Evidence map›Paper›PMID 34243763›Full record

ArticleMalaria journal2021

Early whole blood transcriptional responses to radiation-attenuated Plasmodium falciparum sporozoite vaccination in malaria naïve and malaria pre-exposed adult volunteers.

Fergal J Duffy, Ying Du, Jason Carnes, Judith E Epstein, Stephen L Hoffman, Salim Abdulla, Said Jongo, Maxmillian Mpina, Claudia Daubenberger, John D Aitchison and 1 more

Open access · goldAbstract read
In one paragraph

Article in Malaria journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Human transcriptional signature of protection afterHuman vaccines & immunotherapeutics · 2023
    Article
  3. Article
  4. Article
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 5 institutions in 3 countries.

Fergal J DuffyCenter for Global Infectious Disease Research, Seattle Children's Hospital, Seattle, WA, USA. fergal.duffy@seattlechildrens.org.ORCID http://orcid.org/0000-0002-4675-0937
Ying DuCenter for Global Infectious Disease Research, Seattle Children's Hospital, Seattle, WA, USA.
Jason CarnesCenter for Global Infectious Disease Research, Seattle Children's Hospital, Seattle, WA, USA.
Judith E EpsteinMalaria Department, Naval Medical Research Center, Silver Spring, MD, USA.
Stephen L HoffmanSanaria Inc., Rockville, MD, USA.
Salim AbdullaIfakara Health Institute, Bagamoyo, Tanzania.
Said JongoIfakara Health Institute, Bagamoyo, Tanzania.
Maxmillian MpinaDepartment of Medical Parasitology and Infection Biology, Clinical Immunology Unit, Swiss Tropical and Public Health Institute, 4002, Basel, Switzerland.
Claudia DaubenbergerDepartment of Medical Parasitology and Infection Biology, Clinical Immunology Unit, Swiss Tropical and Public Health Institute, 4002, Basel, Switzerland.
John D AitchisonCenter for Global Infectious Disease Research, Seattle Children's Hospital, Seattle, WA, USA.
Ken StuartCenter for Global Infectious Disease Research, Seattle Children's Hospital, Seattle, WA, USA. ken.stuart@seattlechildrens.org.
Seattle Children's Hospital · USIfakara Health Institute · TZNaval Medical Research Command · USSanaria · USSwiss Tropical and Public Health Institute · CH

Funding

Systems Biology CoreU19AI128914 · NIAID · SEATTLE CHILDREN'S HOSPITAL · PI Margaret Juliana McElrath, KENNETH D STUART · 2017 to 2026
$29.5M
Bill and Melinda Gates Foundation OPP1034596National Institute of Allergy and Infectious Diseases (US) U19AI128914NIAID NIH HHS U19 AI128914
6 · The paper itself

Abstract

backgroundVaccination with radiation-attenuated Plasmodium falciparum sporozoites is known to induce protective immunity. However, the mechanisms underlying this protection remain unclear. In this work, two recent radiation-attenuated sporozoite vaccination studies were used to identify potential transcriptional correlates of vaccination-induced protection.

methodsLongitudinal whole blood RNAseq transcriptome responses to immunization with radiation-attenuated P. falciparum sporozoites were analysed and compared across malaria-naïve adult participants (IMRAS) and malaria-experienced adult participants (BSPZV1). Parasite dose and method of delivery differed between trials, and immunization regimens were designed to achieve incomplete protective efficacy. Observed protective efficacy was 55% in IMRAS and 20% in BSPZV1. Study vaccine dosings were chosen to elicit both protected and non-protected subjects, so that protection-associated responses could be identified.

resultsAnalysis of comparable time points up to 1 week after the first vaccination revealed a shared cross-study transcriptional response programme, despite large differences in number and magnitude of differentially expressed genes between trials. A time-dependent regulatory programme of coherent blood transcriptional modular responses was observed, involving induction of inflammatory responses 1-3 days post-vaccination, with cell cycle responses apparent by day 7 in protected individuals from both trials. Additionally, strongly increased induction of inflammation and interferon-associated responses was seen in non-protected IMRAS participants. All individuals, except for non-protected BSPZV1 participants, showed robust upregulation of cell-cycle associated transcriptional responses post vaccination.

conclusionsIn summary, despite stark differences between the two studies, including route of vaccination and status of malaria exposure, responses were identified that were associated with protection after PfRAS vaccination. These comprised a moderate early interferon response peaking 2 days post vaccination, followed by a later proliferative cell cycle response steadily increasing over the first 7 days post vaccination. Non-protection is associated with deviations from this model, observed in this study with over-induction of early interferon responses in IMRAS and failure to mount a cell cycle response in BSPZV1.

Indexed as

Antibodies, ProtozoanClinical Trials as TopicHumansMalaria, FalciparumMalaria VaccinesPlasmodium falciparumProtozoan ProteinsSporozoitesTranscription, GeneticVaccines, AttenuatedAntibodies, Protozoancircumsporozoite protein, ProtozoanMalaria VaccinesProtozoan ProteinsVaccines, Attenuated

Identifiers

PMID34243763
PMCPMC8267772
OpenAlexW3178347280

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.