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Updated: Jun 17, 2026

In Vitro Assay of Plasmodium-Infected Red Blood Cell Killing by Cytotoxic Lymphocytes
Published on: August 17, 2022
Host cell death induced by the egress of intracellular Plasmodium parasites
Volker Heussler1, Annika Rennenberg, Rebecca Stanway
1Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany. heussler@bni-hamburg.de
Abstract:
Intracellular pathogens are known to inhibit host cell apoptosis efficiently to ensure their own survival. However, following replication within a cell, they typically need to egress in order to infect new cells. For a long time it was assumed that this happens by simply disrupting the host cell and in some cases, such as for Plasmodium-infected erythrocytes, this seems indeed to be true. However, recently it has been shown that in Plasmodium-infected hepatocytes, an ordered form of cell death is initiated. This cell death is parasite-dependent and can clearly be distinguished from apoptosis and necrosis. The key event, and point of no return, appears to be the rupture of the parasitophorous vacuole membrane (PVM). PVM disruption and host cell death depend on the activation of cysteine proteases. Whether these are of parasite or host cell origin seems to rely on the life cycle stage of the Plasmodium parasite and the corresponding host cell.
Insights
Intracellular pathogens like Plasmodium can trigger a unique cell death in host hepatocytes. This parasite-dependent process, crucial for pathogen egress, involves parasitophorous vacuole membrane rupture.
Area of Science:
- Cell Biology
- Pathogen-Host Interactions
- Parasitology
Background:
- Intracellular pathogens inhibit host apoptosis for survival.
- Pathogen egress from host cells is essential for infection spread.
- Plasmodium parasites infect various host cells, including erythrocytes and hepatocytes.
Purpose of the Study:
- To investigate the mechanism of cell death in Plasmodium-infected hepatocytes.
- To differentiate this cell death from apoptosis and necrosis.
- To identify key events and molecular players involved in parasite-induced hepatocyte death.
Main Methods:
- Observation of Plasmodium-infected hepatocytes.
- Analysis of host cell death morphology and markers.
- Investigation of parasitophorous vacuole membrane integrity.
- Assessment of cysteine protease activity.
Main Results:
- Plasmodium-infected hepatocytes undergo an ordered, parasite-dependent cell death.
- This cell death is distinct from apoptosis and necrosis.
- Parasitophorous vacuole membrane rupture is a critical, irreversible event.
- Cysteine protease activation, of either parasite or host origin, drives PVM disruption and cell death.
Conclusions:
- Plasmodium-induced hepatocyte death is a regulated process essential for parasite egress.
- Parasitophorous vacuole membrane rupture, mediated by cysteine proteases, is the key event.
- The specific proteases involved depend on the Plasmodium life cycle stage and host cell type.
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