Effect of the pre-erythrocytic candidate malaria vaccine RTS,S/AS01E on blood stage immunity in young children
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Effect of the pre-erythrocytic candidate malaria vaccine RTS,S/AS01E on blood stage immunity in young children. / Bejon, Philip; Cook, Jackie; Bergmann-Leitner, Elke; Olotu, Ally; Lusingu, John; Mwacharo, Jedidah; Vekemans, Johan; Njuguna, Patricia; Leach, Amanda; Lievens, Marc; Dutta, Sheetij; von Seidlein, Lorenz; Savarese, Barbara; Villafana, Tonya; Lemnge, Martha M; Cohen, Joe; Marsh, Kevin; Corran, Patrick H; Angov, Evelina; Riley, Eleanor M; Drakeley, Chris J.
In: Journal of Infectious Diseases, Vol. 204, No. 1, 2011, p. 9-18.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Effect of the pre-erythrocytic candidate malaria vaccine RTS,S/AS01E on blood stage immunity in young children
AU - Bejon, Philip
AU - Cook, Jackie
AU - Bergmann-Leitner, Elke
AU - Olotu, Ally
AU - Lusingu, John
AU - Mwacharo, Jedidah
AU - Vekemans, Johan
AU - Njuguna, Patricia
AU - Leach, Amanda
AU - Lievens, Marc
AU - Dutta, Sheetij
AU - von Seidlein, Lorenz
AU - Savarese, Barbara
AU - Villafana, Tonya
AU - Lemnge, Martha M
AU - Cohen, Joe
AU - Marsh, Kevin
AU - Corran, Patrick H
AU - Angov, Evelina
AU - Riley, Eleanor M
AU - Drakeley, Chris J
PY - 2011
Y1 - 2011
N2 - (See the article by Greenhouse et al, on pages 19-26.) Background. RTS,S/AS01(E) is the lead candidate malaria vaccine and confers pre-erythrocytic immunity. Vaccination may therefore impact acquired immunity to blood-stage malaria parasites after natural infection. Methods. We measured, by enzyme-linked immunosorbent assay, antibodies to 4 Plasmodium falciparum merozoite antigens (AMA-1, MSP-1(42), EBA-175, and MSP-3) and by growth inhibitory activity (GIA) using 2 parasite clones (FV0 and 3D7) at 4 times on 860 children who were randomized to receive with RTS,S/AS01(E) or a control vaccine. Results. Antibody concentrations to AMA-1, EBA-175, and MSP-1(42) decreased with age during the first year of life, then increased to 32 months of age. Anti-MSP-3 antibody concentrations gradually increased, and GIA gradually decreased up to 32 months. Vaccination with RTS,S/AS01(E) resulted in modest reductions in AMA-1, EBA-175, MSP-1(42), and MSP-3 antibody concentrations and no significant change in GIA. Increasing anti-merozoite antibody concentrations and GIA were prospectively associated with increased risk of clinical malaria. Conclusions. Vaccination with RTS,S/AS01E reduces exposure to blood-stage parasites and, thus, reduces anti-merozoite antigen antibody concentrations. However, in this study, these antibodies were not correlates of clinical immunity to malaria. Instead, heterogeneous exposure led to confounded, positive associations between increasing antibody concentration and increasing risk of clinical malaria.
AB - (See the article by Greenhouse et al, on pages 19-26.) Background. RTS,S/AS01(E) is the lead candidate malaria vaccine and confers pre-erythrocytic immunity. Vaccination may therefore impact acquired immunity to blood-stage malaria parasites after natural infection. Methods. We measured, by enzyme-linked immunosorbent assay, antibodies to 4 Plasmodium falciparum merozoite antigens (AMA-1, MSP-1(42), EBA-175, and MSP-3) and by growth inhibitory activity (GIA) using 2 parasite clones (FV0 and 3D7) at 4 times on 860 children who were randomized to receive with RTS,S/AS01(E) or a control vaccine. Results. Antibody concentrations to AMA-1, EBA-175, and MSP-1(42) decreased with age during the first year of life, then increased to 32 months of age. Anti-MSP-3 antibody concentrations gradually increased, and GIA gradually decreased up to 32 months. Vaccination with RTS,S/AS01(E) resulted in modest reductions in AMA-1, EBA-175, MSP-1(42), and MSP-3 antibody concentrations and no significant change in GIA. Increasing anti-merozoite antibody concentrations and GIA were prospectively associated with increased risk of clinical malaria. Conclusions. Vaccination with RTS,S/AS01E reduces exposure to blood-stage parasites and, thus, reduces anti-merozoite antigen antibody concentrations. However, in this study, these antibodies were not correlates of clinical immunity to malaria. Instead, heterogeneous exposure led to confounded, positive associations between increasing antibody concentration and increasing risk of clinical malaria.
U2 - 10.1093/infdis/jir222
DO - 10.1093/infdis/jir222
M3 - Journal article
C2 - 21628653
VL - 204
SP - 9
EP - 18
JO - Journal of Infectious Diseases
JF - Journal of Infectious Diseases
SN - 0022-1899
IS - 1
ER -
ID: 33582834