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ADVANCES IN
PARASITOLOGY
SERIES EDITOR
D. ROLLINSON J. R. STOTHARD
Life Sciences Department Department of Parasitology
The Natural History Museum, Liverpool School of Tropical
London, UK Medicine Liverpool, UK
d.rollinson@nhm.ac.uk russell.stothard@lstmed.ac.uk
EDITORIAL BOARD
T. J. C. ANDERSON R. C. OLIVEIRA
Department of Genetics, Texas Centro de Pesquisas Rene Rachou/
Biomedical Research Institute, CPqRR - A FIOCRUZ em Minas
San Antonio, TX, USA Gerais, Rene Rachou Research
Center/CPqRR - The Oswaldo Cruz
M. G. BASÁÑEZ Foundation in the State of Minas
Professor of Neglected Tropical Gerais-Brazil, Brazil
Diseases, Department of Infectious
Disease Epidemiology, Faculty of R. E. SINDEN
Medicine (St Mary’s Campus), Immunology and Infection
Imperial College London, Section, Department of Biological
London, UK Sciences, Sir Alexander Fleming
Building, Imperial College of
Science, Technology and
S. BROOKER Medicine, London, UK
Wellcome Trust Research Fellow
and Professor, London School of D. L. SMITH
Hygiene and Tropical Medicine, Johns Hopkins Malaria Research
Faculty of Infectious and Tropical, Institute & Department of
Diseases, London, UK Epidemiology, Johns Hopkins
Bloomberg School of Public Health,
R. B. GASSER Baltimore, MD, USA
Department of Veterinary Science,
The University of Melbourne, R. C. A. THOMPSON
Parkville, Victoria, Australia Head, WHO Collaborating Centre
for the Molecular Epidemiology
of Parasitic Infections, Principal
N. HALL Investigator, Environmental
School of Biological Sciences, Biotechnology CRC (EBCRC), School
Biosciences Building, University of of Veterinary and Biomedical
Liverpool, Liverpool, UK Sciences, Murdoch University,
Murdoch, WA, Australia
J. KEISER
Head, Helminth Drug X.-N. ZHOU
Development Unit, Department Professor, Director, National
of Medical Parasitology and Institute of Parasitic Diseases,
Infection Biology, Swiss Tropical Chinese Center for Disease Control
and Public Health Institute, Basel, and Prevention, Shanghai, People’s
Switzerland Republic of China
VOLUME NINETY ONE
ADVANCES IN
PARASITOLOGY
Edited by
D. ROLLINSON
Life Sciences Department
The Natural History Museum
London, UK
J.R. STOTHARD
Department of Parasitology
Liverpool School of Tropical Medicine
Liverpool, UK
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ISBN: 978-0-12-805131-3
ISSN: 0065-308X
Amy Abruzzi
Edward J. Bloustein School of Planning and Public Policy, Rutgers University,
New Brunswick, NJ, USA
Sukaina B. Alikhan
U.S. Fund for UNICEF, New York, NY, USA
Jason P. Andras
Zoological Institute, University of Basel, Basel, Switzerland; Department of Biological
Sciences, Mount Holyoke College, South Hadley, MA, USA
Frida Ben-Ami
Department of Zoology, George S. Wise Faculty of Life Sciences, Tel Aviv University,
Tel Aviv, Israel
Brian M. Cooke
Infection and Immunity Program, Monash Biomedicine Discovery Institute and Department
of Microbiology, Monash University, VIC, Australia
Ross L. Coppel
Infection and Immunity Program, Monash Biomedicine Discovery Institute and Department
of Microbiology, Monash University, VIC, Australia
David Duneau
Zoological Institute, University of Basel, Basel, Switzerland; Department Ecologie et
Diversité Biologique, University Paul Sabatier-Toulouse III, Toulouse, France
Louis Du Pasquier
Zoological Institute, University of Basel, Basel, Switzerland
Dieter Ebert
Zoological Institute, University of Basel, Basel, Switzerland
Bernard Fried
Lafayette College, Easton, PA, USA
Robin B. Gasser
Faculty of Veterinary and Agricultural Sciences, The University of Melbourne, Parkville,
VIC, Australia
Geoffrey N. Gobert
Molecular Parasitology Laboratory, Infectious Diseases Division, QIMR Berghofer Medical
Research Institute, Brisbane, QLD, Australia
Catherine A. Gordon
Molecular Parasitology Laboratory, Infectious Diseases Division, QIMR Berghofer Medical
Research Institute, Brisbane, QLD, Australia
ix j
x Contributors
Darren J. Gray
Research School of Population Health, The Australian National University, Canberra, ACT,
Australia
Matthew D. Hall
Zoological Institute, University of Basel, Basel, Switzerland; Monash University, School of
Biological Sciences, Clayton Campus, Melbourne, VIC, Australia
Anja Joachim
Institute of Parasitology, Department of Pathobiology, University of Veterinary Medicine
Vienna, Vienna, Austria
Malcolm K. Jones
Molecular Parasitology Laboratory, Infectious Diseases Division, QIMR Berghofer Medical
Research Institute, Brisbane, QLD, Australia; School of Veterinary Science, University of
Queensland, Brisbane, QLD, Australia
Pasi K. Korhonen
Faculty of Veterinary and Agricultural Sciences, The University of Melbourne, Parkville,
VIC, Australia
Pepijn Luijckx
Zoological Institute, University of Basel, Basel, Switzerland; Department of Ecology &
Evolutionary Biology, University of Toronto, Toronto, ON, Canada
Donald P. McManus
Molecular Parasitology Laboratory, Infectious Diseases Division, QIMR Berghofer Medical
Research Institute, Brisbane, QLD, Australia
Narla Mohandas
New York Blood Center, New York, NY, USA
Martina Ondrovics
Institute of Parasitology, Department of Pathobiology, University of Veterinary Medicine
Vienna, Vienna, Austria
Nicholas I. Proellocks
Infection and Immunity Program, Monash Biomedicine Discovery Institute and Department
of Microbiology, Monash University, VIC, Australia
Neil D. Young
Faculty of Veterinary and Agricultural Sciences, The University of Melbourne, Parkville,
VIC, Australia
Xing-Quan Zhu
State Key Laboratory of Veterinary Etiological Biology, Key Laboratory of Veterinary
Parasitology of Gansu Province, Lanzhou Veterinary Research Institute, Chinese Academy
of Agricultural Sciences, Lanzhou, Gansu Province, PR China
CHAPTER ONE
Contents
1. Introduction 2
2. Trafficking of Parasite Proteins into the RBC 4
2.1 The PEXEL motif 27
2.1.1 Plasmepsin V-mediated PEXEL function 28
2.1.2 PI(3)P-mediated PEXEL function 29
2.2 PEXEL-negative exported proteins 30
2.3 The role of PTEX 32
2.4 Protein trafficking within iRBCs 33
2.4.1 Vesicle-mediated trafficking 34
2.4.2 Chaperones 34
2.4.3 MCs: an external Golgi? 36
3. Exported Parasite Proteins 37
3.1 MC-associated proteins 38
3.1.1 Skeleton-binding protein 1 38
3.1.2 Membrane-associated histidine-rich protein 1 39
3.1.3 Membrane-associated histidine-rich protein 2 39
3.1.4 Ring-exported protein 1 40
3.1.5 Ring-exported protein 2 42
3.1.6 Other less-well characterized proteins associated with MCs 42
3.1.7 Parasite proteins and the tubovesicular network 43
3.2 Parasite proteins in the RBC cytosol or at the RBC membrane skeleton 44
3.2.1 Knob-associated histidine-rich protein 44
3.2.2 P. falciparum erythrocyte membrane protein 3 45
3.2.3 P. falciparum antigen 332 46
3.2.4 Plasmodium helical interspersed sub-telomeric proteins 47
3.2.5 Ring-infected erythrocyte surface antigen 52
Advances in Parasitology, Volume 91
© 2016 Elsevier Ltd.
j
ISSN 0065-308X
http://dx.doi.org/10.1016/bs.apar.2015.09.002 All rights reserved. 1
2 Nicholas I. Proellocks et al.
Abstract
Malaria, caused by Plasmodium spp., continues to be a major threat to human health
and a significant cause of socioeconomic hardship in many countries. Almost half of
the world’s population live in malaria-endemic regions and many of them suffer one
or more, often life-threatening episodes of malaria every year, the symptoms of which
are attributable to replication of the parasite within red blood cells (RBCs). In the case of
Plasmodium falciparum, the species responsible for most malaria-related deaths, para-
site replication within RBCs is accompanied by striking alterations to the morphological,
biochemical and biophysical properties of the host cell that are essential for the para-
sites’ survival. To achieve this, the parasite establishes a unique and extensive protein
export network in the infected RBC, dedicating at least 6% of its genome to the process.
Understanding the full gamut of proteins involved in this process and the mechanisms
by which P. falciparum alters the structure and function of RBCs is important both for a
more complete understanding of the pathogenesis of malaria and for development of
new therapeutic strategies to prevent or treat this devastating disease. This review fo-
cuses on what is currently known about exported parasite proteins, their interactions
with the RBC and their likely pathophysiological consequences.
1. INTRODUCTION
Malaria in humans, caused by Plasmodium spp., remains a major cause
of morbidity, mortality and socioeconomic hardship in many areas of the
world, particularly Africa, South America and Asia. Almost half of the
Malaria Parasite Proteins and the RBC 3
and trafficking, have been identified and characterized, the process remains
poorly understood. This review focuses on the current state of our knowl-
edge of exported parasite proteins, their interactions with RBCs and their
likely role in the pathogenesis of falciparum malaria.
SBP1 PF3D7_0501300 (PFE0065w) Maurer’s clefts Binds to the RBC membrane Blisnick et al. (2000),
skeleton; involved in Cooke et al. (2006),
PfEMP1 trafficking Maier et al. (2007)
MAHRP1 PF3D7_1370300 (MAL 13P1.413) Maurer’s clefts Involved in Pf EMP1 Spycher et al. (2003,
trafficking 2008)
MAHRP2 PF3D7_1353200 (PF13_0276) Maurer’s clefts - Involved in the formation of Pachlatko et al. (2010)
tethers tethers
REX1 PF3D7_0935900 (PFI1735c) Maurer’s clefts Required for formation of Dixon et al. (2008,
Maurer’s clefts; involved in 2011), Hanssen et al.
Pf EMP1 trafficking (2008a), Hawthorne
et al. (2004)
REX2 PF3D7_0936000 (PFI1740c) Maurer’s clefts Integral membrane protein in Haase et al. (2009),
Maurer’s clefts; unknown Spielmann et al.
function (2006)
Pf PTP1 PF3D7_0202200 (PFB0106c) Maurer’s clefts and Required for formation of Maier et al. (2008), Rug
iRBC Maurer’s clefts; involved in et al. (2014)
cytoplasm PfEMP1 and STEVOR
trafficking to Maurer’s clefts
Pf MC-2TM PF3D7_0114100 (PFA0680c) Maurer’s clefts Two transmembrane domains; Sam-Yellowe et al.
PF3D7_0101300 (PFA0065w) subfamily of STEVOR; (2004), Tsarukyanova
PF3D7_0222100 (PFB0985c) unknown function et al. (2009)
PF3D7_0221500 (PFB0960c)
PF3D7_0324100 (PFC1080c)
PF3D7_0601200 (PFF0060w)
PF3D7_ 0631400 (MAL6P1.15)
PF3D7_0701600 (MAL7P1.5)
5
(Continued)
Table 1 Exported proteins in P. falciparum blood-stage parasitesdcont'd
6
Protein name Gene id Localization Comments References
PF3D7_0713100 (MAL7P1.58)
PF3D7_0700800 (MAL8P1.213)
PF3D7_1039700 (PF10_0390)
PF3D7_1101700 (PF11_0025)
PF3D7_1100800 (PF11_0014)
PCRMPs PF3D7_0911300 (PFI0550w) Maurer’s clefts; Expressed throughout the Thompson et al. (2007)
PF3D7_0718300 (MAL7P1.92) sporozoite parasite’s life cycle;
PF3D7_1208200 (PFL0410w) surface unknown function
PF3D7_1475400 (PF14_0722)
Sec31p PF3D7_0214100 (PFB0640c) Maurer’s clefts Vesicle trafficking Adisa et al. (2001)
Sec23p PF3D7_0822600 (PF08_0036) Maurer’s clefts Vesicle trafficking Wickert et al. (2003a)
Sar1p PF3D7_0416800 (PFD0810w) Maurer’s clefts Vesicle trafficking Albano et al. (1999)
Pf NSF PF3D7_0303000 (PFC0140c) iRBC cytosol, Vesicle fusion component Hayashi et al. (2001)
possible Maurer’s
clefts
Pf J23 PF3D7_1001900 (PF10_0023) Maurer’s clefts Unknown function Vincensini et al. (2005)
ETRAMP PF3D7_0202500 (PFB0120w) iRBC periphery; Small proteins expressed at Birago et al. (2003),
PF3D7_0423700 (PFD1120c) parasite plasma different times throughout Spielmann et al.
PF3D7_0532100 (PFE1590w) membrane (PPM); the RBC cycle; unknown (2003)
PF3D7_0829600 (MAL8P1.6) parasitophorous function
7
in the TVN
(Continued)
Table 1 Exported proteins in P. falciparum blood-stage parasitesdcont'd
8
Protein name Gene id Localization Comments References
TVN-JP1 PF3D7_0310400 (PFC0435w) TVN Possibly required for van Ooij et al. (2008)
formation of the TVN
PfEMP1 Multigene family (w60 copies) iRBC surface Bind to multiple host cell
expressed receptors; key
mediator of virulence
RIFIN Multigene family (w200 copies) iRBC surface Two sub-groups. RIFIN A Cheng et al. (1998),
(involved in antigenic Fernandez et al.
variation) and RIFIN B (1999), Kyes et al.
(localizes to the PV; (1999), Petter et al.
unknown function) (2007)
STEVOR Multigene family (w30 copies) iRBC surface Clonally expressed on the Cheng et al. (1998),
iRBC surface; involved in Niang et al. (2009),
antigenic variation and Sanyal et al. (2012)
regulation of iRBC
membrane mechanical
properties
SURFIN PF3D7_0113100 (PFA0625w) iRBC and merozoite Unknown function Winter et al. (2005)
PF3D7_0113600 (PFA0650w) surface
PF3D7_0115000 (PFA0725w)
PF3D7_0402200 (PFD0100c)
9
Table 1 Exported proteins in P. falciparum blood-stage parasitesdcont'd
Protein name Gene id Localization Comments References
10
PfEMP3 PF3D7_0201900 (PFB0095c) iRBC membrane Binds to spectrin at the iRBC Waller et al. (2007),
membrane skeleton Waterkeyn et al.
(2000)
Pf332 PF3D7_1149000 (PF11_0507) Maurer’s clefts; Dual role; decrease of iRBC Glenister et al. (2009),
iRBC membrane membrane rigidity and role Hinterberg et al.
in adhesion; binds to actin at (1994), Hodder et al.
the iRBC membrane (2009), Mattei and
skeleton Scherf (1992), Waller
et al. (2010)
DnaJs/Hsp40 See Table 4 Botha et al. (2007),
Sargeant et al. (2006)
MESA PF3D7_0500800 (PFE0040c) iRBC membrane Binds to protein 4.1R at the Bennett et al. (1997),
(PfEMP2) skeleton RBC membrane skeleton; Black et al. (2008),
unknown function Waller et al. (2003)
FIKK Kinases See Table 5 Schneider and
Mercereau-Puijalon
(2005), Ward et al.
(2004)
hyp1 e hyp17 60e70 members Unknown No known function; some Frech and Chen (2013),
gene families members have been Silvestrini et al. (2010)
11
(Continued)
Table 1 Exported proteins in P. falciparum blood-stage parasitesdcont'd
12
Protein name Gene id Localization Comments References
LSA3 PF3D7_0220000 (PFB0915w) Hepatocyte surface; Unknown function; expressed Aidoo et al. (2000),
unknown in the in the RBC and liver stage; Guerin-Marchand
iRBC liver stage vaccine candidate et al. (1987), Maier
et al. (2008), Moyano
et al. (2007),
Silvestrini et al. (2010)
PfAARP1 PF3D7_1233600 (PFL1620w) iRBC membrane Unknown function Barale et al. (1997b)
PfAARP2 PF3D7_0106700 (PFA0330w) iRBC cytosol Unknown function Barale et al. (1997a)
PfGCN20 PF3D7_1121700 (PF11_0225) iRBC cytosol Unknown function Bozdech et al. (1998)
PfTKL2 PF3D7_1121300 (PF11_0220) IRBC cytosol in Active kinase, also secreted Abdi et al. (2013)
close proximity to beyond the iRBC
membrane
PF07_0087 PF3D7_0721100 Unknown Expressed in trophozoites; Silvestrini et al. (2010)
unknown function
PF11_0508 PF3D7_1149100.1/ Unknown Expressed in trophozoites; Silvestrini et al. (2010)
PF3D7_1149100.2 unknown function
PF13_0275 PF3D7_1353100 Unknown Expressed in trophozoites; Silvestrini et al. (2010)
unknown function
PFA0210c PF3D7_0104200 Unknown Expressed in trophozoites; Silvestrini et al. (2010)
unknown function
13
14 Nicholas I. Proellocks et al.
lysed and multiple new parasites are released. In general, exported parasite
proteins are directed into the parasites’ secretory pathway, usually by the
presence of N-terminal signal sequences (Hiller et al., 2004; Marti et al.,
2004); however, in some cases, the presence of a C-terminal transmembrane
domain is also required (Gr€uring et al., 2012; Saridaki et al., 2009). Once pro-
teins are directed into the parasite’s endoplasmic reticulum (ER) and enter
the secretory pathway, they are then committed for export into the RBC
by the recognition and cleavage of a signature sequence at the N-terminus
of the protein, termed the Plasmodium EXport ELement (PEXEL) or the
Vacuolar Transport Signal (VTS) (Hiller et al., 2004; Marti et al., 2004).
The proteins are then trafficked into the PV, by a yet unidentified mecha-
nism, and then directed to a transporter in the PVM, termed Plasmodium
translocon of exported proteins (PTEX) (de Koning-Ward et al., 2009),
where they are first unfolded before being translocated across the PVM
into the RBC cytosol (Gehde et al., 2009; Gr€ uring et al., 2012), then onto
their final cellular destination. Several mechanisms for this final step of the
trafficking process have been proposed and include vesicle transport, trans-
port in soluble complexes and chaperone-mediated transport (K€ ulzer et al.,
2010; McMillan et al., 2013; Saridaki et al., 2009) (Figure 1).
Table 3 P. falciparum exported proteins containing a PHIST domain
15
(Continued)
Table 3 P. falciparum exported proteins containing a PHIST domaindcont'd
PHIST Gene id PEXEL Comments References
16
PF3D7_1301500 (MAL13P1.59) Negative Sargeant et al. (2006)
PF3D7_1372000 (MAL13P1.470) RNLSE Sargeant et al. (2006)
PF3D7_1400900 (PF14_0009) RNLSE Pseudogene Sargeant et al. (2006)
Pfg14.748 PF3D7_1477700 (PF14_0748) Negative Expressed and localized to the PV Eksi et al. (2005), Sargeant
in gametocytes et al. (2006), Silvestrini
et al. (2010)
PF3D7_1478500 (PF14_0757) RNLSE Pseudogene Sargeant et al. (2006)
PF3D7_1479200 (PF14_0763) RNLVQ Sargeant et al. (2006)
PF3D7_1479300 (PF14_0764) RNLSE Pseudogene Sargeant et al. (2006)
Pfg14.744 PF3D7_1477300 (PF14_0744) RSLSE Localized to the iRBC in Eksi et al. (2005), Frech and
gametocytes Chen (2013), Silvestrini
et al. (2010)
Pfg14.745 PF3D7_1477400 (PF14_0745) RSVND Expressed in gametocytes Eksi et al. (2005), Frech and
Chen (2013), Silvestrini
et al. (2010)
GEXP13 PF3D7_0831300 (MAL8P1.205) RKLSE Expressed in gametocytes Frech and Chen (2013),
Silvestrini et al. (2010)
PHISTb
PfD80 PF3D7_0401800 (PFD0080c) RNLSE Essential; possibly integral Maier et al. (2008), Pease et
17
Table 3 P. falciparum exported proteins containing a PHIST domaindcont'd
18
PHIST Gene id PEXEL Comments References
PF3D7_0201600 (PFB0080c) RNLSS Localizes to iRBC cytosol; Goel et al. (2014), Sargeant
possibly involved in regulation et al. (2006), Tarr et al.
of VAR2CSA expression (2014)
PF3D7_0424800 (PFD1180w) RILST Sargeant et al. (2006)
PF3D7_0532300 (PFE1600w) RNLCE Sargeant et al. (2006)
LyMP PF3D7_0532400 (PFE1605w) RKLCE Localizes to and associates with Oberli et al. (2014),
iRBC membrane skeleton; role Proellocks et al. (2014),
in cytoadhesion Sargeant et al. (2006)
PF3D7_0702100 (MAL7P1.7) RILIE Pseudogene Sargeant et al. (2006)
GEXP09 PF3D7_0831000 (MAL8P1.2) Negative Expressed in gametocytes Sargeant et al. (2006),
Silvestrini et al. (2010)
PF3D7_1252700 (PFL2535w) RTLFE Localizes to iRBC membrane Sargeant et al. (2006), Tarr
et al. (2014)
GEXP04 PF3D7_1372100 (MAL13P1.475) RSLLG Expressed in gametocytes Sargeant et al. (2006),
Silvestrini et al. (2010)
PF3D7_1476200 (PF14_0731) Negative Localizes to iRBC membrane Sargeant et al. (2006), Tarr
et al. (2014)
PF3D7_1476300 (PF14_0732) RKLYE Sargeant et al. (2006)
PF3D7_1477500 (PF14_0746) Negative Sargeant et al. (2006)
19
(Continued)
Table 3 P. falciparum exported proteins containing a PHIST domaindcont'd
PHIST Gene id PEXEL Comments References
20
PfPTP2 PF3D7_0731100 (MAL7P1.172) RNLGE Localized to the Maurer’s clefts; Maier et al. (2008), Regev-
GEXP11 role in trafficking of PfEMP1 Rudzki et al. (2013),
from the clefts to the iRBC Sargeant et al. (2006),
membrane; expressed in Silvestrini et al. (2010)
gametocytes; involved in cell
ecell communication via
exosomes
PF3D7_0801000 (PF08_0137) Negative Expressed in trophozoites; Akinyi et al. (2012), Florens
membrane associated; et al. (2004), Sargeant et
homologue in Pv localizes to al. (2006), Silvestrini et
Schuffner’s dots al. (2010)
LSAP2 PF3D7_0202100 (PFB0105c) RKFAE Liver-stage protein localized to Sargeant et al. (2006), Siau
the periphery liver-stage et al. (2008)
parasites; minimal expression in
blood-stage schizonts
GEXP20 PF3D7_0219700 (PFB0900c) Negative Expressed in gametocytes Sargeant et al. (2006),
Silvestrini et al. (2010)
PF3D7_0219800 (PFB0905c) Negative Sargeant et al. (2006)
PF3D7_0532200 (PFE1595c) Negative Sargeant et al. (2006)
PF3D7_0830600 (MAL8P1.4) RILYE Sargeant et al. (2006)
PF3D7_1001700 (PF10_0021) KILCE Sargeant et al. (2006)
21
22
Table 4 P. falciparum exported proteins containing a DnaJ domaindcont'd
ATP
hydrolysis
DnaJ Gene id motif Comments References
PF3D7_1149600 (PF11_0513) HDP Unknown function Botha et al. (2007), Maier et al.
(2008), Sargeant et al.
(2006)
PF3D7_1201100 (PFL0055c) HDP Contains a MEC domain; RESA-like Botha et al. (2007), Kilili and
(Table 3) LaCount (2011), Sargeant
et al. (2006)
Type IV
PF3D7_0102200 (PFA0110w) YPY RESA (Table 3) Botha et al. (2007), Sargeant
et al. (2006)
GEXP06 PF3D7_0114000 (PFA0675w) YPK RESA-like but does not contain a PHIST Botha et al. (2007), Kilili and
domain; contains a MEC domain; LaCount (2011), Sargeant
expressed in gametocytes et al. (2006), Silvestrini et al.
(2010)
23
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