Plasmodium sporozoite–host interactions from the dermis to the hepatocyte
Section snippets
Plasmodium sporozoites: the same but different
Apicomplexa is a phylum of obligate intracellular protists to which Plasmodium and other human pathogens such as Toxoplasma and Cryptosporidium belong. The invasive stages of these protists, called zoites, are structurally similar, possessing an apical ring of microtubules and specialized secretory organelles called micronemes and rhoptries. Work with Plasmodium merozoites shows that they invade cells in distinct stages, beginning with initial reversible attachment followed by irreversible
Sporozoite inoculation into and exit from the dermis
Recent studies from several groups have clearly established that there is a skin stage of malaria infection (reviewed in [7]). Sporozoites are inoculated into the dermis by infected mosquitoes and contrary to the widely accepted notion that they rapidly leave the injection site, recent studies have shown that the majority of sporozoites that successfully reach the liver, take between one and three hours to leave [8•, 9•]. On average, 100 sporozoites are injected by a single infected mosquito [10
Crossing the liver sinusoid
After exiting the dermis and entering the blood circulation, sporozoites are arrested in the liver where they must traverse the sinusoidal barrier to access hepatocytes. The liver sinusoid is composed of fenestrated endothelial cells and Kupffer cells, which are resident macrophages. The endothelial cell fenestrae are too small to allow for free passage of sporozoites; therefore, sporozoites must migrate through sinusoidal cells to access the liver parenchyma on the other side. The importance
Switching from a migratory to an invasive phenotype
How do sporozoites know they have contacted their target cell and switch from a migratory to an invasive phenotype? This is an area of some controversy. Initial studies on cell traversal raised the possibility that there is no liver-specific signal that initiates the invasion process but that after traversing a number of cells, repeated exposure to the intracellular environment activates sporozoites for invasion [22]. Thus cell traversal in and of itself is sufficient for activation for
Invasion of hepatocytes
Invasion by Apicomplexan zoites is an active process that requires the coordinated release of proteins from apical organelles (reviewed in [26]). Furthermore, exocytosis of apical organelles is stimulated by the mobilization of intracellular calcium and many secreted proteins contain cell-adhesive domains that function in zoite–host interactions [22, 26]. Several adhesins of Plasmodium merozoites and Toxoplasma tachyzoites are proteolytically processed after their secretion onto the zoite
Conclusion
Recent data suggest that the process of target cell invasion by Plasmodium sporozoites is broadly similar to the process in their more well-studied cousins, Toxoplasma tachyzoites, in that it probably involves regulated exocytosis and the formation of a tight junction between host and parasite [2•, 3••, 22]. Nonetheless, the sporozoite's journey in the mammalian host dictates added layers of complexity and regulation. Its ability to migrate through nonpermissive cells [2•, 14] and to switch
References and recommended reading
Papers of particular interest, published within the period of review, have been highlighted as:
• of special interest
•• of outstanding interest
Acknowledgements
The authors would like to thank Brandy Bennett and Dr. Marcelo Jacobs-Lorena for their helpful critiques of the manuscript and to acknowledge support from the National Institutes of Health (R01 AI056840).
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