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Na+ Influx Induced by New Antimalarials Causes Rapid Alterations in the Cholesterol Content and Morphology of Plasmodium falciparum
Journal article   Open access

Na+ Influx Induced by New Antimalarials Causes Rapid Alterations in the Cholesterol Content and Morphology of Plasmodium falciparum

Sudipta Das, Suyash Bhatanagar, Joanne M Morrisey, Thomas M Daly, James M Burns, Jr, Isabelle Coppens and Akhil B Vaidya
PLoS pathogens, v 12(5), pp e1005647-e1005647
May 2016
PMID: 27227970
url
https://doi.org/10.1371/journal.ppat.1005647View
Published, Version of Record (VoR)CC BY V4.0 Open

Abstract

Antimalarials - pharmacology Blotting, Western Cholesterol - metabolism Erythrocytes - parasitology Flow Cytometry Fluorescent Antibody Technique Humans Malaria, Falciparum - metabolism Microscopy, Electron, Transmission Plasmodium falciparum - drug effects Plasmodium falciparum - metabolism Sodium - metabolism
Among the several new antimalarials discovered over the past decade are at least three clinical candidate drugs, each with a distinct chemical structure, that disrupt Na+ homeostasis resulting in a rapid increase in intracellular Na+ concentration ([Na+]i) within the erythrocytic stages of Plasmodium falciparum. At present, events triggered by Na+ influx that result in parasite demise are not well-understood. Here we report effects of two such drugs, a pyrazoleamide and a spiroindolone, on intraerythrocytic P. falciparum. Within minutes following the exposure to these drugs, the trophozoite stage parasite, which normally contains little cholesterol, was made permeant by cholesterol-dependent detergents, suggesting it acquired a substantial amount of the lipid. Consistently, the merozoite surface protein 1 and 2 (MSP1 and MSP2), glycosylphosphotidylinositol (GPI)-anchored proteins normally uniformly distributed in the parasite plasma membrane, coalesced into clusters. These alterations were not observed following drug treatment of P. falciparum parasites adapted to grow in a low [Na+] growth medium. Both cholesterol acquisition and MSP1 coalescence were reversible upon the removal of the drugs, implicating an active process of cholesterol exclusion from trophozoites that we hypothesize is inhibited by high [Na+]i. Electron microscopy of drug-treated trophozoites revealed substantial morphological changes normally seen at the later schizont stage including the appearance of partial inner membrane complexes, dense organelles that resemble "rhoptries" and apparent nuclear division. Together these results suggest that [Na+]i disruptor drugs by altering levels of cholesterol in the parasite, dysregulate trophozoite to schizont development and cause parasite demise.

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Collaboration types
Domestic collaboration
Web of Science research areas
Microbiology
Parasitology
Virology
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