4.8 Article

Blood-stage immunity to Plasmodium chabaudi malaria following chemoprophylaxis and sporozoite immunization

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ELIFE
Volume 4, Issue -, Pages -

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eLIFE SCIENCES PUBL LTD
DOI: 10.7554/eLife.05165

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  1. Division of Biological Services
  2. Medical Research Council [MC_U117584248] Funding Source: researchfish
  3. The Francis Crick Institute [10101] Funding Source: researchfish
  4. MRC [MC_U117584248] Funding Source: UKRI

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Protection against malaria in humans can be achieved by repeated exposure to infected mosquito bites during prophylactic chloroquine treatment (chemoprophylaxis and sporozoites (CPS)) We established a new mouse model of CPS immunization to investigate the stage-and strain-specificity of malaria immunity. Immunization with Plasmodium chabaudi by mosquito bite under chloroquine cover does not generate pre-erythrocytic immunity, which is acquired only after immunization with high sporozoite doses. Instead, CPS immunization by bite elicits long-lived protection against blood-stage parasites. Blood-stage immunity is effective against a virulent, genetically distinct strain of P. chabaudi Importantly, if exposure to blood-stage parasitemia is extended, blood-stage parasites induce cross-stage immunity targeting pre-erythrocytic stages. We therefore show that CPS immunization can induce robust, long-lived heterologous blood-stage immunity, in addition to protection against pre-erythrocytic parasites following high dose sporozoite immunization. Cross-stage immunity elicited by blood-stage parasites may further enhance efficacy of this immunization regimen.

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