Cited by 31Malaria Research and ControlHemoglobinopathies and Related DisordersErythrocyte Function and Pathophysiology

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Modulation of malaria virulence by determinants of Plasmodium falciparum erythrocyte membrane protein-1 display

Fairhurst, Rick M, Wellems, Thomas E·2006·Current Opinion in Hematology

Abstract

PURPOSE OF REVIEW: Plasmodium falciparum malaria parasites carry approximately 60 var genes that encode variable adhesins termed P. falciparum erythrocyte membrane protein-1. Clonal expression of a single P. falciparum erythrocyte membrane protein-1 variant on the surface of the parasitized host erythrocyte promotes binding of the cell to blood elements (including noninfected erythrocytes, leukocytes) and walls of microvessels. These binding events enable parasitized erythrocytes to sequester and avoid clearance by the spleen, and they also contribute to disease by causing microvascular inflammation and obstruction. RECENT FINDINGS: Steps by which P. falciparum erythrocyte membrane protein-1 is exported to the parasitized erythrocyte surface have recently been elucidated. The ability of parasites to cytoadhere and cause disease depends on the variant of P. falciparum erythrocyte membrane protein-1 as well as its amount and distribution at the erythrocyte surface. An example of a host polymorphism that affects P. falciparum erythrocyte membrane protein-1 display is hemoglobin C, which may protect against malaria by impairing the parasite's ability to adhere to microvessels and induce inflammation. Interference with P. falciparum erythrocyte membrane protein-1-mediated phenomena appears to diminish cytoadherence in vivo and to protect against disease in animal models. SUMMARY: Plasmodium falciparum erythrocyte membrane protein-1-mediated sequestration of parasitized erythrocytes plays a central role in malaria pathogenesis. Clinical interventions aimed at reducing cytoadherence and microvascular inflammation may improve disease outcome.

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Crossref · 10.1097/01.moh.0000219655.73162.42

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  • P. falciparum infected erythrocytes sequester in the placenta by expressing surface antigens, mainly VAR2CSA, that bind to chondroitin sulphate A.

    “P. falciparum infected erythrocytes sequester in the placenta by expressing surface antigens, mainly variant surface antigen (VAR2CSA), that bind to specific receptors, mainly chondroitin sulphate A.”

    From Malaria in pregnancy. (2013) · cites this paper as [63]

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Metadata

Authors
Fairhurst, R. M., & Wellems, T. E.
Affiliations
National Institutes of Health (US)
Corresponding author
Wellems, Thomas E
Venue
Current Opinion in Hematology
Published
2006-05
Volume
13
Issue
3
Pages
124-130
ISSN
1065-6251 (ISSN-L)
OpenAlex
W2117603008
Cited by
31
References
4
Citations by year
2026: 1 · 2024: 1 · 2023: 3 · 2022: 1 · 2021: 1 · 2020: 3 · 2017: 1 · 2014: 1 · 2013: 4 · 2012: 3
FWCI
0.35
Type
journal article
Language
en
Open access
closed
Locations
  • Current Opinion in Hematology (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institutes of Health
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Malaria Research and Control
  • Health Sciences › Medicine › Genetics (clinical) › Hemoglobinopathies and Related Disorders
  • Health Sciences › Medicine › Physiology (medical) › Erythrocyte Function and Pathophysiology
Keywords
Plasmodium falciparum, erythrocyte membrane protein 1, var genes, cytoadherence, sequestration, malaria virulence, hemoglobin C, microvascular inflammation, malaria pathogenesis
MeSH terms
Animals, Cell Adhesion, Erythrocytes, Hemoglobin C, Humans, Malaria, Plasmodium falciparum, Virulence, Protozoan Proteins, Protein Transport

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