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Modulation of malaria virulence by determinants of Plasmodium falciparum erythrocyte membrane protein-1 display
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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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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Sorted by citations
On the Cytoadhesion of Plasmodium vivax –Infected Erythrocytes
Carvalho, B. O., Lopes, S. C. P., Nogueira, P. A., Orlandi, P. P., Bargieri, D. Y., Blanco, Y. C., Mamoni, R., Leite, J. A., Rodrigues, M. M., Soares, I. S., et al. (2010) · The Journal of Infectious Diseases · doi:10.1086/654815 · Cited by 299
Takem, E. N., & D'Alessandro, U. (2013) · Mediterranean Journal of Hematology and Infectious Diseases · doi:10.4084/mjhid.2013.010 · Cited by 185
Metadata
- Authors
- Fairhurst, R. M., & Wellems, T. E.
- Affiliations
- National Institutes of Health (US)
- Corresponding author
- Wellems, Thomas E
- ORCID
- 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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