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YSM Issue 91.3

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FOCUS<br />

medicine<br />

PHOTOGRAPHY BY KATE KELLY<br />

The basics of malaria transmission<br />

The biological carrier responsible for transmitting<br />

malaria is the infected female Anopheles<br />

mosquito, which delivers Plasmodium parasites<br />

into the skin of a host while also injecting its saliva.<br />

Sporozoites, a term for the infectious stage<br />

of the Plasmodium parasite life cycle, must then<br />

locate a nearby blood vessel in order to travel to<br />

the host liver and invade hepatocytes, or liver<br />

cells, thus establishing malaria infection. While<br />

navigating through the body, these sporozoites<br />

possess the ability to enter and maneuver within<br />

host cells as well as bypass the host immune<br />

system. This dynamic process of cell traversal<br />

therefore makes it difficult to catch the sporozoites<br />

once they have entered the dermis. “We<br />

are interested in the [Plasmodium] transmission<br />

stage…because blocking establishment of<br />

malaria at this earliest point represents a target<br />

that might present a better opportunity than<br />

treating the disease at the point when it progresses<br />

to millions of parasites in the bloodstage,”<br />

Schleicher said.<br />

The secreted saliva serves to prevent blood<br />

clotting and inflammation and thus better facilitate<br />

the blood meal for the mosquito. However,<br />

the array of proteins present in the saliva may<br />

also affect pathogen transmission by promoting<br />

pathogen survival or inhibiting their motility in<br />

the body. “Analyzing individual components of<br />

mosquito saliva allows for better characterization<br />

of novel protein-pathogen interactions,”<br />

Yang said. The researchers purified<br />

Plasmodium sporozoites from<br />

Anopheles<br />

mosquito<br />

saliva and identified<br />

a<br />

specific salivary gland protein that is directly<br />

involved with sporozoite transmission: a mosquito-equivalent<br />

of human gamma interferon<br />

inducible thiol reductase (GILT) protein, called<br />

mosGILT, that binds to the sporozoites and<br />

partially inhibits their movement. In humans,<br />

GILT is involved in protein unfolding as well<br />

as antigen processing. Because the interaction<br />

between the mosGILT protein and sporozoites<br />

is similar for different species of Plasmodium,<br />

the researchers used both human pathogen<br />

Plasmodium falciparum and the rodent parasite<br />

Plasmodium berghei to study the inhibitory<br />

properties of the mosGILT protein on parasite<br />

transmission. “It is important to know from our<br />

work that we provide evidence that the interaction<br />

between mosGILT and sporozoites occurs<br />

in both species of the parasite, suggesting this<br />

is a conserved interaction,” Schleicher emphasized.<br />

The inhibitory nature of mosGILT protein<br />

MosGILT is roughly twenty percent identical<br />

to both the human and mouse GILT, which is a<br />

useful measure for comparing protein function<br />

between the species. Conservation of key amino<br />

acid sequences suggests some similarity in<br />

the catalytic regions among the GILT proteins.<br />

However, the overall percent identity is low, and<br />

identical protein residues do not necessarily indicate<br />

the same protein activity. “In fact, the<br />

C-terminus is extended in mosGILT compared<br />

to the human and mouse equivalents, and when<br />

this portion is deleted, the mosGILT does not<br />

inhibit the motility of Plasmodium parasite as<br />

before, indicating that the C-terminus sequence<br />

is very important for the inhibitory ability of<br />

the protein,” Schleicher added.<br />

Although the exact interaction between<br />

mosGILT and sporozoites remains unclear,<br />

the researchers also discovered<br />

that mosGILT levels<br />

are high in the<br />

mosquito<br />

sal-<br />

“We<br />

hope<br />

to develop<br />

more effective<br />

treatments against<br />

mosquito-borne diseases.”

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