W. Harry Feinstone Department of Molecular Microbiology and Immunology, The Johns Hopkins Bloomberg School of Public Health, MD, USA.
W. Harry Feinstone Department of Molecular Microbiology and Immunology, The Johns Hopkins Bloomberg School of Public Health, MD, USA; Department of Biochemistry and Molecular Biology, The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Vaccine. 2019 Jul 26;37(32):4468-4476. doi: 10.1016/j.vaccine.2019.06.075. Epub 2019 Jun 28.
In both preclinical animal studies and human clinical trials, adult females tend to develop greater adaptive immune responses than males following receipt of either viral or bacterial vaccines. While there is currently no approved malaria vaccine, several anti-sporozoite vaccines, including RTS,S/AS01 and attenuated sporozoite vaccines, are in development, but the impact of sex and age on their efficacy remains undefined. To examine sex differences in the efficacy of anti-sporozoite stage malaria vaccination, adult (10 weeks of age) or juvenile (11 days of age) male and female C3H mice were twice vaccinated with irradiated transgenic Plasmodium berghei sporozoites expressing the P. falciparum circumsporozoite (CSP) protein and 45 days post boost vaccination, mice were challenged with transgenic P. berghei via mosquito bite or intradermal challenge. Immunization with irradiated sporozoites resulted in greater protection against challenge in adult females, which was associated with greater anti-CSP antibody production and avidity, as well as greater hepatic, but not splenic, CD8 T cell IFNƴ production in adult females than adult males. No sex differences in adaptive immune responses or protection were observed in mice vaccinated prior to puberty, suggesting a role for sex steroid hormones. Depletion of testosterone in males increased, whereas rescue of testosterone decreased, anti-CSP antibody production, the number of antigen-specific CD8 T cells isolated from the liver, and protection following parasite challenge. Conversely, depletion of sex steroids in female mice did not alter vaccine-induced responses or protection following challenge. These data suggest that elevated testosterone concentrations in males reduce adaptive immunity and contribute to sex differences in malaria vaccine efficacy.
在临床前动物研究和人体临床试验中,成年雌性在接受病毒或细菌疫苗接种后,往往比雄性产生更强的适应性免疫反应。虽然目前尚无批准的疟疾疫苗,但已有几种抗疟原虫疫苗正在开发中,包括 RTS,S/AS01 和减毒疟原虫疫苗,但性别和年龄对其疗效的影响仍未确定。为了研究抗疟原虫阶段疟疾疫苗接种的性别差异,成年(10 周龄)或幼年(11 天大)雄性和雌性 C3H 小鼠接受两次辐射转化的恶性疟原虫孢子虫表达恶性疟原虫环子孢子蛋白(CSP)的转基因感染,并在加强免疫后 45 天,通过蚊子叮咬或皮内挑战,用转基因恶性疟原虫感染小鼠。用辐射孢子虫免疫可使成年雌性对挑战产生更大的保护作用,这与成年雌性比成年雄性产生更多的抗 CSP 抗体和亲和力,以及更多的肝 CD8 T 细胞 IFNγ产生有关,但脾 CD8 T 细胞 IFNγ产生无差异。在青春期前接种疫苗的小鼠中未观察到适应性免疫反应或保护的性别差异,这表明性激素起作用。雄性睾丸酮耗竭增加,而睾丸酮挽救减少,抗 CSP 抗体产生、从肝脏分离的抗原特异性 CD8 T 细胞数量以及寄生虫挑战后的保护作用。相反,雌性小鼠的性激素耗竭不会改变疫苗接种后对挑战的免疫反应或保护作用。这些数据表明,雄性睾丸酮浓度升高会降低适应性免疫,并导致疟疾疫苗疗效的性别差异。
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