PMID- 12875291 OWN - NLM STAT- MEDLINE DCOM- 20030731 LR - 20081121 IS - 0002-9637 (Print) IS - 0002-9637 (Linking) VI - 68 IP - 4 DP - 2003 Apr TI - Ex vivo interferon-gamma immune response to thrombospondin-related adhesive protein in coastal Kenyans: longevity and risk of Plasmodium falciparum infection. PG - 421-30 AB - Thrombospondin-related adhesive protein (TRAP) of Plasmodium falciparum is currently being tested in human vaccine studies. However, its natural reactivity in the field remains poorly characterized. More than 40% of 217 Kenyan donors responded in an ex vivo interferon-gamma (IFN-gamma) enzyme-linked immunospot (ELISPOT) assay to at least one of 14 20mer peptides spanning 42% of the antigen. Reactivity was comparable from early childhood (>1 year of age) to old age, and the maximal precursor frequency of TRAP-specific cells to all 14 peptides was 1 in 4,000. Prospective follow-up for one year indicated that these low-level ex vivo responses to TRAP did not protect against the subsequent development of malaria. Retesting of selected donors after one year showed a complete change in the reactivity pattern, suggesting that malaria-specific ex vivo IFN-gamma ELISPOT assay responses are short lived in naturally exposed donors, even to conserved epitopes. This study provides important information regarding natural reactivity to a key malaria antigen. FAU - Flanagan, Katie L AU - Flanagan KL AD - Weatherall Institute of Molecular Medicine, University of Oxford, John Radcliffe Hospital, Headington, Oxford, United Kingdom. katie.flanagan@lshtm.ac.uk FAU - Mwangi, Tabitha AU - Mwangi T FAU - Plebanski, Magdalena AU - Plebanski M FAU - Odhiambo, Kennedy AU - Odhiambo K FAU - Ross, Amanda AU - Ross A FAU - Sheu, Eric AU - Sheu E FAU - Kortok, Moses AU - Kortok M FAU - Lowe, Brett AU - Lowe B FAU - Marsh, Kevin AU - Marsh K FAU - Hill, Adrian V S AU - Hill AV LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Am J Trop Med Hyg JT - The American journal of tropical medicine and hygiene JID - 0370507 RN - 0 (Malaria Vaccines) RN - 0 (Peptide Fragments) RN - 0 (Protozoan Proteins) RN - 120300-02-9 (thrombospondin-related adhesive protein, protozoan) RN - 82115-62-6 (Interferon-gamma) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Amino Acid Sequence MH - Child MH - Child, Preschool MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Humans MH - Immunity, Cellular MH - Infant MH - Interferon-gamma/*biosynthesis/chemistry MH - Kenya/epidemiology MH - Leukocytes, Mononuclear/immunology MH - Longevity MH - Malaria Vaccines/*standards MH - Malaria, Falciparum/epidemiology/immunology/*prevention & control MH - Male MH - Middle Aged MH - Molecular Sequence Data MH - Peptide Fragments/immunology MH - Pilot Projects MH - Protozoan Proteins/chemistry/*immunology MH - Risk Factors MH - T-Lymphocytes/immunology EDAT- 2003/07/24 05:00 MHDA- 2003/08/02 05:00 CRDT- 2003/07/24 05:00 PHST- 2003/07/24 05:00 [pubmed] PHST- 2003/08/02 05:00 [medline] PHST- 2003/07/24 05:00 [entrez] PST - ppublish SO - Am J Trop Med Hyg. 2003 Apr;68(4):421-30.