# Biologically informed design of CD8+ T cell-dependent pre-erythrocytic stage malaria vaccines

> **NIH NIH U01** · SEATTLE CHILDREN'S HOSPITAL · 2021 · $1,342,548

## Abstract

PROJECT SUMMARY/ABSTRACT
 Immunization with whole pre-erythrocytic (sporozoite and liver stage) Plasmodium falciparum (Pf)
vaccines confers sterilizing immunity in human clinical trials. Replication-deficient vaccines, such as radiation-
attenuated sporozoites infect the liver as sporozoites but do not develop into liver stage schizonts. Replication-
competent vaccines, however, infect the liver and replicate as tissue schizonts. Multiple lines of evidence in
animal models of malaria have shown that protection is dependent on antigen-specific CD8+ T cells that
recognize liver stage-infected hepatocytes, leading to their elimination. Replication-competent parasite
vaccination confers superior durable sterilizing immunity against infection, and this appears to be, in animal
models, associated with broader and better CD8+ T cell responses. However, it remains largely unknown how
the distinct molecular cell biological features of whole attenuated parasite vaccines drive differences in the
priming of protective CD8+ T cells and of equal importance, which liver stage antigens are directly presented by
wildtype liver stage-infected hepatocytes that are the targets of vaccine-elicited protective CD8+ T cells. We will
address these critical knowledge gaps. In Aim 1, we will identify the distinct time points during which the demise
of liver stage-infected hepatocytes results in optimal cross-presentation of liver stage antigens by antigen
presenting cells to CD8+ T cells. For this, we will use the Plasmodium yoelii (Py) rodent malaria model to inform
vaccine design of Pf, with which mechanistic host studies cannot be done. We will also determine at what time
points of wildtype liver stage development infected hepatocytes are most vulnerable to effector CD8+ T cell-
mediated elimination. In concert with this, we will determine dynamic liver stage transcriptomes and proteomes
throughout development and down-select the subset of liver stage proteins most prone to intrahepatocytic
processing and MHC class I-restricted peptide presentation. In Aim 2, we will directly determine the MHC class
I peptidome of Py and Pf presented on infected hepatocytes, specifically at timepoints of highest vulnerability
and test their reactivity with whole parasite-vaccine-elicited CD8+ T cells. We will then test reactive epitopes as
well as nonreactive epitopes (covert epitopes) as vectored subunit vaccines in mice. As in Aim 1, mechanistic
testing cannot be done in Pf and thus we will conduct studies of Py to guide our Pf work. In Aim 3, we will
genetically engineer the ultimate Pf replication-competent parasite strain that is built with gene deletions and
dominant negative transgenes of parasite origin and will also over-express protective CD8+ T cell epitopes that
target liver stages at the point of their greatest vulnerability. Thus, in a multi-pronged approach our project will
develop the next generation of pre-erythrocytic vaccines including both vectored subunit vaccine ca...

## Key facts

- **NIH application ID:** 10086012
- **Project number:** 1U01AI155335-01
- **Recipient organization:** SEATTLE CHILDREN'S HOSPITAL
- **Principal Investigator:** Stefan HI Kappe
- **Activity code:** U01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $1,342,548
- **Award type:** 1
- **Project period:** 2021-02-04 → 2026-01-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10086012

## Citation

> US National Institutes of Health, RePORTER application 10086012, Biologically informed design of CD8+ T cell-dependent pre-erythrocytic stage malaria vaccines (1U01AI155335-01). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10086012. Licensed CC0.

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