CXCR3+ T follicular helper cells induced by co-administration of RTS,S/AS01B and viral vectored vaccines are associated with reduced immunogenicity and efficacy against Malaria

Malaria remains a significant cause of morbidity and mortality in sub-Saharan Africa. An efficacious vaccine will be an essential part of attempts to eradicate the disease. A vaccine strategy targeting multiple stages lifecycle stages may be required to achieve a high level of efficacy. In a series...

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Main Authors: Ewer (nee Russell), K, Bowyer, G, Grobbelaar, A, Rampling, T, Venkatraman, N, Morelle, D, Ballou, R, Hill, A
Format: Journal article
Published: Frontiers Media 2018
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author Ewer (nee Russell), K
Bowyer, G
Grobbelaar, A
Rampling, T
Venkatraman, N
Morelle, D
Ballou, R
Hill, A
author_facet Ewer (nee Russell), K
Bowyer, G
Grobbelaar, A
Rampling, T
Venkatraman, N
Morelle, D
Ballou, R
Hill, A
author_sort Ewer (nee Russell), K
collection OXFORD
description Malaria remains a significant cause of morbidity and mortality in sub-Saharan Africa. An efficacious vaccine will be an essential part of attempts to eradicate the disease. A vaccine strategy targeting multiple stages lifecycle stages may be required to achieve a high level of efficacy. In a series of phase IIa clinical trials we tested different regimens of two vaccine platforms: RTS,S/AS01B, which induces antibody responses to target sporozoites and viral-vectored vaccines ChAd63-MVA ME-TRAP, which induce T cells that target infected hepatocytes. Concomitant administration of these vaccines significantly reduced humoral immunogenicity and protective efficacy against controlled human malaria infection. Strong Th1 cytokine responses induced by MVA ME-TRAP were associated with a skew in circulating T follicular helper cells towards a CXCR3+ phenotype and the observed reduction in antibody quantity and quality. This study illustrates that while a multistage-targeting vaccine strategy could provide high-level efficacy, the regimen design will require careful optimisation.
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spelling oxford-uuid:cb51ac05-d30d-4030-9be4-044bc81a87ea2022-03-27T07:13:59ZCXCR3+ T follicular helper cells induced by co-administration of RTS,S/AS01B and viral vectored vaccines are associated with reduced immunogenicity and efficacy against MalariaJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:cb51ac05-d30d-4030-9be4-044bc81a87eaSymplectic Elements at OxfordFrontiers Media2018Ewer (nee Russell), KBowyer, GGrobbelaar, ARampling, TVenkatraman, NMorelle, DBallou, RHill, AMalaria remains a significant cause of morbidity and mortality in sub-Saharan Africa. An efficacious vaccine will be an essential part of attempts to eradicate the disease. A vaccine strategy targeting multiple stages lifecycle stages may be required to achieve a high level of efficacy. In a series of phase IIa clinical trials we tested different regimens of two vaccine platforms: RTS,S/AS01B, which induces antibody responses to target sporozoites and viral-vectored vaccines ChAd63-MVA ME-TRAP, which induce T cells that target infected hepatocytes. Concomitant administration of these vaccines significantly reduced humoral immunogenicity and protective efficacy against controlled human malaria infection. Strong Th1 cytokine responses induced by MVA ME-TRAP were associated with a skew in circulating T follicular helper cells towards a CXCR3+ phenotype and the observed reduction in antibody quantity and quality. This study illustrates that while a multistage-targeting vaccine strategy could provide high-level efficacy, the regimen design will require careful optimisation.
spellingShingle Ewer (nee Russell), K
Bowyer, G
Grobbelaar, A
Rampling, T
Venkatraman, N
Morelle, D
Ballou, R
Hill, A
CXCR3+ T follicular helper cells induced by co-administration of RTS,S/AS01B and viral vectored vaccines are associated with reduced immunogenicity and efficacy against Malaria
title CXCR3+ T follicular helper cells induced by co-administration of RTS,S/AS01B and viral vectored vaccines are associated with reduced immunogenicity and efficacy against Malaria
title_full CXCR3+ T follicular helper cells induced by co-administration of RTS,S/AS01B and viral vectored vaccines are associated with reduced immunogenicity and efficacy against Malaria
title_fullStr CXCR3+ T follicular helper cells induced by co-administration of RTS,S/AS01B and viral vectored vaccines are associated with reduced immunogenicity and efficacy against Malaria
title_full_unstemmed CXCR3+ T follicular helper cells induced by co-administration of RTS,S/AS01B and viral vectored vaccines are associated with reduced immunogenicity and efficacy against Malaria
title_short CXCR3+ T follicular helper cells induced by co-administration of RTS,S/AS01B and viral vectored vaccines are associated with reduced immunogenicity and efficacy against Malaria
title_sort cxcr3 t follicular helper cells induced by co administration of rts s as01b and viral vectored vaccines are associated with reduced immunogenicity and efficacy against malaria
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AT bowyerg cxcr3tfollicularhelpercellsinducedbycoadministrationofrtssas01bandviralvectoredvaccinesareassociatedwithreducedimmunogenicityandefficacyagainstmalaria
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