Five decades of clinical assessment of whole-sporozoite malaria vaccines

In 1967, pioneering work by Ruth Nussenzweig demonstrated for the first time that irradiated sporozoites of the rodent malaria parasite Plasmodium berghei protected mice against a challenge with infectious parasites of the same species. This remarkable finding opened up entirely new prospects of eff...

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Main Authors: Helena Nunes-Cabaço, Diana Moita, Miguel Prudêncio
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2022.977472/full
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author Helena Nunes-Cabaço
Diana Moita
Miguel Prudêncio
author_facet Helena Nunes-Cabaço
Diana Moita
Miguel Prudêncio
author_sort Helena Nunes-Cabaço
collection DOAJ
description In 1967, pioneering work by Ruth Nussenzweig demonstrated for the first time that irradiated sporozoites of the rodent malaria parasite Plasmodium berghei protected mice against a challenge with infectious parasites of the same species. This remarkable finding opened up entirely new prospects of effective vaccination against malaria using attenuated sporozoites as immunization agents. The potential for whole-sporozoite-based immunization in humans was established in a clinical study in 1973, when a volunteer exposed to X-irradiated P. falciparum sporozoites was found to be protected against malaria following challenge with a homologous strain of this parasite. Nearly five decades later, much has been achieved in the field of whole-sporozoite malaria vaccination, and multiple reports on the clinical evaluation of such candidates have emerged. However, this process has known different paces before and after the turn of the century. While only a few clinical studies were published in the 1970’s, 1980’s and 1990’s, remarkable progress was made in the 2000’s and beyond. This article reviews the history of the clinical assessment of whole-sporozoite malaria vaccines over the last forty-nine years, highlighting the impressive achievements made over the last few years, and discussing some of the challenges ahead.
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spelling doaj.art-11249ec3187d4489a54059bc2e03e71c2022-12-22T04:25:27ZengFrontiers Media S.A.Frontiers in Immunology1664-32242022-09-011310.3389/fimmu.2022.977472977472Five decades of clinical assessment of whole-sporozoite malaria vaccinesHelena Nunes-CabaçoDiana MoitaMiguel PrudêncioIn 1967, pioneering work by Ruth Nussenzweig demonstrated for the first time that irradiated sporozoites of the rodent malaria parasite Plasmodium berghei protected mice against a challenge with infectious parasites of the same species. This remarkable finding opened up entirely new prospects of effective vaccination against malaria using attenuated sporozoites as immunization agents. The potential for whole-sporozoite-based immunization in humans was established in a clinical study in 1973, when a volunteer exposed to X-irradiated P. falciparum sporozoites was found to be protected against malaria following challenge with a homologous strain of this parasite. Nearly five decades later, much has been achieved in the field of whole-sporozoite malaria vaccination, and multiple reports on the clinical evaluation of such candidates have emerged. However, this process has known different paces before and after the turn of the century. While only a few clinical studies were published in the 1970’s, 1980’s and 1990’s, remarkable progress was made in the 2000’s and beyond. This article reviews the history of the clinical assessment of whole-sporozoite malaria vaccines over the last forty-nine years, highlighting the impressive achievements made over the last few years, and discussing some of the challenges ahead.https://www.frontiersin.org/articles/10.3389/fimmu.2022.977472/fullvaccineplasmodiumsporozoiteclinical trialprotective efficacyimmunogenicity
spellingShingle Helena Nunes-Cabaço
Diana Moita
Miguel Prudêncio
Five decades of clinical assessment of whole-sporozoite malaria vaccines
Frontiers in Immunology
vaccine
plasmodium
sporozoite
clinical trial
protective efficacy
immunogenicity
title Five decades of clinical assessment of whole-sporozoite malaria vaccines
title_full Five decades of clinical assessment of whole-sporozoite malaria vaccines
title_fullStr Five decades of clinical assessment of whole-sporozoite malaria vaccines
title_full_unstemmed Five decades of clinical assessment of whole-sporozoite malaria vaccines
title_short Five decades of clinical assessment of whole-sporozoite malaria vaccines
title_sort five decades of clinical assessment of whole sporozoite malaria vaccines
topic vaccine
plasmodium
sporozoite
clinical trial
protective efficacy
immunogenicity
url https://www.frontiersin.org/articles/10.3389/fimmu.2022.977472/full
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