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Plasmodium falciparum circumsporozoite protein-specific B-cell receptor and antibody (PfCSP-specific BCR/Ab)

Target
PfCSP-specific BCR/Ab
Molecular classification
Receptor, Immunoglobulin family
01

Overview

The Plasmodium falciparum circumsporozoite protein (PfCSP)-specific B-cell receptors and antibodies are the primary mediators of protective immunity against the pre-erythrocytic stage of malaria (Gaudinski et al., 2021; Laurens, 2020). PfCSP is the dominant surface protein on sporozoites, which are the forms of the parasite injected by mosquitoes into the human host. B-cell receptors (BCRs) on naive and memory B cells recognize specific epitopes within the PfCSP—most notably the central NANP repeat region and the N-terminal junction—triggering the production of neutralizing antibodies (Wu et al., 2022; Tan et al., 2021). These antibodies bind to the sporozoite surface, inhibiting its movement through the skin and preventing its entry into liver cells, which is a mandatory step for the parasite's life cycle in humans (Gaudinski et al., 2021; Wu et al., 2022). This target is the focus of the WHO-approved RTS,S/AS01 and R21/Matrix-M vaccines, which aim to elicit high concentrations of these antibodies to provide protection (Laurens, 2020; Datoo et al., 2021). Furthermore, potent monoclonal antibodies like CIS43LS and L9LS are currently in clinical trials for passive immunization, offering a high-level, albeit temporary, shield against infection in endemic areas (Gaudinski et al., 2021; Wu et al., 2022).

Other names
Anti-PfCSP antibodiesCircumsporozoite protein-reactive B-cell receptorsAnti-malarial antibodiesCSP-specific BCRsAnti-CSP IgG
02

Mechanism of action

Neutralization of Plasmodium falciparum sporozoites by binding to the circumsporozoite protein (CSP), thereby preventing their motility and invasion of human hepatocytes.

03

Biological functions

Immune responsePathogen neutralizationOpsonizationB-cell activation
04

Disease associations

MalariaInfection
05

Safety considerations

Short duration of protectionRequirement for high antibody thresholds for efficacyPotential for parasite escape mutants due to antigenic polymorphismInjection site reactions from associated vaccines
06

Interacting drugs

RTS,S/AS01 (Mosquirix)

4 more in the full profile.

07

Biomarkers

Anti-CSP IgG titersPfCSP-specific memory B cell frequencySporozoite Neutralization Assay (SNA) activityAntibody avidity

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