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Research Publication and Ethics (CHRPE) of the Kwame. Nkrumah University of Science and Technology and the. National Ethics Committee of the Ministry of ...
Addai‑Mensah et al. Malar J (2016) 15:65 DOI 10.1186/s12936-016-1112-1

Malaria Journal Open Access

RESEARCH

Acquired immune responses to three malaria vaccine candidates and their relationship to invasion inhibition in two populations naturally exposed to malaria Otchere Addai‑Mensah1,2,3, Melanie Seidel1, Nafiu Amidu4, Dominika J. Maskus1, Stephanie Kapelski1, Gudrun Breuer1, Carmen Franken1, Ellis Owusu‑Dabo5, Margaret Frempong6, Raphaël Rakotozandrindrainy7, Helga Schinkel1, Andreas Reimann1, Torsten Klockenbring1, Stefan Barth1,8,9, Rainer Fischer1,2 and Rolf Fendel1,2,8*

Abstract  Background:  Malaria still represents a major cause of morbidity and mortality predominantly in several developing countries, and remains a priority in many public health programmes. Despite the enormous gains made in control and prevention the development of an effective vaccine represents a persisting challenge. Although several para‑ site antigens including pre-erythrocytic antigens and blood stage antigens have been thoroughly investigated, the identification of solid immune correlates of protection against infection by Plasmodium falciparum or clinical malaria remains a major hurdle. In this study, an immuno-epidemiological survey was carried out between two populations naturally exposed to P. falciparum malaria to determine the immune correlates of protection. Methods:  Plasma samples of immune adults from two countries (Ghana and Madagascar) were tested for their reactivity against the merozoite surface proteins MSP1-19, MSP3 and AMA1 by ELISA. The antigens had been selected on the basis of cumulative evidence of their role in anti-malarial immunity. Additionally, reactivity against crude P. falciparum lysate was investigated. Purified IgG from these samples were furthermore tested in an invasion inhibition assay for their antiparasitic activity. Results:  Significant intra- and inter- population variation of the reactivity of the samples to the tested antigens were found, as well as a significant positive correlation between MSP1-19 reactivity and invasion inhibition (p