medRxiv PreprintsInternational5 November 2026
Epstein-Barr virus influences the induction of protective antibody responses in young African children vaccinated with the RTS,S malaria vaccine
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The RTS,S vaccine provides moderate protection against malaria in children, which may be due in part to environmental factors. Cytomegalovirus (CMV) and Epstein-Barr virus (EBV) infections are prevalent in Africa and potentially contribute to suboptimal vaccine responses. We evaluated whether latent CMV/EBV infections impact RTS,S-induced antibodies in 314 vaccinated children aged 5-29 months in West Africa. While no strong associations were observed for CMV, children seropositive for EBV had lower antigen-specific IgG and IgA, which have been linked with protective malaria immunity. These res
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