CD44 cross-linking promotes Plasmodium falciparum invasion

Angel K Kongsomboonvech1, Stephen W Scally2, Yann Le Guen3

  • 1Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA.

Nature Communications
|December 7, 2025
PubMed

Insights

The transmembrane protein CD44 acts as a co-receptor for Plasmodium falciparum invasion into red blood cells (RBCs). Cross-linking CD44 enhances parasite entry by altering RBC membranes and promoting key ligand-receptor interactions.

Area of Science:

  • Cell Biology
  • Parasitology
  • Immunology

Background:

  • Plasmodium falciparum (P. falciparum) invasion of human red blood cells (RBCs) is crucial for malaria pathogenesis.
  • Host factors mediating P. falciparum invasion are not fully understood due to the difficulty in studying mature RBCs.

Purpose of the Study:

  • To investigate the role of the transmembrane protein CD44 as a host factor in P. falciparum invasion.
  • To explore how modulating CD44 function affects RBC permissiveness to parasite entry.

Main Methods:

  • Utilized a novel forward genetic screen to identify host factors for P. falciparum invasion.
  • Employed an anti-CD44 monoclonal antibody (BRIC 222) to induce CD44 cross-linking.
  • Analyzed changes in RBC cytoskeletal protein phosphorylation and membrane accessibility of surface proteins.
  • Investigated the interaction of parasite ligand Erythrocyte Binding Antigen-175 (EBA-175) with CD44 and its effect on invasion.

Main Results:

  • Anti-CD44 antibody BRIC 222 significantly promoted P. falciparum invasion via CD44 cross-linking.
  • CD44 cross-linking altered RBC membrane properties and increased accessibility of invasion receptors like Basigin.
  • The parasite ligand EBA-175 also enhanced invasion and induced similar RBC membrane changes.
  • Both BRIC 222 and EBA-175 increased the binding of the PfRH5/PCRCR invasion complex to Basigin.

Conclusions:

  • CD44 functions as a co-receptor that facilitates P. falciparum invasion into RBCs.
  • CD44 cross-linking, potentially mediated by EBA-175, enhances invasion by coordinating receptor interactions and signaling to the RBC cytoskeleton.
  • These findings reveal a mechanism by which host cell modification promotes parasite entry, offering potential therapeutic targets.