高抗体滴度针对顶膜抗原-1 是预防在 Aotus 模型中疟疾所必需的。

High antibody titer against apical membrane antigen-1 is required to protect against malaria in the Aotus model.

机构信息

Department of Epitope Mapping, Walter Reed Army Institute of Research, Silver Spring, Maryland, United States of America.

出版信息

PLoS One. 2009 Dec 3;4(12):e8138. doi: 10.1371/journal.pone.0008138.

Abstract

A Plasmodium falciparum 3D7 strain Apical Membrane Antigen-1 (AMA1) vaccine, formulated with AS02(A) adjuvant, slowed parasite growth in a recent Phase 1/2a trial, however sterile protection was not observed. We tested this AS02(A), and a Montanide ISA720 (ISA) formulation of 3D7 AMA1 in Aotus monkeys. The 3D7 parasite does not invade Aotus erythrocytes, hence two heterologous strains, FCH/4 and FVO, were used for challenge, FCH/4 AMA1 being more homologous to 3D7 than FVO AMA1. Following three vaccinations, the monkeys were challenged with 50,000 FCH/4 or 10,000 FVO parasites. Three of the six animals in the AMA+ISA group were protected against FCH/4 challenge. One monkey did not become parasitemic, another showed only a short period of low level parasitemia that self-cured, and a third animal showed a delay before exhibiting its parasitemic phase. This is the first protection shown in primates with a recombinant P. falciparum AMA1 without formulation in Freund's complete adjuvant. No animals in the AMA+AS02(A) group were protected, but this group exhibited a trend towards reduced growth rate. A second group of monkeys vaccinated with AMA+ISA vaccine was not protected against FVO challenge, suggesting strain-specificity of AMA1-based protection. Protection against FCH/4 strain correlated with the quantity of induced antibodies, as the protected animals were the only ones to have in vitro parasite growth inhibitory activity of >70% at 1:10 serum dilution; immuno-fluorescence titers >8,000; ELISA titers against full-length AMA1 >300,000 and ELISA titer against AMA1 domains1+2 >100,000. A negative correlation between log ELISA titer and day 11 cumulative parasitemia (Spearman rank r = -0.780, p value = 0.0001), further confirmed the relationship between antibody titer and protection. High titers of cross-strain inhibitory antibodies against AMA1 are therefore critical to confer solid protection, and the Aotus model can be used to down-select future AMA1 formulations, prior to advanced human trials.

摘要

一种以 AS02(A) 佐剂配制的恶性疟原虫 3D7 株顶膜抗原-1(AMA1)疫苗,在最近的一项 1/2a 期临床试验中减缓了寄生虫的生长速度,但未观察到无菌保护。我们测试了这种 AS02(A) 和 3D7 AMA1 的 Montanide ISA720(ISA)制剂在食蟹猴中的效果。3D7 寄生虫不会入侵食蟹猴的红细胞,因此使用两种异源株 FCH/4 和 FVO 进行了挑战,FCH/4 AMA1 比 FVO AMA1 更同源 3D7。经过三次接种后,用 50000 FCH/4 或 10000 FVO 寄生虫对 6 只猴子中的 3 只进行了挑战。在 AMA+ISA 组的 6 只动物中,有 3 只对 FCH/4 挑战具有保护作用。一只猴子没有出现寄生虫血症,另一只猴子仅表现出短暂的低水平寄生虫血症,随后自行治愈,第三只猴子在出现寄生虫血症阶段之前出现了延迟。这是首次在灵长类动物中使用不含弗氏完全佐剂的重组恶性疟原虫 AMA1 获得的保护。AMA+AS02(A) 组的动物均未得到保护,但该组的生长速度呈下降趋势。第二组用 AMA+ISA 疫苗接种的猴子未得到对 FVO 挑战的保护,这表明 AMA1 基于保护的菌株特异性。对 FCH/4 株的保护与诱导抗体的数量相关,因为只有在 1:10 血清稀释度下具有 >70%的体外寄生虫生长抑制活性的保护性动物;免疫荧光滴度>8000;针对全长 AMA1 的 ELISA 滴度>300000,针对 AMA1 结构域 1+2 的 ELISA 滴度>100000。抗体 ELISA 滴度与第 11 天累积寄生虫血症之间呈负相关(Spearman 秩相关系数 r =-0.780,p 值=0.0001),进一步证实了抗体滴度与保护之间的关系。因此,针对 AMA1 的交叉株抑制性抗体的高滴度对于提供可靠的保护至关重要,并且可以在进行高级人体试验之前,在食蟹猴模型中对未来的 AMA1 制剂进行筛选。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e50c/2780715/0bebe0000ddc/pone.0008138.g001.jpg

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