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Published in: Malaria Journal 1/2020

01-12-2020 | Plasmodium Falciparum | Research

Characterization of two in vivo challenge models to measure functional activity of monoclonal antibodies to Plasmodium falciparum circumsporozoite protein

Authors: Rama Raghunandan, Bryan T. Mayer, Yevel Flores-Garcia, Monica W. Gerber, Raphael Gottardo, Hugo Jhun, Sonia M. Herrera, Daniel W. Perez-Ramos, Emily Locke, C. Richter King, Fidel Zavala

Published in: Malaria Journal | Issue 1/2020

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Abstract

Background

New strategies are needed to reduce the incidence of malaria, and promising approaches include the development of vaccines and monoclonal antibodies (mAbs) that target the circumsporozoite protein (CSP). To select the best candidates and speed development, it is essential to standardize preclinical assays to measure the potency of such interventions in animal models.

Methods

Two assay configurations were studied using transgenic Plasmodium berghei expressing Plasmodium falciparum full-length circumsporozoite protein. The assays measured (1) reduction in parasite infection of the liver (liver burden) following an intravenous (i.v) administration of sporozoites and (2) protection from parasitaemia following mosquito bite challenge. Two human CSP mAbs, AB311 and AB317, were compared for their ability to inhibit infection. Multiple independent experiments were conducted to define assay variability and resultant impact on the ability to discriminate differences in mAb functional activity.

Results

Overall, the assays produced highly consistent results in that all individual experiments showed greater functional activity for AB317 compared to AB311 as calculated by the dose required for 50% inhibition (ID50) as well as the serum concentration required for 50% inhibition (IC50). The data were then used to model experimental designs with adequate statistical power to rigorously screen, compare, and rank order novel anti-CSP mAbs.

Conclusion

The results indicate that in vivo assays described here can provide reliable information for comparing the functional activity of mAbs. The results also provide guidance regarding selection of the appropriate experimental design, dose selection, and group sizes.
Appendix
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Literature
2.
go back to reference Van Den Berg M, Ogutu B, Sewankambo KN, Andorno BN, Tanner M. RTS, S malaria vaccine pilot studies: addressing the human realities in large-scale clinical trials. Trials. 2019;20:316.CrossRef Van Den Berg M, Ogutu B, Sewankambo KN, Andorno BN, Tanner M. RTS, S malaria vaccine pilot studies: addressing the human realities in large-scale clinical trials. Trials. 2019;20:316.CrossRef
3.
go back to reference Olotu A, Fegan G, Wambua J, Nyangweso G, Leach A, Lievens M, et al. Seven-year efficacy of RTS, S/AS01 malaria vaccine among young African children. N Engl J Med. 2016;374:2519–29.CrossRef Olotu A, Fegan G, Wambua J, Nyangweso G, Leach A, Lievens M, et al. Seven-year efficacy of RTS, S/AS01 malaria vaccine among young African children. N Engl J Med. 2016;374:2519–29.CrossRef
4.
go back to reference Cohen J, Nussenzweig R, Vekemans J, Leach A. From the circumsporozoite protein to the RTS, S/AS. Human Vaccines. 2010;6:90–6.CrossRef Cohen J, Nussenzweig R, Vekemans J, Leach A. From the circumsporozoite protein to the RTS, S/AS. Human Vaccines. 2010;6:90–6.CrossRef
5.
go back to reference White MT, Verity R, Griggin JT, Asante KP, Owusu-Agyei S, Greenwood B, et al. Immunogenicity of the RTS, S/AS01 malaria vaccine and implications for duration of vaccine efficacy: secondary analysis of data from a phase 3 randomised controlled trial. Lancet. 2015;15:1450–8.CrossRef White MT, Verity R, Griggin JT, Asante KP, Owusu-Agyei S, Greenwood B, et al. Immunogenicity of the RTS, S/AS01 malaria vaccine and implications for duration of vaccine efficacy: secondary analysis of data from a phase 3 randomised controlled trial. Lancet. 2015;15:1450–8.CrossRef
6.
go back to reference Collins AK, Snaith R, Cottingham MG, Gilbert SC, Hill AVS. Enhancing protective immunity to malaria with a highly immunogenic virus-like particle vaccine. Sci Rep. 2017;7:46621.CrossRef Collins AK, Snaith R, Cottingham MG, Gilbert SC, Hill AVS. Enhancing protective immunity to malaria with a highly immunogenic virus-like particle vaccine. Sci Rep. 2017;7:46621.CrossRef
7.
go back to reference Venkatraman N, Tiono A, Bowyer G, Powlson J, Collins K, Coulibaly S, Hill A, et al. Phase I assessments of first-in-human administration of a novel malaria anti-sporozoite vaccine candidate, R21 in matrix-M adjuvant, in UK and Burkinabe volunteers. MedRxI. 2019;medRxiv 19009282. Venkatraman N, Tiono A, Bowyer G, Powlson J, Collins K, Coulibaly S, Hill A, et al. Phase I assessments of first-in-human administration of a novel malaria anti-sporozoite vaccine candidate, R21 in matrix-M adjuvant, in UK and Burkinabe volunteers. MedRxI. 2019;medRxiv 19009282.
8.
go back to reference Seder R, Chang LJ, Enama M, Zephir KL, Sarwar U, Gordon IJ, et al. Protection against malaria by intravenous immunization with a nonreplicating sporozoite vaccine. Science. 2013;341:1359–65.CrossRef Seder R, Chang LJ, Enama M, Zephir KL, Sarwar U, Gordon IJ, et al. Protection against malaria by intravenous immunization with a nonreplicating sporozoite vaccine. Science. 2013;341:1359–65.CrossRef
9.
go back to reference Zavala F, Tam JP, Hollingdale MR, Cochrane AH, Quakyi I, Nussenzweig RS, et al. Rationale for development of a synthetic vaccine against Plasmodium falciparum malaria. Science. 1985;228:1436–40.CrossRef Zavala F, Tam JP, Hollingdale MR, Cochrane AH, Quakyi I, Nussenzweig RS, et al. Rationale for development of a synthetic vaccine against Plasmodium falciparum malaria. Science. 1985;228:1436–40.CrossRef
10.
go back to reference Triller G, Scally SW, Costa G, Pissarev M, Kreschel C, Bosch A, et al. Natural parasite exposure induces protective human anti-malarial antibodies. Immunity. 2017;47:1197–209.CrossRef Triller G, Scally SW, Costa G, Pissarev M, Kreschel C, Bosch A, et al. Natural parasite exposure induces protective human anti-malarial antibodies. Immunity. 2017;47:1197–209.CrossRef
11.
go back to reference Imkeller K, Scally SW, Bosch A, Marti GP, Costa G, Triller G, et al. Antihomotypic affinity maturation improves human B cell responses against a repetitive epitope. Science. 2018;360:1358–62.CrossRef Imkeller K, Scally SW, Bosch A, Marti GP, Costa G, Triller G, et al. Antihomotypic affinity maturation improves human B cell responses against a repetitive epitope. Science. 2018;360:1358–62.CrossRef
12.
go back to reference Scally SW, Murugan R, Bosch A, Triller G, Costa G, Mordmüller B, et al. Rare PfCSP C-terminal antibodies induced by live sporozoite vaccination are ineffective against malaria infection. J Exp Med. 2018;215:63–75.CrossRef Scally SW, Murugan R, Bosch A, Triller G, Costa G, Mordmüller B, et al. Rare PfCSP C-terminal antibodies induced by live sporozoite vaccination are ineffective against malaria infection. J Exp Med. 2018;215:63–75.CrossRef
13.
go back to reference Booth BJ, Ramakrishnan B, Narayan K, Wollacott AM, Babcock GJ, Shriver Z, Visawanathan K. Extending human IgG half-life using structure-guided design. MABS. 2018;10:1098–110.PubMedPubMedCentral Booth BJ, Ramakrishnan B, Narayan K, Wollacott AM, Babcock GJ, Shriver Z, Visawanathan K. Extending human IgG half-life using structure-guided design. MABS. 2018;10:1098–110.PubMedPubMedCentral
14.
go back to reference Tan J, Piccoli L, Lanzavecchia A. The antibody response to Plasmodium falciparum: cues for vaccine design and the discovery of receptor-based antibodies. Annu Rev Immunol. 2019;37:225–46.CrossRef Tan J, Piccoli L, Lanzavecchia A. The antibody response to Plasmodium falciparum: cues for vaccine design and the discovery of receptor-based antibodies. Annu Rev Immunol. 2019;37:225–46.CrossRef
15.
go back to reference Julien JP, Wardemann H. Antibodies against Plasmodium falciparum malaria at the molecular level. Nat Rev Immunol. 2019;19:761–75.CrossRef Julien JP, Wardemann H. Antibodies against Plasmodium falciparum malaria at the molecular level. Nat Rev Immunol. 2019;19:761–75.CrossRef
16.
go back to reference Oyen D, Torres JL, Wille-Reece U, Ockenhouse CF, Emerling D, Glanville J, Volkmuth W, Flores-Garcia Y, et al. Structural basis for antibody recognition of the NANP repeats in Plasmodium falciparum circumsporozoite protein. Proc Natl Acad Sci USA. 2017;114:10438–45.CrossRef Oyen D, Torres JL, Wille-Reece U, Ockenhouse CF, Emerling D, Glanville J, Volkmuth W, Flores-Garcia Y, et al. Structural basis for antibody recognition of the NANP repeats in Plasmodium falciparum circumsporozoite protein. Proc Natl Acad Sci USA. 2017;114:10438–45.CrossRef
17.
go back to reference Kisalu NK, Idris AH, Weidle C, Flores-Garcia Y, Flynn BJ, Sack BK, et al. A human monoclonal antibody prevents malaria infection by targeting a new site of vulnerability on the parasite. Nat Med. 2018;24:408–16.CrossRef Kisalu NK, Idris AH, Weidle C, Flores-Garcia Y, Flynn BJ, Sack BK, et al. A human monoclonal antibody prevents malaria infection by targeting a new site of vulnerability on the parasite. Nat Med. 2018;24:408–16.CrossRef
18.
go back to reference Tan J, Sack BK, Oyen D, Zenklusen I, Piccoli L, Barbieri S, et al. A public antibody lineage that potently inhibits malaria infection through dual binding to the circumsporozoite protein. Nat Med. 2018;24:401–7.CrossRef Tan J, Sack BK, Oyen D, Zenklusen I, Piccoli L, Barbieri S, et al. A public antibody lineage that potently inhibits malaria infection through dual binding to the circumsporozoite protein. Nat Med. 2018;24:401–7.CrossRef
19.
go back to reference Espinosa DA, Yadava A, Angov E, Maurizio PL, Ockenhouse CF, Zavala F. Development of a chimeric Plasmodium berghei strain expressing the repeat region of the P. vivax circumsporozoite protein for in vivo evaluation of vaccine efficacy. Infect Immun. 2013;81:2882–7.CrossRef Espinosa DA, Yadava A, Angov E, Maurizio PL, Ockenhouse CF, Zavala F. Development of a chimeric Plasmodium berghei strain expressing the repeat region of the P. vivax circumsporozoite protein for in vivo evaluation of vaccine efficacy. Infect Immun. 2013;81:2882–7.CrossRef
20.
go back to reference Flores-Garcia Y, Herrera SM, Jhun H, Pérez-Ramos DW, King CR, Locke E, et al. Optimization of an in vivo model to study immunity to Plasmodium falciparum pre-erythrocytic stages. Malar J. 2019;18:26.CrossRef Flores-Garcia Y, Herrera SM, Jhun H, Pérez-Ramos DW, King CR, Locke E, et al. Optimization of an in vivo model to study immunity to Plasmodium falciparum pre-erythrocytic stages. Malar J. 2019;18:26.CrossRef
21.
go back to reference Minkah NK, Schafer C, Kappe SHI. Humanized mouse models for the study of human malaria parasite biology, pathogenesis, and immunity. Front Immunol. 2018;19:807.CrossRef Minkah NK, Schafer C, Kappe SHI. Humanized mouse models for the study of human malaria parasite biology, pathogenesis, and immunity. Front Immunol. 2018;19:807.CrossRef
22.
go back to reference Sack BK, Mikolajczak SA, Fishbaugher M, Vaughan AM, Flannery EL, Nguyen T, et al. Humoral protection against mosquito bite-transmitted Plasmodium falciparum infection in humanized mice. NPJ Vaccines. 2017;9:27.CrossRef Sack BK, Mikolajczak SA, Fishbaugher M, Vaughan AM, Flannery EL, Nguyen T, et al. Humoral protection against mosquito bite-transmitted Plasmodium falciparum infection in humanized mice. NPJ Vaccines. 2017;9:27.CrossRef
23.
go back to reference Regules JA, Cicatelli SB, Bennett JW, Paolino KM, Twomey PS, Moon JE, et al. Fractional third and fourth dose of RTS, S/AS01 malaria candidate vaccine: a phase 2a controlled human malaria parasite infection and immunogenicity study. J Infect Dis. 2016;214:762–71.CrossRef Regules JA, Cicatelli SB, Bennett JW, Paolino KM, Twomey PS, Moon JE, et al. Fractional third and fourth dose of RTS, S/AS01 malaria candidate vaccine: a phase 2a controlled human malaria parasite infection and immunogenicity study. J Infect Dis. 2016;214:762–71.CrossRef
24.
go back to reference Scally SW, McLeod B, Bosch A, Miura K, Liang Q, Carroll S, et al. Molecular definition of multiple sites of antibody inhibition of malaria transmission-blocking vaccine antigen Pfs25. Nat Commun. 2017;8:1568.CrossRef Scally SW, McLeod B, Bosch A, Miura K, Liang Q, Carroll S, et al. Molecular definition of multiple sites of antibody inhibition of malaria transmission-blocking vaccine antigen Pfs25. Nat Commun. 2017;8:1568.CrossRef
25.
go back to reference Suissa S, Shuster J. Exact unconditional sample sizes for the 2 × 2 binomial trial. J R Stat Soc. 1985;148:317–27. Suissa S, Shuster J. Exact unconditional sample sizes for the 2 × 2 binomial trial. J R Stat Soc. 1985;148:317–27.
26.
go back to reference Hothorne T, Lausen B. On the exact distribution of maximally selected rank statistics. Computational Stat Data Analysis. 2003;43:121–37.CrossRef Hothorne T, Lausen B. On the exact distribution of maximally selected rank statistics. Computational Stat Data Analysis. 2003;43:121–37.CrossRef
27.
go back to reference Kosimidis I, Firth D. Bias reduction in exponential family nonlinear models. Biometrika. 2009;96:793–804.CrossRef Kosimidis I, Firth D. Bias reduction in exponential family nonlinear models. Biometrika. 2009;96:793–804.CrossRef
29.
go back to reference Bates D, Machler M, Bolker B, Walker S. Fitting linear mixed effects models using Ime4. J Stat Softw. 2015;67:1–48.CrossRef Bates D, Machler M, Bolker B, Walker S. Fitting linear mixed effects models using Ime4. J Stat Softw. 2015;67:1–48.CrossRef
31.
go back to reference Hothorn T, Hornik K, van de Wiel AM, Zeileis A. Implementing a class of permutation tests: the coin package. J Stat Softw. 2008;28:1–23.CrossRef Hothorn T, Hornik K, van de Wiel AM, Zeileis A. Implementing a class of permutation tests: the coin package. J Stat Softw. 2008;28:1–23.CrossRef
33.
go back to reference Wickham, H. Elegant graphics for data analysis. ggplot2. Springer. 2016, pp. ISBN 978-0-387-98141-3. Wickham, H. Elegant graphics for data analysis. ggplot2. Springer. 2016, pp. ISBN 978-0-387-98141-3.
34.
go back to reference Espinosa DA, Christensen D, Munoz C, Singh S, Locke E, Zavala F. Robust antibody and CD8+ T-cell responses induced by P falciparum CSP adsorbed to cationic liposomal adjuvant CAF09 confer sterilizing immunity against experimental rodent malaria infection. NPJ Vaccines. 2017;2:1–10.CrossRef Espinosa DA, Christensen D, Munoz C, Singh S, Locke E, Zavala F. Robust antibody and CD8+ T-cell responses induced by P falciparum CSP adsorbed to cationic liposomal adjuvant CAF09 confer sterilizing immunity against experimental rodent malaria infection. NPJ Vaccines. 2017;2:1–10.CrossRef
35.
go back to reference Coppi A, Natarajan R, Pradel G, Bennett BL, James ER, Roggero MA, et al. The malaria circumsporozoite protein has two functional domains, each with distinct roles as sporozoites journey from mosquito to mammalian host. J Exp Med. 2011;208:341–56.CrossRef Coppi A, Natarajan R, Pradel G, Bennett BL, James ER, Roggero MA, et al. The malaria circumsporozoite protein has two functional domains, each with distinct roles as sporozoites journey from mosquito to mammalian host. J Exp Med. 2011;208:341–56.CrossRef
36.
go back to reference Silvie O, Greco C, Franetich JF, Dubart-Kupperschmitt A, Hannoun L, van Germert GJ, et al. Expression of human CD81 differently affects host cell susceptibility to malaria sporozoites depending on the Plasmodium species. Cell Microbiol. 2006;8:11340–6.CrossRef Silvie O, Greco C, Franetich JF, Dubart-Kupperschmitt A, Hannoun L, van Germert GJ, et al. Expression of human CD81 differently affects host cell susceptibility to malaria sporozoites depending on the Plasmodium species. Cell Microbiol. 2006;8:11340–6.CrossRef
37.
go back to reference Dundas K, Shears MJ, Sinnis P, Wright GJ. Important extracellular interactions between Plasmodium sporozoites and host cells required for infection. Trends Parasitol. 2018;35:129–39.CrossRef Dundas K, Shears MJ, Sinnis P, Wright GJ. Important extracellular interactions between Plasmodium sporozoites and host cells required for infection. Trends Parasitol. 2018;35:129–39.CrossRef
38.
go back to reference Sack BK, Miller JL, Vaughan AM, Douglass A, Kaushanky A, Mikolajczak S, et al. Model for in vivo assessment of humoral protection against malaria sporozoite challenge by passive transfer of monoclonal antibodies and immune serum. Infec Immun. 2014;82:808–17.CrossRef Sack BK, Miller JL, Vaughan AM, Douglass A, Kaushanky A, Mikolajczak S, et al. Model for in vivo assessment of humoral protection against malaria sporozoite challenge by passive transfer of monoclonal antibodies and immune serum. Infec Immun. 2014;82:808–17.CrossRef
39.
go back to reference Oyen D, Torres JL, Cottrell CA, King CR, Wilson IA, Ward AB. Cryo-EM structure of P falciparum circumsporozoite protein with a vaccine-elicited antibody is stabilized by somatically mutated inter-Fab contacts. Sci Adv. 2018;4:aau8529.CrossRef Oyen D, Torres JL, Cottrell CA, King CR, Wilson IA, Ward AB. Cryo-EM structure of P falciparum circumsporozoite protein with a vaccine-elicited antibody is stabilized by somatically mutated inter-Fab contacts. Sci Adv. 2018;4:aau8529.CrossRef
Metadata
Title
Characterization of two in vivo challenge models to measure functional activity of monoclonal antibodies to Plasmodium falciparum circumsporozoite protein
Authors
Rama Raghunandan
Bryan T. Mayer
Yevel Flores-Garcia
Monica W. Gerber
Raphael Gottardo
Hugo Jhun
Sonia M. Herrera
Daniel W. Perez-Ramos
Emily Locke
C. Richter King
Fidel Zavala
Publication date
01-12-2020
Publisher
BioMed Central
Published in
Malaria Journal / Issue 1/2020
Electronic ISSN: 1475-2875
DOI
https://doi.org/10.1186/s12936-020-03181-0

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