.3389/fimmu.2019.03037. eCollection 2019.