Malaria and human red blood cells

Narla Mohandas1, Xiuli An

  • 1Red Cell Physiology Laboratory, New York Blood Center, New York, NY 10065, USA. MNarla@NYBloodcenter.org

Insights

Malaria parasite Plasmodium falciparum invasion alters red blood cells, increasing disease severity. Red blood cell disorders like hemoglobinopathies offer protection against severe malaria outcomes.

Area of Science:

  • Hematology
  • Infectious Diseases
  • Cell Biology

Background:

  • The malaria parasite Plasmodium falciparum invades red blood cells, causing significant host cell alterations.
  • These changes include loss of cell shape, increased membrane rigidity, altered permeability, and enhanced adhesion, contributing to severe malaria manifestations like cerebral malaria and anemia.
  • Parasite-secreted proteins interacting with red cell membrane proteins mediate these detrimental host cell modifications.

Purpose of the Study:

  • To investigate the mechanisms by which Plasmodium falciparum infection alters host red blood cells.
  • To understand how red blood cell disorders influence malaria virulence and disease outcomes.

Main Methods:

  • The study reviews existing evidence on red blood cell changes induced by Plasmodium falciparum.
  • It examines the impact of genetic red blood cell disorders on malaria severity.

Main Results:

  • Plasmodium falciparum infection leads to red cell shape loss, rigidity, permeability changes, and adhesion.
  • These alterations facilitate parasite survival and increase disease virulence, causing anemia through increased red cell destruction and ineffective erythropoiesis.
  • Red cell disorders such as hemoglobinopathies and hereditary ovalocytosis are associated with decreased malaria virulence.

Conclusions:

  • Parasite-induced red blood cell modifications are key to malaria pathogenesis and virulence.
  • Red blood cell abnormalities confer protection against severe malaria by potentially reducing parasite invasion, impairing parasite development, or altering host-parasite protein interactions.

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