Plasmodium vivax uses a single member of the Duffy binding-like (DBL) receptor family to invade erythrocytes and is not found inWest Africa where its erythrocyte ligand, the Duffy blood group antigen, is missing. In contrast, Plasmodium falciparum expresses four members of the DBL family, and remarkably, single-point mutations of two of these receptors (BAEBL and JESEBL) bind to entirely different erythrocyte ligands, greatly expanding the range of erythrocytes that P. falciparum can invade. In this article, we describe the molecular basis of the binding specificity for one BAEBL variant (VSTK) that binds to glycophorin C. We demonstrate that soluble glycophorin C completely blocks the binding of BAEBL (VSTK) to human erythrocytes, requiring 0.7 M for 50% inhibition, a concentration similar to that required by glycophorin A to block the binding of erythrocyte-binding antigen 175 to erythrocytes. BAEBL (VSTK) does not bind to Gerbich-negative erythrocytes that express a truncated form of glycophorin C because it lacks exon 3. The N-linked oligosaccharide of Gerbich-negative glycophorin C has a markedly different composition than the wild-type glycophorin C. Moreover, removal of the N-linked oligosaccharide from the wild-type glycophorin C eliminates its ability to inhibit binding of BAEBL (VSTK) to erythrocytes. These findings are consistent with the ligand for BAEBL (VSTK) being, in part, the N-linked oligosaccharide and suggest that single-point mutations in BAEBL allow P. falciparum to recognize oligosaccharides on different erythrocyte surface glycoproteins or glycolipids, greatly increasing its invasion range.mutations ͉ oligosaccharides ͉ DBL family R edundancy in erythrocyte invasion pathways is a critical factor in the survival of Plasmodium falciparum. Unlike Plasmodium vivax, which was eliminated from West Africa because of the absence of its erythrocyte ligand, the Duffy blood group antigen (1), there are no known mutations in erythrocyte surface proteins that lead to refractoriness to erythrocyte invasion by P. falciparum. The protein on the surface of P. vivax that binds the Duffy blood group antigen belongs to a family of genes in Plasmodium called the Duffy binding-like (DBL) family (2). P. falciparum expresses four DBL genes compared with a single gene in P. vivax, greatly expanding the potential receptor-ligand interactions for P. falciparum (2, 3). In addition, P. falciparum is able to recognize different erythrocyte ligands through singlepoint mutations in the receptor domain (region II) in two of its four DBL genes (BAEBL and JESEBL) (4, 5), further ensuring survival. Each clone of BAEBL is identified by four polymorphic amino acids in region II (4). One of the variants, BAEBL (VSTK), binds glycophorin C based on its inability to bind Gerbich-negative erythrocytes that lack exon 3 in glycophorin C (4, 6, 7). Because point mutations in BAEBL region II affect the receptor specificity for its ligand on erythrocytes, it is critical to determine the ligand recognized by BAEBL.Is it likely that the ...