2002
DOI: 10.1046/j.1365-3083.2002.01160.x
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Malaria Vaccine: Candidate Antigens, Mechanisms, Constraints and Prospects

Abstract: More than 30 years after the first report of successful vaccination against malaria using radiation-attenuated sporozoites, an effective malaria vaccine is not yet available. However, field and experimental data indicate that it can be developed. An astonishing amount of data has accumulated concerning parasite biology, host-parasite interactions, immunity and escape mechanisms, targets and modulators of immune responses. Nevertheless, so far this knowledge has not been enough to make us understand how to prop… Show more

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Cited by 64 publications
(55 citation statements)
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References 124 publications
(147 reference statements)
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“…Other mechanisms implicated in protection are cytotoxicity by activated cytotoxic T lymphocytes through the release of perforin and granzyme B and the induction of apoptosis by the cross-linking of Fas molecules expressed on the infected hepatocytes (8,44). These findings emphasize the importance of developing preerythrocytic malaria vaccines and vaccination strategies that are able to induce not only antibody response but also a strong T-cell immunity.…”
Section: Discussionmentioning
confidence: 95%
See 1 more Smart Citation
“…Other mechanisms implicated in protection are cytotoxicity by activated cytotoxic T lymphocytes through the release of perforin and granzyme B and the induction of apoptosis by the cross-linking of Fas molecules expressed on the infected hepatocytes (8,44). These findings emphasize the importance of developing preerythrocytic malaria vaccines and vaccination strategies that are able to induce not only antibody response but also a strong T-cell immunity.…”
Section: Discussionmentioning
confidence: 95%
“…While antibodies have been correlated with protection from infection with the malaria parasite (25,27), T cells are believed to play a critical role in the elimination of liver-stage parasites and protection against the disease (29,36). Studies with mice indicate that a major mechanism of protection against liver-stage malaria is the production of IFN-␥ by activated CD8 ϩ T cells, which induces infected hepatocytes to synthesize nitric oxide, a molecule with a potent antiparasitic activity (8,13,50,51).…”
Section: Discussionmentioning
confidence: 99%
“…Development of an effective malaria vaccine has been so far a disappointing enterprise, and one of the main reasons for the failure is the limited knowledge on the mechanisms of immunity (Carvalho et al 2002). Therefore, understanding the implications of thymus atrophy and thymocyte depletion on the acquisition of immunity to malaria is an important issue.…”
Section: Discussionmentioning
confidence: 99%
“…As yet, no protective vaccine against the pathogenic blood stages of malaria exists, although trials in humans with candidate antigens encourage the view that such a vaccine is achievable (1). Most recently, a malaria vaccine based on a sporozoite and preerythrocytic stage antigen, the circumsporozoite protein, has shown convincing efficacy in a field trial (2).…”
mentioning
confidence: 99%