# Computational models of naturally acquired immunity to falciparum malaria

> **NIH NIH U01** · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · 2022 · $1,189,438

## Abstract

PROJECT SUMMARY/ABSTRACT
Immunity to malaria is complex, involving a fine interplay between immune compartments over time. Most prior
efforts to understand the development of immunity have been limited to a narrow set of measurements or
reductionist animal or human challenge models that fail to capture the complexity of repeated infection in
naturally exposed individuals. We propose to comprehensively evaluate and model the innate and adaptive
immune response to repeated P. falciparum (Pf) infections over time. This project takes advantage of a unique
malaria cohort study in Uganda, with participants seen in our clinic monthly and for all illnesses, allowing us to
capture both symptomatic and asymptomatic infections. By leveraging our well-characterized cohort, detailed
immunological characterization of host responses, and state-of-the-art computational models of immunity, we
will 1) Comprehensively characterize the immune response to symptomatic and asymptomatic P.
falciparum infections. We hypothesize that symptomatic – but not asymptomatic – infections will be
characterized by an attenuation of the innate and adaptive inflammatory response. We will profile the innate
and adaptive immune response to symptomatic and asymptomatic infections in children at multiple time points
in the weeks following Pf infection. Data from transcriptional profiling, deep cellular phenotyping, antibody
profiling, and stimulation assays will be used to build flexible computational models, capturing interactions
between different compartments of the immune system and the trajectory of the immune response after a
single infection. 2) Determine how the immune state evolves in response to recurrent P. falciparum
infections. We hypothesize that recurrent infection will result in a shift of the immune state from one biased
towards dynamic, inflammatory immune responses to one characterized by a more stable, regulatory state and
the acquisition of functional antibodies. We will model the evolution of key immunological parameters identified
in Aim 1, along with assays of anti-parasitic humoral and cellular function, over years of repeated infection and
across ages by generating longitudinal data over a period of 2 years. This aim complements Aim 1 in providing
important information to define emergent properties of the immune response from cumulative infections over
longer time scales, spanning the period of immune acquisition. 3) Identify key aspects of the immune state
leading to anti-parasite and anti-disease immunity to P. falciparum infection. We hypothesize that
functional antibody responses will be most strongly associated with anti-parasite immunity, and that attenuation
of innate responses will be most strongly associated with anti-disease immunity. Guided by findings from Aims
1 and 2, we will develop computational models to identify the key determinants of clinical immune phenotypes,
obtained by evaluating the clinical outcomes of infection over the subsequent yea...

## Key facts

- **NIH application ID:** 10377989
- **Project number:** 5U01AI150741-03
- **Recipient organization:** UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
- **Principal Investigator:** ATUL J BUTTE
- **Activity code:** U01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2022
- **Award amount:** $1,189,438
- **Award type:** 5
- **Project period:** 2020-04-01 → 2025-03-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10377989

## Citation

> US National Institutes of Health, RePORTER application 10377989, Computational models of naturally acquired immunity to falciparum malaria (5U01AI150741-03). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10377989. Licensed CC0.

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