ITN protection, MSP1 antibody levels and malaria episodes in young children of rural Burkina Faso
Standard
ITN protection, MSP1 antibody levels and malaria episodes in young children of rural Burkina Faso. / Kynast-Wolf, Gisela; Wakilzadeh, Wieda; Coulibaly, Boubacar; Schnitzler, Paul; Traoré, Corneille; Becher, Heiko; Müller, Olaf.
in: ACTA TROP, Jahrgang 123, Nr. 2, 01.08.2012, S. 117-22.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - ITN protection, MSP1 antibody levels and malaria episodes in young children of rural Burkina Faso
AU - Kynast-Wolf, Gisela
AU - Wakilzadeh, Wieda
AU - Coulibaly, Boubacar
AU - Schnitzler, Paul
AU - Traoré, Corneille
AU - Becher, Heiko
AU - Müller, Olaf
N1 - Copyright © 2012 Elsevier B.V. All rights reserved.
PY - 2012/8/1
Y1 - 2012/8/1
N2 - Malaria blood-stage vaccines are in an early phase of clinical development with MSP1 being a major antigen candidate. There are limited data on the protective efficacy of antibodies against subunits of MSP1 in the malaria endemic areas of sub-Saharan Africa. This prospective cohort study was nested into a large insecticide-treated mosquito net (ITN) trial during which neonates were individually randomised to ITN protection from birth vs. protection from month six onwards in rural Burkina Faso. A sub sample of 120 children from three villages was followed for 10 months with six measurements of MSP1(42) antibodies (ELISA based on recombinant 42kDa fragment) and daily assessment of malaria episodes. Time to the next malaria episode was determined in relation to MSP1(42) antibody titres. MSP1(42) antibody titres were dependent on age, season, ITN-group, number of previous malaria episodes and parasitaemia. There were no significant differences in time until the next malaria episode in children with low compared to children with high MSP1(42) antibody titres at any point in time (101 vs. 97 days in May, p=0.6; 58 vs. 84 days in September, p=0.3; 144 vs. 161 days in March, p=0.5). The findings of this study support the short-lived nature of the humoral immune response in infants of malaria endemic areas. The study provides no evidence for antibodies against a subunit of MSP1 being protective against new malaria episodes in infants.
AB - Malaria blood-stage vaccines are in an early phase of clinical development with MSP1 being a major antigen candidate. There are limited data on the protective efficacy of antibodies against subunits of MSP1 in the malaria endemic areas of sub-Saharan Africa. This prospective cohort study was nested into a large insecticide-treated mosquito net (ITN) trial during which neonates were individually randomised to ITN protection from birth vs. protection from month six onwards in rural Burkina Faso. A sub sample of 120 children from three villages was followed for 10 months with six measurements of MSP1(42) antibodies (ELISA based on recombinant 42kDa fragment) and daily assessment of malaria episodes. Time to the next malaria episode was determined in relation to MSP1(42) antibody titres. MSP1(42) antibody titres were dependent on age, season, ITN-group, number of previous malaria episodes and parasitaemia. There were no significant differences in time until the next malaria episode in children with low compared to children with high MSP1(42) antibody titres at any point in time (101 vs. 97 days in May, p=0.6; 58 vs. 84 days in September, p=0.3; 144 vs. 161 days in March, p=0.5). The findings of this study support the short-lived nature of the humoral immune response in infants of malaria endemic areas. The study provides no evidence for antibodies against a subunit of MSP1 being protective against new malaria episodes in infants.
KW - Antibodies, Protozoan
KW - Burkina Faso
KW - Cohort Studies
KW - Female
KW - Humans
KW - Infant
KW - Insecticide-Treated Bednets
KW - Insecticides
KW - Malaria, Falciparum
KW - Male
KW - Merozoite Surface Protein 1
KW - Plasmodium falciparum
KW - Prospective Studies
KW - Rural Population
KW - Treatment Outcome
U2 - 10.1016/j.actatropica.2012.04.010
DO - 10.1016/j.actatropica.2012.04.010
M3 - SCORING: Journal article
C2 - 22569564
VL - 123
SP - 117
EP - 122
JO - ACTA TROP
JF - ACTA TROP
SN - 0001-706X
IS - 2
ER -