Antigenic variation is employed by a number of different
protozoan parasites.
Trypanosoma brucei and
Plasmodium falciparum are some of the best studied examples.
Trypanosoma brucei Trypanosoma brucei, the organism that causes
sleeping sickness, replicates extracellularly in the bloodstream of infected mammals and is subjected to numerous host defense mechanisms including the
complement system, and the
innate and
adaptive immune systems. To protect itself, the parasite decorates itself with a dense, homogeneous coat (~10^7 molecules) of the
variant surface glycoprotein (VSG). In the early stages of invasion, the VSG coat is sufficient to protect the parasite from immune detection. The host eventually identifies the VSG as a foreign antigen and mounts an attack against the microbe. However, the parasite's genome has over 1,000 genes that code for different variants of the VSG protein, located on the subtelomeric portion of
large chromosomes, or on intermediate chromosomes. These VSG genes become activated by
gene conversion in a hierarchical order: telomeric VSGs are activated first, followed by array VSGs, and finally pseudogene VSGs. Only one VSG is expressed at any given time. Each new gene is switched in turn into a VSG expression site (ES). This process is partially dependent on homologous
recombination of DNA, which is mediated in part by the interaction of the
T. brucei BRCA2 gene with RAD51 (however, this is not the only possible mechanism, as BRCA2 variants still display some VSG switching). In addition to homologous recombination,
transcriptional regulation is also important in antigen switching, since
T. brucei has multiple potential expression sites. A new VSG can either be selected by transcriptional activation of a previously silent ES, or by recombination of a VSG sequence into the active ES (see figure, "Mechanisms of VSG Switching in
T. brucei").
Plasmodium falciparum Plasmodium falciparum, the major etiologic agent of human malaria, has a very complex
life cycle that occurs in both humans and mosquitoes. While in the human host, the parasite spends most of its life cycle within hepatic cells and
erythrocytes (in contrast to
T. brucei which remains extracellular). As a result of its mainly intracellular niche, parasitized host cells which display parasite proteins must be modified to prevent destruction by the host immune defenses. In the case of
Plasmodium, this is accomplished via the dual purpose
Plasmodium falciparum erythrocyte membrane protein 1 (PfEMP1). PfEMP1 is encoded by the diverse family of genes known as the
var family of genes (approximately 60 genes in all). The diversity of the gene family is further increased via a number of different mechanisms including exchange of genetic information at telomeric loci, as well as meiotic recombination. The PfEMP1 protein serves to sequester infected erythrocytes from splenic destruction via adhesion to the
endothelium. Moreover, the parasite is able to evade host defense mechanisms by changing which
var allele is used to code the PfEMP1 protein. Like
T. brucei, each parasite expresses multiple copies of one identical protein. However, unlike
T. brucei, the mechanism by which
var switching occurs in
P. falciparum is thought to be purely transcriptional.
Var switching has been shown to take place soon after invasion of an erythrocyte by a
P. falciparum parasite.
Fluorescent in situ hybridization analysis has shown that activation of
var alleles is linked to altered positioning of the genetic material to distinct "transcriptionally permissive" areas. ==In viruses==