Murine malaria parasite sequestration: CD36 is the major receptor, but cerebral pathology is unlinked to sequestration

B Franke-Fayard, CJ Janse… - Proceedings of the …, 2005 - National Acad Sciences
B Franke-Fayard, CJ Janse, M Cunha-Rodrigues, J Ramesar, P Büscher, I Que, C Löwik
Proceedings of the National Academy of Sciences, 2005National Acad Sciences
Sequestration of malaria-parasite-infected erythrocytes in the microvasculature of organs is
thought to be a significant cause of pathology. Cerebral malaria (CM) is a major
complication of Plasmodium falciparum infections, and PfEMP1-mediated sequestration of
infected red blood cells has been considered to be the major feature leading to CM-related
pathology. We report a system for the real-time in vivo imaging of sequestration using
transgenic luciferase-expressing parasites of the rodent malaria parasite Plasmodium …
Sequestration of malaria-parasite-infected erythrocytes in the microvasculature of organs is thought to be a significant cause of pathology. Cerebral malaria (CM) is a major complication of Plasmodium falciparum infections, and PfEMP1-mediated sequestration of infected red blood cells has been considered to be the major feature leading to CM-related pathology. We report a system for the real-time in vivo imaging of sequestration using transgenic luciferase-expressing parasites of the rodent malaria parasite Plasmodium berghei. These studies revealed that: (i) as expected, lung tissue is a major site, but, unexpectedly, adipose tissue contributes significantly to sequestration, and (ii) the class II scavenger-receptor CD36 to which PfEMP1 can bind is also the major receptor for P. berghei sequestration, indicating a role for alternative parasite ligands, because orthologues of PfEMP1 are absent from rodent malaria parasites, and, importantly, (iii) cerebral complications still develop in the absence of CD36-mediated sequestration, dissociating parasite sequestration from CM-associated pathology. Real-time in vivo imaging of parasitic processes may be used to evaluate the molecular basis of pathology and develop strategies to prevent pathology.
National Acad Sciences