A genetically attenuated malaria vaccine candidate based on P. falciparum b9/slarp gene-deficient sporozoites

  1. Ben C L van Schaijk
  2. Ivo H J Ploemen
  3. Takeshi Annoura
  4. Martijn W Vos
  5. Foquet Lander
  6. Geert-Jan van Gemert
  7. Severine Chevalley-Maurel
  8. Marga van de Vegte-Bolmer
  9. Mohammed Sajid
  10. Jean-Francois Franetich
  11. Audrey Lorthiois
  12. Geert Leroux-Roels
  13. Philip Meuleman
  14. Cornelius C Hermsen
  15. Dominique Mazier
  16. Stephen L Hoffman
  17. Chris J Janse
  18. Shahid M Khan
  19. Robert W Sauerwein  Is a corresponding author
  1. Radboud University Nijmegen Medical Center, Netherlands
  2. Institute for Translational Vaccinology, Netherlands
  3. Jikei University School of Medicine, Japan
  4. Ghent University and University Hospital, Belgium
  5. Leiden University Medical Center, Netherlands
  6. Université Pierre et Marie Curie-Paris 6, France
  7. Sanaria Inc., United States

Abstract

A highly efficacious pre-erythrocytic stage vaccine would be an important tool for the control and elimination of malaria but is currently unavailable. High-level protection in humans can be achieved by experimental immunization with Plasmodium falciparum sporozoites attenuated by radiation or under anti-malarial drug coverage. Immunization with genetically attenuated parasites (GAP) would be an attractive alternative approach. Here we present data on safety and protective efficacy using sporozoites with deletions of two genes i.e. the newly identified b9 and slarp, which govern independent and critical processes for successful liver-stage development. In the rodent malaria model, PbΔb9ΔslarpGAP was completely attenuated showing no breakthrough infections while efficiently inducing high level protection. The human PfΔb9ΔslarpGAP generated without drug-resistance markers were infective to human hepatocytes in vitro and to humanized mice engrafted with human hepatocytes in vivo but completely aborted development after infection. These findings support the clinical development of a PfΔb9ΔslarpSPZ vaccine.

Article and author information

Author details

  1. Ben C L van Schaijk

    Radboud University Nijmegen Medical Center, Nijmegen, Netherlands
    Competing interests
    No competing interests declared.
  2. Ivo H J Ploemen

    Institute for Translational Vaccinology, Bilthoven, Netherlands
    Competing interests
    No competing interests declared.
  3. Takeshi Annoura

    Jikei University School of Medicine, Tokyo, Japan
    Competing interests
    No competing interests declared.
  4. Martijn W Vos

    Radboud University Nijmegen Medical Center, Nijmegen, Netherlands
    Competing interests
    No competing interests declared.
  5. Foquet Lander

    Ghent University and University Hospital, Ghent, Belgium
    Competing interests
    No competing interests declared.
  6. Geert-Jan van Gemert

    Radboud University Nijmegen Medical Center, Nijmegen, Netherlands
    Competing interests
    No competing interests declared.
  7. Severine Chevalley-Maurel

    Leiden University Medical Center, Leiden, Netherlands
    Competing interests
    No competing interests declared.
  8. Marga van de Vegte-Bolmer

    Radboud University Nijmegen Medical Center, Nijmegen, Netherlands
    Competing interests
    No competing interests declared.
  9. Mohammed Sajid

    Leiden University Medical Center, Leiden, Netherlands
    Competing interests
    No competing interests declared.
  10. Jean-Francois Franetich

    Université Pierre et Marie Curie-Paris 6, Paris, France
    Competing interests
    No competing interests declared.
  11. Audrey Lorthiois

    Université Pierre et Marie Curie-Paris 6, Paris, France
    Competing interests
    No competing interests declared.
  12. Geert Leroux-Roels

    Ghent University and University Hospital, Ghent, Belgium
    Competing interests
    No competing interests declared.
  13. Philip Meuleman

    Ghent University and University Hospital, Ghent, Belgium
    Competing interests
    No competing interests declared.
  14. Cornelius C Hermsen

    Radboud University Nijmegen Medical Center, Nijmegen, Netherlands
    Competing interests
    No competing interests declared.
  15. Dominique Mazier

    Université Pierre et Marie Curie-Paris 6, Paris, France
    Competing interests
    No competing interests declared.
  16. Stephen L Hoffman

    Sanaria Inc., Rockville, United States
    Competing interests
    Stephen L Hoffman, CEO of Sanaria Inc, biotechnology company focused on whole sporozoite malaria vaccines.
  17. Chris J Janse

    Leiden University Medical Center, Leiden, Netherlands
    Competing interests
    No competing interests declared.
  18. Shahid M Khan

    Leiden University Medical Center, Leiden, Netherlands
    Competing interests
    No competing interests declared.
  19. Robert W Sauerwein

    Radboud University Nijmegen Medical Center, Nijmegen, Netherlands
    For correspondence
    Robert.Sauerwein@radboudumc.nl
    Competing interests
    No competing interests declared.

Reviewing Editor

  1. Nicholas J White, Mahidol University, Thailand

Ethics

Animal experimentation: All animal experiments with rodent parasites performed at the LUMC (Netherlands) were approved by the Animal Experiments Committee of the Leiden University Medical Center (DEC 07171; DEC 10099) and at the RUNMC (Netherlands) by the Radboud University Experimental Animal Ethical Committee (RUDEC 2008-123, RUDEC 2008-148, RUDEC 2010-250, RUDEC 2011-022, RUDEC 2011-208). The Dutch Experiments on Animal Act is established under European guidelines (EU directive 86/609/CEE) regarding the Protection of Animals used for Experimental and Other Scientific Purposes.Human liver-uPA-SCID mice (chimeric mice) were produced as described before. The study protocol for infecting these mice with P. falciparum sporozoites was approved by the animal ethics committee of the Faculty of Medicine and Health Sciences of the Ghent University.The study protocol was approved by the animal ethics committee of the Faculty of Medicine and Health Sciences of the Ghent University.

Human subjects: Primary human hepatocytes were isolated from healthy parts of human liver fragments which were collected during unrelated surgery in agreement with French national ethical regulations and after oral informed consent from adult patients undergoing partial hepatectomy as part of their medical treatment (Service de Chirurgie Digestive, H�pato-Bilio-Pancr�atique et Transplantation H�patique, H�pital Piti�-Salp�tri�re, Paris, France). The collection and use of this material for the purposes of the study presented here were undertaken in accordance with French national ethical guidelines under Article L. 1121-1 and article L. 1211-2

Version history

  1. Received: June 4, 2014
  2. Accepted: November 19, 2014
  3. Accepted Manuscript published: November 19, 2014 (version 1)
  4. Accepted Manuscript updated: November 21, 2014 (version 2)
  5. Version of Record published: December 23, 2014 (version 3)

Copyright

© 2014, van Schaijk et al.

This article is distributed under the terms of the Creative Commons Attribution License permitting unrestricted use and redistribution provided that the original author and source are credited.

Metrics

  • 2,797
    views
  • 316
    downloads
  • 66
    citations

Views, downloads and citations are aggregated across all versions of this paper published by eLife.

Download links

A two-part list of links to download the article, or parts of the article, in various formats.

Downloads (link to download the article as PDF)

Open citations (links to open the citations from this article in various online reference manager services)

Cite this article (links to download the citations from this article in formats compatible with various reference manager tools)

  1. Ben C L van Schaijk
  2. Ivo H J Ploemen
  3. Takeshi Annoura
  4. Martijn W Vos
  5. Foquet Lander
  6. Geert-Jan van Gemert
  7. Severine Chevalley-Maurel
  8. Marga van de Vegte-Bolmer
  9. Mohammed Sajid
  10. Jean-Francois Franetich
  11. Audrey Lorthiois
  12. Geert Leroux-Roels
  13. Philip Meuleman
  14. Cornelius C Hermsen
  15. Dominique Mazier
  16. Stephen L Hoffman
  17. Chris J Janse
  18. Shahid M Khan
  19. Robert W Sauerwein
(2014)
A genetically attenuated malaria vaccine candidate based on P. falciparum b9/slarp gene-deficient sporozoites
eLife 3:e03582.
https://doi.org/10.7554/eLife.03582

Share this article

https://doi.org/10.7554/eLife.03582

Further reading

    1. Microbiology and Infectious Disease
    Michael D Sacco, Lauren R Hammond ... Yu Chen
    Research Article

    In the Firmicutes phylum, GpsB is a membrane associated protein that coordinates peptidoglycan synthesis with cell growth and division. Although GpsB has been studied in several bacteria, the structure, function, and interactome of Staphylococcus aureus GpsB is largely uncharacterized. To address this knowledge gap, we solved the crystal structure of the N-terminal domain of S. aureus GpsB, which adopts an atypical, asymmetric dimer, and demonstrates major conformational flexibility that can be mapped to a hinge region formed by a three-residue insertion exclusive to Staphylococci. When this three-residue insertion is excised, its thermal stability increases, and the mutant no longer produces a previously reported lethal phenotype when overexpressed in Bacillus subtilis. In S. aureus, we show that these hinge mutants are less functional and speculate that the conformational flexibility imparted by the hinge region may serve as a dynamic switch to finetune the function of the GpsB complex and/or to promote interaction with its various partners. Furthermore, we provide the first biochemical, biophysical, and crystallographic evidence that the N-terminal domain of GpsB binds not only PBP4, but also FtsZ, through a conserved recognition motif located on their C-termini, thus coupling peptidoglycan synthesis to cell division. Taken together, the unique structure of S. aureus GpsB and its direct interaction with FtsZ/PBP4 provide deeper insight into the central role of GpsB in S. aureus cell division.

    1. Microbiology and Infectious Disease
    Moagi Tube Shaku, Peter K Um ... Bavesh D Kana
    Research Article

    Mechanisms by which Mycobacterium tuberculosis (Mtb) evades pathogen recognition receptor activation during infection may offer insights for the development of improved tuberculosis (TB) vaccines. Whilst Mtb elicits NOD-2 activation through host recognition of its peptidoglycan-derived muramyl dipeptide (MDP), it masks the endogenous NOD-1 ligand through amidation of glutamate at the second position in peptidoglycan side-chains. As the current BCG vaccine is derived from pathogenic mycobacteria, a similar situation prevails. To alleviate this masking ability and to potentially improve efficacy of the BCG vaccine, we used CRISPRi to inhibit expression of the essential enzyme pair, MurT-GatD, implicated in amidation of peptidoglycan side-chains. We demonstrate that depletion of these enzymes results in reduced growth, cell wall defects, increased susceptibility to antibiotics, altered spatial localization of new peptidoglycan and increased NOD-1 expression in macrophages. In cell culture experiments, training of a human monocyte cell line with this recombinant BCG yielded improved control of Mtb growth. In the murine model of TB infection, we demonstrate that depletion of MurT-GatD in BCG, which is expected to unmask the D-glutamate diaminopimelate (iE-DAP) NOD-1 ligand, yields superior prevention of TB disease compared to the standard BCG vaccine. In vitro and in vivo experiments in this study demonstrate the feasibility of gene regulation platforms such as CRISPRi to alter antigen presentation in BCG in a bespoke manner that tunes immunity towards more effective protection against TB disease.