Evidence map›Paper›PMID 33499880›Full record

ArticleVirology journal2021

Role of human Pegivirus infections in whole Plasmodium falciparum sporozoite vaccination and controlled human malaria infection in African volunteers.

Anneth-Mwasi Tumbo, Tobias Schindler, Jean-Pierre Dangy, Nina Orlova-Fink, Jose Raso Bieri, Maximillian Mpina, Florence A Milando, Omar Juma, Ali Hamad, Elizabeth Nyakarungu and 14 more

Open access · goldAbstract read
In one paragraph

Article in Virology journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
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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

24 authors at 8 institutions in 4 countries.

Anneth-Mwasi TumboDepartment of Intervention and Clinical Trials, Ifakara Health Institute, Bagamoyo, Tanzania.
Tobias SchindlerDepartment of Medical Parasitology and Infection Biology, Clinical Immunology Unit, Swiss Tropical and Public Health Institute, Socinstr. 57, 4002, Basel, Switzerland.
Jean-Pierre DangyDepartment of Medical Parasitology and Infection Biology, Clinical Immunology Unit, Swiss Tropical and Public Health Institute, Socinstr. 57, 4002, Basel, Switzerland.
Nina Orlova-FinkDepartment of Medical Parasitology and Infection Biology, Clinical Immunology Unit, Swiss Tropical and Public Health Institute, Socinstr. 57, 4002, Basel, Switzerland.
Jose Raso BieriEquatorial Guinea Malaria Vaccine Initiative, Malabo, Bioko Norte, Equatorial Guinea.
Maximillian MpinaDepartment of Intervention and Clinical Trials, Ifakara Health Institute, Bagamoyo, Tanzania.
Florence A MilandoDepartment of Intervention and Clinical Trials, Ifakara Health Institute, Bagamoyo, Tanzania.
Omar JumaDepartment of Intervention and Clinical Trials, Ifakara Health Institute, Bagamoyo, Tanzania.
Ali HamadDepartment of Intervention and Clinical Trials, Ifakara Health Institute, Bagamoyo, Tanzania.
Elizabeth NyakarunguDepartment of Intervention and Clinical Trials, Ifakara Health Institute, Bagamoyo, Tanzania.
Mwajuma ChembaDepartment of Intervention and Clinical Trials, Ifakara Health Institute, Bagamoyo, Tanzania.
Ali MtoroDepartment of Intervention and Clinical Trials, Ifakara Health Institute, Bagamoyo, Tanzania.
Kamaka RamadhanDepartment of Intervention and Clinical Trials, Ifakara Health Institute, Bagamoyo, Tanzania.
Ally OlotuDepartment of Intervention and Clinical Trials, Ifakara Health Institute, Bagamoyo, Tanzania.
Damas MakwebaDar-Es-Salaam Institute of Technology, Dar-Es-Salaam, Tanzania.
Stephen MgayaTanzania Education and Research Networks, Dar-Es-Salaam, Tanzania.
Kenneth StuartCenter for Global Infectious Disease Research, Seattle Children's Research Institute, 307 Westlake Avenue, N. Suite 500, Seattle, WA, 98109, USA.
Matthieu PerreauCentre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
Jack T StapletonIowa City Veterans Administration and the University of Iowa, 200 Hawkins Drive, Iowa City, IA, 52242, USA.
Said JongoDepartment of Intervention and Clinical Trials, Ifakara Health Institute, Bagamoyo, Tanzania.
Stephen L HoffmanSanaria Inc, Rockville, MD, 20850, USA.
Marcel TannerDepartment of Medical Parasitology and Infection Biology, Clinical Immunology Unit, Swiss Tropical and Public Health Institute, Socinstr. 57, 4002, Basel, Switzerland.
Salim AbdullaDepartment of Intervention and Clinical Trials, Ifakara Health Institute, Bagamoyo, Tanzania.
Claudia DaubenbergerDepartment of Medical Parasitology and Infection Biology, Clinical Immunology Unit, Swiss Tropical and Public Health Institute, Socinstr. 57, 4002, Basel, Switzerland. Claudia.Daubenberger@swisstph.ch.ORCID 0000-0001-7136-0642
Ifakara Health Institute · TZSwiss Tropical and Public Health Institute · CHDar es Salaam Institute of Technology · TZNational University of Equatorial Guinea · GQSanaria · USTanzania Commission for Science and Technology · TZUniversity Hospital of Lausanne · CHUniversity of Iowa · US

Funding

Systems Biology CoreU19AI128914 · NIAID · SEATTLE CHILDREN'S HOSPITAL · PI Margaret Juliana McElrath, KENNETH D STUART · 2017 to 2026
$29.5M
BLRD VA I01 BX000207
6 · The paper itself

Abstract

backgroundDiverse vaccination outcomes and protection levels among different populations pose a serious challenge to the development of an effective malaria vaccine. Co-infections are among many factors associated with immune dysfunction and sub-optimal vaccination outcomes. Chronic, asymptomatic viral infections can contribute to the modulation of vaccine efficacy through various mechanisms. Human Pegivirus-1 (HPgV-1) persists in immune cells thereby potentially modulating immune responses. We investigated whether Pegivirus infection influences vaccine-induced responses and protection in African volunteers undergoing whole P. falciparum sporozoites-based malaria vaccination and controlled human malaria infections (CHMI).

methodsHPgV-1 prevalence was quantified by RT-qPCR in plasma samples of 96 individuals before, post vaccination with PfSPZ Vaccine and after CHMI in cohorts from Tanzania and Equatorial Guinea. The impact of HPgV-1 infection was evaluated on (1) systemic cytokine and chemokine levels measured by Luminex, (2) PfCSP-specific antibody titers quantified by ELISA, (3) asexual blood-stage parasitemia pre-patent periods and parasite multiplication rates, (4) HPgV-1 RNA levels upon asexual blood-stage parasitemia induced by CHMI.

resultsThe prevalence of HPgV-1 was 29.2% (28/96) and sequence analysis of the 5' UTR and E2 regions revealed the predominance of genotypes 1, 2 and 5. HPgV-1 infection was associated with elevated systemic levels of IL-2 and IL-17A. Comparable vaccine-induced anti-PfCSP antibody titers, asexual blood-stage multiplication rates and pre-patent periods were observed in HPgV-1 positive and negative individuals. However, a tendency for higher protection levels was detected in the HPgV-1 positive group (62.5%) compared to the negative one (51.6%) following CHMI. HPgV-1 viremia levels were not significantly altered after CHMI.

conclusionsHPgV-1 infection did not alter PfSPZ Vaccine elicited levels of PfCSP-specific antibody responses and parasite multiplication rates. Ongoing HPgV-1 infection appears to improve to some degree protection against CHMI in PfSPZ-vaccinated individuals. This is likely through modulation of immune system activation and systemic cytokines as higher levels of IL-2 and IL17A were observed in HPgV-1 infected individuals. CHMI is safe and well tolerated in HPgV-1 infected individuals. Identification of cell types and mechanisms of both silent and productive infection in individuals will help to unravel the biology of this widely present but largely under-researched virus.

Indexed as

AdolescentAdultCohort StudiesCoinfectionFemaleFlaviviridae InfectionsGuineaHumansMalaria, FalciparumMalaria VaccinesMaleMiddle AgedPegivirusPlasmodium falciparumRandomized Controlled Trials as TopicSporozoitesMalaria VaccinesAntibody responseControlled human malaria infectionHuman pegivirusImmune activationMalariaPfSPZ vaccine

Identifiers

PMID33499880
PMCPMC7837505
OpenAlexW3123424978

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.