Invited reviewParasite ligand–host receptor interactions during invasion of erythrocytes by Plasmodium merozoites
Introduction
Malaria is a major human disease that accounts for almost 2 million deaths annually. The malaria parasites have a complex life cycle involving both a vertebrate and an invertebrate host. Survival and transmission depends on the ability of the invasive stages of the parasite to recognise and invade the appropriate host cell types. The asexual erythrocytic phase of the Plasmodium life cycle is responsible for producing the clinical features and pathology associated with malaria. To begin the erythrocytic phase, the exoerythrocytic schizonts in the liver release merozoites that invade erythrocytes and develop there through the ring, trophozoite and schizont stages. Numerous molecules that are implicated in the invasion process have been identified in apical organelles (rhoptry, micronemes) and on both the merozoite and erythrocyte surfaces (Table 1). The functions of only a few of these molecules are well characterised and the molecular mechanisms involved at each step of invasion are not well understood.
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The steps in the invasion process
The invasion of erythrocytes by Plasmodium merozoites is a complex, multistep process and the sequence of invasive steps is probably similar for all Plasmodium species. The description of invasion is based on videomicroscopy (Dvorak et al., 1975) and ultrastructural analysis (Aikawa et al., 1978, Miller et al., 1979, Aikawa et al., 1981, Aikawa and Miller, 1983, Bannister and Dluzewski, 1990, Bannister et al., 2000). In the first step, the merozoite attaches reversibly to the erythrocyte
Duffy blood group antigen as receptor in erythrocyte invasion
The human malaria parasite, P. vivax and the related simian parasite P. knowlesi invade human erythrocytes using the Duffy blood group antigen as the receptor (Miller et al., 1975, Miller et al., 1976, Barnwell et al., 1989). The Duffy blood group antigen is a chemokine receptor (Chaudhuri et al., 1993, Horuk et al., 1993) that binds a family of chemokines including IL-8 and MGSA, melanoma growth stimulatory activity (Horuk et al., 1993, Hesselgesser et al., 1995). The evidence that junction
DBL family
The P. vivax/P. knowlesi Duffy-Binding Protein (DBP) that binds to the Duffy blood group antigen on the erythrocyte surface is characterised by the presence of a cysteine-rich region near the N-terminus, a low complexity intermediate region, followed by another cysteine-rich region, a transmembrane and a short cytoplasmic tail. Although P. falciparum invades Duffy-negative erythrocytes and is not dependent on the Duffy blood group antigen for erythrocyte invasion, a family of erythrocyte
Reticulocyte binding like (RBL) protein family
Plasmodium vivax is known to invade only reticulocytes and not mature erythrocytes. Since reticulocytes comprise a minority (∼1%) of the total erythrocyte population, P. vivax merozoites would interact with numerous mature erythrocytes in circulation before encountering a reticulocyte. Junction formation irreversibly commits the parasite to invade the erythrocyte and involves the Duffy blood group antigen expressed on all circulating erythrocytes. Barnwell and coworkers suggested that a
Redundancy in invasion of Plasmodium falciparum
Numerous studies have indicated that malarial merozoites, especially from P. falciparum and P. knowlesi, have the ability to invade erythrocytes through several invasion pathways. Evidence for alternative invasion pathways was provided by P. falciparum strains that invaded glycophorin A-deficient erythrocytes (Miller et al., 1977, Pasvol et al., 1982a) and sialic acid-deficient erythrocytes (Mitchell et al., 1986). These studies using different enzymatically treated target erythrocytes showed
Erythrocyte receptor polymorphism
The glycophorins represent examples of erythrocyte receptor polymorphism that appears to influence susceptibility to malaria. As mentioned previously different glycophorin molecules (A, B, C/D) play important roles as erythrocyte receptors in the invasion process. However, none of the erythrocytes containing different polymorphic forms of the glycophorins emulate the Duffy system. All glycophorin polymorphisms decrease invasion partially, but do not block it completely. For example, invasion
Challenges for the future
The steps of erythrocyte invasion by Plasmodium merozoites have been defined by videomicroscopy and ultrastructural analysis. However, these studies cannot define the biochemical events that allow invasion to proceed. Some of the questions about erythrocyte invasion that are unanswered and remain to be explored are as follows: (i) The protease that prepares the P. chabaudi erythrocytes for invasion (Breton et al., 1992) and the step that it involves remain undefined. Is there a similar protease
Acknowledgements
We wish to thank Dr John Adams for sharing his unpublished data.
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