The complexity of protective immunity against liver-stage malaria

DL Doolan, SL Hoffman - The journal of immunology, 2000 - journals.aai.org
The journal of immunology, 2000journals.aai.org
Sterile protective immunity against challenge with Plasmodium spp. sporozoites can be
induced in multiple model systems and humans by immunization with radiation-attenuated
Plasmodium spp. sporozoites. The infected hepatocyte has been established as the primary
target of this protection, but the underlying mechanisms have not been completely defined.
Abs, CD8+ T cells, CD4+ T cells, cytokines (including IFN-γ and IL-12), and NO have all
been implicated as critical effectors. Here, we have investigated the mechanisms of …
Abstract
Sterile protective immunity against challenge with Plasmodium spp. sporozoites can be induced in multiple model systems and humans by immunization with radiation-attenuated Plasmodium spp. sporozoites. The infected hepatocyte has been established as the primary target of this protection, but the underlying mechanisms have not been completely defined. Abs, CD8+ T cells, CD4+ T cells, cytokines (including IFN-γ and IL-12), and NO have all been implicated as critical effectors. Here, we have investigated the mechanisms of protective immunity induced by immunization with different vaccine delivery systems (irradiated sporozoites, plasmid DNA, synthetic peptide/adjuvant, and multiple Ag peptide) in genetically distinct inbred strains, genetically modified mice, and outbred mice. We establish that there is a marked diversity of T cell-dependent immune responses that mediate sterile protective immunity against liver-stage malaria. Furthermore, we demonstrate that distinct mechanisms of protection are induced in different strains of inbred mice by a single method of immunization, and in the same strain by different methods of immunization. These data underscore the complexity of the murine host response to a parasitic infection and suggest that an outbred human population may behave similarly. Data nevertheless suggest that a pre-erythrocytic-stage vaccine should be designed to induce CD8+ T cell-and IFN-γ-mediated immune responses and that IFN-γ responses may represent an in vitro correlate of pre-erythrocytic-stage protective immunity.
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