Naturally acquired antibodies to sporozoites do not prevent malaria: vaccine development implications.


Journal Article

The first human vaccines against the malaria parasite have been designed to elicit antibodies to the circumsporozoite protein of Plasmodium falciparum. However, it is not known whether any level of naturally acquired antibodies to the circumsporozoite protein can predict resistance to Plasmodium falciparum malaria. In this study, 83 adults in a malaria-endemic region of Kenya were tested for circumsporozoite antibodies and then treated for malaria. They were monitored for the development of new malaria infections for 98 days. Antibody levels, as determined by four assays in vitro, were indistinguishable between the 60 individuals who did and the 23 who did not develop parasitemia during follow-up, and there was no apparent relation between day of onset of parasitemia and level of antibodies to circumsporozoite protein. Unless immunization with sporozoite vaccines induces antibodies that are quantitatively or qualitatively superior to the circumsporozoite antibodies in these adults, it is unlikely that such antibodies will prevent infection in areas with as intense malaria transmission as western Kenya.

Full Text

Duke Authors

Cited Authors

  • Hoffman, SL; Oster, CN; Plowe, CV; Woollett, GR; Beier, JC; Chulay, JD; Wirtz, RA; Hollingdale, MR; Mugambi, M

Published Date

  • August 7, 1987

Published In

Volume / Issue

  • 237 / 4815

Start / End Page

  • 639 - 642

PubMed ID

  • 3299709

Pubmed Central ID

  • 3299709

International Standard Serial Number (ISSN)

  • 0036-8075

Digital Object Identifier (DOI)

  • 10.1126/science.3299709


  • eng

Conference Location

  • United States