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Protection against malaria at 1 year and immune correlates following PfSPZ vaccination
Open accessAbstract
An attenuated Plasmodium falciparum (Pf) sporozoite (SPZ) vaccine, PfSPZ Vaccine, is highly protective against controlled human malaria infection (CHMI) 3 weeks after immunization, but the durability of protection is unknown. We assessed how vaccine dosage, regimen, and route of administration affected durable protection in malaria-naive adults. After four intravenous immunizations with 2.7 × 105 PfSPZ, 6/11 (55%) vaccinated subjects remained without parasitemia following CHMI 21 weeks after immunization. Five non-parasitemic subjects from this dosage group underwent repeat CHMI at 59 weeks, and none developed parasitemia. Although Pf-specific serum antibody levels correlated with protection up to 21–25 weeks after immunization, antibody levels waned substantially by 59 weeks. Pf-specific T cell responses also declined in blood by 59 weeks. To determine whether T cell responses in blood reflected responses in liver, we vaccinated nonhuman primates with PfSPZ Vaccine. Pf-specific interferon-γ-producing CD8 T cells were present at ∼100-fold higher frequencies in liver than in blood. Our findings suggest that PfSPZ Vaccine conferred durable protection to malaria through long-lived tissue-resident T cells and that administration of higher doses may further enhance protection.
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Metadata
- Authors
- Ishizuka, A. S., Lyke, K. E., DeZure, A., Berry, A. A., Richie, T. L., Mendoza, F. H., Enama, M. E., Gordon, I. J., Chang, L.-J., Sarwar, U. N., Zephir, K. L., Holman, L. A., James, E. R., Billingsley, P. F., Gunasekera, A., Chakravarty, S., Manoj, A., Li, M., Ruben, A. J., Li, T., Eappen, A. G., Stafford, R. E., K C, N., Murshedkar, T., DeCederfelt, H., Plummer, S. H., Hendel, C. S., Novik, L., Costner, P. J. M., Saunders, J. G., Laurens, M. B., Plowe, C. V., Flynn, B., Whalen, W. R., Todd, J. P., Noor, J., Rao, S., Sierra-Davidson, K., Lynn, G. M., Epstein, J. E., Kemp, M. A., Fahle, G. A., Mikolajczak, S. A., Fishbaugher, M., Sack, B. K., Kappe, S. H. I., Davidson, S. A., Garver, L. S., Björkström, N. K., Nason, M. C., Graham, B. S., Roederer, M., Sim, B. K. L., Hoffman, S. L., Ledgerwood, J. E., & Seder, R. A.
- Venue
- Nature Medicine
- Published
- 2016-05-09
- Volume
- 22
- Issue
- 6
- Pages
- 614-623
- ISSN
- 1078-8956 (ISSN-L)
- 1546-170X
- OpenAlex
- W2346928357
- Cited by
- 367
- References
- 44
- FWCI
- 46.55
- Type
- journal article
- Language
- en
- Open access
- green
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