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Despite a marked decrease in cases and mortality, malaria is still estimated to result in over 405,000 deaths annually. Although a first vaccine against P. falciparum malaria is being piloted, much work is still needed to achieve the Global Technical Strategy for Malaria 2016–2030 of the World Health Assembly to reduce global malaria incidence and mortality rates by at least 90% by 2030. The latest advances in malaria vaccine research are compiled in this collection.
The structure of a neutralizing human monoclonal antibody isolated from an individual immunized in a Plasmodiumvivax Duffy binding protein vaccine clinical trial, in complex with its target, elucidates the mechanism by which parasite invasion of immature red blood cells is inhibited.
The structures of two neutralizing human monoclonal antibodies against Plasmodium vivax Duffy-binding protein (DBP) isolated from an individual with naturally acquired immunity, bound to DBP, reveal how such antibodies prevent parasite entry into reticulocytes.
Duffy binding protein (DBP) of Plasmodium vivax is important for invasion and is a potential vaccine candidate. Here, the authors show that PvDBP gene amplification protects P vivax in vitro against invasion inhibitory human monoclonal antibodies and is associated to infection of patients with PvDBP binding inhibitory antibodies.
Antibodies against Plasmodium falciparum merozoites that fix complement can inhibit blood-stage replication. Here, Reiling et al. show that complement-fixing antibodies strongly correlate with protective immunity in children, identify the merozoite targets, and predict antigen combinations that should result in strong protection.
Immune activation induces long-term alterations of setpoints, impacting responses to subsequent unrelated stimuli. Here the authors show that volunteers vaccinated with BCG respond to controlled human malaria infection with increased clinical symptoms and an inverse correlation between immune activation markers and parasitemia.
Proof of protection against blood-stage P. falciparum malaria by a single immunological mechanism has been elusive. Here, using engineered anti-PfRH5 chimeric monoclonal antibodies in non-human primates, the authors show that high levels of merozoite-neutralizing antibodies can achieve protection.
Promising immunizations for diseases that affect mostly people in low- and middle-income countries need help getting to market, urge David C. Kaslow and colleagues.