Shining a Spotlight on the Plasmodium falciparum Parasite
The parasite is grouped as an eukaryote - which is to say that it has a nucleus. It's in the Phylum Apicomplexa which includes parasites such as Toxoplasma and Theileria. Three organelles on the invasive (apical) end of these parasites (rhoptries, micronemes, and dense granules) define the phylum Apicomplexa. These apicomplexan parasites are obligate intracellular parasites. This means that throughout their life cycle, they must invade host cells in order to complete development. They cause diseases such as malaria (genus Plasmodium), toxoplasmosis (Toxoplasma gondii) and cryptosporidiosis (Cryptosporidium spp). While there are hundreds of plasmodium species, only five are known to cause malaria. Of these five, Plasmodium falciparum causes the deadliest form of malaria.
P. falciparum has two hosts: humans and mosquitoes. The mosquito is considered the definitive host, because that's where sexual reproduction happens.
Proteins Involved in Plasmodium falciparum Infection and Development
Plasmodium falciparum has stage-specific proteins that facilitate its infection, survival, and transmission across different host environments. Below is a walkthrough of key proteins used by the parasite in the asymptomatic liver stage infection.
Liver Stage (Hepatic Stage) – Infection of Human Hepatocytes
If a mosquito is infected with a malaria-causing parasite such as Plasmodium falciparum, the infectious form of the parasite is in the mosquito’s salivary gland. If such a mosquito bites a human, a sporozoite is injected into the skin of the human.
The mosquito bites the human because it's looking for a blood meal. So, in order to stop the blood from clotting as it sucks the blood, it injects its saliva. The saliva of the mosquito (if infected) is teeming with sporozoites and these sporozoites find their way from the skin, into the bloodstream.
Within a few minutes of entering the bloodstream, the sporozoite quickly makes its way to the liver. Once in the liver, they traverse multiple cell types such as Kupffer Cells and Hepatic Stellate Cells, to invade hepatocytes and form liver-stage schizonts. Schizonts subsequently rupture, releasing thousands of merozoites into the bloodstream.
Here’re the key proteins that facilitate the migration of the sporozoite form from mosquito salivary glands, into human liver cells (hepatocytes).
When merozoites are released into the bloodstream they have approximately thirty seconds to find their way into red blood cells (erythrocytes) and invade. Failure to do so would result in the host's immune system recognising merozoites as foreign invaders. Antibodies and other immune cells would target and attempt to eliminate them rapidly.
Hence, merozoites, like sporozoites, utilise various proteins to mediate invasion of host erythrocytes via specific receptor/ligand interactions. We will look at the specific proteins in the next blog post.
Bibliography
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Vaughan, A., Mikolajczak, S., Wilson, E. M., Grompe, M., Kaushansky, A., Camargo, N. M., Bial, J., Ploss, A., & Kappe, S. (2012). Complete Plasmodium falciparum liver-stage development in liver-chimeric mice. The Journal of Clinical Investigation, 122(10), 3618-3628.
March, S., Ng, S., Velmurugan, S., Galstian, A., Shan, J., Logan, D. J., Carpenter, A. E., Thomas, D., Sim, B., Mota, M., Hoffman, S., & Bhatia, S. (2013). A microscale human liver platform that supports the hepatic stages of Plasmodium falciparum and vivax. Cell Host & Microbe, 14(1), 104-115.
Mikolajczak, S., Sacci, J. B. Jr., de la Vega, P., Camargo, N. M., Vanbuskirk, K., Krzych, U., Cao, J., Jacobs-Lorena, M., Cowman, A., & Kappe, S. (2011). Disruption of the Plasmodium falciparum liver‐stage antigen‐1 locus causes a differentiation defect in late liver‐stage parasites. Cellular Microbiology, 13.