2016
DOI: 10.1038/ncomms11187
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Ancient human sialic acid variant restricts an emerging zoonotic malaria parasite

Abstract: Plasmodium knowlesi is a zoonotic parasite transmitted from macaques causing malaria in humans in Southeast Asia. Plasmodium parasites bind to red blood cell (RBC) surface receptors, many of which are sialylated. While macaques synthesize the sialic acid variant N-glycolylneuraminic acid (Neu5Gc), humans cannot because of a mutation in the enzyme CMAH that converts N-acetylneuraminic acid (Neu5Ac) to Neu5Gc. Here we reconstitute CMAH in human RBCs for the reintroduction of Neu5Gc, which results in enhancement … Show more

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Cited by 52 publications
(75 citation statements)
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References 67 publications
(85 reference statements)
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“…duplication also occurred in the P. falciparum Multi Drug Resistance 1 (MDR1) gene under pressure from mefloquine (34,35). In another human infecting parasite Plasmodium knowlesi, duplication of DBPα, the Duffy blood group binding protein, occurred when the parasite was adapted to grow in human erythrocytes (36).…”
Section: Discussionmentioning
confidence: 99%
“…duplication also occurred in the P. falciparum Multi Drug Resistance 1 (MDR1) gene under pressure from mefloquine (34,35). In another human infecting parasite Plasmodium knowlesi, duplication of DBPα, the Duffy blood group binding protein, occurred when the parasite was adapted to grow in human erythrocytes (36).…”
Section: Discussionmentioning
confidence: 99%
“…The F-pilus mediated glycan-dependent binding of uropathogenic Escherichia coli accounts for millions of urinary tract infections a year (720)(721) and small molecule inhibitors are being explored as therapies or prophylactics (722). With regard to parasites, a well-known example is the merozoite stage of Plasmodium falciparum, which initiates malaria via recognition of densely sialylated glycophorins on target erythrocytes (723)(724)(725)(726)(727)(728)(729)(730), with the types of sialic acids presented affecting species specificity (731)(732)(733). At a later stage in malaria, heparan sulfate on endothelial cells mediates the binding of P. falciparum-infected erythrocytes via the DBL1ɑ domain of PfEMP1 (734), likely accounting for some of the most serious complications of the disease.…”
Section: Bacterial Fungal and Parasite Adhesinsmentioning
confidence: 99%
“…[42] expressed the functional chimpanzee CMAH gene in human hematopoietic stem cells. Comparison of human cells expressing Neu5Ac to those expressing Neu5Gc revealed that the presence of the latter strongly enhances P. knowlesi invasion.…”
Section: Monkey In the Middle: The Emerging Public Health Threat Posementioning
confidence: 99%
“…Nevertheless, Dankwa et al . [42] also suggest that P. knowlesi invasion and replication is less efficient in human cells relative to macaque cells, indicating that further adaptation may be necessary for widespread emergence.…”
Section: Monkey In the Middle: The Emerging Public Health Threat Posementioning
confidence: 99%
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