@article{fdi:010081425, title = {{P}lasmodium falciparum {VAR}2{CSA}-specific {I}g{G} subclass responses reflect protection against low birth weight and pregnancy-associated malaria}, author = {{T}ornyigah, {B}. and d'{A}lmeida, {T}. and {E}scriou, {G}. and {V}iwami, {F}. and {F}ievet, {N}adine and {L}uty, {A}drian and {M}assougbodji, {A}. and {N}ielsen, {M}. {A}. and {D}eloron, {P}hilippe and {T}uikue {N}dam, {N}icaise}, editor = {}, language = {{ENG}}, abstract = {{S}equestration of {P}lasmodium falciparum-infected erythrocytes expressing the {VAR}2{CSA} antigen in the placenta results in poor pregnancy outcomes, including low birth weight and maternal anemia. {A}ntigen-specific antibody-mediated immunity is acquired during successive pregnancies. {T}hus, evaluating {VAR}2{CSA}-specific {I}g{G} profiles among pregnant women will increase knowledge on the immunological mechanisms associated with protection, and help in the development of {VAR}2{CSA}-based placental malaria vaccines. {U}sing the {PAMVAC} candidate vaccine antigen, we assessed anti-{VAR}2{CSA} {I}g{G} subclass responses of a cohort of pregnant {B}eninese, and analyzed their relationships with pregnancy outcomes. {C}ytophilic {I}g{G}1 and {I}g{G}3 responses were the most frequent, with prevalences ranging from 28% ({I}g{G}3) up to 50% ({I}g{G}1). {E}levated levels of {VAR}2{CSA}-specific total {I}g{G} and cytophilic {I}g{G}3 during pregnancy were consistently associated with higher birth weights, whilst high levels of {I}g{G}4 were associated with a reduced risk of placental infections. {T}his suggests that protective anti-{VAR}2{CSA} {I}g{G} responses are coordinated between both cytophilic and non-cytophilic antibodies.}, keywords = {pregnancy ; malaria ; {VAR}2{CSA} ; {I}g{G} subclasses ; {I}g{G}3 ; {I}g{G}4}, booktitle = {}, journal = {{F}rontiers in {I}mmunology}, volume = {12}, numero = {}, pages = {610305 [8 p.]}, ISSN = {1664-3224}, year = {2021}, DOI = {10.3389/fimmu.2021.610305}, URL = {https://www.documentation.ird.fr/hor/fdi:010081425}, }