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Investigating the malaria-driven autoimmune imprint of humoral immunity

Objective

Malaria was the strongest selective pressure in recent human evolution, yet its profound impact on our immune system is poorly understood. My recent work showed that high autoantibody (AAb) titers correlate with a 41% reduced risk of febrile malaria. These AAbs inhibit Plasmodium falciparum (Pf) growth and bind Pf invasion proteins. I propose that effective malaria immunity is autoreactive, presenting a paradigm shift where controlled breakdowns in immune tolerance are essential for protection. As tolerance mechanisms limit autoreactive immunity, this may explain the slow acquisition of natural immunity and poor malaria vaccine efficacy. It was suggested that genetic susceptibility to autoimmunity evolved as a survival advantage against malaria, and my data indicate the ability to develop an AAb response was central to this adaptation. Despite genetic susceptibility and elevated AAb titers, individuals in malaria-endemic regions are relatively protected from autoimmune diseases, likely due to an immune environment driven by chronic Pf malaria and other pathogens.
Foundational knowledge, which is now technically within reach, is required to exploit the connection between autoimmune disease and infection immunity, to improve malaria vaccines and transform autoimmune therapies. I propose comparative studies of autoreactive B cells and antibodies in autoimmune disease patients and malaria-exposed individuals, using field studies in Africa and advanced antigen-specific B cell methods, together with mouse models, to address the following key questions: 1) Do immune tolerance mechanisms impair malaria immunity? 2) What defines the immune environment of chronic Pf exposure that protects from autoimmune diseases?
This research will illuminate the genetic and individual imprint shaped by malaria, reveal barriers to effective malaria immunity and uncover immunoregulatory mechanisms in chronic malaria, potentially identifying therapeutic strategies for inflammatory conditions.

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Topic(s)

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HORIZON-ERC - HORIZON ERC Grants

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Call for proposal

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(opens in new window) ERC-2025-COG

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Host institution

BERNHARD-NOCHT-INSTITUT FUER TROPENMEDIZIN
Net EU contribution

Net EU financial contribution. The sum of money that the participant receives, deducted by the EU contribution to its linked third party. It considers the distribution of the EU financial contribution between direct beneficiaries of the project and other types of participants, like third-party participants.

€ 1 960 433,00
Address
BERNHARD NOCHT STRASSE 74
20359 Hamburg
Germany

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Region
Hamburg Hamburg Hamburg
Activity type
Research Organisations
Links
Total cost

The total costs incurred by this organisation to participate in the project, including direct and indirect costs. This amount is a subset of the overall project budget.

€ 1 960 433,75

Beneficiaries (1)