Evidence map›Paper›PMID 24872326›Full record

Trial reportThe Journal of infectious diseases2014

Cytotoxic markers associate with protection against malaria in human volunteers immunized with Plasmodium falciparum sporozoites.

Else M Bijker, Anne C Teirlinck, Remko Schats, Geert-Jan van Gemert, Marga van de Vegte-Bolmer, Lisette van Lieshout, Joanna IntHout, Cornelus C Hermsen, Anja Scholzen, Leo G Visser and 1 more

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of infectious diseases, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01218893 (Immunization With Different Doses of Plasmodium Falciparum Sporozoites Under Chloroquine Prophylaxis), which is not on this map. Cited by 72 papers.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed
15.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01218893 nacompletednot on this map

Immunization With Different Doses of Plasmodium Falciparum Sporozoites Under Chloroquine Prophylaxis

TypeinterventionalSponsorRadboud University Medical CenterRan2011 to 2012Enrolled30ConditionsPlasmodium Falciparum MalariaArmsChloroquine prophylaxis, Immunization, Plasmodium falciparum challenge, Malarone treatment
3 · Its place in the literature

Who cites it

72 citing papers in PubMed, 102 citations in OpenAlex.

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  2. Chemoprophylaxis Vaccination: Phase I Study to Explore Stage-specific Immunity to Plasmodium falciparum in US Adults.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
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12 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Else M BijkerDepartment of Medical Microbiology.
Anne C TeirlinckDepartment of Medical Microbiology.
Remko SchatsDepartment of Infectious Diseases.
Geert-Jan van GemertDepartment of Medical Microbiology.
Marga van de Vegte-BolmerDepartment of Medical Microbiology.
Lisette van LieshoutDepartment of Medical Microbiology, Department of Parasitology, Leiden University Medical Center, The Netherlands.
Joanna IntHoutDepartment for Health Evidence, Section Biostatistics, Radboud university medical center, Nijmegen.
Cornelus C HermsenDepartment of Medical Microbiology.
Anja ScholzenDepartment of Medical Microbiology.
Leo G VisserDepartment of Infectious Diseases.
Robert W SauerweinDepartment of Medical Microbiology.
Leiden University Medical Center · NLRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmunization of healthy volunteers by bites from Plasmodium falciparum-infected mosquitoes during chloroquine chemoprophylaxis (hereafter, chemoprophylaxis and sporozoites [CPS] immunization) induces sterile protection against malaria. CPS-induced protection is mediated by immunity against pre-erythrocytic stages, presumably at least partially by cytotoxic cellular responses. We therefore aimed to investigate the association of CPS-induced cytotoxic T-cell markers with protection.

methodsIn a double-blind randomized controlled trial, we performed dose titration of CPS immunization followed by homologous challenge infection in 29 subjects. Immune responses were assessed by in vitro restimulation of peripheral blood mononuclear cells and flow cytometry.

resultsDose-dependent complete protection was obtained in 4 of 5 volunteers after immunization with bites from 45 P. falciparum-infected mosquitoes, in 8 of 9 volunteers with bites from 30, and in 5 of 10 volunteers with bites from 15 (odds ratio [OR], 5.0; 95% confidence interval [CI], 1.5-17). Completely protected subjects had significantly higher proportions of CD4 T cells expressing the degranulation marker CD107a (OR, 8.4; 95% CI, 1.5-123; P = .011) and CD8 cells producing granzyme B (OR, 11; 95% CI, 1.9-212; P = .004) after P. falciparum restimulation.

conclusionsThese data underline the efficiency of CPS immunization to induce sterile protection and support a possible role for cytotoxic CD4 and CD8 T-cell responses in pre-erythrocytic immunity. CLINICAL TRIALS REGISTRATION: NCT01218893.

Indexed as

BiomarkersAdolescentAdultCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesFemaleFlow CytometryHealthy VolunteersHumansLeukocytes, MononuclearMalaria, FalciparumMalaria VaccinesMalePlasmodium falciparumSporozoitesT-Lymphocytes, CytotoxicBiomarkersMalaria Vaccineschloroquinecytotoxicitydegranulationgranzyme BimmunityimmunizationmalariaPlasmodiumprotectionT cells

Identifiers

PMID24872326
PMCPMC4208622
OpenAlexW2156709616

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.