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Immune responses associated with protection induced by chemoattenuated PfSPZ vaccine in malaria-naive Europeans

Infectologia

Ensaio clínico randomizadoNível 2 · Nova evidênciaJCI insight8 mai 20243 citações

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Resumo original em inglês

O que aconteceu

Vaccination of malaria-naive volunteers with a high dose of Plasmodium falciparum sporozoites chemoattenuated by chloroquine (CQ) (PfSPZ-CVac [CQ]) has previously demonstrated full protection against controlled human malaria infection (CHMI). However, lower doses of PfSPZ-CVac [CQ] resulted in incomplete protection. This provides the opportunity to understand the immune mechanisms needed for better vaccine-induced protection by comparing individuals who were protected with those not protected. Using mass cytometry, we characterized immune cell composition and responses of malaria-naive European volunteers who received either lower doses of PfSPZ-CVac [CQ], resulting in 50% protection irrespective of the dose, or a placebo vaccination, with everyone becoming infected following CHMI. Clusters of CD4+ and γδ T cells associated with protection were identified, consistent with their known role in malaria immunity. Additionally, EMRA CD8+ T cells and CD56+CD8+ T cell clusters were associated with protection. In a cohort from a malaria-endemic area in Gabon, these CD8+ T cell clusters were also associated with parasitemia control in individuals with lifelong exposure to malaria. Upon stimulation with P. falciparum-infected erythrocytes, CD4+, γδ, and EMRA CD8+ T cells produced IFN-γ and/or TNF, indicating their ability to mediate responses that eliminate malaria parasites.

Resumo publicado sob licença CC BY. A tradução para o português ainda não chegou a este estudo.

O estudo original

Immune responses associated with protection induced by chemoattenuated PfSPZ vaccine in malaria-naive Europeans

Yoanne D Mouwenda, Simon P Jochems, Vincent Van Unen, Madeleine Eunice Betouke Ongwe, Wouter A A de Steenhuijsen Piters, Koen A Stam, Marguerite Massinga Loembe, Betty Kim Lee Sim, Meral Esen, Stephen L Hoffman et al.

Descritores MeSH

  • Sporozoites
  • Plasmodium falciparum
  • Malaria, Falciparum
  • CD8-Positive T-Lymphocytes
  • Malaria Vaccines
  • CD4-Positive T-Lymphocytes
  • Europe
  • Chloroquine
  • Adolescent
  • Humans

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