“…Activation of sporozoites is believed to occur by their contact with the intracellular environment of the hepatocyte and at least in part appears to be due to their exposure to intracellular concentrations of potassium (Kumar et al, 2007). To gain entry into a hepatocyte for traversal, sporozoites puncture the cell membrane using a perforin-like protein, spect2, or pplp1 (Ishino et al, 2005;Kadota et al, 2004). Sporozoite activation by cell traversal does not, however, appear to be essential, as genetically modified spect2-negative parasites, which were unable to traverse hepatocytes, can successfully infect hepatocytes in by , and the activation and suppression of host cell death are indicated by → and respectively.…”