npj Vaccines (Nov 2022)

Creation and preclinical evaluation of genetically attenuated malaria parasites arresting growth late in the liver

  • Blandine Franke-Fayard,
  • Catherin Marin-Mogollon,
  • Fiona J. A. Geurten,
  • Séverine Chevalley-Maurel,
  • Jai Ramesar,
  • Hans Kroeze,
  • Els Baalbergen,
  • Els Wessels,
  • Ludivine Baron,
  • Valérie Soulard,
  • Thomas Martinson,
  • Maya Aleshnick,
  • Antonius T. G. Huijs,
  • Amit K. Subudhi,
  • Yukiko Miyazaki,
  • Ahmad Syibli Othman,
  • Surendra Kumar Kolli,
  • Olivia A. C. Lamers,
  • Magali Roques,
  • Rebecca R. Stanway,
  • Sean C. Murphy,
  • Lander Foquet,
  • Diana Moita,
  • António M. Mendes,
  • Miguel Prudêncio,
  • Koen J. Dechering,
  • Volker T. Heussler,
  • Arnab Pain,
  • Brandon K. Wilder,
  • Meta Roestenberg,
  • Chris J. Janse

DOI
https://doi.org/10.1038/s41541-022-00558-x
Journal volume & issue
Vol. 7, no. 1
pp. 1 – 17

Abstract

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Abstract Whole-sporozoite (WSp) malaria vaccines induce protective immune responses in animal malaria models and in humans. A recent clinical trial with a WSp vaccine comprising genetically attenuated parasites (GAP) which arrest growth early in the liver (PfSPZ-GA1), showed that GAPs can be safely administered to humans and immunogenicity is comparable to radiation-attenuated PfSPZ Vaccine. GAPs that arrest late in the liver stage (LA-GAP) have potential for increased potency as shown in rodent malaria models. Here we describe the generation of four putative P. falciparum LA-GAPs, generated by CRISPR/Cas9-mediated gene deletion. One out of four gene-deletion mutants produced sporozoites in sufficient numbers for further preclinical evaluation. This mutant, PfΔmei2, lacking the mei2-like RNA gene, showed late liver growth arrest in human liver-chimeric mice with human erythrocytes, absence of unwanted genetic alterations and sensitivity to antimalarial drugs. These features of PfΔmei2 make it a promising vaccine candidate, supporting further clinical evaluation. PfΔmei2 (GA2) has passed regulatory approval for safety and efficacy testing in humans based on the findings reported in this study.