RH5.1-CyRPA-Ripr antigen combination vaccine shows little improvement over RH5.1 in a preclinical setting

<strong>Background: </strong>RH5 is the leading vaccine candidate for the Plasmodium falciparum blood stage and has shown impact on parasite growth in the blood in a human clinical trial. RH5 binds to Ripr and CyRPA at the apical end of the invasive merozoite form, and this complex, desi...

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Main Authors: Healer, J, Thompson, JK, Mackwell, KL, Browne, CD, Seager, BA, Ngo, A, Lowes, KN, Silk, SE, Pulido, D, King, LDW, Christen, JM, Noe, AR, Kotraiah, V, Masendycz, PJ, Rajagopalan, R, Lucas, L, Stanford, MM, Soisson, L, Diggs, C, Miller, R, Youll, S, Wycherley, K, Draper, SJ, Cowman, AF
Format: Journal article
Language:English
Published: Frontiers Media 2022
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author Healer, J
Thompson, JK
Mackwell, KL
Browne, CD
Seager, BA
Ngo, A
Lowes, KN
Silk, SE
Pulido, D
King, LDW
Christen, JM
Noe, AR
Kotraiah, V
Masendycz, PJ
Rajagopalan, R
Lucas, L
Stanford, MM
Soisson, L
Diggs, C
Miller, R
Youll, S
Wycherley, K
Draper, SJ
Cowman, AF
author_facet Healer, J
Thompson, JK
Mackwell, KL
Browne, CD
Seager, BA
Ngo, A
Lowes, KN
Silk, SE
Pulido, D
King, LDW
Christen, JM
Noe, AR
Kotraiah, V
Masendycz, PJ
Rajagopalan, R
Lucas, L
Stanford, MM
Soisson, L
Diggs, C
Miller, R
Youll, S
Wycherley, K
Draper, SJ
Cowman, AF
author_sort Healer, J
collection OXFORD
description <strong>Background: </strong>RH5 is the leading vaccine candidate for the Plasmodium falciparum blood stage and has shown impact on parasite growth in the blood in a human clinical trial. RH5 binds to Ripr and CyRPA at the apical end of the invasive merozoite form, and this complex, designated RCR, is essential for entry into human erythrocytes. RH5 has advanced to human clinical trials, and the impact on parasite growth in the blood was encouraging but modest. This study assessed the potential of a protein-in-adjuvant blood stage malaria vaccine based on a combination of RH5, Ripr and CyRPA to provide improved neutralizing activity against P. falciparum in vitro. <br><strong> Methods: </strong>Mice were immunized with the individual RCR antigens to down select the best performing adjuvant formulation and rats were immunized with the individual RCR antigens to select the correct antigen dose. A second cohort of rats were immunized with single, double and triple antigen combinations to assess immunogenicity and parasite neutralizing activity in growth inhibition assays. <br><strong> Results: </strong>The DPX® platform was identified as the best performing formulation in potentiating P. falciparum inhibitory antibody responses to these antigens. The three antigens derived from RH5, Ripr and CyRPA proteins formulated with DPX induced highly inhibitory parasite neutralising antibodies. Notably, RH5 either as a single antigen or in combination with Ripr and/or CyRPA, induced inhibitory antibodies that outperformed CyRPA, Ripr. <br><strong> Conclusion: </strong>An RCR combination vaccine may not induce substantially improved protective immunity as compared with RH5 as a single immunogen in a clinical setting and leaves the development pathway open for other antigens to be combined with RH5 as a next generation malaria vaccine.
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spelling oxford-uuid:d1aad7c3-0f26-4ed0-9bbf-0025c80f2f802023-08-22T15:39:13ZRH5.1-CyRPA-Ripr antigen combination vaccine shows little improvement over RH5.1 in a preclinical settingJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:d1aad7c3-0f26-4ed0-9bbf-0025c80f2f80EnglishSymplectic ElementsFrontiers Media2022Healer, JThompson, JKMackwell, KLBrowne, CDSeager, BANgo, ALowes, KNSilk, SEPulido, DKing, LDWChristen, JMNoe, ARKotraiah, VMasendycz, PJRajagopalan, RLucas, LStanford, MMSoisson, LDiggs, CMiller, RYoull, SWycherley, KDraper, SJCowman, AF<strong>Background: </strong>RH5 is the leading vaccine candidate for the Plasmodium falciparum blood stage and has shown impact on parasite growth in the blood in a human clinical trial. RH5 binds to Ripr and CyRPA at the apical end of the invasive merozoite form, and this complex, designated RCR, is essential for entry into human erythrocytes. RH5 has advanced to human clinical trials, and the impact on parasite growth in the blood was encouraging but modest. This study assessed the potential of a protein-in-adjuvant blood stage malaria vaccine based on a combination of RH5, Ripr and CyRPA to provide improved neutralizing activity against P. falciparum in vitro. <br><strong> Methods: </strong>Mice were immunized with the individual RCR antigens to down select the best performing adjuvant formulation and rats were immunized with the individual RCR antigens to select the correct antigen dose. A second cohort of rats were immunized with single, double and triple antigen combinations to assess immunogenicity and parasite neutralizing activity in growth inhibition assays. <br><strong> Results: </strong>The DPX® platform was identified as the best performing formulation in potentiating P. falciparum inhibitory antibody responses to these antigens. The three antigens derived from RH5, Ripr and CyRPA proteins formulated with DPX induced highly inhibitory parasite neutralising antibodies. Notably, RH5 either as a single antigen or in combination with Ripr and/or CyRPA, induced inhibitory antibodies that outperformed CyRPA, Ripr. <br><strong> Conclusion: </strong>An RCR combination vaccine may not induce substantially improved protective immunity as compared with RH5 as a single immunogen in a clinical setting and leaves the development pathway open for other antigens to be combined with RH5 as a next generation malaria vaccine.
spellingShingle Healer, J
Thompson, JK
Mackwell, KL
Browne, CD
Seager, BA
Ngo, A
Lowes, KN
Silk, SE
Pulido, D
King, LDW
Christen, JM
Noe, AR
Kotraiah, V
Masendycz, PJ
Rajagopalan, R
Lucas, L
Stanford, MM
Soisson, L
Diggs, C
Miller, R
Youll, S
Wycherley, K
Draper, SJ
Cowman, AF
RH5.1-CyRPA-Ripr antigen combination vaccine shows little improvement over RH5.1 in a preclinical setting
title RH5.1-CyRPA-Ripr antigen combination vaccine shows little improvement over RH5.1 in a preclinical setting
title_full RH5.1-CyRPA-Ripr antigen combination vaccine shows little improvement over RH5.1 in a preclinical setting
title_fullStr RH5.1-CyRPA-Ripr antigen combination vaccine shows little improvement over RH5.1 in a preclinical setting
title_full_unstemmed RH5.1-CyRPA-Ripr antigen combination vaccine shows little improvement over RH5.1 in a preclinical setting
title_short RH5.1-CyRPA-Ripr antigen combination vaccine shows little improvement over RH5.1 in a preclinical setting
title_sort rh5 1 cyrpa ripr antigen combination vaccine shows little improvement over rh5 1 in a preclinical setting
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