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Individuals living in regions with endemic malaria have the potential to develop partial immunity, thanks in part to the presence of anti-plasmodium antibodies. As efforts are made to optimize and implement strategies to reduce malaria transmission and ultimately eliminate the disease, it is crucial to understand how these interventions impact naturally acquired protective immunity. To shed light on this, our study focused on assessing antibody responses to a carefully curated library of P. falciparum recombinant proteins (n = 691) using samples collected from individuals residing in a low-malaria-transmission region of Thailand. We conducted the antibody assays using the AlphaScreen system, a high-throughput homogeneous proximity-based bead assay that detects protein interactions. We observed that out of the 691 variable surface and merozoite stage proteins included in the library, antibodies to 268 antigens significantly correlated with the absence of symptomatic malaria in an univariate analysis. Notably, the most prominent antigens identified were P. falciparum erythrocyte membrane protein 1 (PfEMP1) domains. These results align with our previous research conducted in Uganda, suggesting that similar antigens like PfEMP1s might play a pivotal role in determining infection outcomes in diverse populations. To further our understanding, it remains critical to conduct functional characterization of these identified proteins, exploring their potential as correlates of protection or as targets for vaccine development.<\/jats:p>","DOI":"10.3390\/biom13081267","type":"journal-article","created":{"date-parts":[[2023,8,21]],"date-time":"2023-08-21T01:33:11Z","timestamp":1692581591000},"page":"1267","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["High-Throughput Antibody Profiling Identifies Targets of Protective Immunity against P. falciparum Malaria in Thailand"],"prefix":"10.3390","volume":"13","author":[{"given":"Ifra","family":"Hassan","sequence":"first","affiliation":[{"name":"Division of Malaria Research, Proteo-Science Center, Ehime University, Matsuyama 790-8577, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernard N.","family":"Kanoi","sequence":"additional","affiliation":[{"name":"Centre for Malaria Elimination, Institute of Tropical Medicine, Mount Kenya University, Thika 01000, Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hikaru","family":"Nagaoka","sequence":"additional","affiliation":[{"name":"Division of Malaria Research, Proteo-Science Center, Ehime University, Matsuyama 790-8577, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jetsumon","family":"Sattabongkot","sequence":"additional","affiliation":[{"name":"Mahidol Vivax Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok 10400, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachanee","family":"Udomsangpetch","sequence":"additional","affiliation":[{"name":"Center for Research and Innovation, Faculty of Medical Technology, Mahidol University, Salaya, Nakhon Pathom 73170, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7415-1325","authenticated-orcid":false,"given":"Takafumi","family":"Tsuboi","sequence":"additional","affiliation":[{"name":"Division of Cell-Free Sciences, Proteo-Science Center, Ehime University, Matsuyama 790-8577, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9070-8499","authenticated-orcid":false,"given":"Eizo","family":"Takashima","sequence":"additional","affiliation":[{"name":"Division of Malaria Research, Proteo-Science Center, Ehime University, Matsuyama 790-8577, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,8,18]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (2022). 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