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Cytoadhesion of Plasmodium falciparum-Infected Red Blood Cells Changes the Expression of Cytokine-, Histone- and
Johannes Allweier1,2, Michael Bartels1, Hanifeh Torabi1
1Research Group Host-Parasite Interaction, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Abstract:
Malaria remains a significant global health problem, mainly due to Plasmodium falciparum, which is responsible for most fatal infections. Infected red blood cells (iRBCs) evade spleen clearance by adhering to endothelial cells (ECs), triggering capillary blockage, inflammation, endothelial dysfunction and altered vascular permeability, prompting an endothelial transcriptional response. The iRBCIT4var04/HBEC-5i model, where iRBCs present IT4var04 (VAR2CSA) on their surface, was used to analyze the effects of iRBC binding on ECs at different temperature (37°C vs. 40°C). Binding of non-infected RBCs (niRBCs) and fever alone altered the expression of hundreds of genes in ECs. Comparing the expression profile of HBEC-5i cells cultured either in the presence of iRBCs or in the presence of niRBCs revealed significant upregulation of genes linked to immune response, nucleosome assembly, NF-kappa B signaling, angiogenesis, and antiviral immune response/interferon-alpha/beta signaling. Raising the temperature to 40°C, simulating fever, led to further upregulation of many genes, particularly those involved in cytokine production and angiogenesis. In summary, the presence of iRBCs stimulates ECs, activating several immunological pathways and affecting antiviral (-parasitic) mechanisms and angiogenesis. Our data uncovered the induction of the interferon-alpha/beta signaling pathway in ECs in response to iRBCs.
Insights
Malaria-infected red blood cells (iRBCs) trigger endothelial cell responses, activating immune and angiogenic pathways. Fever exacerbates these effects, highlighting iRBCs
Area of Science:
- Immunology and Infectious Diseases
- Vascular Biology and Endothelial Function
- Genomics and Transcriptomics
Background:
- Malaria, caused by Plasmodium falciparum, leads to severe infections and mortality.
- Infected red blood cells (iRBCs) adhere to endothelial cells (ECs), causing vascular dysfunction and inflammation.
- Understanding the endothelial transcriptional response to iRBCs is crucial for malaria pathogenesis research.
Purpose of the Study:
- To investigate the effects of iRBC binding on endothelial cells (ECs) at normal and fever temperatures.
- To analyze the transcriptional changes in ECs induced by iRBCs and non-infected RBCs (niRBCs).
- To identify specific signaling pathways activated in ECs during malaria infection.
Main Methods:
- Utilized an in vitro model: iRBCIT4var04/HBEC-5i.
- Compared gene expression profiles of ECs exposed to iRBCs versus niRBCs at 37°C and 40°C.
- Analyzed transcriptional responses including immune, angiogenic, and interferon signaling pathways.
Main Results:
- Both niRBCs and fever alone significantly altered EC gene expression.
- iRBC binding upregulated genes involved in immune response, nucleosome assembly, NF-kappa B signaling, angiogenesis, and interferon signaling.
- Simulated fever (40°C) further amplified gene expression, particularly for cytokine production and angiogenesis.
Conclusions:
- iRBCs stimulate ECs, activating immunological pathways and impacting antiviral mechanisms.
- The interferon-alpha/beta signaling pathway is significantly induced in ECs by iRBCs.
- Fever intensifies the endothelial response, suggesting a complex interplay between infection and host temperature.
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