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Updated: May 18, 2026

In Vitro Assay of Plasmodium-Infected Red Blood Cell Killing by Cytotoxic Lymphocytes
Published on: August 17, 2022
Activation of human NK cells by Plasmodium-infected red blood cells
Amir Horowitz1, Eleanor M Riley
1Department of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK.
Abstract:
This chapter describes a protocol to assess activation of human NK cells following in vitro stimulation with malaria-infected red blood cells. Activation is assessed by flow cytometry, staining for cell surface expression of CD69 and accumulation of intracellular IFN-γ. Procedures are described for in vitro propagation and purification of Plasmodium falciparum parasites, separation of peripheral blood mononuclear cells from heparinized blood by density centrifugation, in vitro culture of PBMC and for staining and analysis of PBMC by flow cytometry. Some examples of typical FACS plots are shown.
Insights
This protocol details how to measure human Natural Killer (NK) cell activation after exposure to malaria-infected red blood cells using flow cytometry. It outlines methods for parasite culture, cell separation, and analysis of CD69 and IFN-γ expression.
Area of Science:
- Immunology
- Infectious Diseases
- Parasitology
Background:
- Malaria poses a significant global health challenge, necessitating research into host immune responses.
- Human Natural Killer (NK) cells play a crucial role in the innate immune response to infections, including malaria.
- Understanding NK cell activation is vital for developing effective malaria control strategies.
Purpose of the Study:
- To describe a detailed protocol for assessing human NK cell activation in vitro.
- To provide a standardized method for evaluating NK cell responses to Plasmodium falciparum-infected red blood cells.
- To facilitate research on NK cell-mediated immunity against malaria.
Main Methods:
- In vitro propagation and purification of Plasmodium falciparum parasites.
- Separation of peripheral blood mononuclear cells (PBMC) from human blood via density centrifugation.
- Flow cytometry analysis of NK cell surface CD69 expression and intracellular IFN-γ accumulation following in vitro stimulation.
Main Results:
- The protocol enables the assessment of NK cell activation markers (CD69 and IFN-γ) upon stimulation with malaria-infected erythrocytes.
- Typical flow cytometry (FACS) plots demonstrating NK cell activation are presented.
- The described methods allow for quantitative analysis of NK cell responses.
Conclusions:
- This protocol provides a reproducible method for studying human NK cell activation in the context of malaria.
- The findings contribute to a better understanding of the innate immune response to Plasmodium falciparum.
- This methodology can be applied to investigate immunomodulatory therapies for malaria.
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