Infection of erythrocytes with the human malaria parasite, Plasmodium falciparum, results in dramatic changes to the host cell structure and morphology. The predicted functional localization of the STEVOR proteins at the erythrocyte surface suggests that they may be involved in parasite-induced modifications of the erythrocyte membrane during parasite development. To address the biologic function of STEVOR proteins, we subjected a panel of stevor transgenic parasites and wild-type clonal lines exhibiting different expression levels for stevor genes to functional assays exploring parasite-induced modifications of the erythrocyte membrane. Using this approach, we show that stevor expression impacts deform-ability of the erythrocyte membrane. This process may facilitate parasite sequestra-tion in deep tissue vasculature. (Blood. 2012;119(2):e1-e8) Introduction Erythrocytes infected with the human malaria parasite, Plasmo-dium falciparum, undergo dramatic changes in structure and morphology, in part because of the export of a broad repertoire of parasite proteins as well as influences of the shape and volume of the developing parasite itself. Alterations of the erythrocyte membrane include the appearance of cytoadherent knobs, the acquisition of novel adhesive and serologic properties, an increase in membrane rigidity, and the activation of solute permeability pathways, termed the new permeability pathways, for nutrient uptake and waste removal. The increased rigidity and adhesive properties of infected erythrocytes are major factors in the survival and virulence of the parasite. 1 Uninfected erythrocytes are highly deformable because of their high surface area-to-volume ratio and the elasticity of the erythrocyte membrane and cytoskeleton. 2 In contrast, infection with P falciparum results in a loss of deformabil-ity, and this perhaps increases the pathogenesis of the parasite by facilitating sequestration of infected erythrocytes and blockage of microcapillaries. 3 The knob-associated parasite protein KAHRP has been shown to associate with the erythrocyte cytoskeletal proteins spectrin, actin, and ankyrin, and these interactions are correlated with increased membrane rigidity. 4 In cultured parasite lines, truncations of nonessential telomeric regions are well documented, and one such shortening of P falciparum chromosome 2 leads to loss of KAHRP and, as a consequence, a knobless phenotype. 5 KAHRP() parasites propagate in culture at normal rates, supporting a role for rigidity and adhesion solely during in vivo infections. Targeted gene deletion of KAHRP, as well as knockout of another parasite gene, PfEMP3, results in a significant decrease in erythrocyte rigidity; however, the observed deformability remains less than that of uninfected erythrocytes, indicating that other factors also contribute to parasite-infected erythrocyte rigidity. 4,6 The erythro-cyte-exported RESA protein has been shown to contribute to the increased rigidity of ring-stage infected erythrocytes, although not of late-stage infected erythr...