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. 2020 Feb 18;9:e51546. doi: 10.7554/eLife.51546

Figure 7. Identification of other serum factors involved in IGFBP7-mediated rosetting using lab-adapted P. falciparum.

(A) Rosetting rates in filtered human serum (HS) were lower than those of complete HS (one-way ANOVA with Tukey’s test: p=0.0368; n = 5). IGFBP7 stimulated rosetting in HS-supplied environment (p=0.0276). IGFBP7 did not alter rosetting in filtered HS (p=0.0664). (B) IGFBP7 stimulated rosetting (p=0.0002; n = 8), whereas anti-VWF IgG did not significantly alter rosetting (p=0.3039). No significant changes were found in ‘anti-VWF IgG+IGFBP7’ (p=0.9096). (C) In 20% HS-enriched medium (20% HSM), ‘IGFBP7 and IGFBP7+VWF’ showed higher rosetting than the control (one-way ANOVA with Tukey’s test: p=0.003 for both comparisons; n = 8). VWF did not alter rosetting (p=0.8652). No significant difference was found between ‘IGFBP7’ and ‘IGFBP7+VWF’ (p=0.7853). Rosetting in ‘IGFBP7’ was higher than in ‘VWF’ (p<0.0001). In 2% HSM, ‘IGFBP7’ (p=0.1832) and ‘VWF’ (p=0.9876) did not significantly alter rosetting. Rosetting in ‘IGFBP7+VWF’ was increased (p=0.0014), and was higher than ‘IGFBP7’ and ‘VWF’ (p=0.0030 for both comparisons). No significant difference was found between ‘VWF+IGFBP7’ from both serum settings (p=0.2861). (D) Rosetting (n = 7) in 0.25% Albumax-enriched medium (Alb) supplied with 100 ng/ml IGFBP7 and different concentrations of VWF. No significant difference was found across the VWF concentrations tested (one-way ANOVA with Dunnett’s test: p>0.3 for all comparisons with ‘VWF-free’). (E) In 20% HSM, there was no significant difference between control and ‘anti-TSP-1’ (one-way ANOVA with Tukey’s test: p=0.9961, n = 8). A significant difference was recorded between control and ‘IGFBP7’ (p<0.0001), but not between control and ‘anti-TSP-1 + IGFBP7’ (p=0.9125). A significant difference was found in ‘anti-TSP-1’ vs. ‘IGFBP7’ (p<0.0001), and ‘IGFBP7’ vs. ‘IGFBP7 + anti-TSP-1’ (p=0.0022). (F) Rosetting (n = 8) in Alb was lower than in 20% HSM (p=0.0047). In HSM, IGFBP7 increased rosetting (p=0.0097). No significant changes were seen in comparisons of Alb-control with: IGFBP7 (p=0.7499), VWF (p>0.9999), TSP-1 10 ng/ml (p>0.9999), TSP-1 500 ng/ml (p=0.9491), IGFBP7 + TSP-1 10 ng/ml (p>0.9999), and IGFBP7 + TSP-1 500 ng/ml (p=0.9341). Rosette-stimulation was noted in ‘IGFBP7 + VWF + TSP-1 10 ng/ml’ (p=0.0002) and ‘IGFBP7 + VWF + TSP-1 500 ng/ml’ (p<0.0001). No significant difference was noted between ‘IGFBP7 + VWF + TSP-1 10 ng/ml’ and ‘IGFBP7 + VWF + TSP-1 500 ng/ml’ (p=0.9998), and ‘IGFBP7 + VWF + TSP-1 10 ng/ml’ vs. ‘20%HSM + IGFBP7’ (p>0.9999). ‘IGFBP7 + VWF + TSP-1 500 ng/ml’ was not significantly different from ‘HSM + IGFBP7’ (p=0.9997). (G) In 0.25% Alb supplied with 100 ng/ml IGFBP7, 10 ng/ml TSP-1 and 0.125 IU/ml VWF, rosette-stimulation was noted, as compared to a VWF-free group (one-way ANOVA with Tukey’s test: p=0.0421, n = 8). Rosetting increased with VWF concentrations (p<0.0001 for 0.5 and 2.0 IU/ml compared to VWF-free). No significant difference was seen in rosetting rates between VWF of 0.5 IU/ml and 2.0 IU/ml (p=0.2126).

Figure 7.

Figure 7—figure supplement 1. Control experiments.

Figure 7—figure supplement 1.

(A) Rosetting of P. falciparum lines (n = 8) under different conditions. One-way ANOVA with Tukey’s test was conducted. IGFBP7 stimulated rosetting (p<0.0001). No significant difference was found between the control and rabbit IgG polyclonal isotype (p>0.9999), mouse IgG polyclonal isotype (p=0.9721), mouse IgG1 isotype (p>0.9999), and mouse IgG2B isotype (p=0.3379). The rosette-stimulatory effect by IGFBP7 was not hampered by these antibody isotypes when compared with the rosetting from the control group (p=0.0007 for IGFBP7+ rabbit IgG polyclonal isotype; p<0.0001 for IGFBP7 + mouse IgG polyclonal isotype, p=0.001 for IGFBP7 + mouse IgG1 isotype, and p<0.0001 for IGFBP7 + mouse IgG2B isotype). (B) Quantitation of VWF in media used in this study. Media enriched with human AB sera from two major sources for our research, Albumax II and plain medium control were recruited for ELISA (triplicates done on each group, mean and SD shown). Media enriched with serum1 showed a VWF level of 0.1733 IU/ml (SD 0.0153), whereas media enriched with serum2 had 0.36 IU/ml (SD 0.0781) VWF. VWF levels of Albumax II-enriched medium and plain medium were below detection limit of the ELISA system used.