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Journal ArticleDOI

Routine In Vitro Culture of Plasmodium falciparum: Experimental Consequences?

Sandra Duffy, +1 more
- 01 Jul 2018 - 
- Vol. 34, Iss: 7, pp 564-575
TLDR
It is reasoned that culture conditions should be re-established as a primary consideration in in vitro malaria experimentation.
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This article is published in Trends in Parasitology.The article was published on 2018-07-01. It has received 23 citations till now.

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A molecular mechanism of artemisinin resistance in Plasmodium falciparum malaria

Abstract: Artemisinins are the cornerstone of anti-malarial drugs. Emergence and spread of resistance to them raises risk of wiping out recent gains achieved in reducing worldwide malaria burden and threatens future malaria control and elimination on a global level. Genome-wide association studies (GWAS) have revealed parasite genetic loci associated with artemisinin resistance. However, there is no consensus on biochemical targets of artemisinin. Whether and how these targets interact with genes identified by GWAS, remains unknown. Here we provide biochemical and cellular evidence that artemisinins are potent inhibitors of Plasmodium falciparum phosphatidylinositol-3-kinase (PfPI3K), revealing an unexpected mechanism of action. In resistant clinical strains, increased PfPI3K was associated with the C580Y mutation in P. falciparum Kelch13 (PfKelch13), a primary marker of artemisinin resistance. Polyubiquitination of PfPI3K and its binding to PfKelch13 were reduced by the PfKelch13 mutation, which limited proteolysis of PfPI3K and thus increased levels of the kinase, as well as its lipid product phosphatidylinositol-3-phosphate (PI3P). We find PI3P levels to be predictive of artemisinin resistance in both clinical and engineered laboratory parasites as well as across non-isogenic strains. Elevated PI3P induced artemisinin resistance in absence of PfKelch13 mutations, but remained responsive to regulation by PfKelch13. Evidence is presented for PI3P-dependent signalling in which transgenic expression of an additional kinase confers resistance. Together these data present PI3P as the key mediator of artemisinin resistance and the sole PfPI3K as an important target for malaria elimination.
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Artemisinin exposure at the ring or trophozoite stage impacts Plasmodium falciparum sexual conversion differently

TL;DR: Exposure to subcurative doses of the frontline antimalarial drug dihydroartemisinin at the trophozoite stage resulted in a ~ fourfold increase in sexual conversion, and no increase was observed when ring stages were exposed or in cultures in which sexual conversion was stimulated by choline depletion.
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Transcriptional variation in malaria parasites: why and how

TL;DR: How epigenetic variation, directed transcriptional responses and also genetic changes that affect transcript levels can all contribute to transcriptional variation and, ultimately, parasite survival are discussed.
References
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Journal ArticleDOI

Serum Lipoproteins Promote Efficient Presentation of the Malaria Virulence Protein PfEMP1 at the Erythrocyte Surface

TL;DR: It is shown that efficient presentation of the A4 and VAR2CSA variants of Pf EMP1 is dependent on the presence of serum in the bathing medium during parasite maturation, and analysis of the serum components reveals that lipoproteins, especially those of the low-density lipoprotein fraction, promote PfEMP1 presentation.
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The role of the red blood cell in host defence against falciparum malaria: an expanding repertoire of evolutionary alterations

TL;DR: A better understanding of how changes in RBC physiology impact malaria pathogenesis may uncover new strategies to combat the disease.
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Phenotypic Screens in Antimalarial Drug Discovery.

TL;DR: This review highlights recent advances and progress toward phenotypic screening methodologies over the past several years, with a focus on exoerythrocytic stage screens.
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Bioenergetics-based modeling of Plasmodium falciparum metabolism reveals its essential genes, nutritional requirements, and thermodynamic bottlenecks.

TL;DR: A genome-scale metabolic model (iPfa) of the deadliest malaria parasite, Plasmodium falciparum, and its thermodynamics-based flux analysis (TFA) is presented, providing novel insight into the metabolic needs and capabilities of the malaria parasite.
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