Oxidative insult can induce malaria-protective trait of sickle and fetal erythrocytes

Nat Commun. 2016 Nov 8:7:13401. doi: 10.1038/ncomms13401.

Abstract

Plasmodium falciparum infections can cause severe malaria, but not every infected person develops life-threatening complications. In particular, carriers of the structural haemoglobinopathies S and C and infants are protected from severe disease. Protection is associated with impaired parasite-induced host actin reorganization, required for vesicular trafficking of parasite-encoded adhesins, and reduced cytoadherence of parasitized erythrocytes in the microvasculature. Here we show that aberrant host actin remodelling and the ensuing reduced cytoadherence result from a redox imbalance inherent to haemoglobinopathic and fetal erythrocytes. We further show that a transient oxidative insult to wild-type erythrocytes before infection with P. falciparum induces the phenotypic features associated with the protective trait of haemoglobinopathic and fetal erythrocytes. Moreover, pretreatment of mice with the pro-oxidative nutritional supplement menadione mitigate the development of experimental cerebral malaria. Our results identify redox imbalance as a causative principle of protection from severe malaria, which might inspire host-directed intervention strategies.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Actins / metabolism
  • Anemia, Sickle Cell / blood*
  • Animals
  • Cytoplasm / metabolism
  • Erythrocytes / parasitology*
  • Erythrocytes / ultrastructure
  • Female
  • Fetus / pathology*
  • Hemoglobins / metabolism
  • Malaria, Falciparum / parasitology*
  • Malaria, Falciparum / pathology*
  • Mice, Inbred C57BL
  • Models, Biological
  • Oxidation-Reduction
  • Oxidative Stress*
  • Phenotype
  • Plasmodium berghei / drug effects
  • Plasmodium berghei / physiology
  • Plasmodium falciparum / metabolism
  • Plasmodium falciparum / ultrastructure
  • Vitamin K 3 / pharmacology

Substances

  • Actins
  • Hemoglobins
  • Vitamin K 3