Infection-induced plasmablasts are a nutrient sink that impairs humoral immunity to malaria

Nat Immunol. 2020 Jul;21(7):790-801. doi: 10.1038/s41590-020-0678-5. Epub 2020 May 18.

Abstract

Plasmodium parasite-specific antibodies are critical for protection against malaria, yet the development of long-lived and effective humoral immunity against Plasmodium takes many years and multiple rounds of infection and cure. Here, we report that the rapid development of short-lived plasmablasts during experimental malaria unexpectedly hindered parasite control by impeding germinal center responses. Metabolic hyperactivity of plasmablasts resulted in nutrient deprivation of the germinal center reaction, limiting the generation of memory B cell and long-lived plasma cell responses. Therapeutic administration of a single amino acid to experimentally infected mice was sufficient to overcome the metabolic constraints imposed by plasmablasts and enhanced parasite clearance and the formation of protective humoral immune memory responses. Thus, our studies not only challenge the current model describing the role and function of blood-stage Plasmodium-induced plasmablasts but they also reveal new targets and strategies to improve anti-Plasmodium humoral immunity.

Publication types

  • Clinical Trial, Phase I
  • Clinical Trial, Phase II
  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Amino Acids / administration & dosage
  • Amino Acids / metabolism
  • Animals
  • Antibodies, Protozoan / blood
  • Antibodies, Protozoan / immunology
  • Antibodies, Protozoan / metabolism
  • Antimalarials / administration & dosage
  • DNA, Protozoan / isolation & purification
  • Disease Models, Animal
  • Germinal Center / cytology
  • Germinal Center / immunology
  • Germinal Center / metabolism
  • Host-Parasite Interactions / immunology
  • Humans
  • Immunity, Humoral*
  • Malaria / blood
  • Malaria / drug therapy
  • Malaria / immunology*
  • Malaria / parasitology
  • Mice
  • Mice, Transgenic
  • Middle Aged
  • Nutrients / metabolism
  • Plasma Cells / immunology
  • Plasma Cells / metabolism*
  • Plasma Cells / parasitology
  • Plasmodium falciparum / genetics
  • Plasmodium falciparum / immunology*
  • Plasmodium falciparum / isolation & purification
  • Proof of Concept Study
  • Young Adult

Substances

  • Amino Acids
  • Antibodies, Protozoan
  • Antimalarials
  • DNA, Protozoan