Transmission-Blocking Vaccines: Old Friends and New Prospects.

Abstract:

:In the progression of the life cycle of Plasmodium falciparum, a small proportion of asexual parasites differentiate into male or female sexual forms called gametocytes. Just like their asexual counterparts, gametocytes are contained within the infected host's erythrocytes (RBCs). However, unlike their asexual partners, they do not exit the RBC until they are taken up in a blood meal by a mosquito. In the mosquito midgut, they are stimulated to emerge from the RBC, undergo fertilization, and ultimately produce tens of thousands of sporozoites that are infectious to humans. This transmission cycle can be blocked by antibodies targeting proteins exposed on the parasite surface in the mosquito midgut, a process that has led to the development of candidate transmission-blocking vaccines (TBV), including some that are in clinical trials. Here we review the leading TBV antigens and highlight the ongoing search for additional gametocyte/gamete surface antigens, as well as antigens on the surfaces of gametocyte-infected erythrocytes, which can potentially become a new group of TBV candidates.

journal_name

Infect Immun

journal_title

Infection and immunity

authors

Acquah FK,Adjah J,Williamson KC,Amoah LE

doi

10.1128/IAI.00775-18

subject

Has Abstract

pub_date

2019-05-21 00:00:00

issue

6

eissn

0019-9567

issn

1098-5522

pii

IAI.00775-18

journal_volume

87

pub_type

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