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The RTS,S/AS01 vaccine is based on genetic sequences derived from a single malaria strain, 3D7, but malaria parasites are genetically diverse. Now, in a partially industry-supported study, investigators have assessed differences in vaccine efficacy according to whether the parasites match the vaccine strain at the circumsporozoite protein C-terminal.
The researchers used samples from RTS,S/AS01-vaccinated participants in a phase III trial conducted at 11 sites across 7 African countries. They extracted parasite DNA from dried blood spots and used polymerase chain reaction amplification and next-generation sequencing to assess whether children with clinical malaria had parasites with circumsporozoite protein identical to or different from the…