A longitudinal study of plasma BAFF levels in mothers and their infants in Uganda, and correlations with subsets of B cells

PLoS One. 2021 Jan 19;16(1):e0245431. doi: 10.1371/journal.pone.0245431. eCollection 2021.

Abstract

Malaria is a potentially life-threatening disease with approximately half of the world's population at risk. Young children and pregnant women are hit hardest by the disease. B cells and antibodies are part of an adaptive immune response protecting individuals continuously exposed to the parasite. An infection with Plasmodium falciparum can cause dysregulation of B cell homeostasis, while antibodies are known to be key in controlling symptoms and parasitemia. BAFF is an instrumental cytokine for the development and maintenance of B cells. Pregnancy alters the immune status and renders previously clinically immune women at risk of severe malaria, potentially due to altered B cell responses associated with changes in BAFF levels. In this prospective study, we investigated the levels of BAFF in a malaria-endemic area in mothers and their infants from birth up to 9 months. We found that BAFF-levels are significantly higher in infants than in mothers. BAFF is highest in cord blood and then drops rapidly, but remains significantly higher in infants compared to mothers even at 9 months of age. We further correlated BAFF levels to P. falciparum-specific antibody levels and B cell frequencies and found a negative correlation between BAFF and both P. falciparum-specific and total proportions of IgG+ memory B cells, as well as CD27- memory B cells, indicating that exposure to both malaria and other diseases affect the development of B-cell memory and that BAFF plays a part in this. In conclusion, we have provided new information on how natural immunity against malaria is formed.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antibodies, Protozoan / blood
  • Antibodies, Protozoan / immunology
  • B-Cell Activating Factor / blood*
  • B-Cell Activating Factor / immunology
  • B-Lymphocytes / immunology
  • B-Lymphocytes / parasitology
  • Female
  • Humans
  • Infant
  • Longitudinal Studies
  • Malaria, Falciparum / blood*
  • Malaria, Falciparum / immunology
  • Mothers
  • Plasmodium falciparum / immunology
  • Plasmodium falciparum / isolation & purification
  • Pregnancy
  • Prospective Studies
  • Uganda

Substances

  • Antibodies, Protozoan
  • B-Cell Activating Factor
  • TNFSF13B protein, human