Cell-cell communication is an important mechanism for information exchange promoting cell survival for the control of features such as population density and differentiation. We determined that Plasmodium falciparum-infected red blood cells directly communicate between parasites within a population using exosome-like vesicles that are capable of delivering genes. Importantly, communication via exosome-like vesicles promotes differentiation to sexual forms at a rate that suggests that signaling is involved. Furthermore, we have identified a P. falciparum protein, PfPTP2, that plays a key role in efficient communication. This study reveals a previously unidentified pathway of P. falciparum biology critical for survival in the host and transmission to mosquitoes. This identifies a pathway for the development of agents to block parasite transmission from the human host to the mosquito.

Plasmodium falciparum exports several hundred effector proteins that remodel the host erythrocyte and enable parasites to acquire nutrients, sequester in the circulation and evade immune responses. The majority of exported proteins contain the Plasmodium export element (PEXEL; RxLxE/Q/D) in their N-terminus, which is proteolytically cleaved in the parasite endoplasmic reticulum by Plasmepsin V, and is necessary for export. Several exported proteins lack a PEXEL or contain noncanonical motifs. Here, we assessed whether Plasmepsin V could process the N-termini of diverse protein families in P. falciparum. We show that Plasmepsin V cleaves N-terminal sequences from RIFIN, STEVOR and RESA multigene families, the latter of which contain a relaxed PEXEL (RxLxxE). However, Plasmepsin V does not cleave the N-terminal sequence of the major exported virulence factor erythrocyte membrane protein 1 (PfEMP1) or the PEXEL-negative exported proteins SBP-1 or REX-2. We probed the substrate specificity of Plasmepsin V and determined that lysine at the PEXEL P3 position, which is present in PfEMP1 and other putatively exported proteins, blocks Plasmepsin V activity. Furthermore, isoleucine at position P1 also blocked Plasmepsin V activity. The specificity of Plasmepsin V is therefore exquisitely confined and we have used this novel information to redefine the predicted P. falciparum PEXEL exportome.

We describe here an efficient method for conditional gene inactivation in malaria parasites that uses the Flp/FRT site-specific recombination system of yeast. The method, developed in Plasmodium berghei, consists of inserting FRT sites in the chromosomal locus of interest in a parasite clone expressing the Flp recombinase via a developmental stage-specific promoter. Using promoters active in mosquito midgut sporozoites or salivary gland sporozoites to drive expression of Flp or its thermolabile variant, FlpL, we show that excision of the DNA flanked by FRT sites occurs efficiently at the stage of interest and at undetectable levels in prior stages. We applied this technique to conditionally silence MSP1, a gene essential for merozoite invasion of erythrocytes. Silencing MSP1 in sporozoites impaired subsequent merozoite formation in the liver. Therefore, MSP1 plays a dual role in the parasite life cycle, acting both in liver and erythrocytic parasite stages.

The liver is the first organ infected by Plasmodium sporozoites during malaria infection. In the infected hepatocytes, sporozoites undergo a complex developmental program to eventually generate hepatic merozoites that are released into the bloodstream in membrane-bound vesicles termed merosomes. Parasites blocked at an early developmental stage inside hepatocytes elicit a protective host immune response, making them attractive targets in the effort to develop a pre-erythrocytic stage vaccine. Here, we generated parasites blocked at a late developmental stage inside hepatocytes by conditionally disrupting the Plasmodium berghei cGMP-dependent protein kinase in sporozoites. Mutant sporozoites are able to invade hepatocytes and undergo intracellular development. However, they remain blocked as late liver stages that do not release merosomes into the medium. These late arrested liver stages induce protection in immunized animals. This suggests that, similar to the well studied early liver stages, late stage liver stages too can confer protection from sporozoite challenge.Malaria is among the deadliest infectious diseases in the world. It is caused by protozoan parasites of the genus Plasmodium that undergo a complex life cycle in the mammalian host and the mosquito vector. A human malaria infection begins when a Plasmodium sporozoite delivered through the bite of an infected mosquito infects a hepatocyte in the host liver. Within an intrahepatic membrane-bound vacuole the sporozoite undergoes extensive physical transformation followed by nuclear divisions, cytoplasmic segmentation, and eventually the formation of thousands of merozoites (1). Merozoites exit the infected hepatocyte by budding off in membrane-bound vesicles termed merosomes (2). Merosomes extrude from the infected hepatocyte through the endothelial cell layer and are released into the neighboring sinusoids. Thus, hepatic merozoites are delivered directly into the blood stream where they initiate invasion of erythrocytes and the symptomatic phase of a malaria infection (2). Unlike other stages of the Plasmodium life cycle, the stages that develop inside the hepatocytes, called "liver stages" (LSs), 3 are relatively poorly understood. Although the execution of the LS developmental program must require a large repertoire of molecules, only a few have been functionally identified so far (3-10). LS are of significant clinical and biological interest. Inhibiting the growth of LS could prevent the pathology associated with the erythrocytic stages of a malaria infection. The morbidity associated with Plasmodium vivax, the major human species in South America and South Asia, partly results from its ability to form dormant liver stages, termed hypnozoites, against which there are few effective treatment options (11). Reactivated hypnozoites can cause disease relapse up to a year after initial infection. Finally, LS have long been recognized to be ideal targets for developing a pre-erythrocytic stage malaria vaccine. Animals immunized with irradiated or genetica...