Enhancing protective immunity to malaria with a highly immunogenic virus-like particle vaccine

The leading malaria vaccine in development is the circumsporozoite (CS) protein-based vaccine, RTS,S, which targets the pre-erythrocytic stage of Plasmodium falciparum infection. It induces modest levels of protective efficacy largely mediated by CS specific antibodies. We aimed to enhance vaccine e...

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Main Authors: Gilbert, S, Collins, K, Snaith, R, Cottingham, M, Hill, A
Format: Journal article
Published: Nature Publishing Group 2017
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author Gilbert, S
Collins, K
Snaith, R
Cottingham, M
Hill, A
author_facet Gilbert, S
Collins, K
Snaith, R
Cottingham, M
Hill, A
author_sort Gilbert, S
collection OXFORD
description The leading malaria vaccine in development is the circumsporozoite (CS) protein-based vaccine, RTS,S, which targets the pre-erythrocytic stage of Plasmodium falciparum infection. It induces modest levels of protective efficacy largely mediated by CS specific antibodies. We aimed to enhance vaccine efficacy by generating a potentially more immunogenic CS-based particle vaccine and developed a next-generation RTS,S-like vaccine, called R21. The major improvement is that in contrast to RTS,S, R21 particles are formed from a single CS-HBsAg fusion protein and this leads to a vaccine composed of a much higher proportion of CS antigen than RTS,S. We demonstrate that in BALB/c mice R21 is immunogenic at very low doses and when administered with the ISCOM adjuvants Abisco-100 and Matrix-M it elicits sterile protection against transgenic sporozoite challenge. In addition, in contrast to RTS,S, only a minimal antibody response to the HBsAg carrier was induced. Concurrent induction of cellular and humoral immune responses was also achieved by combining R21 with TRAP-based viral vectors and protective efficacy was significantly enhanced. These studies identify an anti-sporozoite vaccine component that may outperform RTS,S and R21 is now under evaluation in Phase 1/2a clinical trials.
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spelling oxford-uuid:fa5080e4-b03e-4170-a0fd-4f2a626cd9082022-03-27T13:04:47ZEnhancing protective immunity to malaria with a highly immunogenic virus-like particle vaccineJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:fa5080e4-b03e-4170-a0fd-4f2a626cd908Symplectic Elements at OxfordNature Publishing Group2017Gilbert, SCollins, KSnaith, RCottingham, MHill, AThe leading malaria vaccine in development is the circumsporozoite (CS) protein-based vaccine, RTS,S, which targets the pre-erythrocytic stage of Plasmodium falciparum infection. It induces modest levels of protective efficacy largely mediated by CS specific antibodies. We aimed to enhance vaccine efficacy by generating a potentially more immunogenic CS-based particle vaccine and developed a next-generation RTS,S-like vaccine, called R21. The major improvement is that in contrast to RTS,S, R21 particles are formed from a single CS-HBsAg fusion protein and this leads to a vaccine composed of a much higher proportion of CS antigen than RTS,S. We demonstrate that in BALB/c mice R21 is immunogenic at very low doses and when administered with the ISCOM adjuvants Abisco-100 and Matrix-M it elicits sterile protection against transgenic sporozoite challenge. In addition, in contrast to RTS,S, only a minimal antibody response to the HBsAg carrier was induced. Concurrent induction of cellular and humoral immune responses was also achieved by combining R21 with TRAP-based viral vectors and protective efficacy was significantly enhanced. These studies identify an anti-sporozoite vaccine component that may outperform RTS,S and R21 is now under evaluation in Phase 1/2a clinical trials.
spellingShingle Gilbert, S
Collins, K
Snaith, R
Cottingham, M
Hill, A
Enhancing protective immunity to malaria with a highly immunogenic virus-like particle vaccine
title Enhancing protective immunity to malaria with a highly immunogenic virus-like particle vaccine
title_full Enhancing protective immunity to malaria with a highly immunogenic virus-like particle vaccine
title_fullStr Enhancing protective immunity to malaria with a highly immunogenic virus-like particle vaccine
title_full_unstemmed Enhancing protective immunity to malaria with a highly immunogenic virus-like particle vaccine
title_short Enhancing protective immunity to malaria with a highly immunogenic virus-like particle vaccine
title_sort enhancing protective immunity to malaria with a highly immunogenic virus like particle vaccine
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