Evidence map›Paper›PMID 25211344›Full record

Trial reportPloS one2014

Sterile immunity to malaria after DNA prime/adenovirus boost immunization is associated with effector memory CD8+T cells targeting AMA1 class I epitopes.

Martha Sedegah, Michael R Hollingdale, Fouzia Farooq, Harini Ganeshan, Maria Belmonte, Yohan Kim, Bjoern Peters, Alessandro Sette, Jun Huang, Shannon McGrath and 10 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
5.1field-weighted citation impact, top 4% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 64 citations in OpenAlex.

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  19. Comprehensive Review of HumanFrontiers in immunology · 2019
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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

20 authors at 4 institutions in 1 country.

Martha SedegahUS Military Malaria Vaccine Program, Naval Medical Research Center, Silver Spring, Maryland, United States of America.
Michael R HollingdaleUS Military Malaria Vaccine Program, Naval Medical Research Center, Silver Spring, Maryland, United States of America.
Fouzia FarooqUS Military Malaria Vaccine Program, Naval Medical Research Center, Silver Spring, Maryland, United States of America.
Harini GaneshanUS Military Malaria Vaccine Program, Naval Medical Research Center, Silver Spring, Maryland, United States of America.
Maria BelmonteUS Military Malaria Vaccine Program, Naval Medical Research Center, Silver Spring, Maryland, United States of America.
Yohan KimLa Jolla Institute for Allergy and Immunology, La Jolla, California, United States of America.
Bjoern PetersLa Jolla Institute for Allergy and Immunology, La Jolla, California, United States of America.
Alessandro SetteLa Jolla Institute for Allergy and Immunology, La Jolla, California, United States of America.
Jun HuangUS Military Malaria Vaccine Program, Naval Medical Research Center, Silver Spring, Maryland, United States of America.
Shannon McGrathUS Military Malaria Vaccine Program, Naval Medical Research Center, Silver Spring, Maryland, United States of America.
Esteban AbotUS Military Malaria Vaccine Program, Naval Medical Research Center, Silver Spring, Maryland, United States of America.
Keith LimbachUS Military Malaria Vaccine Program, Naval Medical Research Center, Silver Spring, Maryland, United States of America.
Meng ShiDivision of Medical, Audio, Visual, Library and Statistical Services, Walter Reed Army Institute of Research, Silver Spring, Maryland, United States of America.
Lorraine SoissonUSAID, Washington, DC, United States of America.
Carter DiggsUSAID, Washington, DC, United States of America.
Ilin ChuangUS Military Malaria Vaccine Program, Naval Medical Research Center, Silver Spring, Maryland, United States of America.
Cindy TammingaUS Military Malaria Vaccine Program, Naval Medical Research Center, Silver Spring, Maryland, United States of America.
Judith E EpsteinUS Military Malaria Vaccine Program, Naval Medical Research Center, Silver Spring, Maryland, United States of America.
Eileen VillasanteUS Military Malaria Vaccine Program, Naval Medical Research Center, Silver Spring, Maryland, United States of America.
Thomas L RichieUS Military Malaria Vaccine Program, Naval Medical Research Center, Silver Spring, Maryland, United States of America.
Naval Medical Research Command · USLa Jolla Institute for Immunology · USUnited States Agency for International Development · USWalter Reed Army Institute of Research · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFifteen volunteers were immunized with three doses of plasmid DNA encoding P. falciparum circumsporozoite protein (CSP) and apical membrane antigen-1 (AMA1) and boosted with human adenovirus-5 (Ad) expressing the same antigens (DNA/Ad). Four volunteers (27%) demonstrated sterile immunity to controlled human malaria infection and, overall, protection was statistically significantly associated with ELISpot and CD8+ T cell IFN-γ activities to AMA1 but not CSP. DNA priming was required for protection, as 18 additional subjects immunized with Ad alone (AdCA) did not develop sterile protection. METHODOLOGY/PRINCIPAL

findingsWe sought to identify correlates of protection, recognizing that DNA-priming may induce different responses than AdCA alone. Among protected volunteers, two and three had higher ELISpot and CD8+ T cell IFN-γ responses to CSP and AMA1, respectively, than non-protected volunteers. Unexpectedly, non-protected volunteers in the AdCA trial showed ELISpot and CD8+ T cell IFN-γ responses to AMA1 equal to or higher than the protected volunteers. T cell functionality assessed by intracellular cytokine staining for IFN-γ, TNF-α and IL-2 likewise did not distinguish protected from non-protected volunteers across both trials. However, three of the four protected volunteers showed higher effector to central memory CD8+ T cell ratios to AMA1, and one of these to CSP, than non-protected volunteers for both antigens. These responses were focused on discrete regions of CSP and AMA1. Class I epitopes restricted by A*03 or B*58 supertypes within these regions of AMA1 strongly recalled responses in three of four protected volunteers. We hypothesize that vaccine-induced effector memory CD8+ T cells recognizing a single class I epitope can confer sterile immunity to P. falciparum in humans. CONCLUSIONS/SIGNIFICANCE: We suggest that better understanding of which epitopes within malaria antigens can confer sterile immunity and design of vaccine approaches that elicit responses to these epitopes will increase the potency of next generation gene-based vaccines.

Indexed as

AdenoviridaeAdultAntigens, ProtozoanCD8-Positive T-LymphocytesDNAEpitopesHumansImmunologic MemoryInterferon-gammaInterleukin-2Malaria, FalciparumMalaria VaccinesMembrane ProteinsPlasmodium falciparumProtozoan ProteinsTumor Necrosis Factor-alphaAntigens, Protozoanapical membrane antigen I, Plasmodiumcircumsporozoite protein, ProtozoanDNAEpitopesInterferon-gammaInterleukin-2Malaria VaccinesMembrane ProteinsProtozoan ProteinsTumor Necrosis Factor-alpha

Identifiers

PMID25211344
PMCPMC4161338
OpenAlexW2047333947

What OpenQuestion holds

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LicenceCC0
Read underepoch 390

Registered trials

None linked

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.