Replication of Plasmodium in reticulocytes can occur without hemozoin formation, resulting in chloroquine resistance
Author(s)
Type
Journal Article
Abstract
Most studies on malaria-parasite digestion of hemoglobin (Hb) have been performed using P. falciparum maintained in mature erythrocytes, in vitro. In this study, we examine Plasmodium Hb degradation in vivo in mice, using the parasite P. berghei, and show that it is possible to create mutant parasites lacking enzymes involved in the initial steps of Hb proteolysis. These mutants only complete development in reticulocytes and mature into both schizonts and gametocytes. Hb degradation is severely impaired and large amounts of undigested Hb remains in the reticulocyte cytoplasm and in vesicles in the parasite. The mutants produce little or no hemozoin (Hz), the detoxification by-product of Hb degradation. Further, they are resistant to chloroquine, an antimalarial drug that interferes with Hz formation, but their sensitivity to artesunate, also thought to be dependent on Hb degradation, is retained. Survival in reticulocytes with reduced or absent Hb digestion may imply a novel mechanism of drug resistance. These findings have implications for drug development against human-malaria parasites, such as P. vivax and P. ovale, which develop inside reticulocytes.
Date Issued
2015-05-04
Date Acceptance
2015-04-08
Citation
Journal of Experimental Medicine, 2015, 212 (6), pp.893-903
ISSN
1540-9538
Publisher
Rockefeller University Press
Start Page
893
End Page
903
Journal / Book Title
Journal of Experimental Medicine
Volume
212
Issue
6
Copyright Statement
This article is available under a Creative Commons License (Attribution–Noncommercial–Share Alike 3.0 Unported license, as described at http://creativecommons.org/licenses/by-nc-sa/3.0/).
Subjects
Science & Technology
Life Sciences & Biomedicine
Immunology
Medicine, Research & Experimental
Research & Experimental Medicine
HEMOGLOBIN DEGRADATION
CYSTEINE PROTEASES
MALARIA PARASITES
FALCIPARUM
BERGHEI
VIVAX
ROLES
AMINOPEPTIDASE
ACCUMULATION
MICROSCOPY
Animals
Antimalarials
Artemisinins
Chloroquine
Cytoplasm
Drug Resistance
Erythrocytes
Female
Gene Deletion
Genes, Reporter
Hemeproteins
Hemoglobins
Malaria
Male
Mice
Mice, Inbred BALB C
Mutation
Plasmodium berghei
Reticulocytes
11 Medical And Health Sciences
Publication Status
Published