Person: Early, Angela
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Publication Host-mediated selection impacts the diversity of Plasmodium falciparum antigens within infections
(Nature Publishing Group UK, 2018) Early, Angela; Lievens, Marc; MacInnis, Bronwyn L.; Ockenhouse, Christian F.; Volkman, Sarah K.; Adjei, Samuel; Agbenyega, Tsiri; Ansong, Daniel; Gondi, Stacey; Greenwood, Brian; Hamel, Mary; Odero, Chris; Otieno, Kephas; Otieno, Walter; Owusu-Agyei, Seth; Asante, Kwaku Poku; Sorgho, Hermann; Tina, Lucas; Tinto, Halidou; Valea, Innocent; Wirth, Dyann; Neafsey, DanielHost immunity exerts strong selective pressure on pathogens. Population-level genetic analysis can identify signatures of this selection, but these signatures reflect the net selective effect of all hosts and vectors in a population. In contrast, analysis of pathogen diversity within hosts provides information on individual, host-specific selection pressures. Here, we combine these complementary approaches in an analysis of the malaria parasite Plasmodium falciparum using haplotype sequences from thousands of natural infections in sub-Saharan Africa. We find that parasite genotypes show preferential clustering within multi-strain infections in young children, and identify individual amino acid positions that may contribute to strain-specific immunity. Our results demonstrate that natural host defenses to P. falciparum act in an allele-specific manner to block specific parasite haplotypes from establishing blood-stage infections. This selection partially explains the extreme amino acid diversity of many parasite antigens and suggests that vaccines targeting such proteins should account for allele-specific immunity.