- Open Access
Immunogenicity of a virosomally-formulated Plasmodium falciparum GLURP-MSP3 chimeric protein-based malaria vaccine candidate in comparison to adjuvanted formulations
© Tamborrini et al; licensee BioMed Central Ltd. 2011
- Received: 25 July 2011
- Accepted: 13 December 2011
- Published: 13 December 2011
In clinical trials, immunopotentiating reconstituted influenza virosomes (IRIVs) have shown great potential as a versatile antigen delivery platform for synthetic peptides derived from Plasmodium falciparum antigens. This study describes the immunogenicity of a virosomally-formulated recombinant fusion protein comprising domains of the two malaria vaccine candidate antigens MSP3 and GLURP.
The highly purified recombinant protein GMZ2 was coupled to phosphatidylethanolamine and the conjugates incorporated into the membrane of IRIVs. The immunogenicity of this adjuvant-free virosomal formulation was compared to GMZ2 formulated with the adjuvants Montanide ISA 720 and Alum in three mouse strains with different genetic backgrounds.
Intramuscular injections of all three candidate vaccine formulations induced GMZ2-specific antibody responses in all mice tested. In general, the humoral immune response in outbred NMRI mice was stronger than that in inbred BALB/c and C57BL/6 mice. ELISA with the recombinant antigens demonstrated immunodominance of the GLURP component over the MSP3 component. However, compared to the Al(OH)3-adjuvanted formulation the two other formulations elicited in NMRI mice a larger proportion of anti-MSP3 antibodies. Analyses of the induced GMZ2-specific IgG subclass profiles showed for all three formulations a predominance of the IgG1 isotype. Immune sera against all three formulations exhibited cross-reactivity with in vitro cultivated blood-stage parasites. Immunofluorescence and immunoblot competition experiments showed that both components of the hybrid protein induced IgG cross-reactive with the corresponding native proteins.
A virosomal formulation of the chimeric protein GMZ2 induced P. falciparum blood stage parasite cross-reactive IgG responses specific for both MSP3 and GLURP. GMZ2 thus represents a candidate component suitable for inclusion into a multi-valent virosomal malaria vaccine and influenza virosomes represent a versatile antigen delivery system suitable for adjuvant-free immunization with recombinant proteins.
- Influenza virosomes
- GMZ2 immunogenicity
- Vaccine candidate
- Plasmodium falciparum malaria
The currently available strategies for malaria control rely on destruction of malaria parasites with drugs and the anopheline vectors with insecticides . This combined approach proved remarkably effective in Europe and North America, whereas malaria continues to represent a huge burden in sub-Saharan Africa, Asia and South and Central America mainly due to drug-resistant parasites and insecticide resistant vectors . A malaria vaccine is anticipated to be the most effective public health tool for changing this situation.
The expected outcome of modern malaria vaccine development has shifted from protecting against the parasite to surviving with the parasite, but without experiencing the noxious effects it can cause. Asexual blood-stage vaccines are aimed to primarily protect against the clinical symptoms of severe and mild malaria disease, and not against the infection, on the assumption that inhibition of parasite invasion cycles will lead to reduced parasite burden and decreased morbidity and mortality . Merozoite surface proteins are, therefore, a major focus of research for blood-stage vaccines. One of the leading candidates for an anti-falciparum vaccine is GMZ2, a fusion protein consisting of the N-terminal portion of the Glutamate Rich Protein (GLURP) genetically fused to a C-terminal fragment of Merozoite Surface Protein 3 (MSP3) . Data supporting MSP3 and GLURP as vaccine candidates rely on in vitro and in vivo preclinical models and on immuno-epidemiological studies demonstrating a statistically significant association between protection from clinical malaria and antigen recognition by exposed individuals [5–13].
Development of an effective vaccine against blood-stage infection will depend not only on antigen quality, but also on the choice of an optimal antigen delivery platform. In general, research on subunit vaccines focused mainly on antigen discovery whereas the method for inducing appropriate immune responses against these antigens has received less attention . The selection of immunopotentiators, however, can have critical effects on safety, stability, immunogenicity and, consequently, efficacy of a vaccine . The paucity of delivery systems is apparent by the fact that aluminium salts identified as immunopotentiators more than 70 years ago have remained the most common type of adjuvant licensed worldwide. Alum is regarded as safe and as a stimulator of Th2 immunity and is, therefore, used as a standard to compare to other adjuvants . The need for more effective antigen delivery systems for use in vaccines against malaria is made clear by the poor responses to synthetic and recombinant malarial antigens seen with the use of Alum [17–20]. Two such antigen delivery systems are Montanide ISA 720 and immunopotentiating reconstituted influenza virosomes (IRIV). The experimental Montanide ISA 720 adjuvant forms water-in-oil droplets intended to give a slow release of antigens at the injection site . Montanide ISA 720 based formulations have been shown to elicit high antibody titres in several animal species , and have also been investigated in malaria vaccine trials [23–26]. IRIVs are spherical, unilamellar vesicles, prepared by detergent removal from a mixture of natural and synthetic phospholipids and influenza surface glycoproteins. The haemagglutinin membrane glycoprotein of the influenza virus is a fusion-inducing component, which facilitates antigen delivery to immunocompetent cells. IRIVs represent a universal antigen delivery system for multicomponent subunit vaccines, as antigens can be either coupled to their surface to elicit CD4 T cell and antibody responses or encapsulated in their lumen to elicit CD8 T cell responses. Experience with two licensed vaccines based on virosomes (Inflexal® V and Epaxal®) as well as clinical trials with virosomally-formulated malaria vaccine candidates [27, 28] have shown that IRIV-based formulations are immunogenic even in children and infants, and display a very good safety profile [29, 30].
In the present report, a hybrid MSP3/GLURP recombinant protein (named GMZ2) was coupled to the surface of IRIVs. The immunogenicity of this formulation was compared to vaccine candidate preparations of GMZ2 in Montanide ISA 720 and Alum in three different mouse strains.
GMZ2 hybrid recombinant protein production and candidate vaccine formulations
Production and purification of the recombinant GMZ2 hybrid molecule, a fusion protein containing the regions GLURP27-500 (GLURP-R0) and MSP3212-380 (MSP3 C-terminal), has been described in detail elsewhere . To prepare GMZ2-IRIV, 5 nmol of the purified hybrid protein was activated by incubation with 100 nmol of sulfosuccinimidyl 4-[N-maleimidomethyl] cyclohexane-1-carboxylate (Sulfo-SMCC; Thermo Scientific) for 1 h at room temperature. This was followed by conjugation to 1, 2-dipalmitoyl-sn-glycero-3-phosphothioethanol (Avanti Polar Lipids) for 4 h at room temperature, prior to incorporation into influenza virosomes, as described in . Virosomes were aliquoted and stored at 4°C. The mixture of GMZ2 with Alum (Al(OH)3) was prepared as follows: 0.23 mg of GMZ2 protein was diluted in 3.7 mL of PBS pH 7.4, and 0.93 mL of Alum suspension (Imject Alum, 10 mg/mL; Thermo Scientific) was added dropwise under continuous mixing. The solution was aliquoted and stored at 4°C. The mixture of GMZ2 with Montanide was prepared as follows: 0.05 mg of GMZ2 protein was diluted in 0.38 mL of PBS pH 7.4, and 0.5 mL of Montanide ISA 720 solution (Seppic SA, France) was added dropwise under continuous mixing. This was followed by vigorous pushing through a syringe needle (18 G 1.5", 1.2 × 40 mm) for 25 times. This solution was used within 24 h after preparation.
Mouse immunogenicity studies
ELISA MaxiSorp microtitre plates (Nunc, Dr. Grogg, Stetten-Deiswill, Switzerland) were coated at 4°C overnight with 1 μg/mL GMZ2 in carbonate buffer (0.05 M; pH 9.4) or with the individual GLURP and MSP3 recombinant proteins. Production and purification of the GLURP and MSP3 proteins has been described elsewhere . Wells were then blocked with 5% milk powder in PBS pH 7.4 for 1 h at 37°C followed by three washings with PBS containing 0.05% Tween-20. Plates were incubated with two-fold serial dilutions of sera starting with 1:50 in PBS pH 7.4 containing 0.05% Tween-20 and 0.5% milk powder for 2 h at 37°C. After washing, the plates were incubated with horseradish-peroxidase conjugated goat anti-mouse IgG antibodies (BD; 1:2000 in PBS containing 0.05% Tween-20 and 0.5% milk powder) for 1 h at 37°C and then washed. One OPD tablet (Sigma, Switzerland) was dissolved in citrate-buffer and 0.04% H2O2 (v/v) was added followed by an incubation at room temperature in the dark. After 5 min the reaction was stopped by addition of sulphoric acid (Merck, Darmstadt, Germany) to reach a final concentration of 0.5 M. The optical density (OD) of the reaction product was recorded at 492 nm using a microplate reader (SpectraMax plus, Bucher Biotech, Basel, Switzerland). Titration curves were registered using Softmax PRO software. Endpoint titres were calculated by comparing the ELISA OD of the test serum with the ELISA OD of PBS. Endpoint titre is the last serum dilution where the OD of the test sera > 2 × OD492 of the negative control (PBS).
The anti-GMZ2, GLURP and MSP3 IgG subclasses were determined by ELISA as described above. HRP-conjugated goat anti-mouse IgG1, IgG2a, IgG2b and IgG3 (Caltag, UK) were used at a 1:2000 dilution in PBS. The results are expressed as mean OD492 + S.D.
Indirect immunofluorescence assay (IFA)
Plasmodium falciparum strain 3D7 was cultured essentially as described previously . Synchronized P. falciparum schizonts were washed and mixed with two volumes of a solution containing 4% (v/v) paraformaldehyde and 0.1% (v/v) Triton X-100. Droplets of 40 μL of cell suspension were added to each well of a diagnostic microscope slide (Flow Laboratories, Baar, Switzerland) and incubated for 30 min at room temperature. Cells were blocked with blocking solution containing 100 mg/mL fatty acid-free bovine serum albumin in PBS pH 7.4. Immunostaining was performed by incubating the wells with 25 μL of an appropriate serum dilution in blocking solution in a humid chamber for 1 h at room temperature. In competition experiments primary antibodies were pre-incubated for 30 min with recombinant competitors at a concentration of 10 μg/mL. After five washes with blocking solution, 25 μL of 5 μg/mL indocarbocyanine dye-conjugated affinity-pure F(ab')2 fragment goat anti-mouse IgG heavy-chain antibodies (Jackson ImmunoResearch Laboratories, West Grove, Pa.), diluted in blocking solution were added to the wells and incubated for 1 h at room temperature. Finally, the wells were washed five times, mounted with ProLong® Gold antifade reagent with DAPI (Invitrogen) and covered with a coverslip. Antibody binding and DNA staining were assessed by fluorescence microscopy.
Sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) and immunoblotting
Parasite lysates were prepared by saponin lysis of P. falciparum 3D7-infected erythrocytes. Cultured parasites were collected at the schizont stage and washed three times with RPMI medium. Pelleted infected red blood cells were lysed by mixing with a large volume (adjusted to 5% haematocrit) of 0.015% (w/v) saponin in PBS and incubated on ice for 20 min. Finally, the pelleted parasites were resuspended in PBS and stored at -80°C until further use.
A total of 50 μl of parasite lysate was solubilized in an equal volume of 2× loading buffer (1.7 mL of 0.5 M Tris-HCl [pH 6.8], 2 mL of glycerol, 4.5 mL of 10% [w/v] sodium dodecyl sulfate, 1 ml of β-mercaptoethanol, 0.8 ml of 0.3%, w/v bromophenol blue) and heated to 95°C for 10 min. Proteins were separated on an SDS-PAGE minigel and electrophoretically transferred to a nitrocellulose filter by semidry blotting. Blots were blocked with PBS containing 5% milk powder and 0.1% Tween 20 overnight at 4°C. The filter was cut into strips and incubated with appropriate dilutions of immune serum in blocking buffer for 2 h at room temperature. In competition experiments primary antibodies were pre-incubated for 30 min with recombinant competitors at a concentration of 1 μg/mL. After several washing steps, filter strips were incubated with goat anti-mouse IgG horseradish peroxidase conjugated Ig (0.1 μg/mL; Bio-Rad Laboratories, Hercules, Calif.) for 1 h. Blots were developed using the ECL (Pierce) system according to manufacturer's instructions.
Development of anti-GMZ2 IgG responses in mice
Induction of parasite cross-reactive IgG antibodies
The development of protein subunit vaccines is often hampered by limited intrinsic immunostimulatory properties and the lack of cross-reactivity of elicited antibodies with the native target antigens. In an attempt to overcome both problems, the immunogenicity of a non adjuvanted virosomal formulation of the GMZ2 recombinant antigen was systematically evaluated in comparison to GMZ2 adjuvanted in Al(OH)3 and Montanide ISA 720 in outbred and inbred mice. The GMZ2 candidate malaria vaccine antigen is a chimeric protein consisting of the conserved N-terminal portion of GLURP genetically fused to the conserved C-terminal portion of MSP3 . All GMZ2 vaccine formulations induced antibody responses in all mouse strains tested. IgG titres were higher in outbred NMRI mice than in the two inbred mice strains. Previously tested non-adjuvanted GMZ2 formulations have elicited either no or only very weak antibody responses . However, in the present study anti-GMZ2-specific IgG responses elicited by the non-adjuvanted GMZ2 coupled to IRIVs were comparable to those found for adjuvanted formulations. Compared to the Alum adjuvanted formulation the virosomal preparation increased the proportion of MSP3-specifc IgG antibodies, thereby balancing the immunogenicity between the two individual domains. This finding is potentially important as previous studies in humans , Saimiri monkeys  and mice  have consistently demonstrated that the GLURP domain of GMZ2 is more immunogenic than the MSP3 domain. The reason for this increase in immunogenicity of the MSP3 domain is not known, but it may be speculated that the display of GMZ2 on the surface of the virosomes increases the accessibility of B-cell epitopes in MSP3.
Several parameters may influence IgG subclass profiles of antibody responses towards proteins, including antigen dosage, use of adjuvants or delivery platforms, and the intrinsic immunogenicity of the protein itself . All GMZ2 vaccine formulations tested here induced predominantly subclass IgG1 responses in mice. It is well established that the addition of immune modulators can influence the sub-class profile and it was recently demonstrated that the addition of the TLR4 agonist GLA to oil-in-water or Al(OH)3 formulations of GMZ2 effectively leads to an increase in vaccine-specific cytophilic IgG2a and IgG2b antibodies and in particular an increase in anti-MSP3-specific titres in CB6F1 mice . Thus, it may be speculated that the addition of TLR agonists like GLA to the GMZ2 virosomal formulation could enhance the overall IgG responses against GMZ2 and modulate the IgG sub-class profile in mice. Although, the use of potent adjuvants can increase immunogenicity they can also be associated with increased reactogenicity. In human clinical trials, injections of the water-in-oil emulsion Montanide ISA 720 alone were well tolerated . However, some vaccine formulations with Montanide ISA 720 were quite reactogenic [25, 39–41] and issues regarding antigen stability in long-term formulations were also reported . Recently conducted safety and immunogenicity clinical trials with aluminium hydroxide adjuvanted GMZ2 have shown that the vaccine candidate is well tolerated, safe and immunogenic in malaria-exposed and non-exposed healthy adults [35, 43] and young children . Phase 2 efficacy trials are ongoing. It would be expected that a non-adjuvanted virosomal formulation would be equally safe since the influenza virosome antigen delivery platform has already been commercialized and over 70 million doses of virosome-based vaccines have been administered in humans over the last 10 years, including children and infants [29, 30, 45]. Moreover, the virosome antigen delivery platform has already proven its suitability for malaria vaccine design exhibiting an excellent safety profile. Virosomes formulated with P. falciparum peptides from both the pre-erythrocytic antigen CSP and the blood-stage antigen AMA-1, have been successfully tested in clinical phase Ia and IIa trials [27, 28]. A phase Ib trial using this two-peptide formulation has recently been finalized . As an exploratory outcome, the incidence rate of clinical malaria episodes in children vaccinees was half the rate of the control children. These promising results support the concept to develop a multivalent virosomal malaria vaccine by incorporating additional components, such as GMZ2, into the clinically tested bivalent formulation.
Mouse immunogenicity data presented here, demonstrate that a non-adjuvanted virosomal formulation of the chimeric GMZ2 protein elicits high titres of parasite cross-reactive antibodies. These results confirm that virosomes represent a versatile antigen delivery platform for multi-valent vaccines based on recombinant proteins, synthetic peptides, and/or carbohydrates.
This project has been financially supported by the EUROPEAN MALARIA VACCINE DEVELOPMENT ASSOCIATION.
- Tosta CE: Coadaptation and malaria control. Mem Inst Oswaldo Cruz. 2007, 102: 385-404. 10.1590/S0074-02762007005000042.View ArticlePubMedGoogle Scholar
- Pates H, Curtis C: Mosquito behavior and vector control. Annu Rev Entomol. 2005, 50: 53-70. 10.1146/annurev.ento.50.071803.130439.View ArticlePubMedGoogle Scholar
- Good MF, Doolan DL: Malaria vaccine design: immunological considerations. Immunity. 2010, 4: 555-566.View ArticleGoogle Scholar
- Theisen M, Soe S, Brunstedt K, Follmann F, Bredmose L, Israelsen H, Madsen SM, Druilhe P: A Plasmodium falciparum GLURP-MSP3 chimeric protein; expression in Lactococcus lactis, immunogenicity and induction of biologically active antibodies. Vaccine. 2004, 22: 1188-1198. 10.1016/j.vaccine.2003.09.017.View ArticlePubMedGoogle Scholar
- Oeuvray C, Bouharoun-Tayoun H, Gras-Masse H, Bottius E, Kaidoh T, Aikawa M, Filgueira MC, Tartar A, Druilhe P: Merozoite surface protein-3: a malaria protein inducing antibodies that promote Plasmodium falciparum killing by cooperation with blood monocytes. Blood. 1994, 84: 1594-1602.PubMedGoogle Scholar
- Theisen M, Soe S, Oeuvray C, Thomas AW, Vuust J, Danielsen S, Jepsen S, Druilhe P: The glutamate-rich protein (GLURP) of Plasmodium falciparum is a target for antibody-dependent monocyte-mediated inhibition of parasite growth in vitro. Infect Immun. 1998, 66: 11-17.PubMed CentralPubMedGoogle Scholar
- Badell E, Oeuvray C, Moreno A, Soe S, van Rooijen N, Bouzidi A, Druilhe P: Human malaria in immunocompromised mice: an in vivo model to study defense mechanisms against Plasmodium falciparum. J Exp Med. 2000, 192: 1653-1659. 10.1084/jem.192.11.1653.PubMed CentralView ArticlePubMedGoogle Scholar
- Oeuvray C, Theisen M, Rogier C, Trape JF, Jepsen S, Druilhe P: Cytophilic immunoglobulin responses to Plasmodium falciparum glutamate-rich protein are correlated with protection against clinical malaria in Dielmo, Senegal. Infect Immun. 2000, 68: 2617-2620. 10.1128/IAI.68.5.2617-2620.2000.PubMed CentralView ArticlePubMedGoogle Scholar
- Dodoo D, Theisen M, Kurtzhals JA, Akanmori BD, Koram KA, Jepsen S, Nkrumah FK, Theander TG, Hviid L: Naturally acquired antibodies to the glutamate-rich protein are associated with protection against Plasmodium falciparum malaria. J Infect Dis. 2000, 181: 1202-1205. 10.1086/315341.View ArticlePubMedGoogle Scholar
- Theisen M, Dodoo D, Toure-Balde A, Soe S, Corradin G, Koram KK, Kurtzhals JA, Hviid L, Theander T, Akanmori B, Ndiaye M, Druilhe P: Selection of glutamate-rich protein long synthetic peptides for vaccine development: antigenicity and relationship with clinical protection and immunogenicity. Infect Immun. 2001, 69: 5223-5239. 10.1128/IAI.69.9.5223-5229.2001.PubMed CentralView ArticlePubMedGoogle Scholar
- Hisaeda H, Saul A, Reece JJ, Kennedy MC, Long CA, Miller LH, Stowers AW: Merozoite surface protein 3 and protection against malaria in Aotus nancymai monkeys. J Infect Dis. 2002, 185: 657-664. 10.1086/339187.View ArticlePubMedGoogle Scholar
- Druilhe P, Spertini F, Soesoe D, Corradin G, Mejia P, Singh S, Audran R, Bouzidi A, Oeuvray C, Roussilhon C: A malaria vaccine that elicits in humans antibodies able to kill Plasmodium falciparum. PLoS Med. 2005, 2: e344-10.1371/journal.pmed.0020344.PubMed CentralView ArticlePubMedGoogle Scholar
- Roussilhon C, Oeuvray C, Müller-Graf C, Tall A, Rogier C, Trape JF, Theisen M, Balde A, Pérignon JL, Druilhe P: Long-term clinical protection from falciparum malaria is strongly associated with IgG3 antibodies to merozoite surface protein 3. PLoS Med. 2007, 4: e320-10.1371/journal.pmed.0040320.PubMed CentralView ArticlePubMedGoogle Scholar
- Agger EM, Rosenkrands I, Hansen J, Brahimi K, Vandahl BS, Aagaard C, Werninghaus K, Kirschning C, Lang R, Christensen D, Theisen M, Follmann F, Andersen P: Cationic liposomes formulated with synthetic mycobacterial cord factor (CAF01): a versatile adjuvant for vaccines with different immunological requirements. PLoS ONE. 2008, 3: e3116-10.1371/journal.pone.0003116.PubMed CentralView ArticlePubMedGoogle Scholar
- Schijns VE, Degen WG: Vaccine immunopotentiators of the future. Clin Pharmacol Ther. 2007, 82: 750-755. 10.1038/sj.clpt.6100394.View ArticlePubMedGoogle Scholar
- Lindblad EB: Aluminium compounds for use in vaccines. Immunol Cell Biol. 2004, 82: 497-505. 10.1111/j.0818-9641.2004.01286.x.View ArticlePubMedGoogle Scholar
- Malkin EM, Diemert DJ, McArthur JH, Perreault JR, Miles AP, Giersing BK, Mullen GE, Orcutt A, Muratova O, Awkal M, Zhou H, Wang J, Stowers A, Long CA, Mahanty S, Miller LH, Saul A, Durbin AP: Phase 1 clinical trial of apical membrane antigen 1: an asexual blood-stage vaccine for Plasmodium falciparum malaria. Infect Immun. 2005, 73: 3677-3685. 10.1128/IAI.73.6.3677-3685.2005.PubMed CentralView ArticlePubMedGoogle Scholar
- Keitel WA, Kester KE, Atmar RL, White AC, Bond NH, Holland CA, Krzych U, Palmer DR, Egan A, Diggs C, Ballou WR, Hall BF, Kaslow D: Phase I trial of two recombinant vaccines containing the 19 kd carboxy terminal fragment of Plasmodium falciparum merozoite surface protein 1 (msp-1(19)) and T helper epitopes of tetanus toxoid. Vaccine. 1999, 18: 531-539. 10.1016/S0264-410X(99)00221-2.View ArticlePubMedGoogle Scholar
- Ballou WR, Hoffman SL, Sherwood JA, Hollingdale MR, Neva FA, Hockmeyer WT, Gordon DM, Schneider I, Wirtz RA, Young JF, Reeve P, Chulaya JD: Safety and efficacy of a recombinant DNA Plasmodium falciparum sporozoite vaccine. Lancet. 1987, 1: 1277-1281.View ArticlePubMedGoogle Scholar
- Amador R, Moreno A, Valero V, Murillo L, Mora AL, Rojas M, Rocha C, Salcedo M, Guzman F, Espejo F, Nunez F, Patarroyo ME: The first field trials of the chemically synthesized malaria vaccine SPf66: safety, immunogenicity and protectivity. Vaccine. 1992, 10: 179-184. 10.1016/0264-410X(92)90009-9.View ArticlePubMedGoogle Scholar
- Aucouturier J, Dupuis L, Deville S, Ascarateil S, Ganne V: Montanide ISA 720 and 51: a new generation of water in oil emulsions as adjuvants for human vaccines. Expert Rev Vaccines. 2002, 1: 111-118. 10.1586/14760522.214.171.124.View ArticlePubMedGoogle Scholar
- Pye D, Vandenberg KL, Dyer SL, Irving DO, Goss NH, Woodrow GC, Saul A, Alving CR, Richards RL, Ballou WR, Wu MJ, Skoff K, Anders RF: Selection of an adjuvant for vaccination with the malaria antigen, MSA-2. Vaccine. 1997, 15: 1017-2103. 10.1016/S0264-410X(96)00289-7.View ArticlePubMedGoogle Scholar
- Lawrence G, Cheng QQ, Reed C, Taylor D, Stowers A, Cloonan N, Rzepczyk C, Smillie A, Anderson K, Pombo D, Allworth A, Eisen D, Anders R, Saul A: Effect of vaccination with 3 recombinant asexual-stage malaria antigens on initial growth rates of Plasmodium falciparum in non-immune volunteers. Vaccine. 2000, 18: 1925-1931. 10.1016/S0264-410X(99)00444-2.View ArticlePubMedGoogle Scholar
- Lawrence GW, Saul A, Giddy AJ, Kemp R, Pye D: Phase I trial in humans of an oil-based adjuvant SEPPIC MONTANIDE ISA 720. Vaccine. 1997, 15: 176-178. 10.1016/S0264-410X(96)00150-8.View ArticlePubMedGoogle Scholar
- Saul A, Lawrence G, Smillie A, Rzepczyk CM, Reed C, Taylor D, Anderson K, Stowers A, Kemp R, Allworth A, Anders RF, Brown GV, Pye D, Schoofs P, Irving DO, Dyer SL, Woodrow GC, Briggs WR, Reber R, Stürchler D: Human phase I vaccine trials of 3 recombinant asexual stage malaria antigens with Montanide ISA720 adjuvant. Vaccine. 1999, 17: 3145-3159. 10.1016/S0264-410X(99)00175-9.View ArticlePubMedGoogle Scholar
- Genton B, Betuela I, Felger I, Al-Yaman F, Anders RF, Saul A, Rare L, Baisor M, Lorry K, Brown GV, Pye D, Irving DO, Smith TA, Beck HP, Alpers MP: A recombinant blood-stage malaria vaccine reduces Plasmodium falciparum density and exerts selective pressure on parasite populations in a phase 1-2b trial in Papua New Guinea. J Infect Dis. 2002, 185: 820-827. 10.1086/339342.View ArticlePubMedGoogle Scholar
- Genton B, Pluschke G, Degen L, Kammer AR, Westerfeld N, Okitsu SL, Schroller S, Vounatsou P, Mueller MM, Tanner M, Zurbriggen R: A randomized placebo-controlled phase Ia malaria vaccine trial of two virosome-formulated synthetic peptides in healthy adult volunteers. PLoS One. 2007, 2: e1018-10.1371/journal.pone.0001018.PubMed CentralView ArticlePubMedGoogle Scholar
- Thompson FM, Porter DW, Okitsu SL, Westerfeld N, Vogel D, Todryk S, Poulton I, Correa S, Hutchings C, Berthoud T, Dunachie S, Andrews L, Williams JL, Sinden R, Gilbert SC, Pluschke G, Zurbriggen R, Hill AV: Evidence of blood stage efficacy with a virosomal malaria vaccine in a phase IIa clinical trial. PLoS One. 2008, 3: e1493-10.1371/journal.pone.0001493.PubMed CentralView ArticlePubMedGoogle Scholar
- Bovier PA, Farinelli T, Loutan L: Interchangeability and tolerability of a virosomal and an aluminum-adsorbed hepatitis A vaccine. Vaccine. 2005, 23: 2424-2429. 10.1016/j.vaccine.2004.11.024.View ArticlePubMedGoogle Scholar
- Mayorga Pérez O, Herzog C, Zellmeyer M, Loáisiga A, Frösner G, Egger M: Efficacy of virosome hepatitis A vaccine in young children in Nicaragua: randomized placebo-controlled trial. J Infect Dis. 2003, 188: 671-677. 10.1086/377309.View ArticlePubMedGoogle Scholar
- Kammer AR, Amacker M, Rasi S, Westerfeld N, Gremion C, Neuhaus D, Zurbriggen R: A new and versatile virosomal antigen delivery system to induce cellular and humoral immune responses. Vaccine. 2007, 25: 7065-7074. 10.1016/j.vaccine.2007.07.052.View ArticlePubMedGoogle Scholar
- Matile H, Pink J: Immunological Methods. Edited by: Lefkovits I, Benvenuto P. 1990, San Diego: Academic Press, Inc, 221-234.Google Scholar
- Tamborrini M, Mueller MS, Stoffel SA, Westerfeld N, Vogel D, Boato F, Zurbriggen R, Robinson JA, Pluschke G: Design and pre-clinical profiling of a Plasmodium falciparum MSP-3 derived component for a multi-valent virosomal malaria vaccine. Malar J. 2009, 8: 314-10.1186/1475-2875-8-314.PubMed CentralView ArticlePubMedGoogle Scholar
- Lousada-Dietrich S, Jogdand PS, Jepsen S, Pinto VV, Ditlev SB, Christiansen M, Larsen SO, Fox CB, Raman VS, Howard RF, Vedvick TS, Ireton G, Carter D, Reed SG, Theisen M: A synthetic TLR4 agonist formulated in an emulsion enhances humoral and Type 1 cellular immune responses against GMZ2--a GLURP-MSP3 fusion protein malaria vaccine candidate. Vaccine. 2011, 29: 3284-3292. 10.1016/j.vaccine.2011.02.022.View ArticlePubMedGoogle Scholar
- Esen M, Kremsner PG, Schleucher R, Gässler M, Imoukhuede EB, Imbault N, Leroy O, Jepsen S, Knudsen BW, Schumm M, Knobloch J, Theisen M, Mordmüller B: Safety and immunogenicity of GMZ2--a MSP3-GLURP fusion protein malaria vaccine candidate. Vaccine. 2009, 27: 6862-6868. 10.1016/j.vaccine.2009.09.011.View ArticlePubMedGoogle Scholar
- Carvalho LJ, Alves FA, Bianco C, Oliveira SG, Zanini GM, Soe S, Druilhe P, Theisen M, Muniz JA, Daniel-Ribeiro CT: Immunization of Saimiri sciureus monkeys with a recombinant hybrid protein derived from the Plasmodium falciparum antigen glutamate-rich protein and merozoite surface protein 3 can induce partial protection with Freund and Montanide ISA720 adjuvants. Clin Diagn Lab Immunol. 2005, 2: 242-248.Google Scholar
- Kaba SA, Price A, Zhou Z, Sundaram V, Schnake P, Goldman IF, Lal AA, Udhayakumar V, Todd CW: Immune responses of mice with different genetic backgrounds to improved multiepitope, multitarget malaria vaccine candidate antigen FALVAC-1A. Clin Vaccine Immunol. 2008, 15: 1674-1683. 10.1128/CVI.00164-08.PubMed CentralView ArticlePubMedGoogle Scholar
- Kester KE, McKinney DA, Tornieporth N, Ockenhouse CF, Heppner DG, Hall T, Krzych U, Delchambre M, Voss G, Dowler MG, Palensky J, Wittes J, Cohen J, Ballou WR, RTS, S Malaria Vaccine Evaluation Group: Efficacy of recombinant circumsporozoite protein vaccine regimens against experimental Plasmodium falciparum malaria. J Infect Dis. 2001, 183: 640-647. 10.1086/318534.View ArticlePubMedGoogle Scholar
- Toledo H, Baly A, Castro O, Resik S, Laferté J, Rolo F, Navea L, Lobaina L, Cruz O, Míguez J, Serrano T, Sierra B, Pérez L, Ricardo ME, Dubed M, Lubián AL, Blanco M, Millán JC, Ortega A, Iglesias E, Pentón E, Martín Z, Pérez J, Díaz M, Duarte CA: A phase I clinical trial of a multi-epitope polypeptide TAB9 combined with Montanide ISA 720 adjuvant in non-HIV-1 infected human volunteers. Vaccine. 2001, 19: 4328-4336. 10.1016/S0264-410X(01)00111-6.View ArticlePubMedGoogle Scholar
- Genton B, Al-Yaman F, Betuela I, Anders RF, Saul A, Baea K, Mellombo M, Taraika J, Brown GV, Pye D, Irving DO, Felger I, Beck HP, Smith TA, Alpers MP: Safety and immunogenicity of a three-component blood-stage malaria vaccine (MSP1, MSP2, RESA) against Plasmodium falciparum in Papua New Guinean children. Vaccine. 2003, 22: 30-41. 10.1016/S0264-410X(03)00536-X.View ArticlePubMedGoogle Scholar
- Roestenberg M, Remarque E, de Jonge E, Hermsen R, Blythman H, Leroy O, Imoukhuede E, Jepsen S, Ofori-Anyinam O, Faber B, Kocken CH, Arnold M, Walraven V, Teelen K, Roeffen W, de Mast Q, Ballou WR, Cohen J, Dubois MC, Ascarateil S, van der Ven A, Thomas A, Sauerwein R: Safety and immunogenicity of a recombinant Plasmodium falciparum AMA1 malaria vaccine adjuvanted with Alhydrogel, Montanide ISA 720 or AS02. PLoS One. 2008, 3: e3960-10.1371/journal.pone.0003960.PubMed CentralView ArticlePubMedGoogle Scholar
- Saul A, Lawrence G, Allworth A, Elliott S, Anderson K, Rzepczyk C, Martin LB, Taylor D, Eisen DP, Irving DO, Pye D, Crewther PE, Hodder AN, Murphy VJ, Anders RF: A human phase 1 vaccine clinical trial of the Plasmodium falciparum malaria vaccine candidate apical membrane antigen 1 in Montanide ISA720 adjuvant. Vaccine. 2005, 23: 3076-3083. 10.1016/j.vaccine.2004.09.040.View ArticlePubMedGoogle Scholar
- Mordmüller B, Szywon K, Greutelaers B, Esen M, Mewono L, Treut C, Mürbeth RE, Chilengi R, Noor R, Kilama WL, Imoukhuede EB, Imbault N, Leroy O, Theisen M, Jepsen S, Milligan P, Fendel R, Kremsner PG, Issifou S: Safety and immunogenicity of the malaria vaccine candidate GMZ2 in malaria-exposed, adult individuals from Lambaréné, Gabon. Vaccine. 2010,Google Scholar
- Bélard S, Issifou S, Hounkpatin AB, Schaumburg F, Ngoa UA, Esen M, Fendel R, Martinez de Salazar P, Mürbeth RE, Milligan P, Imbault N, Imoukhuede EB, Theisen M, Jepsen S, Noor RA, Okech B, Kremsner PG, Mordmüller B: A randomized controlled phase Ib trial of the malaria vaccine candidate GMZ2 in African children. PLoS One.Google Scholar
- Cech PG, Aebi T, Abdallah MS, Mpina M, Machunda EB, Westerfeld N, Stoffel SA, Zurbriggen R, Pluschke G, Tanner M, Daubenberger C, Genton B, Abdulla S: Virosome-formulated Plasmodium falciparum AMA-1 & CSP derived peptides as malaria vaccine: a randomized Phase 1b trial in semi-immune adults & children. PLoS One. 2011, 7: e22273-View ArticleGoogle Scholar
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.