Characterization and microRNA quantification of plasma-derived extracellular vesicles in patients with Plasmodium

Thunchanok Khammanee1, Natakorn Nokchan2, Piyatida Molika2

  • 1Division of Biological Science, Faculty of Science, Prince of Songkla university, SongkhlaThailand.

Parasitology
|March 26, 2025
PubMed

Insights

Extracellular vesicle microRNAs (EV-miRNAs) show promise as diagnostic markers for Plasmodium knowlesi malaria. Upregulated hsa-miR-223-5p and hsa-miR-486-5p in infected patients suggest their role in disease progression.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Parasitology

Background:

  • Extracellular vesicles (EVs) mediate intercellular communication and contain microRNAs (miRNAs) that can serve as diagnostic markers.
  • Plasmodium knowlesi malaria poses a significant health challenge, necessitating improved diagnostic tools.

Purpose of the Study:

  • To investigate the potential of plasma-derived EV-miRNAs as diagnostic biomarkers for Plasmodium knowlesi infection.
  • To explore the role of specific miRNAs in the pathogenesis of P. knowlesi.

Main Methods:

  • Isolation and characterization of EVs from Plasmodium knowlesi-infected patients and healthy controls using size exclusion chromatography and ultracentrifugation.
  • Quantification of EV concentration and size using nanoparticle tracking analysis and transmission electron microscopy.
  • Measurement of human miRNA expression levels (hsa-miR-223-5p, hsa-miR-486-5p) via reverse transcriptase quantitative polymerase chain reaction.

Main Results:

  • EVs from infected patients were larger and more concentrated than those from controls.
  • Hsa-miR-223-5p and hsa-miR-486-5p were significantly upregulated in P. knowlesi-infected patients.
  • Bioinformatic analysis indicated that these miRNAs target human and parasite genes involved in malaria-related pathways.
  • High areas under the receiver operating characteristic curve (0.9154 for hsa-miR-223-5p, 0.8231 for hsa-miR-486-5p) suggest diagnostic potential.

Conclusions:

  • Plasma-derived EV-miRNAs, specifically hsa-miR-223-5p and hsa-miR-486-5p, show potential as non-invasive diagnostic biomarkers for P. knowlesi infection.
  • These miRNAs may play a role in regulating gene expression during P. knowlesi infection.
  • Further research is warranted to explore their therapeutic potential.