Israeli scientists uncover malaria parasite’s tricks, new ways to fight it

“We’ve discovered a subversive strategy the malaria parasite employs in order to thrive in human blood."

Weizmann Institute of Science. (photo credit: MICHAEL JACOBSON/WIKIMEDIA COMMONS)
Weizmann Institute of Science.
Scientists at the Weizmann Institute of Science in Rehovot have discovered how the parasite that causes malaria tricks the immune system, and have suggested a possible defense against the deadly disease, which infects more than 200 million people around the world every year and kills about half a million, most of them children under the age of five.
Global efforts to eradicate malaria are crucially dependent on scientists’ ability to outsmart the malaria parasite. And Plasmodium falciparum is notoriously clever: It is quick to develop resistance against medications and has such a complex life cycle that blocking it effectively with a vaccine has thus far proved elusive.
In a new study reported in the prestigious journal Nature Communications, researchers at the institute, together with collaborators in Ireland and Australia, have shown that the parasite not only hides from the body’s immune defenses, but also employs an active strategy to deceive the immune system.
“Malaria is one of the world’s most devastating diseases. It’s a true bane of low-income countries, where it kills a thousand young children every day,” according to Dr. Neta Regev-Rudzki of Weizmann’s biomolecular sciences department.
“To fight malaria, we need to understand the basic biology of Plasmodium falciparum and figure out what makes it such a dangerous killer.”
Regev-Rudzki had previously discovered, in her postdoctoral studies in the laboratory of Prof. Alan Cowman at the Walter and Eliza Hall Institute of Medical Research in Melbourne, Australia, that these parasites communicate with one another during their incubation stage in the blood. They do so by releasing sac-like nanovesicles – less than one micron across – that contain small segments of the parasite’s DNA.
Apparently these signals help the parasites learn when it’s time to start transforming into male and female forms, both of which can be carried by mosquitoes into new hosts. This finding was all the more startling because the nanovesicles need to cross six separate membranes to communicate the message from a parasite inside one red blood cell to another.
In the new study, performed in collaboration with Prof. Andrew Bowie of Trinity College, Dublin, and other researchers, Regev-Rudzki and her team discovered that in parallel with communicating with other parasites, the parasite uses this same communication channel for yet another purpose – to deliver a misleading message to the infected person’s immune system.
Within the first 12 hours after infecting red blood cells, the parasites send out DNA-filled nanovesicles that penetrate cells called monocytes. Normally, monocytes form the immune system’s first line of defense against foreign invasion, sensing danger from afar and alerting other immune mechanisms to mount an effective response. Naturally, the immune system will then dispatch its next line of defense to these cells.
But in fact, the nanovesicles have converted the monocytes into decoys. While the immune system is busy defending the organism against fake danger, the real infection proceeds inside red blood cells, allowing the parasite to multiply unhindered at dizzying speed. By the time the immune system discovers its mistake, precious time has been lost, and the infection is much more difficult to contain.
The team has identified a key molecular sensor – a protein called STING (STimulator of INterferon Genes) – that becomes activated when the parasite’s nanovesicles penetrate monocytes. STING delivers the fake alert to the immune system, tricking it into “thinking” that its monocytes are in danger.
When the scientists “knocked out” the gene that manufactures STING, the chain of molecular reactions generating the misleading alert was interrupted.
“We’ve discovered a subversive strategy the malaria parasite employs in order to thrive in human blood,” Regev-Rudzki explained. “By interfering with this subversion of the immune system, it may be possible in the future to develop ways of blocking malarial infection.”