Spermidine is a key polyamine required by intracellular parasites for survival within host erythrocytes

Pallavi Singh1, Jae-Yeon Choi1, Emmanuel Cornillot2

  • 1Department of Internal Medicine, Section of Infectious Diseases, Yale School of Medicine, New Haven, CT, USA.

Science Advances
|June 18, 2025
PubMed

Insights

Spermidine is essential for malaria and babesiosis parasite survival, regulating protein translation and oxidative stress. Targeting spermidine biosynthesis offers a promising therapeutic strategy against these intracellular parasites.

Area of Science:

  • Molecular parasitology
  • Biochemistry
  • Drug discovery

Background:

  • Intracellular parasites like Babesia and Plasmodium require nutrients for survival in human red blood cells.
  • Polyamines are critical nutrients, but their specific roles in intraerythrocytic parasites are not well understood.

Purpose of the Study:

  • To investigate the role of spermidine in the intraerythrocytic development of Babesia duncani and Plasmodium falciparum.
  • To elucidate the molecular mechanisms underlying spermidine's function and its potential as a therapeutic target.

Main Methods:

  • Genetic manipulation to disrupt spermidine biosynthesis and conversion pathways.
  • Analysis of protein translation regulation via eIF5A hypusination.
  • Measurement of reactive oxygen species production.

Main Results:

  • Spermidine is indispensable for Babesia duncani and Plasmodium falciparum intraerythrocytic development.
  • Spermidine regulates protein translation by hypusinating eIF5A and protects against oxidative stress.
  • Disruption of spermidine metabolism leads to parasite death.

Conclusions:

  • Spermidine plays a dual role in parasite survival, impacting both translation and oxidative stress defense.
  • Spermidine biosynthesis represents a critical vulnerability and a potential therapeutic target for babesiosis and malaria.
  • Babesia species utilize an ancestral spermidine synthase, indicating distinct evolutionary adaptations compared to Plasmodium falciparum.

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