Target intelligence / Profile preview

Plasmodium vivax circumsporozoite protein (PvCSP)

Target
PvCSP
Molecular classification
Antigen, Circumsporozoite protein family, Protozoan surface protein
01

Overview

The Plasmodium vivax circumsporozoite protein (PvCSP) is the most abundant surface protein on the sporozoite stage of the malaria parasite and is essential for its life cycle [1, 2]. It facilitates sporozoite development within the mosquito oocyst and enables migration to the salivary glands, as well as subsequent motility within the human dermis and invasion of host hepatocytes [4, 5]. The protein's structure includes a central repetitive region flanked by conserved N-terminal and C-terminal domains, which mediate binding to heparan sulfate proteoglycans on liver cells [2, 4]. PvCSP is a primary target for the development of pre-erythrocytic vaccines, which aim to induce protective antibodies that block the parasite's entry into the liver [6, 8]. Successful immunization against PvCSP could potentially prevent both the primary blood-stage infection and the formation of dormant hypnozoites, which are responsible for malaria relapses [2, 13]. However, the high degree of genetic polymorphism among P. vivax strains, particularly in the central repeat regions (variants VK210 and VK247), remains a significant challenge for achieving broad and lasting vaccine efficacy [1, 5, 11].

Other names
Circumsporozoite surface proteinCS proteinPvCSPPvCSCSP
02

Mechanism of action

Induction of neutralizing antibodies that bind to the central repeat region and functional domains of PvCSP to block sporozoite motility and prevent hepatocyte invasion [2, 3, 8, 14].

03

Biological functions

Cell adhesionHost-pathogen interactionHepatocyte invasionParasite motilitySporozoite developmentSporozoite migration
04

Disease associations

InfectionMalaria
05

Safety considerations

Genetic polymorphism of the central repeat region (VK210, VK247, and P. vivax-like strains) [1, 5]Limited protective efficacy in human clinical trials to date [2, 6]Difficulty in preventing the establishment of dormant hypnozoites [2, 18]Strain-specific immunity [11, 13]
06

Interacting drugs

2E10.E9

5 more in the full profile.

07

Biomarkers

Anti-CSP IgG antibody titersAnti-CSP IgG1 antibodiesAnti-CSP IgG3 antibodiesInterferon-gamma (IFN-g) responseSerological marker for malaria exposure

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