Abstract. The asexual development of the human malaria parasite Plasmodium falciparum is largely intraerythrocytic. When 1-palmitoyl-2-[6-[(7-nitro-2-1,3-benzoxadiazole-4-yl)amino]caproyl] phosphatidylcholine (NBD-PC) was incorporated into infected and uninfected erythrocyte membranes at 0°C, it remained at the cell surface. At 10°C, the lipid was rapidly internalized in infected erythrocytes at all stages of parasite growth. Our results indicate that the internalization of NBD-PC was not because of endocytosis but rapid transbilayer lipid flip-flop at the infected erythrocyte membrane, followed by monomer diffusion to the parasite. Internalization of the lipid was inhibited by (a) depleting cellular ATP levels; (b) pretreating the cells with N-ethyl maleimide or diethylpyrocarbonate; and (c) 10 mM L-a-glycerophosphorylcholine. The evidence suggests protein-mediated and energy dependent transmembrane movement of the PC analogue.The conditions for the internalization of another phospholipid analogue N-4-nitrobenzo-2-oxa-l,3-diazoledipalmitoyl phosphatidylethanolamine (N-NBD-PE) were distinct from that of NBD-PC and suggest the presence of additional mechanism(s) of parasitemediated lipid transport in the infected host membrane. In spite of the lack of bulk, constitutive endocytosis at the red cell membrane, the uptake of Lucifer yellow by mature infected cells suggests that microdomains of pinocytotic activity are induced by the intracellular parasite. The results indicate the presence of parasite-induced mechanisms of lipid transport in infected erythrocyte membranes that modify host membrane properties and may have important implications on phospholipid asymmetry in these membranes.URING its intraerythrocytic development, the human malaria parasite Plasmodium falciparum induces changes in both lipid and protein components of the infected erythrocyte membrane. Several parasite proteins are introduced into the erythrocyte membrane (4, 11,12,18,24,31,36,38); its morphology, rigidity, and permeability are markedly altered (5, 8, 17); and there is increased disorder in phospholipid packing of the bilayer (33). The distribution of phospholipids in P. falciparum and P. knowlesi-infected erythrocyte membranes may be altered in contrast to uninfected cells (9,26), and an increased uptake and exchangeability of phospholipids is reported between P. knowlesi-infected erythrocyte membranes and synthetic phospholipids (20, 37). However, little is known about the molecular basis of these changes in parasitized erythrocytes.Membrane phospholipid asymmetry is an intrinsic property of cellular membranes. Altering the distribution of phospholipids across the plasma membrane (for example, increasing phosphatidylserine on the exoplasmic leaflet of the Portions of this work were presented at the Fed. Eur. Biochem. Soc. Advanced Course on Lipid Flow at Maria Aim, Austria, March 1988. plasma membrane) can lead to clearance of the cell from circulation (25,32). Rapid transbilayer phospholipid movement across biological membranes app...