Skip to main content
Top
Published in: Malaria Journal 1/2016

Open Access 01-12-2016 | Research

Measurement of ex vivo ELISpot interferon-gamma recall responses to Plasmodium falciparum AMA1 and CSP in Ghanaian adults with natural exposure to malaria

Authors: Harini Ganeshan, Kwadwo A. Kusi, Dorothy Anum, Michael R. Hollingdale, Bjoern Peters, Yohan Kim, John K. A. Tetteh, Michael F. Ofori, Ben A. Gyan, Kwadwo A. Koram, Jun Huang, Maria Belmonte, Jo Glenna Banania, Daniel Dodoo, Eileen Villasante, Martha Sedegah

Published in: Malaria Journal | Issue 1/2016

Login to get access

Abstract

Background

Malaria eradication requires a concerted approach involving all available control tools, and an effective vaccine would complement these efforts. An effective malaria vaccine should be able to induce protective immune responses in a genetically diverse population. Identification of immunodominant T cell epitopes will assist in determining if candidate vaccines will be immunogenic in malaria-endemic areas. This study therefore investigated whether class I-restricted T cell epitopes of two leading malaria vaccine antigens, Plasmodium falciparum circumsporozoite protein (CSP) and apical membrane antigen-1 (AMA1), could recall T cell interferon-γ responses from naturally exposed subjects using ex vivo ELISpot assays.

Methods

Thirty-five subjects aged between 24 and 43 years were recruited from a malaria-endemic urban community of Ghana in 2011, and their peripheral blood mononuclear cells (PBMCs) were tested in ELISpot IFN-γ assays against overlapping 15mer peptide pools spanning the entire CSP and AMA1 antigens, and 9–10mer peptide epitope mixtures that included previously identified and/or predicted human leukocyte antigen (HLA) class 1-restricted epitopes from same two antigens.

Results

For CSP, 26 % of subjects responded to at least one of the nine 15mer peptide pools whilst 17 % responded to at least one of the five 9–10mer HLA-restricted epitope mixtures. For AMA1, 63 % of subjects responded to at least one of the 12 AMA1 15mer peptide pools and 51 % responded to at least one of the six 9–10mer HLA-restricted epitope mixtures. Following analysis of data from the two sets of peptide pools, along with bioinformatics predictions of class I-restricted epitopes and the HLA supertypes expressed by a subset of study subjects, peptide pools that may contain epitopes recognized by multiple HLA supertypes were identified. Collectively, these results suggest that natural transmission elicits ELISpot IFN-γ activities to class 1-restricted epitopes that are largely HLA-promiscuous.

Conclusions

These results generally demonstrate that CSP and AMA1 peptides recalled ELISpot IFN-γ responses from naturally exposed individuals and that both CSP and AMA1 contain diverse class 1-restricted epitopes that are HLA-promiscuous and are widely recognized in this population.
Appendix
Available only for authorised users
Literature
1.
2.
go back to reference Ceesay SJ, Casals-Pascual C, Erskin J, Anya SE, Duah NO, Fulford AJC, et al. Changes in malaria indices between 1999 and 2007 in The Gambia: a retrospective analysis. Lancet. 2008;372:1545–54.CrossRefPubMedCentralPubMed Ceesay SJ, Casals-Pascual C, Erskin J, Anya SE, Duah NO, Fulford AJC, et al. Changes in malaria indices between 1999 and 2007 in The Gambia: a retrospective analysis. Lancet. 2008;372:1545–54.CrossRefPubMedCentralPubMed
3.
go back to reference Aregawi MW, Ali AS, Al-Mafazy AW, Molteni F, Katikiti S, Warsame RJ, et al. Reductions in malaria and anaemia case and death burden at hospitals following scale up of malaria control in Zanzibar. Malar J. 2011;10:46.CrossRefPubMedCentralPubMed Aregawi MW, Ali AS, Al-Mafazy AW, Molteni F, Katikiti S, Warsame RJ, et al. Reductions in malaria and anaemia case and death burden at hospitals following scale up of malaria control in Zanzibar. Malar J. 2011;10:46.CrossRefPubMedCentralPubMed
4.
5.
6.
go back to reference Offeddu V, Thathy V, Marsh K, Matuschewki K. Naturally acquired immune responses against Plasmodium falciparum sporozoites and liver infection. Int J Parasitol. 2012;42:535–48.CrossRefPubMed Offeddu V, Thathy V, Marsh K, Matuschewki K. Naturally acquired immune responses against Plasmodium falciparum sporozoites and liver infection. Int J Parasitol. 2012;42:535–48.CrossRefPubMed
7.
go back to reference Hoffman SL, Oster CN, Plowe CV, Woollett GR, Beier JC, Chulay JD, et al. Immunity to malaria and naturally acquired antibodies to the circumsporozoite protein of Plasmodium falciparum. New Engl J Med. 1987;315:601–6.CrossRef Hoffman SL, Oster CN, Plowe CV, Woollett GR, Beier JC, Chulay JD, et al. Immunity to malaria and naturally acquired antibodies to the circumsporozoite protein of Plasmodium falciparum. New Engl J Med. 1987;315:601–6.CrossRef
8.
go back to reference Bogfen SE, Ntsama PM, Offner S, Smith T, Felger I, Tanner M, et al. The N-terminal domain of Plasmodium falciparum circumsporozoite protein represents a target of protective immunity. Vaccine. 2009;27:328–35.CrossRef Bogfen SE, Ntsama PM, Offner S, Smith T, Felger I, Tanner M, et al. The N-terminal domain of Plasmodium falciparum circumsporozoite protein represents a target of protective immunity. Vaccine. 2009;27:328–35.CrossRef
9.
go back to reference Olotu A, Fegan G, Wambua J, Nyangweso G, Awuondo KO, Leach A, et al. Four-year efficacy of RTS, S/AS01E and its interaction with malaria exposure. N Engl J Med. 2013;368:1111–20.CrossRefPubMed Olotu A, Fegan G, Wambua J, Nyangweso G, Awuondo KO, Leach A, et al. Four-year efficacy of RTS, S/AS01E and its interaction with malaria exposure. N Engl J Med. 2013;368:1111–20.CrossRefPubMed
10.
go back to reference White MT, Bejon P, Olotu A, Griffin JT, Bojang K, Lusingu J, et al. A combined analysis of immunogenicity, antibody kinetics and vaccine efficacy from phase 2 trials of the RTS, S malaria vaccine. BMC Med. 2014;12:117.CrossRefPubMedCentralPubMed White MT, Bejon P, Olotu A, Griffin JT, Bojang K, Lusingu J, et al. A combined analysis of immunogenicity, antibody kinetics and vaccine efficacy from phase 2 trials of the RTS, S malaria vaccine. BMC Med. 2014;12:117.CrossRefPubMedCentralPubMed
11.
go back to reference Hoffman SL, Goh LM, Luke TC, Schneider I, Le TP, Doolan DL, et al. Protection of humans against malaria by immunization with radiation-attenuated Plasmodium falciparum sporozoites. J Infect Dis. 2002;185:1155–64.CrossRefPubMed Hoffman SL, Goh LM, Luke TC, Schneider I, Le TP, Doolan DL, et al. Protection of humans against malaria by immunization with radiation-attenuated Plasmodium falciparum sporozoites. J Infect Dis. 2002;185:1155–64.CrossRefPubMed
12.
go back to reference Seder RA, Chang LJ, Enama ME, Zephir KL, Sarwar UN, Gordon IJ, et al. Protection against malaria by intravenous immunization with a non replicating sporozoite vaccine. Science. 2013;341:1359–65.CrossRefPubMed Seder RA, Chang LJ, Enama ME, Zephir KL, Sarwar UN, Gordon IJ, et al. Protection against malaria by intravenous immunization with a non replicating sporozoite vaccine. Science. 2013;341:1359–65.CrossRefPubMed
14.
go back to reference Overstreet MG, Cockburn IA, Chen YC, Zavala F. Protective CD8 T cells against Plasmodium liver stages: immunobiology of an ‘unnatural’ immune response. Immunol Rev. 2008;225:272–83.CrossRefPubMedCentralPubMed Overstreet MG, Cockburn IA, Chen YC, Zavala F. Protective CD8 T cells against Plasmodium liver stages: immunobiology of an ‘unnatural’ immune response. Immunol Rev. 2008;225:272–83.CrossRefPubMedCentralPubMed
15.
go back to reference Sedegah M, Hollingdale MR, Farooq F, Ganeshan H, Belmonte M, Kim Y, et al. Sterile immunity to malaria after DNA prime/adenovirus boost immunization is associated with effector memory CD8 + T cells targeting AMA1 class I epitopes. PLoS One. 2014;9:e106241.CrossRefPubMedCentralPubMed Sedegah M, Hollingdale MR, Farooq F, Ganeshan H, Belmonte M, Kim Y, et al. Sterile immunity to malaria after DNA prime/adenovirus boost immunization is associated with effector memory CD8 + T cells targeting AMA1 class I epitopes. PLoS One. 2014;9:e106241.CrossRefPubMedCentralPubMed
16.
go back to reference Chuang I, Sedegah M, Cicatelli S, Spring M, Polhemus M, Tamminga C, et al. DNA prime/Adenovirus boost malaria vaccine encoding P. falciparum CSP and AMA1 induces sterile protection associated with cell-mediated immunity. PLoS One. 2013;8:e55571.CrossRefPubMedCentralPubMed Chuang I, Sedegah M, Cicatelli S, Spring M, Polhemus M, Tamminga C, et al. DNA prime/Adenovirus boost malaria vaccine encoding P. falciparum CSP and AMA1 induces sterile protection associated with cell-mediated immunity. PLoS One. 2013;8:e55571.CrossRefPubMedCentralPubMed
17.
go back to reference Sedegah M, Kim Y, Ganeshan H, Huang J, Belmonte M, Abot E, et al. Identification of minimal human MHC-restricted CD8 + T-cell epitopes within the Plasmodium falciparum circumsporozoite protein (CSP). Malar J. 2013;12:185.CrossRefPubMedCentralPubMed Sedegah M, Kim Y, Ganeshan H, Huang J, Belmonte M, Abot E, et al. Identification of minimal human MHC-restricted CD8 + T-cell epitopes within the Plasmodium falciparum circumsporozoite protein (CSP). Malar J. 2013;12:185.CrossRefPubMedCentralPubMed
18.
go back to reference Sedegah M, Kim Y, Peters B, McGrath S, Ganeshan H, Lejano J, et al. Identification and localization of minimal MHC-restricted CD8 + T cell epitopes within the Plasmodium falciparum AMA1 protein. Malar J. 2010;9:241.CrossRefPubMedCentralPubMed Sedegah M, Kim Y, Peters B, McGrath S, Ganeshan H, Lejano J, et al. Identification and localization of minimal MHC-restricted CD8 + T cell epitopes within the Plasmodium falciparum AMA1 protein. Malar J. 2010;9:241.CrossRefPubMedCentralPubMed
19.
go back to reference Doolan DL, Hoffman SL, Southwood S, Wentworth PA, Sidney J, Chesnut RW, et al. Degenerate cytotoxic T cell epitopes from P. falciparum restricted by multiple HLA-A and HLA-B supertype alleles. Immunity. 1997;7:97–112.CrossRefPubMed Doolan DL, Hoffman SL, Southwood S, Wentworth PA, Sidney J, Chesnut RW, et al. Degenerate cytotoxic T cell epitopes from P. falciparum restricted by multiple HLA-A and HLA-B supertype alleles. Immunity. 1997;7:97–112.CrossRefPubMed
20.
go back to reference Wang R, Doolan DL, Le TP, Hedstrom RC, Coonan KM, Charoenvit Y, et al. Induction of antigen-specific cytotoxic T lymphocytes in humans by a malaria DNA vaccine. Science. 1998;282:476–80.CrossRefPubMed Wang R, Doolan DL, Le TP, Hedstrom RC, Coonan KM, Charoenvit Y, et al. Induction of antigen-specific cytotoxic T lymphocytes in humans by a malaria DNA vaccine. Science. 1998;282:476–80.CrossRefPubMed
21.
go back to reference Blum-Tirouvanziam U, Servis C, Habluetzel A, Valmori D, Men Y, Esposito F, et al. Localization of HLA-A2.1-restricted T cell epitopes in the circumsporozoite protein of Plasmodium falciparum. J Immunol. 1995;154:3922–31.PubMed Blum-Tirouvanziam U, Servis C, Habluetzel A, Valmori D, Men Y, Esposito F, et al. Localization of HLA-A2.1-restricted T cell epitopes in the circumsporozoite protein of Plasmodium falciparum. J Immunol. 1995;154:3922–31.PubMed
22.
go back to reference Aidoo M, Lalvani A, Allsopp CE, Plebanski M, Meisner SJ, Krausa P, et al. Identification of conserved antigenic components for a cytotoxic T lymphocyte-inducing vaccine against malaria. Lancet. 1995;345:1003–7.CrossRefPubMed Aidoo M, Lalvani A, Allsopp CE, Plebanski M, Meisner SJ, Krausa P, et al. Identification of conserved antigenic components for a cytotoxic T lymphocyte-inducing vaccine against malaria. Lancet. 1995;345:1003–7.CrossRefPubMed
23.
go back to reference Hill AV, Elvin J, Willis AC, Aidoo M, Allsopp CE, Gotch FM, et al. Molecular analysis of the association of HLA-B53 and resistance to severe malaria. Nature. 1992;360:434–9.CrossRefPubMed Hill AV, Elvin J, Willis AC, Aidoo M, Allsopp CE, Gotch FM, et al. Molecular analysis of the association of HLA-B53 and resistance to severe malaria. Nature. 1992;360:434–9.CrossRefPubMed
24.
go back to reference Gonzalez JM, Peter K, Esposito F, Nebie I, Tiercy JM, Bonelo M, et al. HLA-A*0201 restricted T-lymphocyte responses to malaria: identification of new Plasmodium falciparum epitopes by IFN-gamma ELISPOT. Parasite Immunol. 2000;22:501–14.CrossRefPubMed Gonzalez JM, Peter K, Esposito F, Nebie I, Tiercy JM, Bonelo M, et al. HLA-A*0201 restricted T-lymphocyte responses to malaria: identification of new Plasmodium falciparum epitopes by IFN-gamma ELISPOT. Parasite Immunol. 2000;22:501–14.CrossRefPubMed
25.
go back to reference Dodoo D, Hollingdale MR, Anum D, Koram KA, Gyan B, Akanmori BD, et al. Measuring naturally acquired immune responses to candidate malaria vaccine antigens in Ghanaian adults. Malar J. 2011;10:168.CrossRefPubMedCentralPubMed Dodoo D, Hollingdale MR, Anum D, Koram KA, Gyan B, Akanmori BD, et al. Measuring naturally acquired immune responses to candidate malaria vaccine antigens in Ghanaian adults. Malar J. 2011;10:168.CrossRefPubMedCentralPubMed
26.
go back to reference Sedegah M, Tamminga C, McGrath S, House B, Ganeshan H, Lejano J, et al. Adenovirus 5-vectored P. falciparum vaccine expressing CSP and AMA1. Part A: safety and immunogenicity in seronegative adults. PLoS ONE. 2011;6:e24586.CrossRefPubMedCentralPubMed Sedegah M, Tamminga C, McGrath S, House B, Ganeshan H, Lejano J, et al. Adenovirus 5-vectored P. falciparum vaccine expressing CSP and AMA1. Part A: safety and immunogenicity in seronegative adults. PLoS ONE. 2011;6:e24586.CrossRefPubMedCentralPubMed
27.
go back to reference Anum D, Kusi KA, Ganeshan H, Hollingdale MR, Ofori MF, Koram KA, et al. Measuring naturally acquired ex vivo IFN-gamma responses to Plasmodium falciparum cell-traversal protein for ookinetes and sporozoites (CelTOS) in Ghanaian adults. Malar J. 2015;14:20.CrossRefPubMedCentralPubMed Anum D, Kusi KA, Ganeshan H, Hollingdale MR, Ofori MF, Koram KA, et al. Measuring naturally acquired ex vivo IFN-gamma responses to Plasmodium falciparum cell-traversal protein for ookinetes and sporozoites (CelTOS) in Ghanaian adults. Malar J. 2015;14:20.CrossRefPubMedCentralPubMed
28.
go back to reference Sette A, Sidney J. Nine major HLA class I supertypes account for the vast preponderance of HLA-A and -B polymorphism. Immunogenetics. 1999;50:201–12.CrossRefPubMed Sette A, Sidney J. Nine major HLA class I supertypes account for the vast preponderance of HLA-A and -B polymorphism. Immunogenetics. 1999;50:201–12.CrossRefPubMed
30.
go back to reference Frahm N, Yusim K, Suscovich TJ, Adams S, Sidney J, Hraber P, et al. Extensive HLA class I allele promiscuity among viral CTL epitopes. Eur J Immunol. 2007;37:2419–33.CrossRefPubMedCentralPubMed Frahm N, Yusim K, Suscovich TJ, Adams S, Sidney J, Hraber P, et al. Extensive HLA class I allele promiscuity among viral CTL epitopes. Eur J Immunol. 2007;37:2419–33.CrossRefPubMedCentralPubMed
31.
go back to reference Nielsen M, Lundegaard C, Worning P, Lauemoller SL, Lamberth K, Buus S, et al. Reliable prediction of T-cell epitopes using neural networks with novel sequence representations. Protein Sci. 2003;12:1007–17.CrossRefPubMedCentralPubMed Nielsen M, Lundegaard C, Worning P, Lauemoller SL, Lamberth K, Buus S, et al. Reliable prediction of T-cell epitopes using neural networks with novel sequence representations. Protein Sci. 2003;12:1007–17.CrossRefPubMedCentralPubMed
33.
go back to reference Sedegah M. The ex vivo IFN-γ Enzyme-linked Immunospot (ELISpot) Assay. Methods Mol Biol. 2015;1325:197–205.CrossRefPubMed Sedegah M. The ex vivo IFN-γ Enzyme-linked Immunospot (ELISpot) Assay. Methods Mol Biol. 2015;1325:197–205.CrossRefPubMed
34.
go back to reference Langhorne J, Ndungu FM, Sponas AM, Marsh K. Immunity to malaria: more questions than answers. Nat Immunol. 2008;5:725–32.CrossRef Langhorne J, Ndungu FM, Sponas AM, Marsh K. Immunity to malaria: more questions than answers. Nat Immunol. 2008;5:725–32.CrossRef
35.
go back to reference Dent AE, Chelimo K, Sumba PO, Spring MD, Crabb BS, Moorman AM, et al. Temporal stability of naturally acquired immunity to Merozoite Surface Protein-1 in Kenyan adults. Malar J. 2009;16:8. Dent AE, Chelimo K, Sumba PO, Spring MD, Crabb BS, Moorman AM, et al. Temporal stability of naturally acquired immunity to Merozoite Surface Protein-1 in Kenyan adults. Malar J. 2009;16:8.
37.
go back to reference Remarque EJ, Faber BW, Kocken CH, Thomas AW. Apical membrane antigen 1: a malaria vaccine candidate in review. Trends Parasitol. 2008;24:74–84.CrossRefPubMed Remarque EJ, Faber BW, Kocken CH, Thomas AW. Apical membrane antigen 1: a malaria vaccine candidate in review. Trends Parasitol. 2008;24:74–84.CrossRefPubMed
38.
go back to reference Silvie O, Franetich JF, Charrin S, Mueller MS, Siau A, Bodescot M, et al. A role for apical membrane antigen 1 during invasion of hepatocytes by Plasmodium falciparum sporozoites. J Biol Chem. 2004;279:9490–6.CrossRefPubMed Silvie O, Franetich JF, Charrin S, Mueller MS, Siau A, Bodescot M, et al. A role for apical membrane antigen 1 during invasion of hepatocytes by Plasmodium falciparum sporozoites. J Biol Chem. 2004;279:9490–6.CrossRefPubMed
39.
go back to reference Kusi KA, Faber BW, Riasat V, Thomas AW, Kocken CH, Remarque EJ. Generation of humoral immune responses to multi-allele PfAMA1 vaccines; effect of adjuvant and number of component alleles on the breadth of response. PLoS One. 2010;5:e15391.CrossRefPubMedCentralPubMed Kusi KA, Faber BW, Riasat V, Thomas AW, Kocken CH, Remarque EJ. Generation of humoral immune responses to multi-allele PfAMA1 vaccines; effect of adjuvant and number of component alleles on the breadth of response. PLoS One. 2010;5:e15391.CrossRefPubMedCentralPubMed
40.
go back to reference Lal AA, Hughes MA, Oliveira DA, Nelson C, Bloland PB, Oloo AJ, et al. Identification of T-cell determinants in natural immune responses to the Plasmodium falciparum apical membrane antigen (AMA-1) in an adult population exposed to malaria. Infect Immun. 1996;64:1054–9.PubMedCentralPubMed Lal AA, Hughes MA, Oliveira DA, Nelson C, Bloland PB, Oloo AJ, et al. Identification of T-cell determinants in natural immune responses to the Plasmodium falciparum apical membrane antigen (AMA-1) in an adult population exposed to malaria. Infect Immun. 1996;64:1054–9.PubMedCentralPubMed
41.
go back to reference John CC, Sumba PO, Ouma JH, Nahlen BL, King CL, Kazura JW. Cytokine responses to Plasmodium falciparum liver-stage antigen 1 vary in rainy and dry seasons in highland Kenya. Infect Immun. 2000;68:5198–204.CrossRefPubMedCentralPubMed John CC, Sumba PO, Ouma JH, Nahlen BL, King CL, Kazura JW. Cytokine responses to Plasmodium falciparum liver-stage antigen 1 vary in rainy and dry seasons in highland Kenya. Infect Immun. 2000;68:5198–204.CrossRefPubMedCentralPubMed
42.
go back to reference John CC, Moormann AM, Sumba PO, Ofulla AV, Pregibon DC, Kazura JW. Gamma interferon responses to Plasmodium falciparum liver-stage antigen 1 and thrombospondin-related adhesive protein and their relationship to age, transmission intensity, and protection against malaria. Infect Immun. 2004;72:5135–42.CrossRefPubMedCentralPubMed John CC, Moormann AM, Sumba PO, Ofulla AV, Pregibon DC, Kazura JW. Gamma interferon responses to Plasmodium falciparum liver-stage antigen 1 and thrombospondin-related adhesive protein and their relationship to age, transmission intensity, and protection against malaria. Infect Immun. 2004;72:5135–42.CrossRefPubMedCentralPubMed
43.
go back to reference Kurtis JD, Hollingdale MR, Luty AJ, Lanar DE, Krzych U, Duffy PE. Pre-erythrocytic immunity to Plasmodium falciparum: the case for an LSA-1 vaccine. Trends Parasitol. 2001;17:219–23.CrossRefPubMed Kurtis JD, Hollingdale MR, Luty AJ, Lanar DE, Krzych U, Duffy PE. Pre-erythrocytic immunity to Plasmodium falciparum: the case for an LSA-1 vaccine. Trends Parasitol. 2001;17:219–23.CrossRefPubMed
44.
go back to reference Fidock DA, Gras-Masse H, Lepers JP, Brahimi K, Benmohamed L, Mellouk S, et al. Plasmodium falciparum liver stage antigen-1 is well conserved and contains potent B and T cell determinants. J Immunol. 1994;153:190–204.PubMed Fidock DA, Gras-Masse H, Lepers JP, Brahimi K, Benmohamed L, Mellouk S, et al. Plasmodium falciparum liver stage antigen-1 is well conserved and contains potent B and T cell determinants. J Immunol. 1994;153:190–204.PubMed
45.
go back to reference Todryk SM, Bejon P, Mwangi T, Plebanski M, Urban B, Marsh K, et al. Correlation of memory T cell responses against TRAP with protection from clinical trials, and CD4 CD25 high T cells with susceptibility in Kenyans. PLoS One. 2008;3:e2027.CrossRefPubMedCentralPubMed Todryk SM, Bejon P, Mwangi T, Plebanski M, Urban B, Marsh K, et al. Correlation of memory T cell responses against TRAP with protection from clinical trials, and CD4 CD25 high T cells with susceptibility in Kenyans. PLoS One. 2008;3:e2027.CrossRefPubMedCentralPubMed
46.
go back to reference Smith T, Maire N, Dietz K, Killeen P, Vounatsou P, Molineaux L, et al. Relationship between the entomological inoculation rate and the force for Plasmodium falciparum malaria. Am J Trop Med Hyg. 2006;75:11–8.PubMed Smith T, Maire N, Dietz K, Killeen P, Vounatsou P, Molineaux L, et al. Relationship between the entomological inoculation rate and the force for Plasmodium falciparum malaria. Am J Trop Med Hyg. 2006;75:11–8.PubMed
47.
go back to reference Tall A, Sokhana C, Perrault R, Fontenille D, Marrama L, Ly FD, et al. Assessment of the relative success of sporozoite inoculations in individuals exposed to moderate seasonal transmission. Malar J. 2009;8:161.CrossRefPubMedCentralPubMed Tall A, Sokhana C, Perrault R, Fontenille D, Marrama L, Ly FD, et al. Assessment of the relative success of sporozoite inoculations in individuals exposed to moderate seasonal transmission. Malar J. 2009;8:161.CrossRefPubMedCentralPubMed
48.
go back to reference Tran TM, Li S, Doumbo S, Doumtabe D, Huang CY, Dia S, et al. An intensive longitudinal cohort study of Malian children and adults reveals no evidence of acquired immunity to Plasmodium falciparum infection. Clin Infect Dis. 2013;57:40–7.CrossRefPubMedCentralPubMed Tran TM, Li S, Doumbo S, Doumtabe D, Huang CY, Dia S, et al. An intensive longitudinal cohort study of Malian children and adults reveals no evidence of acquired immunity to Plasmodium falciparum infection. Clin Infect Dis. 2013;57:40–7.CrossRefPubMedCentralPubMed
Metadata
Title
Measurement of ex vivo ELISpot interferon-gamma recall responses to Plasmodium falciparum AMA1 and CSP in Ghanaian adults with natural exposure to malaria
Authors
Harini Ganeshan
Kwadwo A. Kusi
Dorothy Anum
Michael R. Hollingdale
Bjoern Peters
Yohan Kim
John K. A. Tetteh
Michael F. Ofori
Ben A. Gyan
Kwadwo A. Koram
Jun Huang
Maria Belmonte
Jo Glenna Banania
Daniel Dodoo
Eileen Villasante
Martha Sedegah
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Malaria Journal / Issue 1/2016
Electronic ISSN: 1475-2875
DOI
https://doi.org/10.1186/s12936-016-1098-8

Other articles of this Issue 1/2016

Malaria Journal 1/2016 Go to the issue