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Antibody and T-cell responses associated with experimental human malaria infection or vaccination show limited relationships.

Abstract
This study examined specific antibody and T-cell responses associated with experimental malaria infection or malaria vaccination, in malaria-naive human volunteers within phase I/IIa vaccine trials, with a view to investigating inter-relationships between these types of response. Malaria infection was via five bites of Plasmodium falciparum-infected mosquitoes, with individuals reaching patent infection by 11-12 days, having harboured four or five blood-stage cycles before drug clearance. Infection elicited a robust antibody response against merozoite surface protein-119 , correlating with parasite load. Classical class switching was seen from an early IgM to an IgG1-dominant response of increasing affinity. Malaria-specific T-cell responses were detected in the form of interferon-γ and interleukin-4 (IL-4) ELIspot, but their magnitude did not correlate with the magnitude of antibody or its avidity, or with parasite load. Different individuals who were immunized with a virosome vaccine comprising influenza antigens combined with P. falciparum antigens, demonstrated pre-existing interferon-γ, IL-2 and IL-5 ELIspot responses against the influenza antigens, and showed boosting of anti-influenza T-cell responses only for IL-5. The large IgG1-dominated anti-parasite responses showed limited correlation with T-cell responses for magnitude or avidity, both parameters being only negatively correlated for IL-5 secretion versus anti-apical membrane antigen-1 antibody titres. Overall, these findings suggest that cognate T-cell responses across a range of magnitudes contribute towards driving potentially effective antibody responses in infection-induced and vaccine-induced immunity against malaria, and their existence during immunization is beneficial, but magnitudes are mostly not inter-related.
AuthorsKaren M Walker, Shinji Okitsu, David W Porter, Christopher Duncan, Mario Amacker, Gerd Pluschke, David R Cavanagh, Adrian V S Hill, Stephen M Todryk
JournalImmunology (Immunology) Vol. 145 Issue 1 Pg. 71-81 (May 2015) ISSN: 1365-2567 [Electronic] England
PMID25471322 (Publication Type: Clinical Trial, Phase I, Clinical Trial, Phase II, Journal Article, Multicenter Study, Research Support, Non-U.S. Gov't)
Copyright© 2014 John Wiley & Sons Ltd.
Chemical References
  • Antibodies, Protozoan
  • Cytokines
  • Immunoglobulin G
  • Immunoglobulin M
  • Malaria Vaccines
  • Merozoite Surface Protein 1
Topics
  • Adolescent
  • Adult
  • Antibodies, Protozoan (immunology)
  • Antibody Formation (drug effects)
  • Cytokines (immunology)
  • Female
  • Humans
  • Immunity, Cellular (drug effects)
  • Immunoglobulin G (immunology)
  • Immunoglobulin M (immunology)
  • Malaria Vaccines (administration & dosage, immunology)
  • Malaria, Falciparum (immunology, pathology, prevention & control)
  • Male
  • Merozoite Surface Protein 1 (administration & dosage, immunology)
  • Middle Aged
  • Plasmodium falciparum (immunology)
  • T-Lymphocytes (immunology)

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