“…While such cultures were successful for the rodent malaria parasite Plasmodium berghei (Janse et al, 1985;Sinden et al, 1985), the efficiency of P. falciparum conversion from roundshaped parasites to mature ookinetes is surprisingly low (0.45 to 16%) as compared to the estimated 50% efficiency in vivo (Carter et al, 1987;Bounkewa et al, 2010;Delves et al, 2017). The poor efficiency of P. falciparum gamete fertilization was identified as a major obstacle to efficient ookinete production in vitro (Ghosh et al, 2010;Delves et al, 2017). As the factors that promote fertilization in vivo remained obscure, a series of culture conditions (lipids, glucose, mosquito pupal extract, and red blood cell lysate additives, variations in hematocrit, pH, and gas; etc.)…”