Repository logo
 

Poor CD4+ T Cell Immunogenicity Limits Humoral Immunity to P. falciparum Transmission-Blocking Candidate Pfs25 in Humans.

Published version
Peer-reviewed

Type

Article

Change log

Authors

Zaric, Marija 
Nielsen, Carolyn M 
Gupta, Gaurav 
Mekhaiel, David 

Abstract

Plasmodium falciparum transmission-blocking vaccines (TBVs) targeting the Pfs25 antigen have shown promise in mice but the same efficacy has never been achieved in humans. We have previously published pre-clinical data related to a TBV candidate Pfs25-IMX313 encoded in viral vectors which was very promising and hence progressed to human clinical trials. The results from the clinical trial of this vaccine were very modest. Here we unravel why, contrary to mice, this vaccine has failed to induce robust antibody (Ab) titres in humans to elicit transmission-blocking activity. We examined Pfs25-specific B cell and T follicular helper (Tfh) cell responses in mice and humans after vaccination with Pfs25-IMX313 encoded by replication-deficient chimpanzee adenovirus serotype 63 (ChAd63) and the attenuated orthopoxvirus modified vaccinia virus Ankara (MVA) delivered in the heterologous prime-boost regimen via intramuscular route. We found that after vaccination, the Pfs25-IMX313 was immunologically suboptimal in humans compared to mice in terms of serum Ab production and antigen-specific B, CD4+ and Tfh cell responses. We identified that the key determinant for the poor anti-Pfs25 Ab formation in humans was the lack of CD4+ T cell recognition of Pfs25-IMX313 derived peptide epitopes. This is supported by correlations established between the ratio of proliferated antigen-specific CD4+/Tfh-like T cells, CXCL13 sera levels, and the corresponding numbers of circulating Pfs25-specific memory B cells, that consequently reflected on antigen-specific IgG sera levels. These correlations can inform the design of next-generation Pfs25-based vaccines for robust and durable blocking of malaria transmission.

Description

Keywords

CD4+, P. falciparum, Pfs25, transmission blocking, vaccine, Adolescent, Adult, Animals, Antibodies, Protozoan, B-Lymphocytes, CD4-Positive T-Lymphocytes, Cells, Cultured, Disease Models, Animal, Epitopes, Female, Humans, Immunity, Humoral, Immunogenicity, Vaccine, Malaria Vaccines, Malaria, Falciparum, Male, Mice, Mice, Inbred BALB C, Middle Aged, Plasmodium falciparum, Protozoan Proteins, Recombinant Proteins, Species Specificity, Vaccination, Young Adult

Journal Title

Front Immunol

Conference Name

Journal ISSN

1664-3224
1664-3224

Volume Title

12

Publisher

Frontiers Media SA