Strict tropism for CD71+/CD234+ human reticulocytes limits the zoonotic potential of Plasmodium cynomolgi

Blood. 2017 Sep 14;130(11):1357-1363. doi: 10.1182/blood-2017-02-764787. Epub 2017 Jul 11.

Abstract

Two malaria parasites of Southeast Asian macaques, Plasmodium knowlesi and P cynomolgi, can infect humans experimentally. In Malaysia, where both species are common, zoonotic knowlesi malaria has recently become dominant, and cases are recorded throughout the region. By contrast, to date, only a single case of naturally acquired P cynomolgi has been found in humans. In this study, we show that whereas P cynomolgi merozoites invade monkey red blood cells indiscriminately in vitro, in humans, they are restricted to reticulocytes expressing both transferrin receptor 1 (Trf1 or CD71) and the Duffy antigen/chemokine receptor (DARC or CD234). This likely contributes to the paucity of detectable zoonotic cynomolgi malaria. We further describe postinvasion morphologic and rheologic alterations in P cynomolgi-infected human reticulocytes that are strikingly similar to those observed for P vivax These observations stress the value of P cynomolgi as a model in the development of blood stage vaccines against vivax malaria.

MeSH terms

  • Animals
  • Antigens, CD / metabolism*
  • Duffy Blood-Group System / metabolism*
  • Erythrocytes / parasitology
  • Host-Parasite Interactions
  • Humans
  • Macaca
  • Merozoites / physiology
  • Plasmodium cynomolgi / physiology*
  • Plasmodium vivax / physiology
  • Receptors, Cell Surface / metabolism*
  • Receptors, Transferrin / metabolism*
  • Reticulocytes / parasitology*
  • Rheology
  • Tropism*
  • Zoonoses / parasitology*

Substances

  • ACKR1 protein, human
  • Antigens, CD
  • CD71 antigen
  • Duffy Blood-Group System
  • Receptors, Cell Surface
  • Receptors, Transferrin