title: Glutamate-rich protein (GLURP) induces antibodies that inhibit in vitro growth of Plasmodium falciparum in a phase 1 malaria vaccine trial.
abstract: The glutamate-rich protein (GLURP) of P. falciparum is the target of cytophilic antibodies which are significantly associated with protection against clinical malaria. A phase 1 clinical trial was conducted in healthy adult volunteers with the long synthetic peptide (LSP) GLURP(85-213) combined with either Aluminum Hydroxide (Alum, 18 volunteers) or Montanide ISA 720 (ISA, 18 volunteers) as adjuvants. Immunizations with 10, 30 or 100 microg GLURP(85-213) were administered subcutaneously at days 0, 30, and 120. Adverse events occurred more frequently with increasing dosage of GLURP(85-213) LSP and were more prevalent in the ISA group. Serious vaccine-related adverse events were not observed. The vaccine induced dose-dependent cellular and humoral immune responses, with high levels of (mainly cytophilic IgG1) antibodies that recognize parasites by immunofluorescence (IFA). Plasma samples collected 30 days after the last immunization induced a dose-dependent inhibition of parasite growth in vitro in the presence of monocytes. In conclusion, immunizations with GLURP(85-213) LSP formulations induce adverse events but can be administered safely, generating antibodies with capacity to mediate growth-inhibitory activity against P. falciparum in vitro.
authors.affiliation: Department of Medical Microbiology 268, Radboud University Nijmegen Medical Centre, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands. r.hermsen@ncmls.ru.nl <r.hermsen@ncmls.ru.nl>
authors.forename: Cornelus C
authors.initials: CC
authors.lastname: Hermsen
authors.forename: Danielle F
authors.initials: DF
authors.lastname: Verhage
authors.forename: Denise S C
authors.initials: DS
authors.lastname: Telgt
authors.forename: Karina
authors.initials: K
authors.lastname: Teelen
authors.forename: J Teun
authors.initials: JT
authors.lastname: Bousema
authors.forename: Meta
authors.initials: M
authors.lastname: Roestenberg
authors.forename: Ahmed
authors.initials: A
authors.lastname: Bolad
authors.forename: Klavs
authors.initials: K
authors.lastname: Berzins
authors.forename: Giampietro
authors.initials: G
authors.lastname: Corradin
authors.forename: Odile
authors.initials: O
authors.lastname: Leroy
authors.forename: Michael
authors.initials: M
authors.lastname: Theisen
authors.forename: Robert W
authors.initials: RW
authors.lastname: Sauerwein
mesh_terms: D000293:Adolescent; D000328:Adult; D000818:Animals; D000913:Antibodies, Protozoan / Q000096:biosynthesis* / Q000276:immunology; D004306:Dose-Response Relationship, Immunologic; D005260:Female; D006801:Humans; D007074:Immunoglobulin G / Q000096:biosynthesis / Q000276:immunology; D017780:Malaria Vaccines / Q000008:administration & dosage* / Q000009:adverse effects / Q000276:immunology; D016778:Malaria, Falciparum / Q000276:immunology* / Q000469:parasitology / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D009504:Neutrophils / Q000276:immunology; D010446:Peptide Fragments / Q000276:immunology; D010963:Plasmodium falciparum / Q000254:growth & development / Q000276:immunology*; D015800:Protozoan Proteins / Q000276:immunology* / Q000378:metabolism
chemical_list: D000913:Antibodies, Protozoan; D007074:Immunoglobulin G; D017780:Malaria Vaccines; D010446:Peptide Fragments; D015800:Protozoan Proteins; C072492:glutamate-rich protein, Plasmodium