[HTML][HTML] Immune mechanisms in malaria: new insights in vaccine development

EM Riley, VA Stewart - Nature medicine, 2013 - nature.com
EM Riley, VA Stewart
Nature medicine, 2013nature.com
Early data emerging from the first phase 3 trial of a malaria vaccine are raising hopes that a
licensed vaccine will soon be available for use in endemic countries, but given the relatively
low efficacy of the vaccine, this needs to be seen as a major step forward on the road to a
malaria vaccine rather than as arrival at the final destination. The focus for vaccine
developers now moves to the next generation of malaria vaccines, but it is not yet clear what
characteristics these new vaccines should have or how they can be evaluated. Here we …
Abstract
Early data emerging from the first phase 3 trial of a malaria vaccine are raising hopes that a licensed vaccine will soon be available for use in endemic countries, but given the relatively low efficacy of the vaccine, this needs to be seen as a major step forward on the road to a malaria vaccine rather than as arrival at the final destination. The focus for vaccine developers now moves to the next generation of malaria vaccines, but it is not yet clear what characteristics these new vaccines should have or how they can be evaluated. Here we briefly review the epidemiological and immunological requirements for malaria vaccines and the recent history of malaria vaccine development and then put forward a manifesto for future research in this area. We argue that rational design of more effective malaria vaccines will be accelerated by a better understanding of the immune effector mechanisms involved in parasite regulation, control and elimination.
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