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Malaria Immunity Rewritten: TR1 Cells Take the Lead, Not TH1!

Why in News?

A new study has revealed that TR1 (Type-1 Regulatory T-cells)—not TH1 cells—are the main drivers of the immune response to malaria, challenging long-standing assumptions in immunology.

What are TR1 Cells?

AspectDetails
DefinitionTR1 (Type-1 Regulatory T-cells) are a subset of CD4+ T helper cells that regulate immune responses, especially by controlling inflammation.
FunctionThey prevent excessive immune reactions, ensuring balance between pathogen elimination and host protection.
Role in MalariaTR1 cells modulate immune response against Plasmodium falciparum, promoting tolerance and helping in developing clinical immunity (reduced severity of illness over time).

Key Components of the Human Immune System

ComponentFunction
Physical BarriersFirst line of defense: skin, mucous membranes.
Innate ImmunityNon-specific, rapid response: neutrophils, macrophages, NK cells, inflammation.
Adaptive ImmunitySpecific and memory-based: B-cells (produce antibodies), T-cells (helper, killer, regulatory).
Lymphatic SystemIncludes lymph nodes, spleen, thymus; coordinates immune cell production and pathogen filtration.
CytokinesChemical messengers that regulate immune activity and cell communication.

What is Malaria?

AspectDetails
CauseParasitic infection by Plasmodium species (notably P. falciparum and P. vivax).
TransmissionSpread by infected female Anopheles mosquito; parasites invade liver and red blood cells.
SymptomsFever, chills, vomiting, anemia, in severe cases—organ failure or death.
TreatmentACTs for P. falciparum, chloroquine for P. vivax, primaquine for liver-stage forms.
VaccinesWHO-approved RTS,S/AS01 (Mosquirix) and R21/Matrix-M (developed by SII & Oxford).
India’s ResponseNational Framework for Malaria Elimination (2016–2030), MERA-India, NVBDCP, NMCP.

Prelims Practice Questions

  1. Which of the following best describes the role of TR1 cells?
    A) Destroy virus-infected cells
    B) Produce antibodies against pathogens
    C) Regulate immune responses and control inflammation
    D) Activate B-cells to produce antibodies
    Answer: C
  2. The R21/Matrix-M vaccine, recently recommended by WHO, is used against:
    A) Dengue
    B) Tuberculosis
    C) Malaria
    D) Japanese Encephalitis
    Answer: C
  3. Which of the following is not a part of the innate immune system?
    A) Neutrophils
    B) Cytokines
    C) B-cells
    D) Natural Killer cells
    Answer: C

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