Malaria-driven expansion of adaptive-like functional CD56-negative NK cells correlates with clinical immunity to malaria

Author:

Ty Maureen1ORCID,Sun Shenghuan2,Callaway Perri C.3ORCID,Rek John4ORCID,Press Kathleen D.1ORCID,van der Ploeg Kattria1ORCID,Nideffer Jason1,Hu Zicheng2ORCID,Klemm Sandy5,Greenleaf William5ORCID,Donato Michele6ORCID,Tukwasibwe Stephen4ORCID,Arinaitwe Emmanuel4,Nankya Felistas4,Musinguzi Kenneth4,Andrew Dean7ORCID,de la Parte Lauren1,Mori Diego Martinez1,Lewis Savannah N.1ORCID,Takahashi Saki3ORCID,Rodriguez-Barraquer Isabel3ORCID,Greenhouse Bryan3ORCID,Blish Catherine18ORCID,Utz PJ1ORCID,Khatri Purvesh6ORCID,Dorsey Grant3ORCID,Kamya Moses49,Boyle Michelle7ORCID,Feeney Margaret310ORCID,Ssewanyana Isaac4,Jagannathan Prasanna111ORCID

Affiliation:

1. Department of Medicine, Stanford University, Stanford, CA, USA.

2. Bakar Computational Health Sciences Institute, University of California, San Francisco, San Francisco, CA, USA.

3. Department of Medicine, University of California, San Francisco, San Francisco, CA, USA.

4. Infectious Diseases Research Collaboration, Kampala, Uganda.

5. Department of Genetics, Stanford University, Stanford, CA, USA.

6. Institute for Immunity, Transplantation, and Infection, Stanford University, Stanford, CA, USA.

7. Queensland Institute for Medical Research, Queensland, Australia.

8. Chan Zuckerberg Biohub, San Francisco, CA, USA.

9. Department of Medicine, Makerere University, Kampala, Uganda.

10. Department of Pediatrics, University of California, San Francisco, San Francisco, CA, USA.

11. Department of Microbiology and Immunology, Stanford University, Stanford, CA, USA.

Abstract

Natural killer (NK) cells likely play an important role in immunity to malaria, but the effect of repeated malaria on NK cell responses remains unclear. Here, we comprehensively profiled the NK cell response in a cohort of 264 Ugandan children. Repeated malaria exposure was associated with expansion of an atypical, CD56 neg population of NK cells that differed transcriptionally, epigenetically, and phenotypically from CD56 dim NK cells, including decreased expression of PLZF and the Fc receptor γ-chain, increased histone methylation, and increased protein expression of LAG-3, KIR, and LILRB1. CD56 neg NK cells were highly functional and displayed greater antibody-dependent cellular cytotoxicity than CD56 dim NK cells. Higher frequencies of CD56 neg NK cells were associated with protection against symptomatic malaria and high parasite densities. After marked reductions in malaria transmission, frequencies of these cells rapidly declined, suggesting that continuous exposure to Plasmodium falciparum is required to maintain this modified, adaptive-like NK cell subset.

Publisher

American Association for the Advancement of Science (AAAS)

Subject

General Medicine

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