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Methods to Investigate the Regulatory Role of Small RNAs and Ribosomal Occupancy of Plasmodium falciparum
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Reduced cyclin D3 expression in erythroid cells protects against malaria
Maria Giuseppina Marini1, Maura Mingoia1, Maristella Steri1
1Institute for Genetic and Biomedical Research, National Research Council, Cagliari, Italy.
Nature
|February 18, 2026
Summary
A genetic variant (rs112233623-T) impacts red blood cell development, increasing hemoglobin A2 and cell size while reducing cell count. This variant confers malaria resistance by impairing parasite growth via reactive oxygen species.
Area of Science:
- Genetics
- Hematology
- Infectious Diseases
Background:
- Malaria severity varies, but underlying mechanisms are unclear.
- Erythrocytes (red blood cells) are crucial in malaria.
- Genetic variants influencing erythrocyte development may determine disease severity.
Purpose of the Study:
- Investigate the rs112233623-T variant's effect on erythrocyte properties.
- Examine the variant's role in modulating malaria severity.
- Elucidate the mechanistic basis of malaria resistance.
Main Methods:
- Analyzed the rs112233623-T variant's association with erythrocyte traits.
- Studied the variant's impact on CCND3 expression and cell cycle progression in erythroblasts.
- Employed population genetic methods to detect selection signatures.
- Assessed Plasmodium falciparum growth in infected erythrocytes from variant carriers.
Main Results:
- rs112233623-T increases hemoglobin A2, erythrocyte size, and decreases erythrocyte number.
- The variant disrupts SMAD3 binding, reduces CCND3 expression, and inhibits erythroblast cell cycle.
- Positive selection for rs112233623-T observed in Sardinian population.
- Parasite growth is impaired in rs112233623-T carrier erythrocytes, linked to reactive oxygen species (ROS).
Conclusions:
- Reduced CCND3 expression in erythroblasts is a novel malaria resistance mechanism.
- The variant's effect on ROS levels contributes to malaria protection.
- This finding may inform new therapeutic interventions for malaria.

