학술논문

Plasmodium falciparumsexual parasites develop in human erythroblasts and affect erythropoiesis
Document Type
Article
Source
Blood; September 2020, Vol. 136 Issue: 12 p1381-1393, 13p
Subject
Language
ISSN
00064971; 15280020
Abstract
Plasmodium falciparumgametocytes, the sexual stage responsible for malaria parasite transmission from humans to mosquitoes, are key targets for malaria elimination. Immature gametocytes develop in the human bone marrow parenchyma, where they accumulate around erythroblastic islands. Notably though, the interactions between gametocytes and this hematopoietic niche have not been investigated. Here, we identify late erythroblasts as a new host cell for P falciparumsexual stages and show that gametocytes can fully develop inside these nucleated cells in vitro and in vivo, leading to infectious mature gametocytes within reticulocytes. Strikingly, we found that infection of erythroblasts by gametocytes and parasite-derived extracellular vesicles delay erythroid differentiation, thereby allowing gametocyte maturation to coincide with the release of their host cell from the bone marrow. Taken together, our findings highlight new mechanisms that are pivotal for the maintenance of immature gametocytes in the bone marrow and provide further insights on how Plasmodiumparasites interfere with erythropoiesis and contribute to anemia in malaria patients.