Abstract

Lasting protection has long been a goal for malaria vaccines. The major surface antigen on Plasmodium falciparum sporozoites, the circumsporozoite protein (PfCSP), has been an attractive target for vaccine development and most protective antibodies studied to date interact with the central NANP repeat region of PfCSP. However, it remains unclear what structural and functional characteristics correlate with better protection by one antibody over another. Binding to the junctional region between the N-terminal domain and central NANP repeats has been proposed to result in superior protection: this region initiates with the only NPDP sequence followed immediately by NANP. Here, we isolated antibodies in Kymab mice immunized with full-length recombinant PfCSP and two protective antibodies were selected for further study with reactivity against the junctional region. X-ray and EM structures of two monoclonal antibodies, mAb667 and mAb668, shed light on their differential affinity and specificity for the junctional region. Importantly, these antibodies also bind to the NANP repeat region with equal or better affinity. A comparison with an NANP-only binding antibody (mAb317) revealed roughly similar but statistically distinct levels of protection against sporozoite challenge in mouse liver burden models, suggesting that junctional antibody protection might relate to the ability to also cross-react with the NANP repeat region. Our findings indicate that additional efforts are necessary to isolate a true junctional antibody with no or much reduced affinity to the NANP region to elucidate the role of the junctional epitope in protection.

Highlights

  • Malaria is a vector-borne parasitic disease that led to 435,000 deaths in 2017, mainly caused by infection with Plasmodium falciparum (Pf) [1]

  • The circumsporozoite protein (CSP) of Plasmodium falciparum malaria has been the foundation for the design of transmission blocking malaria vaccines

  • The most promising CSP-based vaccine candidate is RTS,S, which consists of the central repeating NANP amino-acid sequence and the C-terminal domain of CSP fused to hepatitis B surface antigen that assembles into virus-like particles

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Summary

Introduction

Malaria is a vector-borne parasitic disease that led to 435,000 deaths in 2017, mainly caused by infection with Plasmodium falciparum (Pf) [1]. The RTS,S vaccine has completed Phase 3 clinical trials and support from the European Medicine Agency (EMA) and World Health Organization (WHO) has led to very recent implementation (April 23, 2019) of a large-scale pilot program for the vaccine in children under two in Malawi and shortly thereafter in Ghana and Kenya [9, 10]. Other approaches, such as radiation-attenuated, irradiated sporozoite vaccines

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