» Articles » PMID: 38514791

A Replication Competent Plasmodium Falciparum Parasite Completely Attenuated by Dual Gene Deletion

Abstract

Vaccination with infectious Plasmodium falciparum (Pf) sporozoites (SPZ) administered with antimalarial drugs (PfSPZ-CVac), confers superior sterilizing protection against infection when compared to vaccination with replication-deficient, radiation-attenuated PfSPZ. However, the requirement for drug administration constitutes a major limitation for PfSPZ-CVac. To obviate this limitation, we generated late liver stage-arresting replication competent (LARC) parasites by deletion of the Mei2 and LINUP genes (mei2/linup or LARC2). We show that Plasmodium yoelii (Py) LARC2 sporozoites did not cause breakthrough blood stage infections and engendered durable sterilizing immunity against various infectious sporozoite challenges in diverse strains of mice. We next genetically engineered a PfLARC2 parasite strain that was devoid of extraneous DNA and produced cryopreserved PfSPZ-LARC2. PfSPZ-LARC2 liver stages replicated robustly in liver-humanized mice but displayed severe defects in late liver stage differentiation and did not form liver stage merozoites. This resulted in complete abrogation of parasite transition to viable blood stage infection. Therefore, PfSPZ-LARC2 is the next-generation vaccine strain expected to unite the safety profile of radiation-attenuated PfSPZ with the superior protective efficacy of PfSPZ-CVac.

Citing Articles

Liver stage P. falciparum antigens highly targeted by CD4+ T cells in malaria-exposed Ugandan children.

Acevedo G, Samiee S, Ilala M, Levan J, Olive M, Hunter R PLoS Pathog. 2025; 21(2):e1012943.

PMID: 39993000 PMC: 11906071. DOI: 10.1371/journal.ppat.1012943.


Genome-wide gene expression profiles throughout human malaria parasite liver stage development in humanized mice.

Zanghi G, Patel H, Smith J, Camargo N, Bae Y, Hesping E Nat Microbiol. 2025; 10(2):569-584.

PMID: 39891010 PMC: 11790487. DOI: 10.1038/s41564-024-01905-5.


Setting sights on a single-shot malaria vaccine.

Goswami D, Kappe S Nat Med. 2025; 31(1):33-34.

PMID: 39753973 DOI: 10.1038/s41591-024-03427-3.


Single immunization with genetically attenuated Pf∆mei2 (GA2) parasites by mosquito bite in controlled human malaria infection: a placebo-controlled randomized trial.

Roozen G, van Schuijlenburg R, Hensen A, Koopman J, Lamers O, Geurten F Nat Med. 2025; 31(1):218-222.

PMID: 39753962 PMC: 11750698. DOI: 10.1038/s41591-024-03347-2.


Generation of a genetically double-attenuated Plasmodium berghei parasite that fully arrests growth during late liver stage development.

Schmid M, Beyeler R, Caldelari R, Rehmann R, Heussler V, Roques M PLoS One. 2024; 19(12):e0316164.

PMID: 39739824 PMC: 11687666. DOI: 10.1371/journal.pone.0316164.


References
1.
Alonso P, Sacarlal J, Aponte J, Leach A, Macete E, Aide P . Duration of protection with RTS,S/AS02A malaria vaccine in prevention of Plasmodium falciparum disease in Mozambican children: single-blind extended follow-up of a randomised controlled trial. Lancet. 2005; 366(9502):2012-8. DOI: 10.1016/S0140-6736(05)67669-6. View

2.
Alonso P, Sacarlal J, Aponte J, Leach A, Macete E, Milman J . Efficacy of the RTS,S/AS02A vaccine against Plasmodium falciparum infection and disease in young African children: randomised controlled trial. Lancet. 2004; 364(9443):1411-20. DOI: 10.1016/S0140-6736(04)17223-1. View

3.
Aly A, Mikolajczak S, Rivera H, Camargo N, Jacobs-Lorena V, Labaied M . Targeted deletion of SAP1 abolishes the expression of infectivity factors necessary for successful malaria parasite liver infection. Mol Microbiol. 2008; 69(1):152-63. PMC: 2615191. DOI: 10.1111/j.1365-2958.2008.06271.x. View

4.
Bijker E, Bastiaens G, Teirlinck A, van Gemert G, Graumans W, van de Vegte-Bolmer M . Protection against malaria after immunization by chloroquine prophylaxis and sporozoites is mediated by preerythrocytic immunity. Proc Natl Acad Sci U S A. 2013; 110(19):7862-7. PMC: 3651438. DOI: 10.1073/pnas.1220360110. View

5.
Butler N, Schmidt N, Vaughan A, Aly A, Kappe S, Harty J . Superior antimalarial immunity after vaccination with late liver stage-arresting genetically attenuated parasites. Cell Host Microbe. 2011; 9(6):451-62. PMC: 3117254. DOI: 10.1016/j.chom.2011.05.008. View