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.