Abstract:Rodent transgenic parasites are useful tools for the preclinical evaluation of malaria vaccines. Over the last decade, several studies have reported the development of transgenic rodent parasites expressing P. falciparum antigens for the assessment of vaccine-induced immune responses, which traditionally have been limited to in vitro assays. However, the genetic manipulation of rodent Plasmodium species can have detrimental effects on the parasite's infectivity and development. In this chapter, we present a fe… Show more
“…Pioneering studies reported the use of rodent malaria parasites to investigate the functional relevance of P. falciparum liver stage [79] and blood stage [58] vaccine candidates. Most of the recently developed P. berghei chimeras have been accomplished using the twostep gene insertion marker out technique [80], which has been used in assessing both transmission-blocking [81] and pre-erythrocytic vaccines [82,83], enabling successful replacement of orthologous gene targets and also marker-free parasite lines. More recently, Shinzawa and colleagues developed a transgenic P. berghei line constitutively expressing the Sp-Cas9 gene [84], which could be of great interest for future work involving P. berghei as a model.…”
“…Pioneering studies reported the use of rodent malaria parasites to investigate the functional relevance of P. falciparum liver stage [79] and blood stage [58] vaccine candidates. Most of the recently developed P. berghei chimeras have been accomplished using the twostep gene insertion marker out technique [80], which has been used in assessing both transmission-blocking [81] and pre-erythrocytic vaccines [82,83], enabling successful replacement of orthologous gene targets and also marker-free parasite lines. More recently, Shinzawa and colleagues developed a transgenic P. berghei line constitutively expressing the Sp-Cas9 gene [84], which could be of great interest for future work involving P. berghei as a model.…”
“…These models allow the use of mice for testing novel CSP-based vaccine candidates, such as a self-assembling protein nanoparticlebased malaria vaccine [9], or monoclonal antibodies binding to the vaccine antigen [10], potentially defining new protective epitopes. Specific chimeras can be engineered to study other antigens, such as TRAP or CelTOS, and guidelines have been published [11].…”
Section: Development Of Challenge Strainsmentioning
The International Alliance for Biological Standardization organized the second workshop on human challenge trials (HCT) in Rockville, MD, in September 2017. The objective of this meeting was to examine the use of HCT, in response to the continuing human suffering caused by infectious diseases, preventable by the development of new and improved vaccines. For this, the approach of HCT could be valuable, as HCT can provide key safety, tolerability, immunogenicity, and efficacy data, and can be used to study host-pathogen biology. HCT can generate these data with speed, efficiency and minimal expense, albeit not with the same level of robustness as clinical trials. Incorporated wisely into a clinical development plan, HCT can support optimization or down-selection of new vaccine candidates, assuring that only the worthiest candidates progress to field testing. HCT may also provide pivotal efficacy data in support of licensure, particularly when field efficacy studies are not feasible. Many aspects of HCT were discussed by the participants, including new and existing models, standardization and ethics. A consensus was achieved that HCT, if ethically justified and performed with careful attention to safety and informed consent, should be pursued to promote and accelerate vaccine development.
“…This prevents malaria disease caused by asexual parasite blood stages and further transmission mediated by sexual blood stages. Moreover, genetically (GAP) and chemically attenuated (CAP) P. falciparum and rodent malaria parasites have con rmed the protective e cacy of whole attenuated parasites [16][17][18][19][20][21][22][23][24] .…”
Malaria sterile immunity has been reproducibly induced by immunization with Plasmodium radiation-attenuated sporozoites (RAS). Analyses of sera from RAS-immunized individuals allowed the identification of P. falciparum antigens, such as the circumsporozoite protein (CSP), the basis for the RTS, S vaccine. Similar advances in P. vivax (Pv) vaccination have been elusive. We previously reported 42% (5/12) of sterile protection in malaria-unexposed, Duffy-positive (Fy+) volunteers immunized with PvRAS followed by a controlled human malaria infection (CHMI). Using a custom protein microarray displaying 515 Pv antigens, we found that PvRAS group seroreactivity was lower in protected than non-protected volunteers. Nevertheless, protected volunteers showed higher reactivity to PvCSP and other antigens. In Fy- volunteers immunized with non-irradiated Pv-infected mosquitoes, parasite reactivity increased throughout immunizations. Mock-vaccinated Fy + volunteers developed a vigorous response to CHMI. These findings allowed the identification of novel parasite antigens currently being pursued as vaccine candidates.
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