%0 Journal Article %9 ACL : Articles dans des revues avec comité de lecture répertoriées par l'AERES %A Doritchamou, J. %A Sabbagh, A. %A Jespersen, J. S. %A Renard, E. %A Salanti, A. %A Nielsen, M. A. %A Deloron, Philippe %A Tuikue Ndam, Nicaise %T Identification of a major dimorphic region in the functionally critical N-terminal ID1 domain of VAR2CSA %D 2015 %L fdi:010065355 %G ENG %J Plos One %@ 1932-6203 %M ISI:000361792100016 %N 9 %P e0137695 [14 ] %R 10.1371/journal.pone.0137695 %U https://www.documentation.ird.fr/hor/fdi:010065355 %> https://horizon.documentation.ird.fr/exl-doc/pleins_textes/divers17-08/010065355.pdf %V 10 %W Horizon (IRD) %X The VAR2CSA protein of Plasmodium falciparum is transported to and expressed on the infected erythrocyte surface where it plays a key role in placental malaria (PM). It is the current leading candidate for a vaccine to prevent PM. However, the antigenic polymorphism integral to VAR2CSA poses a challenge for vaccine development. Based on detailed analysis of polymorphisms in the sequence of its ligand-binding N-terminal region, currently the main focus for vaccine development, we assessed var2csa from parasite isolates infecting pregnant women. The results reveal for the first time the presence of a major dimorphic region in the functionally critical N-terminal ID1 domain. Parasite isolates expressing VAR2CSA with particular motifs present within this domain are associated with gravidity-and parasite density-related effects. These observations are of particular interest in guiding efforts with respect to optimization of the VAR2CSA-based vaccines currently under development. %$ 052 ; 050