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Infectious Diseases July 22, 2025

MedStory: How the Immune System Remembers Malaria

By Rebecca Handler

Stanford researchers uncover how the immune system may protect Ugandan children from serious malaria illness, revealing insights for future vaccines.

In parts of Uganda, children often face repeated malaria infections - yet some rarely become severely ill. Why?

New research from PhD candidate Jason Fairbank Nideffer, Prasanna Jagannathan, MD, and Maria Grazia Roncarolo, MD, in collaboration with Ugandan researchers, suggests their immune systems may have learned to stay calm rather than overreact. That insight could chart a path to a new kind of vaccine - one that doesn't block infection, but prevents disease.

In this breakthrough discovery, the scientists identified a little-known group of T cells called Tr1 cells that may hold the key. Instead of attacking the malaria parasite, these cells regulate the immune response, preventing dangerous inflammation.

This immune "braking system" may explain why some children stay well despite repeated infections. And it could pave the way for next-generation vaccines that train the immune system to tolerate malaria - and possibly other diseases - without severe illness.

Watch how this discovery could transform vaccine strategies for malaria - and beyond.

MedStory Podcast: Rethinking Malaria and the Future of Vaccines

In this pilot episode of the MedStory Podcast, hosts Katie Kanagawa, PhD, and Rebecca Handler, MSc, share the story of a groundbreaking partnership between Stanford researchers and Ugandan scientists. By tracking how children's immune systems respond to repeated malaria infections, the team uncovered a surprising way the body protects itself-an insight that could change how future vaccines are designed, not just for malaria but for many diseases around the world.

About Stanford Department of Medicine

Stanford Department of Medicine is an academic department within the Stanford School of Medicine dedicated to advancing patient care, education, and research across internal medicine and its subspecialties. We provide high‑quality patient care, train doctors and scientists, and do research to prevent illness, improve diagnosis and treatment, and help people live healthier lives. We serve diverse communities and work to make health care better for today and tomorrow. For more information, visit medicine.stanford.edu

RebeccaHandler

Rebecca Handler

Rebecca Handler, MsC is a science writer and researcher at Stanford’s Department of Medicine, where she translates complex research into accessible narratives for clinicians, patients, and the public. She serves as Manager of Science Communications, partnering closely with clinicians and investigators to highlight advances across multiple specialties and disciplines. 

Both her writing and research focus on rapid developments in clinical AI, computational medicine, and public health. Rebecca holds a Master of Science from Boston University, where she studied epidemiology and science communication, and a Bachelor of Science in cognitive science. Rebecca is originally from Connecticut and moved to California in 2024, and when she isn’t head-down in a research paper, she enjoys sunshine, reading, and horseback riding.