Evidence map›Paper›PMID 41565496›Full record

ReviewTrends in parasitology2026

The endemic dilemma: why whole sporozoite malaria vaccine efficacy falls in the field.

Mariah Hassert, John T Harty

Abstract readReview
In one paragraph

Review in Trends in parasitology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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

2 authors.

Mariah HassertDepartment of Pathology, University of Iowa- Carver College of Medicine, Iowa City, IA, USA.
John T HartyDepartment of Pathology, University of Iowa- Carver College of Medicine, Iowa City, IA, USA; University of Iowa- Carver College of Medicine Interdisciplinary Graduate Program in Immunology, Iowa City, IA, USA. Electronic address: john-harty@uiowa.edu.

Funding

Memory CD8 T cell immunity to Plasmodium liver stage infecR01AI085515 · NIAID · UNIVERSITY OF IOWA · PI HARTY, JOHN T · 2010 to 2020
$4.1M
Immunity to Liver-stage malariaR01AI167847 · NIAID · UNIVERSITY OF IOWA · PI John T Harty · 2022 to 2026
$3.0M
Mechanisms of compromised CD8 T cell responses to vaccination in malaria experienced hostsR01AI185725 · NIAID · UNIVERSITY OF IOWA · PI John T Harty · 2024 to 2026
$2.3M
Hemozoin and liver stage malaria vaccine efficacyK99AI190129 · NIAID · UNIVERSITY OF IOWA · PI Mariah A Hassert · 2025 to 2026
$367k
NIAID NIH HHS K99 AI190129NIAID NIH HHS R01 AI085515NIAID NIH HHS R01 AI167847NIAID NIH HHS R01 AI185725
6 · The paper itself

Abstract

Whole sporozoite vaccines (WSVs) are the most effective malaria vaccines developed to date. However, their durable efficacy declines sharply when moving from homologous CHMI studies to field trials in endemic regions. We argue this reduced efficacy reflects the complex context of vaccine deployment rather than a single cause. The antigen mismatch hypothesis postulates that limited genetic diversity in current vaccines fails to capture the diversity of field parasites, reducing immune recognition. The host-context hypothesis describes how genetics, infection history, microbiome, and nutrition influence vaccine outcomes. We propose that the future of malaria vaccines will depend on integrating parasite genomics, systems immunology, and the development of animal models which more accurately depict the context of individuals living in malaria endemic regions.

Indexed as

Endemic DiseasesMalariaMalaria VaccinesPlasmodiumSporozoitesVaccine EfficacyAnimalsHumansMalaria Vaccinesliver stage Plasmodium infectionPlasmodiumwhole sporozoite vaccines

Identifiers

PMID41565496
PMCPMC12854258

What OpenQuestion holds

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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.