The challenges of a circumsporozoite protein-based malaria vaccine. 2021

Deepyan Chatterjee, and Ian Andrew Cockburn
Department of Immunology and Infectious Disease, John Curtin School of Medical Research, the Australian National University, Canberra, Australia.

A safe and effective vaccine will likely be necessary for the control or eradication of malaria which kills 400,000 annually. Our most advanced vaccine candidate to date is RTS,S which is based on the Plasmodium falciparum circumsporozoite protein (PfCSP) of the malaria parasite. However, protection by RTS,S is incomplete and short-lived. Here we summarize results from recent clinical trials of RTS,S and critically evaluate recent studies that aim to understand the correlates of protective immunity and why vaccine-induced protection is short-lived. In particular, recent systems serology studies have highlighted a key role for the necessity of inducing functional antibodies. In-depth analyses of immune responses to CSP in both mouse models and vaccinated humans have also highlighted difficulties in generating the maintaining high-quality antibody responses. Finally, in recent years biophysical and structural studies of antibody binding to PfCSP have led to a better understanding of how highly potent antibodies can block infection, which can inform vaccine design. We highlight how both structure-guided vaccine design and a better understanding of the immune response to PfCSP can inform a second generation of PfCSP-based vaccines stimulating a broader range of protective targets within PfCSP.

UI MeSH Term Description Entries
D010963 Plasmodium falciparum A species of protozoa that is the causal agent of falciparum malaria (MALARIA, FALCIPARUM). It is most prevalent in the tropics and subtropics. Plasmodium falciparums,falciparums, Plasmodium
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D000913 Antibodies, Protozoan Immunoglobulins produced in a response to PROTOZOAN ANTIGENS. Protozoan Antibodies
D013997 Time Factors Elements of limited time intervals, contributing to particular results or situations. Time Series,Factor, Time,Time Factor
D015800 Protozoan Proteins Proteins found in any species of protozoan. Proteins, Protozoan
D016778 Malaria, Falciparum Malaria caused by PLASMODIUM FALCIPARUM. This is the severest form of malaria and is associated with the highest levels of parasites in the blood. This disease is characterized by irregularly recurring febrile paroxysms that in extreme cases occur with acute cerebral, renal, or gastrointestinal manifestations. Plasmodium falciparum Malaria,Malaria, Plasmodium falciparum
D017780 Malaria Vaccines Vaccines made from antigens arising from any of the four strains of Plasmodium which cause malaria in humans, or from P. berghei which causes malaria in rodents. Malaria Vaccine,Malarial Vaccine,Malarial Vaccines,Vaccine, Malaria,Vaccine, Malarial,Vaccines, Malaria,Vaccines, Malarial
D051379 Mice The common name for the genus Mus. Mice, House,Mus,Mus musculus,Mice, Laboratory,Mouse,Mouse, House,Mouse, Laboratory,Mouse, Swiss,Mus domesticus,Mus musculus domesticus,Swiss Mice,House Mice,House Mouse,Laboratory Mice,Laboratory Mouse,Mice, Swiss,Swiss Mouse,domesticus, Mus musculus

Related Publications

Deepyan Chatterjee, and Ian Andrew Cockburn
June 1997, The New England journal of medicine,
Deepyan Chatterjee, and Ian Andrew Cockburn
June 1997, The New England journal of medicine,
Deepyan Chatterjee, and Ian Andrew Cockburn
June 1997, The New England journal of medicine,
Deepyan Chatterjee, and Ian Andrew Cockburn
January 2021, NPJ vaccines,
Deepyan Chatterjee, and Ian Andrew Cockburn
May 2012, The Journal of infectious diseases,
Deepyan Chatterjee, and Ian Andrew Cockburn
January 2021, Revista do Instituto de Medicina Tropical de Sao Paulo,
Deepyan Chatterjee, and Ian Andrew Cockburn
September 2009, The Journal of biological chemistry,
Deepyan Chatterjee, and Ian Andrew Cockburn
April 1988, Science (New York, N.Y.),
Deepyan Chatterjee, and Ian Andrew Cockburn
June 2012, Journal of immunology (Baltimore, Md. : 1950),
Copied contents to your clipboard!