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Updated: Jan 31, 2026

Separation of Plasmodium falciparum Late Stage-infected Erythrocytes by Magnetic Means
Published on: March 2, 2013
Complex DNA structures trigger copy number variation across the Plasmodium falciparum genome
Adam C Huckaby1, Claire S Granum1, Maureen A Carey2,3
1Department of Biology, University of Virginia, Charlottesville, VA 22908, USA.
Abstract:
Antimalarial resistance is a major obstacle in the eradication of the human malaria parasite, Plasmodium falciparum. Genome amplifications, a type of DNA copy number variation (CNV), facilitate overexpression of drug targets and contribute to parasite survival. Long monomeric A/T tracks are found at the breakpoints of many Plasmodium resistance-conferring CNVs. We hypothesize that other proximal sequence features, such as DNA hairpins, act with A/T tracks to trigger CNV formation. By adapting a sequence analysis pipeline to investigate previously reported CNVs, we identified breakpoints in 35 parasite clones with near single base-pair resolution. Using parental genome sequence, we predicted the formation of stable hairpins within close proximity to all future breakpoint locations. Especially stable hairpins were predicted to form near five shared breakpoints, establishing that the initiating event could have occurred at these sites. Further in-depth analyses defined characteristics of these 'trigger sites' across the genome and detected signatures of error-prone repair pathways at the breakpoints. We propose that these two genomic signals form the initial lesion (hairpins) and facilitate microhomology-mediated repair (A/T tracks) that lead to CNV formation across this highly repetitive genome. Targeting these repair pathways in P. falciparum may be used to block adaptation to antimalarial drugs.
Insights
DNA hairpins and A/T tracks trigger genome amplifications in Plasmodium falciparum, driving antimalarial resistance. Targeting these DNA repair pathways could block parasite adaptation to drugs.
Area of Science:
- Genetics
- Molecular Biology
- Parasitology
Background:
- Antimalarial drug resistance in Plasmodium falciparum is a significant global health challenge.
- Genome amplifications, a type of DNA copy number variation (CNV), contribute to parasite survival by overexpressing drug targets.
- Long A/T-rich sequences are associated with resistance-conferring CNVs in Plasmodium.
Purpose of the Study:
- To investigate the role of DNA hairpins and A/T tracks in driving CNV formation in Plasmodium falciparum.
- To identify specific sequence features and repair mechanisms involved in antimalarial resistance.
- To explore potential therapeutic targets for blocking parasite adaptation.
Main Methods:
- Adapted a sequence analysis pipeline to pinpoint CNV breakpoints with near single base-pair resolution in 35 parasite clones.
- Predicted the formation of stable DNA hairpins near identified CNV breakpoints using parental genome sequences.
- Analyzed genomic features at 'trigger sites' and detected signatures of error-prone repair pathways.
Main Results:
- Identified stable DNA hairpins proximal to all analyzed CNV breakpoints, with particularly stable hairpins near five shared breakpoints.
- Characterized specific genomic features at these 'trigger sites' across the Plasmodium genome.
- Detected evidence of error-prone repair pathways at the breakpoints, suggesting a role in CNV formation.
Conclusions:
- Propose a model where DNA hairpins initiate lesions and A/T tracks facilitate microhomology-mediated repair, leading to CNV formation in Plasmodium.
- Suggest that targeting these specific DNA repair pathways could be a strategy to inhibit Plasmodium falciparum adaptation to antimalarial drugs.
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