The Form of an Antigen and Its Molecular Context Do Matter: Infectious versus Attenuated Plasmodium Sporozoites

The physicochemical properties of an antigen (Ag) influence the type, specificity, as well as duration of emerging immune responses. Like immune responses arising to nominal protein Ags, reactivities to protozoan parasites, Plasmodium falciparum and P. berghei, the causative agents of human and mouse malaria, respectively, are shaped by the form of the parasite. While repeated natural exposures to infectious Plasmodium sporozoites (spzs) typically induce malaria, immunizations with radiation or genetically attenuated forms of Plasmodium spzs induce sterile and durable protective immunity. The immune mechanisms that are responsible for these diametrically opposite outcomes are still not well understood. It has been observed that infectious spzs engage in mechanisms that evade immune recognition and thus prevent protective immune responses from occurring. The responses that develop are characteristic of anti-disease immunity; acquisition of protective immunity against infection is a prolonged process, and it decays once exposure to the parasite ceases. In contrast, repeated exposures to attenuated Plasmodium spzs induce antibodies and CD4 T cells directed primarily to the spz surface Ags and effector and memory CD8 T cells that localize in the liver and are specific for Plasmodium liver-stage Ags. Understanding the precise mechanisms, including early interactions between the spzs and Ag-presenting cells that lead to the manner of Ag processing and presentation, are of key importance as such information would substantially contribute to the successful development of malaria vaccine.