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临床试验/CTRI/2025/11/096904
CTRI/2025/11/096904尚未招募不适用

Mapping Plasmodium falciparum specific T cell epitopes in human liver tissue

Bill and Melinda Gates Foundation1 个研究点 分布在 1 个国家目标入组 20 人开始时间: 2025年12月1日最近更新:

试验速览

阶段
不适用
状态
尚未招募
发起方
入组人数
20
试验地点
1
主要终点
To assess the T cell receptor sequencing data among Plasmodium falciparum-exposed individuals

研究概览

简要总结

The development of a multi-stage malaria vaccine will likely benefit from the inclusion of CD8 T cell epitopes to induce tissue-resident memory (Trm) cells in the liver. The hepatic phase of the Plasmodium falciparum (Pf) life cycle represents a bottleneck in parasite development due to the small number of parasites that successfully infect hepatocytes. T cells play an important role in anti-Plasmodium immunity. CD4 T cells provide B cell help and eliminate parasites through the production of IFNg, whereas CD8 T cells can kill infected liver cells, as demonstrated in mice and NHPs. Additional support for the role of T cells comes from unpublished human studies with late-arresting sporozoites, although the relative contribution of CD4 and CD8 cells for protection and their target epitopes is still unknown. CD8 Trm cells are ideally suited for the identification of protective Pf target epitopes. This proposal aims to determine whether Trm cells in the livers of individuals living in Pf endemic areas in India target conserved Pf antigens. If so, single-cell-based TCR discovery work will be supported to identify Pf-reactive TCRs and determine their peptide specificity and HLA restriction pattern.

研究设计

研究类型
Observational

入排标准

年龄范围
18.00 Year(s) 至 85.00 Year(s)(—)
性别
All

入选标准

  • Adult patients who come to Christian Medical College Vellore, for hepatobiliary resections for certain disease conditions such as hepatobiliary carcinoma, liver metastasis secondary to other cancers or benign conditions requiring resections such as hydatid cystgallbladder polyps, hepatolithiasis will be recruited in the study.
  • Among these study patients who reside in malaria endemic regions such as Jharkhand, Uttar Pradesh, West Bengal will be consented to participate in the study.

排除标准

  • We will not include patients on immunosuppression prior to resection for over 6 months patients with liver cirrhosis acute or chronic liver disorders such as hepatitis C and hep B with cirrhosis.

结局指标

主要结局

To assess the T cell receptor sequencing data among Plasmodium falciparum-exposed individuals

时间窗: 24 months

To characterize the T resident memory cells from the liver biopsy samples by flow cytometry

时间窗: 24 months

次要结局

  • To determine an assay cutoff for malarial antibodies.(24 months)

研究者

发起方
Bill and Melinda Gates Foundation
申办方类型
Other [Philanthropic (Bill and Melinda Gates Foundation)]
责任方
Principal Investigator
主要研究者

Ravish Raju

Christian Medical College Vellore

研究点 (1)

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