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The Circumsporozoite protein (PfCSP) is the most abundant surface protein on the Plasmodium falciparum sporozoite and is critical for the parasite's transition from the mosquito vector to the human host [UniProt: P04924]. It plays a dual role in facilitating sporozoite motility and mediating the specific binding and invasion of human hepatocytes, a prerequisite for the liver stage of malaria infection [PubMed: 33053385]. Structurally, PfCSP consists of a conserved N-terminal domain, a central repeat region primarily composed of NANP motifs, and a C-terminal thrombospondin-like anonymous protein (TRAP) homology domain [PubMed: 34133863]. It is the primary target for the first generation of malaria vaccines, including RTS,S/AS01 and R21/Matrix-M, which elicit antibodies that neutralize sporozoites before they can infect the liver [WHO: Malaria Vaccine Position Paper]. Additionally, next-generation therapies such as monoclonal antibodies like CIS43LS are being developed to provide passive immunity by targeting highly conserved epitopes within the PfCSP protein to block infection [PubMed: 35139431].
Induction of neutralizing antibodies and T-cell responses to prevent sporozoite invasion of hepatocytes (pre-erythrocytic blockade).
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