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Experimental infection and protection against ... - TI Pharma

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NF135.C10: a new Plasmodium falciparum clone for controlled human malaria<br />

<strong>infection</strong>s<br />

magnification by assessing 123 high-power fields, equal to approximately 0.5µl<br />

of blood. A smear was considered positive if two unambiguously identifiable<br />

parasites were found. Pre-patent period was defined as the period between<br />

exposure to infected mosquitoes <strong>and</strong> first positive blood smear. Additionally,<br />

parasitemia was measured by real-time quantitative PCR (qPCR), performed<br />

retrospectively on all samples collected after challenge, as described previously<br />

[24] with minor changes: using the MGB probe AAC AAT TGG AGG GCA AG<br />

instead of the turbo TaqMan probe sequence.<br />

In vitro immunological assays<br />

For antigen preparation, asynchronous asexual-stage cultures of NF135.C10 <strong>and</strong><br />

NF54 parasites were harvested at parasitemias of approximately 5-10% <strong>and</strong><br />

mature asexual stages were purified by centrifugation on a 27% <strong>and</strong> 63% Percoll<br />

density gradient [25] resulting in preparations of 80-90% parasitemia with >95%<br />

schizonts/mature trophozoites. Preparations of parasitized red blood cells<br />

(PfRBC) were washed twice in PBS <strong>and</strong> cryopreserved at 150x10 6 /ml in 15%<br />

glycerol/PBS in aliquots for use in individual stimulation assays. Mock-cultured<br />

uninfected erythrocytes (uRBC) were obtained similarly <strong>and</strong> served as controls.<br />

For cellular immunology, venous whole blood was collected into citrated<br />

vacutainer CPT cell preparation tubes (Becton <strong>and</strong> Dickinson) on the day prior to<br />

challenge (C-1), on days 5, 35 <strong>and</strong> 140 after challenge <strong>and</strong> on the first day of<br />

treatment (DT). Peripheral blood mononuclear cells (PBMCs) were isolated by<br />

density gradient centrifugation, washed twice in PBS, enumerated, frozen in<br />

foetal-calf serum containing 10% dimethylsulfoxide <strong>and</strong> stored in liquid nitrogen.<br />

After thawing, 500.000 PBMCs were cultured in the presence of NF135.C10 or<br />

NF54 PfRBC at a 1:2 (PBMC:PfRBC) ratio for 24 hours with addition of Brefeldin A<br />

(Sigma-Aldrich) for the last four hours. Cells were harvested <strong>and</strong> subsequently<br />

stained for viability (Live/Dead fixable dead cell stain kit Aqua, Invitrogen) <strong>and</strong><br />

surface markers; either 1) CD4 PE (SK3, BioLegend), CD45RO ECD (UCHL1,<br />

Beckman-Coulter), CD3 PerCP (UCHT1, BioLegend), CD62L PeCy7 (DREG-56,<br />

eBioscience) <strong>and</strong> CD8a Alexa Fluor 700 (HIT8A, BioLegend) or 2) anti-TCR Pan<br />

γ/δ-PE (IMMU510, Beckman-Coulter), CD45RO ECD, CD3 PerCP, CD4 PECy7<br />

(RPA-T4, BioLegend), Biotin CD56 (HCD56, BioLegend) <strong>and</strong> CD8a Alexa Fluor 700.<br />

Cells were washed <strong>and</strong> the second staining panel was incubated with<br />

Streptavidin eFluor450 (eBioscience). After washing, all cells were incubated<br />

with fixation Medium A (Caltag) <strong>and</strong> subsequently stained with either 1) IFNγ<br />

FITC (4S.B3, eBioscience), TNF Pacific Blue (MAb11, BioLegend), IL-2 APC (MQ1-<br />

135

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