“…The lack of a more efficient enucleation (Menon and Ghaffari, 2021) can be overcome by genetic complementation (Scully et al, 2019). Humanized mouse models, such as the human liver-chimeric FRG KO huHep to recapitulate the liver, and blood-stage cycles of P. vivax (Mikolajczak et al, 2015;Schäfer et al, 2020) are readily available, although at a high cost and low efficiency in terms of blood-stage breakthrough; the liver stage in vitro systems (Roth et al, 2018) are currently being optimized to unravel the mechanism of hypnozoite production, though again at a high cost. Furthermore, non-human primate monkey models, such as Aotus, Saimiri, and Rhesus, are also a possibility to study this parasite in vivo (Shaw-Saliba et al, 2016;Pasini and Kocken, 2021), although rising ethics concerns makes this model only available to certain facilities.…”