“…In agreement with both studies, we observed Ecu A K76T to be insufficient for CQR and uncovered direct contributions to CQR by additional PfCRT mutations, in particular Ecu C N326D. Crystallographic insights, presently lacking for PfCRT or its homologs, indicate that even seemingly conservative substitutions (e.g., isoleucine to leucine, as in I356L) can significantly impact a protein’s structure and function ( Wu et al 2015 ). In addition to PfCRT I356L, the apparent need for mutational acquisition of basic, polar, and acidic side chains at residues 76, 220, and 326, respectively, suggests specific electrostatic and conformational requirements for PfCRT-mediated CQR.…”