Delayed boosting improves human antigen-specific Ig and B cell responses to the RH5.1/AS01B malaria vaccine

Adaptive immunity; Cellular immune response; Immunoglobulins; Immunology; Vaccines.
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Carolyn M Nielsen, Jordan R Barrett, Christine Davis, Jonathan K Fallon, Cyndi Goh, Ashlin R Michell, Catherine Griffin, Andrew Kwok, Carolin Loos, Samuel Darko, Farida Laboune, Mehmet Tekman, Ababacar Diouf, Kazutoyo Miura, Joseph R Francica, Amy Ransier, Carole A Long, Sarah E Silk, Ruth O Payne, Angela M Minassian, Douglas A Lauffenburger, Robert A Seder, Daniel C Douek, Galit Alter, Simon J Draper

  • JCI Insight
  • 6.1
  • 2023 Jan 24;8(2):e163859.
  • Human
  • 流式
  • 消化系统
  • 消化系统
  • B细胞
  • 疟疾
  • CD19,CD21
  • doi: 10.1172/jci.insight.163859.

Abstract

Modifications to vaccine delivery that increase serum antibody longevity are of great interest for maximizing efficacy. We have previously shown that a delayed fractional (DFx) dosing schedule (0-1-6 month) - using AS01B-adjuvanted RH5.1 malaria antigen - substantially improves serum IgG durability as compared with monthly dosing (0-1-2 month; NCT02927145). However, the underlying mechanism and whether there are wider immunological changes with DFx dosing were unclear. Here, PfRH5-specific Ig and B cell responses were analyzed in depth through standardized ELISAs, flow cytometry, systems serology, and single-cell RNA-Seq (scRNA-Seq). Data indicate that DFx dosing increases the magnitude and durability of circulating PfRH5-specific B cells and serum IgG1. At the peak antibody magnitude, DFx dosing was distinguished by a systems serology feature set comprising increased FcRn binding, IgG avidity, and proportion of G2B and G2S2F IgG Fc glycans, alongside decreased IgG3, antibody-dependent complement deposition, and proportion of G1S1F IgG Fc glycan. Concomitantly, scRNA-Seq data show a higher CDR3 percentage of mutation from germline and decreased plasma cell gene expression in circulating PfRH5-specific B cells. Our data, therefore, reveal a profound impact of DFx dosing on the humoral response and suggest plausible mechanisms that could enhance antibody longevity, including improved FcRn binding by serum Ig and a potential shift in the underlying cellular response from circulating short-lived plasma cells to nonperipheral long-lived plasma cells.Keywords: Adaptive immunity; Cellular immune response; Immunoglobulins; Immunology; Vaccines.
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