Background
Malaria is a major health problem in developing countries that caused ~584,000 deaths in 2013 [
1]. Multiple drugs are available for the treatment of this disease and several new ones are constantly being introduced. However, the emergence of resistance to drugs is rapidly diminishing the effectiveness of current treatments [
2]. As a result, the development of an effective vaccine is highly desirable as a major preventative tool. Thus far, efforts have been partially successful with a candidate vaccine, RTS,S currently in Phase-3 trials and one version (
Mosquirix produced by GlaxoSmithKline Biologicals) was recently licensed by the European Medicines Agency for use in infants and children [
3,
4].
Plasmodium has a complex life cycle and invades host cells at three different stages. The sporozoites invade hepatocytes, the merozoites invade RBCs and the ookinetes invade mosquito midgut epithelium [
5]. The components of the molecular machinery involved in recognition and invasion serve as attractive vaccine candidates. Several molecules involved in the invasion of RBCs [
6], hepatocytes [
7,
8] and mosquito midgut [
9] have been tested for their protective antigenicity against malaria [
3]. However, due to the magnitude of the challenges of the disease, sustained efforts are still needed for the continued identification and validation of additional novel antigens with protective potential against malaria.
Apart from the antigens that express only on the surface of invasive stages, certain housekeeping proteins have also been found to localize onto the cell surface. The glycolytic enzyme enolase is one such protein that is present on both merozoite [
10] and ookinete [
11] cell surfaces. In many other pathogenic and nonpathogenic cells, enolase acts as a cell surface receptor for plasminogen to assist the cells/organism to establish or move through the extra-cellular matrix [
12,
13]. In
Plasmodium spp. ookinetes, surface enolase bound plasminogen helps in digestion of the peritrophic matrix of the mosquito mid gut epithelium. This function is known to map onto a lysine motif DKSLVK of
Plasmodium falciparum enolase (Pfeno) [
11]. On the ookinete surface, enolase also functions as a ligand that recognizes specific receptors on the mosquito midgut epithelium [
14]. Anti-Pfeno antibodies have been shown to block both these functions resulting in the disruption of parasite transmission. In merozoites, its role as a protective antigen became evident from the observations that immunization of mice with rPfeno resulted in partial protection against malaria.
Further evidence for the protective antigenic ability of Pfeno was from the observed inhibition of parasite growth in in vitro cultures by anti-rPfeno antibodies [
15]. However, the structural elements of Pfeno involved in the protective antigenic functions are still unknown. Since invasion of host cells is unique to the parasite, it is likely to involve a motif that is structurally dissimilar to host enolases. Pfeno has one such motif that is a sequence of five amino acids present as an insert in a surface loop region of the protein [
16]. Interestingly, the possibility of the involvement of this motif in invasion related function was indicated by the observation that Pfeno immunized mice surviving lethal parasite challenge had high titres of antibodies directed against this region [
17].
To further test the possibility of the pentapeptide insert being a protective epitope, gas vesicle protein nanoparticles (GVNPs) were employed for antigen display and as a delivery vehicle [
18]. Nanoparticle-based vaccines have certain advantages due to reduced risk compared to live vaccines, and enhanced protection. Biologically compatible nanoparticles can simultaneously function as both an adjuvant and a delivery system, by presenting antigens to the antigen presentation cells (APCs), and as immunopotentiators, increasing immunogenicity without adverse reactogenicity [
19,
20]. GVNPs are in the correct size range for eliciting cytotoxic T cell responses and have desirable surface charges and hydrophobic properties for interactions with APCs and phagocytes [
21,
22].
A significant advantage of GVNPs as an adjuvant and antigen delivery system is their stability under a wide range of conditions and outstanding biocompatibility [
18]. These nanoparticles maintain stability for extended periods of time even in the absence of a cold chain and have no known toxic effects in animals, either systemically or at the site of administration [
23,
24]. GVNPs may be administered through conventional routes, by needle injection, subcutaneously or intraperitoneally (IP), as well as through alternate routes, including oral or nasal, and transdermally, using microneedles. These options may elicit both systemic and mucosal immunity, while simultaneously reducing costs and improving compliance.
Over the past 15 years, antigen display on GVNPs has been demonstrated using diverse peptide and protein antigens fused to the GvpC nanoparticle surface protein [
18,
25‐
27]. The source of antigens displayed on the surface of GVNPs have thus far included a virus, simian immunodeficiency virus (SIV), two bacteria, the obligate intracellular pathogen
Chlamydia trachomatis and the facultative intracellular pathogen
Salmonella enterica, as well as the eukaryotic parasitic protozoan
P. falciparum [
23,
28‐
33]. GVNP-displayed antigenic proteins have ranged from secreted proteins to coat and envelope proteins, to transcription factors. Studies have been conducted both in vitro and in vivo, with displayed antigens being released slowly over days, and tested by challenge in the case of
Salmonella [
32,
33].
In the present study, a highly conserved 15-amino acid peptide sequence from the
Plasmodium moonlighting protein enolase was cloned into the
Halobacterium GVNP-display system [
18]. The ability of this sequence displayed on GVNPs to elicit an antibody response that can protect against subsequent parasite challenge was tested in mice. The results showed that this approach indeed confers survival advantage to immunized mice against malaria.
Discussion
Development of an effective vaccine and delivery system for malaria is urgent. While a large number (~100) of candidate malaria vaccines are being tested, most are based on only a handful of antigens and standard modes of immunization [
3,
39]. Given the prevalence of the disease, there is a compelling need for identifying additional antigens with protective properties and testing novel display and delivery systems. One such antigen candidate is enolase which has been shown to possess invasion functions when present on the surfaces of
Plasmodium spp. merozoites and ookinetes [
11,
14,
15]. The potential of a short peptide sequence (EWGWS) derived from the parasite was displayed on
Halobacterium gas vesicle nanoparticles for studying its protective antigenic properties. The results obtained are encouraging and warrant further studies, especially since the high stability of GVNPs provides the potential for distribution of a vaccine in the absence of a cold-chain [
18].
For an effective vaccine, it is essential that the antigen induces a long lasting robust immune response (resulting in secretion of antibodies and generation of memory B-cells) and activation of CD8+ T-cells that constitutes a significant challenge. Use of a combination of multiple antigens in conjunction with different adjuvants have not been very successful in obtaining strong B and T cell responses [
3]. Effective induction of immune activation was observed in several recent studies where nanoparticle based vaccines were used [
40‐
42]. The strategy used in this study, was to insert a
Plasmodium-specific antigenic peptide sequence in a protein that is a component of the GVNPs shown to be released slowly in the immune system [
29,
30]. Presence and display of this sequence in Rec-GVNP was verified by the observed reactivity of anti-rPfeno antibodies in Western blots (Fig.
1c) as well as in ELISAs (Fig.
3).
Mice that were immunized with Rec-GVNPs having the Pfeno epitope, when challenged with
P. yoelii 17XL (~10
6 iRBCs per animal), showed significantly slower growth of parasitaemia as compared to the control and WT-GVNP-immunized cohorts (Fig.
4a). Inhibition of parasite growth is likely to be due to the antibody response directed against the cloned parasite enolase sequence in the Rec-GVNP-immunized mice. Further, monitoring these mice for survival showed significant prolongation of survival as compared to other groups. Correlation between anti-rPfeno antibody titres and parasitaemia as well as survival for individual mice was also analysed. As shown in Fig.
5a, b, a positive correlation was found with survival, i.e. higher levels of anti-rPfeno antibodies led to longer survival of animals. Conversely, a negative correlation was observed where higher antibody titres led to reduction in parasitaemia. As expected, a mouse with higher parasitaemia died earlier (Fig.
5c). These results strongly support the conclusion that the Pfeno sequence EWGWS is a protective epitope.
Functionally, the -EWGWS- motif is likely to be involved in interaction with the cell surface receptors in RBCs and mosquito midgut epithelial cells. Recent studies on the functional role of the motif in the biochemical activity of the enzyme suggested that it could stabilize the apo-enzyme in an active form [
43]. Although immunization with Pfeno derived peptide conferred longer survival and controlled the growth of parasitaemia, the overall effect was rather modest. This was also evident from the observed titres of antibodies against rPfeno in Rec-GVNP-immunized mice (Fig.
3a, b). and likely reflects the small size of the antigenic epitope.
In recent studies, the results with
Halobacterium GVNPs have been encouraging for the display of
Salmonella,
Chlamydia, SIV antigens, as well as
Plasmodium CSP [
18,
23,
28‐
33]. Although the parasite specific unique insert EWGWS in Pfeno is likely to be a protective antigenic epitope, future efforts should be directed at engineering nanoparticle preparations that elicit stronger antibody responses in order to achieve a complete clearance of the parasite. A promising approach in this regard may be to display multiple antigens that could lead to a more protective formulation [
27,
44].
It has been noted that people in endemic areas have the potential to develop protective immunity following multiple episodes of malaria. IgGs isolated from such people inhibit parasite growth in vitro [
45] and passive transfer to malaria patients can lead to recovery [
46]. Consequently, identification of antigens that are recognized by serum antibodies derived from immune individuals but not by malaria patients has been one approach to identifying vaccine candidates. Using such differential screens, new antigens like PfP0 [
47] and PfSEA-1 [
48] with protective antigenic properties have been identified and offer further opportunities for application using the GVNP technology.
Authors’ contributions
GKJ and SDS conceived the problem and planned the experiments. PDS cloned and prepared purified nanoparticles. SD performed immunological and animal experiments. GKJ, SDS, PDS and SD wrote the manuscript. All authors read and approved the final manuscript.