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Research Group Heussler (Malaria I) - Bernhard-Nocht-Institut für ...

Research Group Heussler (Malaria I) - Bernhard-Nocht-Institut für ...

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Parasitology Section<br />

Survival strategies of<br />

Plasmodium parasites in hepatocytes<br />

Zusammenfassung<br />

Wir benutzen den Nagerparasiten Plasmodium berghei<br />

als einen Modellorganismus, um die Überlebensstrategien<br />

von Plasmodien in Hepatozyten zu untersuchen.<br />

Im Hepatozyten leben die Plasmodien<br />

zunächst in einer parasitophoren Vakuole. Während<br />

der Merozoitenbildung wird die Vakuolenmembran<br />

zerstört und die Parasiten gelangen ins Wirtszellzytoplasma.<br />

In vitro konnten wir beobachten, dass sich<br />

die infizierten Zellen nach der Auflösung der Vakuolenmembran<br />

abrundeten und frei im Medium<br />

schwammen. Diese frei schwimmenden Zellen zeigten<br />

intrazellulär Eigenschaften von apoptotischen<br />

Zellen. Die Zellmembran blieb dagegen zunächst intakt,<br />

was den Schluss nahe legt, dass infizierte Zellen<br />

nicht von phagozytierenden Zellen erkannt und<br />

eliminiert werden können. Untersuchungen der molekularen<br />

Mechanismen dieser Parasit-Wirtszell Interaktionen<br />

sollen helfen, die Biologie des Leberstadiums<br />

von Plasmodien besser zu verstehen und Strategien<br />

zu entwickeln, die die Entwicklung der Parasiten<br />

in der Leber hemmen.<br />

Summary<br />

Using the rodent parasite Plasmodium berghei as a<br />

model system we investigate survival strategies of Plasmodium<br />

parasites in hepatocytes. Within the host cell<br />

Plasmodium parasites live initially in a parasitophorous<br />

vacuole. During merozoite formation the vacuole membrane<br />

is destructed and the parasites lie free in the host<br />

cell cytoplasm. In vitro we observed that upon the degeneration<br />

of the PVM, parasitised host cells rounded<br />

off and floated in the culture medium. These floating<br />

cells exhibited intracellular features of apoptotic cells.<br />

However, at first the cell membrane of the host cell remained<br />

intact suggesting that infected cells cannot be<br />

recognized and eliminated by phagocytising cells. Investigating<br />

the molecular mechanisms of these parasite-host<br />

cell interactions will help to understand the biology<br />

of the liver stage of Plasmodium and to improve<br />

strategies to inhibit the development of the parasite in<br />

the liver.<br />

Project Description and Results<br />

<strong>Malaria</strong> is caused by parasites of the genus Plasmodium<br />

and is transmitted by Anopheles mosquitoes. During<br />

a blood meal infected mosquitoes inject Plasmodium<br />

sporozoites into the skin of the mammalian host.<br />

From there the sporozoites reach the circulatory system<br />

and are transported to the liver, where they infect hepatocytes.<br />

The invasion of hepatocytes by Plasmodium<br />

42<br />

sporozoites is a well-documented event, but little is<br />

known how the parasite survives in the host cell and<br />

how exoerythrocytic merozoites are finally liberated.<br />

Although the host cell has principally the capacity to<br />

counteract the infection by committing suicide, Plasmodium<br />

parasites can obviously grow and develop intracellularly<br />

suggesting that the parasite interferes with<br />

pathways leading to programmed cell death (apoptosis).<br />

In order to investigate whether parasite infection protects<br />

the host cell from apoptosis, we treated two days<br />

infected cultures with concentrations of peroxide which<br />

induces programmed cell death in non-infected cells.<br />

Immunofluorescence studies revealed that infected<br />

cells are indeed protected against peroxide treatment<br />

confirming our assumption that the presence of the parasite<br />

confers resistance to apoptosis to its host cell.<br />

As long as the parasite develops and grows in the hepatocyte<br />

it is an advantage for the pathogen to support<br />

the survival of the host cell. But what happens when<br />

merozoites are formed which must leave the cell to infect<br />

red blood cells? We examined the final stage of<br />

parasite development in transformed hepatic cell lines<br />

and in primary hepatocytes in vitro and observed very<br />

interesting changes in infected cells. Three days post<br />

infection most P. berghei-infected cells lost adherence<br />

to the surface and to other cells in the culture. They<br />

rounded off and floated into the culture supernatant.<br />

Floating infected cells exhibited features of early apoptotic<br />

cells including nuclear condensation of the host<br />

cell nucleus, cytochrome c release from the mitochondria<br />

and caspase activation. However, another early<br />

marker of apoptosis, the loss of cell membrane asymmetry,<br />

could not be detected for several hours in infected<br />

floating cells and was only apparent briefly before<br />

merozoites are released.<br />

What could be the biological relevance of these observations?<br />

Our working hypothesis is that in vivo parasitised<br />

cells loose contact to their neighbouring cells<br />

and are bulged out between the normal hepatocytes.<br />

The later phases of intracellular parasite development<br />

are taking place in the space of disse or in the sinusoids<br />

of the liver (figure 1). Since the membrane of infected<br />

floating cells was found intact it is reasonable to<br />

assume that parasitised cells cannot be recognized by<br />

phagocytosing cells of the immune system. We believe<br />

that the observed membrane integrity in an otherwise<br />

apoptotic cell is actively preserved by the parasite and<br />

can thus be considered as a so far unknown immune<br />

evasion mechanism.

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