Tag: malaria vaccines

A Revolutionary ‘Single Shot’ Malaria Vaccine Delivery System

Oxford researchers have developed programmable microcapsules to deliver vaccines in stages, potentially eliminating the need for booster shots and increasing immunisation coverage in hard-to-reach communities.

Photo by Mufid Majnun on Unsplash

A team of scientists at the University of Oxford has developed an innovative vaccine delivery system that could allow a full course of immunisation – both initial and booster doses – to be delivered in just one injection. In preclinical trials, the technology provided strong protection against malaria, matching the efficacy of traditional multi-dose vaccination regimens.

Luca Bau, Senior Researcher from the Institute of Biomedical Engineering, said: ‘Reducing the number of clinic visits needed for full vaccination could make a major difference in communities where healthcare access is limited. Our goal is to help remove the barriers that stand in the way of people benefiting from life-saving medical innovations.’

The findings offer hope for a simpler, more effective approach to immunisation, particularly in regions where access to follow-up healthcare is limited.

A new weapon in the fight against preventable diseases

The research, published in Science Translational Medicine, addresses a major challenge in global health: ensuring people return for all required vaccine doses. Missed boosters are one of the biggest barriers to achieving full immunisation, leaving millions vulnerable to preventable infectious diseases.

To tackle this, the Oxford team developed tiny biodegradable capsules that can be co-injected with the first vaccine dose and programmed to release the booster dose weeks or months later. In a mouse model, this “single shot” strategy using the R21 malaria vaccine protected against the disease nearly as effectively as the standard two-dose schedule.

Simple, scalable, and injectable

The microcapsules are made using a patented chip-based microfluidics system that is compatible with existing pharmaceutical production methods. This means the technology can be scaled up rapidly for clinical use and eventual deployment in the field.

Romain Guyon, Post-Doctoral Scientist, inventor of the technology and the lead author on the study said: ‘Our approach solves three of the biggest problems in delayed vaccine delivery: how to make it programmable, injectable, and scalable. The microcapsules are precisely engineered to act as a tiny, timed-release vault, allowing us to dictate exactly when the booster dose is released. We believe this could be a gamechanger not just for malaria but for many other vaccines requiring multiple doses or other complex therapeutic regimens.’

The capsules are made from an approved biodegradable polymer (PLGA) and filled with the R21 malaria vaccine. Once injected, the priming dose works immediately, while the capsules burst within the body to release the booster after a set delay. Researchers were able to fine-tune this delay from two weeks to several months.

Looking ahead

The team is now working to adapt the manufacturing process in preparation for early-stage human trials, attracting interest from pharmaceutical partners and global health organisations.

Anita Milicic, Associate Professor at the Jenner Institute, Nuffield Department of Medicine, said: ‘This is the exciting first step in proving that it is possible to administer the full immunisation complement through a single injection. We now turn to the next challenge: adapting and refining the approach for translation into the clinic, towards ultimately delivering a real-world impact.’

If successful, this technology could revolutionise vaccination campaigns, particularly in areas where logistics and healthcare access make booster schedules impractical. With 20.5 million children missing routine vaccinations in 2022 alone, the implications of a truly single-dose vaccine could be enormous.

Source: University of Oxford

Maternal Antibodies in Infants Interfere with Malaria Vaccine Responses

Photo by Mufid Majnun on Unsplash

Maternal antibodies passed across the placenta can interfere with the response to the malaria vaccine, which would explain its lower efficacy in infants under five months of age, according to research led by the Barcelona Institute for Global Health (ISGlobal), in collaboration with seven African centers (CISM-Mozambique, IHI-Tanzania, CRUN-Burkina Faso, KHRC-Ghana, NNIMR-Ghana, CERMEL-Gabon, KEMRI-Kenya).

The findings, published in Lancet Infectious Diseases, suggest that children younger than currently recommended by the WHO may benefit from the RTS,S and R21 malaria vaccines if they live in areas with low malaria transmission, where mothers have less antibodies to the parasite.

The world has reached an incredible milestone: the deployment of the first two malaria vaccines –RTS,S/AS01E and the more recent R21/Matrix-M– to protect African children against malaria caused by Plasmodium falciparum. Both vaccines target a portion of the parasite protein called circumsporozoite (CSP) and are recommended for children aged 5 months or more at the moment of the first dose.

“We know that the RTS,S/AS01E malaria vaccine is less effective in infants under five months of age, but the reason for this difference is still debated,” says Carlota Dobaño, who leads the Malaria Immunology group at ISGlobal, a centre supported by “la Caixa” Foundation. 

To investigate this, Dobaño and her team analysed blood samples from more than 600 children (age 5-17 months) and infants (age 6-12 weeks) who participated in the phase 3 clinical trial of RTS,S/AS01E. Using protein microarrays, they measured antibodies against 1000 P. falciparum antigens before vaccination to determine if and how malaria exposure and age affected IgG antibody responses to the malaria vaccine.

“This microarray approach allowed us to accurately measure malaria exposure at the individual level, including maternal exposure for infants and past infections for older children,” says Didac Maciá, ISGlobal researcher and first author of the study. 

The role of maternal antibodies

The analysis of antibodies to P. falciparum in children who had received a control vaccine instead of RTS,S/AS01E revealed a typical “exposure” signature, with high levels in the first three months of life due to the passive transfer of maternal antibodies through the placenta, a decline during the first year of life, and then a gradual increase as a result of naturally acquired infections.

In children vaccinated with RTS,S/AS01E, antibodies induced by natural infections did not affect the vaccine response. However, in infants, high levels of antibodies to P. falciparum, presumably passed from their mothers during pregnancy, correlated with reduced vaccine responses. This effect was particularly strong for maternal anti-CSP antibodies targeting the central region of the protein. Conversely, infants with very low or undetectable maternal anti-CSP IgGs exhibited similar vaccine responses as those observed in children.

The molecular mechanisms underlying this interference by maternal antibodies are not fully understood, but the same phenomenon has been observed with other vaccines such as measles. 

Overall, these findings confirm something that was already suspected but not clearly demonstrated: despite their protective function, maternal anti-CSP antibodies, which decline within the first three to six months of life, may interfere with vaccine effectiveness. The higher the level of malaria transmission, the more maternal antibodies are transmitted to the baby, resulting in lower vaccine effectiveness. These findings further suggest that infants below five months of age may benefit from RTS,S or R21 vaccination in low malaria transmission settings, during outbreaks in malaria-free regions, or in populations migrating from low to high transmission settings.

“Our study highlights the need to consider timing and maternal malaria antibody levels to improve vaccine efficacy for the youngest and most vulnerable infants,” says Gemma Moncunill, ISGlobal researcher and co-senior author of the study, together with Dobaño.

Source: Barcelona Institute for Global Health (ISGlobal)