Beyond cuts and scrapes: plasmin in malaria and other vector-borne diseases

Zarna Rajeshkumar Pala1, Medard Ernest1, Brendan Sweeney1

  • 1Laboratory of Malaria and Vector Research, National Institutes of Allergy and Infectious Diseases, National Institutes of Health, Rockville, MD 20852, USA.

Trends in Parasitology
|October 15, 2021
PubMed

Insights

Vector-borne pathogens like Plasmodium hijack the body's blood clot system (fibrinolysis) to infect hosts and vectors. Targeting these interactions offers novel therapeutic strategies against pathogen transmission.

Area of Science:

  • Medical Microbiology
  • Parasitology
  • Hematology

Background:

  • Vector-borne pathogens have evolved sophisticated mechanisms to evade host defenses.
  • The mammalian fibrinolytic system, crucial for blood clot breakdown, is a key target for pathogen manipulation.
  • Plasmin, the central protease of fibrinolysis, plays a role in both host homeostasis and pathogen infection.

Purpose of the Study:

  • To review the mechanisms by which vector-borne pathogens interact with the fibrinolytic system.
  • To explore how pathogens co-opt fibrinolytic functions for transmission and infection.
  • To discuss novel therapeutic strategies targeting pathogen-fibrinolytic interactions.

Main Methods:

  • Literature review of scientific studies on vector-borne pathogens and the fibrinolytic system.
  • Analysis of molecular mechanisms underlying pathogen-host interactions.
  • Synthesis of current knowledge on therapeutic interventions.

Main Results:

  • Vector-borne pathogens, including Plasmodium, utilize components of the fibrinolytic system to facilitate infection.
  • Pathogens manipulate plasmin activity to aid in host cell invasion and dissemination.
  • These interactions are critical for both human host infection and invertebrate vector transmission.

Conclusions:

  • Understanding pathogen exploitation of the fibrinolytic system is crucial for developing new treatments.
  • Targeting the interface between pathogens and fibrinolytic proteins presents a promising avenue for novel therapeutics.
  • Innovative strategies are needed to disrupt these interactions and prevent disease transmission.

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