- Open Access
Plasmodium—a brief introduction to the parasites causing human malaria and their basic biology
Journal of Physiological Anthropology volume 40, Article number: 1 (2021)
Malaria is one of the most devastating infectious diseases of humans. It is problematic clinically and economically as it prevails in poorer countries and regions, strongly hindering socioeconomic development. The causative agents of malaria are unicellular protozoan parasites belonging to the genus Plasmodium. These parasites infect not only humans but also other vertebrates, from reptiles and birds to mammals. To date, over 200 species of Plasmodium have been formally described, and each species infects a certain range of hosts. Plasmodium species that naturally infect humans and cause malaria in large areas of the world are limited to five—P. falciparum, P. vivax, P. malariae, P. ovale and P. knowlesi. The first four are specific for humans, while P. knowlesi is naturally maintained in macaque monkeys and causes zoonotic malaria widely in South East Asia. Transmission of Plasmodium species between vertebrate hosts depends on an insect vector, which is usually the mosquito. The vector is not just a carrier but the definitive host, where sexual reproduction of Plasmodium species occurs, and the parasite’s development in the insect is essential for transmission to the next vertebrate host. The range of insect species that can support the critical development of Plasmodium depends on the individual parasite species, but all five Plasmodium species causing malaria in humans are transmitted exclusively by anopheline mosquitoes. Plasmodium species have remarkable genetic flexibility which lets them adapt to alterations in the environment, giving them the potential to quickly develop resistance to therapeutics such as antimalarials and to change host specificity. In this article, selected topics involving the Plasmodium species that cause malaria in humans are reviewed.
Background: battle of humans against malaria—past and present
Malaria has been recognised as a serious health problem since the earliest historical times. This disease is caused by protozoan parasites belonging to the genus Plasmodium. The strong negative pressure of the disease has likely forced the evolution of human populations in malaria endemic regions and the selection of some unique genetic variants. For example, thalassemia and sickle-cell disease, each of which is a genetic disorder affecting red blood cells, are commonly found in malaria endemic areas , and people with these two disorders show resistance to malaria. Another well-known example is the Duffy-negative blood type that the majority of people living in Central and West Africa have . This confers specific resistance to infection by one particular Plasmodium species, P. vivax [3, 4]. The spread of this trait in the population is estimated to have begun around 42,000 years ago , and today P. vivax malaria is rare in these areas whereas P. falciparum malaria is prevalent .
Even in the modern world with effective antimalarials and insecticide-treated bed nets (ITNs), people in many countries remain at risk, and the number of malaria cases, particularly those resulting from P. falciparum that causes the most serious infection, remains high in economically poor countries, especially in Africa . Rolling out adequate and continuous programmes to effectively control malaria has been difficult mainly due to lack of finance. In 2000, the health programme to “combat malaria” was selected as one of the critical global targets of the Millennium Development Goals set by the United Nations. This global effort was to achieve the targets that were set for measurable health indicators, such as disease prevalence, death rates and protection of children under 5-years of age with ITNs and appropriate antimalarial drugs. In 2005, the sum of global investments for malaria control was an estimated US$960 million, mostly from National Malaria Control Programmes (NMCPs) . Whilst contributions from NMCPs remained at the same level, investments from other sources started to increase steadily since 2006. As a result, the sum of global investments surpassed US$2000 million in 2009 and has remained almost at this level thereafter . With this extra financing, malaria control programs achieved a remarkable level of progress globally. For example, in 2000, the annual deaths caused by malaria in the entire world and in Africa were estimated to be 839,000 (between 653,000 and 1.1 million) and 694,000 (569,000–901,000), respectively. By 2015, these numbers had been reduced to 483,000 (236,000–635,000) and 292,000 (212,000–384,000) . The number of countries estimated to have fewer than 1000 indigenous malaria cases increased from 13 in 2000 to 33 in 2015 , and six countries (United Arab Emirates, Morocco, Armenia, Turkmenistan, Kyrgyzstan and Sri Lanka) achieved at least 3 consecutive years of zero indigenous cases between 2000 and 2015 and were certified as malaria free by WHO .
Plasmodium species infecting humans share a similar life cycle with an initial development phase in the liver and subsequent further proliferation in the blood of the host. They also show a similar susceptibility to some antimalarial drugs such as quinine, chloroquine and artemisinin, as well as the development of resistance to these drugs [9, 10]. Transmission is also mediated by the same group of anopheline mosquitoes . P. vivax malaria can relapse after chemotherapy with drugs that kill the parasites only in the intraerythrocytic development stage , but 8-aminoquinolines such as primaquine are known to prevent this effectively . Thus, systematic control programmes involving appropriate chemotherapy including administration of primaquine to patients with P. vivax malaria, as well as proper mosquito control, can simultaneously reduce the number of malaria incidents caused by any Plasmodium species.
There have been reports of malaria in humans caused by other Plasmodium species that naturally infect other primate hosts. But zoonotic malaria is rare, except for that caused by P. knowlesi, which naturally infects macaque monkeys such as the long-tailed and the pig-tailed macaques (Macaca fascicularis and M. nemestrina, respectively). Human infection by P. knowlesi has been reported since the 1960s [14, 15], but it had been long thought exceptional like other zoonotic malarias.
The NMCP rolled out in Malaysia in the 1960s had achieved a dramatic reduction of the number of human malaria cases caused by P. falciparum and P. vivax in Sarawak in Malaysian Borneo by the late 1990s–early 2000s. By contrast, the incidence of P. malariae which is rather rare in that state  showed an apparent increase . At that time, the species of Plasmodium present in patients in Sarawak was identified solely by microscopical observation of parasites in blood films. However, a molecular diagnosis combining nested PCR and DNA sequencing revealed that most of the malaria cases attributed to P. malariae by microscopy were actually caused by P. knowlesi . Following the identification of human cases of P. knowlesi in Sarawak, similar cases were identified in neighbouring Sabah state  and within the Peninsular Malaysia . Human infections of P. knowlesi have also been reported in other South East Asian countries including Vietnam and Thailand , and P. knowlesi malaria is now recognised as the fifth human malaria . It has been confirmed that P. knowlesi can produce gametocytes in patients who naturally acquire the infection , although transmission of P. knowlesi malaria between humans has not been reported yet. The clinical importance of P. knowlesi malaria is particularly high in Malaysia, where malaria caused by the other four human-infective species has been almost completely eliminated thanks to the successful NMCP . Now, almost all malaria cases identified in the country are caused by P. knowlesi.
Like P. knowlesi, other Plasmodium species that naturally infect non-human primates have been considered as potential threats to human health through zoonosis [23, 24]. Macaques in Sarawak in Malaysian Borneo are known to be the reservoir of six Plasmodium species—P. knowlesi, P. inui, P. cynomolgi, P. coatneyi, P. fieldi and P. simiovale . Of these, P. cynomolgi has been proven to naturally cause human infection , and P. inui can establish an infection when experimentally introduced into humans . Clinical cases of zoonotic malaria caused by these species are currently either extremely rare (P. cynomolgi) or unreported (P. inui), but they might become the next Plasmodium species to significantly affect human health in the future.
Zoonotic malaria has been reported in South America as well. The species of Plasmodium implicated there are P. simium  and P. brasilianum , parasites that naturally infect platyrrhine monkeys. The two species, P. simium and P. brasilianum, have been shown to be phylogenetically very close to P. vivax and P. malariae, respectively .
Malaria and Plasmodium biology
Life cycle of Plasmodium
All Plasmodium species share a similar life cycle . It has two parts—in the first, the parasite infects a person (or a vertebrate host), and in the second, it is transmitted from the malaria patient (or infected vertebrate host) to another host by an insect vector. The vectors that transmit the five Plasmodium species naturally infecting humans are mosquitoes of the genus Anopheles. These mosquitoes also transmit other Plasmodium species parasitising other mammals whereas transmission of Plasmodium infecting birds and reptiles depends on mosquitoes of other genera or other blood-sucking insects .
The Plasmodium life cycle begins when parasites known as sporozoites produced in the insect vector enter the blood of the vertebrate host following a bite . Sporozoites deposited in the dermis  rapidly migrate to the liver and invade hepatocytes where they multiply by thousands—a process known as schizogony . The resulting parasites, now called merozoites, are released back into the blood  and infect erythrocytes. In an erythrocyte, one merozoite multiplies asexually by schizogony to generate between 8 and 64 new merozoites (the number depending on the species) . These new merozoites are released back to the blood, and the parasites repeat this intraerythrocytic propagation cycle every 24 (P. knowlesi), 48 (P. falciparum, P. ovale, P. vivax) or 72 (P. malariae) hours. Some merozoites then differentiate into the next developmental stage called the gametocyte for sexual reproduction [38, 39]. Just when gametocyte differentiation (gametocytogenesis) starts depends on the species. For example, P. falciparum needs to complete several cycles of intraerythrocytic propagation before it starts differentiation into gametocytes, whereas P. vivax continuously produces gametocytes even in its early intraerythrocytic propagation cycles (Table 1). While each gametocyte has a similar appearance during its early development, they are already programmed to differentiate into either male or female gametes (gametogenesis, sexually committed). This completes the part of the parasites’ life cycle that occurs inside the human body. Development beyond the gametocyte stage normally takes place following a blood meal, in the lumen of the mosquito midgut, where the male and the female gametes fuse . However, there are sporadic reports of exflagellated forms (male gametes) of P. falciparum observed in the human body .
The second part of the life cycle in the insect vector begins when the insect ingests the blood containing gametocytes from an infected vertebrate host. The gametocytes are activated once exposed to the specific environment of the mosquito midgut lumen, and the male and the female gametocytes differentiate to produce microgametes and macrogametes, respectively . The microgamete fertilises the macrogamete to produce a zygote, the only developmental stage of the parasite that has a diploid genome . Genetic crossing experiments with gametocytes of two clones of P. falciparum with different allelic variants demonstrated that recombination can occur in zygotes [55, 56]. Soon the zygote undergoes meiosis and differentiates into a motile form, the ookinete, that now contains four haploid genomes in its nucleus . The ookinete penetrates the wall of the mosquito midgut and forms an oocyst on the outer side . In the oocyst, several rounds of mitosis take place, and numerous sporozoites are produced by sporogony [58, 59]. When the oocyst matures, it ruptures, and sporozoites released into the haemolymph migrate to the salivary glands, where they acquire the ability to infect human cells  when released into the body of a vertebrate host during a blood meal. Human-infecting Plasmodium species complete this second part of the life cycle (gametocytes to sporozoites ready to infect the next person) in around 10–18 days.
Besides the nucleus, the Plasmodium cell has two distinct organelles that contain their own genomic DNA, the mitochondrion and the apicoplast (see below). It has been shown that each oocyst of P. falciparum developing in the mosquito inherits the mitochondrial genomic DNA uniparentally from the female gamete . A further study reported that both organellar genomic DNAs were detected in female gametes of P. gallinaceum (a species infecting chickens) but not in male gametes . This suggests that Plasmodium inherits both the mitochondrion and the apicoplast only through the female gamete (macrogamete).
Recurrence of malaria and the hypnozoite
Malaria can recur after the parasites apparently have been cleared from the patient’s blood. Recurrence is due either to a recrudescence or a relapse (Table 1). Recrudescence originates from a minor population of parasites that survived undetected in the patient’s blood, whereas relapse is caused by cryptic, dormant cells called hypnozoites  that persist in the patient’s liver. Hypnozoites originate exclusively by differentiation from sporozoites and never from another form of the parasite, such as the merozoites circulating in the patient’s blood .
P. vivax is known to produce hypnozoites that cause relapses after the parasites have been cleared from the patient’s blood by treatment with antimalarial drugs such as chloroquine or quinine . There is one report that, in the majority of relapse cases studied, the genotype of the parasites in the first relapse is different from those during the preceding acute episode . This result was probably due to the following: (1) P. vivax sporozoites of two or more different genotypes infecting a person, (2) sporozoites other than the one that caused the acute episode differentiating into a hypnozoite in the liver, and (3) only one of those hypnozoites causing the relapse event. External stimuli such as other infections, including P. falciparum malaria, have been suggested to activate the hypnozoite and initiate a relapse of P. vivax malaria , although the mechanism has not been explained.
Of the other human malaria parasites, P. ovale has long been believed to develop hypnozoites because there are reports of recurrence without a second infection by the same species. However, this view has been questioned recently because of a lack of experimental and clinical data unequivocally supporting the presence of hypnozoites in the liver [49, 50].
Neither P. falciparum nor P. malariae is thought to develop hypnozoites, and such cells have never been identified in either species . Nevertheless, these two species can cause persistent infection without the development of any symptoms over long periods of time. For example, there is a case report of a P. falciparum infection that persisted asymptomatically in the human body for 13 years . A P. malariae case that most likely developed after an asymptomatic infection lasted over 40 years has also been reported . Plasmodium parasites can be maintained in the human blood over long periods of time at a very low number when their growth rate and the host’s immunity are able to maintain a subtle balance. Recurrence (recrudescence) is believed to begin when the balance is broken.
Whilst there is strong evidence that hypnozoites cause relapses in P. vivax malaria, some recurrences of P. vivax malaria might have originated from non-hypnozoite cells, as in other human malarias [67,68,69]. Recently, it was reported that recurrence of parasitaemia had been recorded in some neurosyphilis patients who had received a P. vivax malaria patient’s blood for malariotherapy [70,71,72]. Because P. vivax does not persist as sporozoites in human blood, no hypnozoite could have developed in the recipients. Thus, these records may suggest that P. vivax malaria can recur independent of hypnozoites.
Throughout development in their vertebrate hosts, Plasmodium cells have a haploid genome. Nevertheless, a cloned line of Plasmodium originating from a single cell generates both male and female gametocytes in the vertebrate host. This indicates that the sex of Plasmodium gametocytes is not determined chromosomally but epigenetically, and evidence explaining the mechanism is being accumulated . The gametocyte sex ratio is apparently affected by environmental factors [73,74,75], and this may optimise parasite transmission.
Gametocytes of the Plasmodium species that infect humans are known to be susceptible to 8-aminoquinolines such as primaquine, but not to other antimalarials such as artemisinin and chloroquine that kill the parasites in asexual intraerythrocytic development . Thus, even after parasites in their asexual intraerythrocytic development cycle are removed by treatment with those antimalarials, transfer of gametocytes in the blood can cause malaria in other people. In addition, it has been reported that P. falciparum gametocytes can persist for several weeks after the clearance of asexual blood stage parasites by drug treatment such as artemisinin-combination therapy . An in vitro study using culture of gametocytes from one clinical isolate and two laboratory strains of P. falciparum observed that gametocytes had a 50% survival rate of 2.6–6.5 days and that surviving cells were detectable until almost 2 months after the start of the experiment . Both the rate of clearance of gametocytes from the patient’s body and the rate of decline of gametocyte infectivity for mosquitoes depend on multiple factors such as the kind of treatment and the way it is implemented [79, 80], as well as host immunity . People with asymptomatic infection can carry a high number of gametocytes in their blood, just like patients with symptoms of malaria [82,83,84]. Therefore, gametocytocidal treatment should be given not only to malaria patients with symptoms but also to asymptomatic Plasmodium carriers to prevent the parasites in them causing new malaria cases.
In areas endemic for malaria, many people carry Plasmodium without developing symptoms because of acquired immunity [85, 86]. Often, the presence of parasites in those carriers cannot be detected either by microscopy or rapid detection tests (RDTs), the two standard tests for detecting Plasmodium in malaria patients’ blood. However, infection can be detected with more sensitive methods, e.g., molecular detection by PCR and LAMP , or ultrasensitive variations of RDTs . Asymptomatic carriers can supply infectious gametocytes to mosquitoes, though their impact on malaria in the community where they live may be low or negligible when the number of gametocytes in the blood is not high . Asymptomatic Plasmodium carriers can develop an episode of malaria when their immunity against the parasite is compromised, for example, when they move to a malaria-free area where they no longer have new Plasmodium infections that sustain immunity against the parasite. As a result, asymptomatic carriers may cause imported malaria [90, 91]. Even without developing any episodes of malaria, they can also cause transfusion malaria  or organ-transplantation malaria .
The importance of controlling asymptomatic carriers of malaria parasites in the modern world is higher than ever. It is mainly because people’s movements have become much easier than in earlier times, thanks to economic development and transportation. In addition, the number of refugees from regional conflicts, many of which occur in malaria endemic areas, has increased. Asymptomatic carriers within migrants from malaria endemic areas ought to be identified and adequately cared for, like patients with apparent malaria symptoms, in order to prevent the spread or re-introduction of malaria into malaria-free areas [94, 95].
Apicoplast and plant-like metabolism
The genus Plasmodium belongs to a larger group of protozoans called the Apicomplexa, part of the superphylum Alveolata that also includes dinoflagellates and ciliates . Like Plasmodium, almost all apicomplexans are obligate parasites , and many of them, including all Plasmodium species, have a vestigial, non-photosynthetic plastid called the apicoplast in the cell [97,98,99]. The apicoplast is a secondary plastid surrounded by four layers of membrane [100, 101] and has a tiny genome, the smallest in size of all known plastid genomes [102, 103]. Recently, exceptional apicomplexan species that have a photosynthetic plastid were also discovered [104, 105]. These new species, grouped as chromerids, can grow phototrophically without parasitising other organisms. The plastids of chromerids contain chlorophyll a but lack chlorophyll c that is universally found in the plastids of other phototrophic alveolates. Like the apicoplast, the photosynthetic plastids of chromerids are secondary plastids . Features of the organellar genome suggest that all apicomplexan plastids originated from the last common ancestor of present apicomplexans .
Unlike plastids of photosynthetic organisms, the apicoplast is non-photosynthetic, and almost all gene products encoded in the tiny organellar genome are predicted to be involved in either transcription or translation . Therefore, the reason why parasitic apicomplexans such as Plasmodium carry a non-photosynthetic plastid was not clear when the organelle’s presence in the parasite was first recognised . However, as the genomic information encoded in the nuclear genome of the parasites became available , it gradually became evident that the Plasmodium apicoplast is involved in plant-type metabolic pathways including isoprenoid biosynthesis , type II fatty acid biosynthesis  and haem biosynthesis . These plant-type pathways involving the apicoplast have been suggested to be important for Plasmodium to complete its development, especially in mosquitoes [114, 115] and in the liver [116, 117]. However, it has been shown that Plasmodium in the intraerythrocytic cycle can keep growing in in vitro culture as long as a sufficient amount of isopentenyl pyrophosphate (IPP) is supplied in the culture medium, even when they have lost the apicoplast . This suggests that the requirement of the apicoplast for this stage of the parasites is solely to obtain IPP. IPP is the precursor of various isoprenoids and is essential for eukaryotes including Plasmodium to survive, and the plant-type methylerythritol phosphate (MEP) pathway in the apicoplast is the only source of this critical molecule in the parasite . One of the enzymes involved in the MEP pathway, 1-deoxy-D-xylulose-5-phosphate reductoisomerase, is inhibited by a specific inhibitor called fosmidomycin , and growth of P. falciparum is inhibited by fosmidomycin both in vitro and in vivo [121, 122]. By contrast, fosmidomycin does not show a significant inhibitory effect on the growth of another distantly related apicomplexan Toxoplasma gondii, which also is supposed to depend on IPP supplied by the MEP pathway in the apicoplast . The molecular basis of the resistance of T. gondii to fosmidomycin has been studied, and it was suggested that poor drug uptake through the parasite’s plasma membrane is the cause . Another study suggested that the uptake of fosmidomycin into the erythrocyte which P. falciparum infects depends on a new permeability pathway induced by the parasite . Although fosmidomycin has good properties as a novel antimalarial , Plasmodium may be able to develop resistance to the drug by mutation in unexpected genes.
Some apicomplexans such as Cryptosporidium and Gregarina do not have the apicoplast , while P. falciparum and T. gondii cannot survive if they lose the organelle [118, 128]. The enzymes involved in the plant-like metabolism in the apicoplast are encoded in the nuclear genome, and apicomplexan species that do not have the apicoplast tend to lack all the genes specifying these enzymes . By contrast, the genome of Cryptosporidium species encodes a remarkably large number of putative amino acid transporters compared to apicomplexans with an apicoplast . These species without an apicoplast probably acquire the metabolites that ordinary apicomplexans synthesise in the apicoplast, from the host using some of those additional transporters.
Antimalarial drugs and resistance
From ancient times, various plant products have been used in folk medicine to treat malaria. In the seventeenth century, it was shown that the bark of South American quina-quina trees (Cinchona spp.) contains an agent with antimalarial activity. This substance, quinine, has been used in the treatment of malaria since then . In the nineteenth century, efforts began to chemically synthesise pure compounds with antimalarial activity, and some clinically useful synthetic antimalarials such as chloroquine became available in the 1930s. In 1972, another natural compound used traditionally in China, artemisinin, was reported to have antimalarial effect.
Antimalarial drugs currently used in the clinical treatment of human malaria come in five classes based on their structural backbone and apparent action . Those classes are (1) endoperoxides (e.g. artemisinin and its derivatives), (2) 4-aminoquinolines (chloroquine), aryl-amino alcohols (quinine, mefloquine), (3) antifolates (pyrimethamine, proguanil, sulfadoxine), (4) naphthoquinones (atovaquone) and (5) 8-aminoquinolines (primaquine, tafenoquine). The main targets of inhibition by 4-aminoquinolines, anitifolates and naphthoquinones have been shown to be detoxification of haem released from digested haemoglobin, pyrimidine biosynthesis and mitochondrial cytochrome b involved in oxidoreduction, respectively. Aryl amino alcohol class inhibitors seem to inhibit the same metabolism as 4-aminoquinolines, whereas endoperoxides, such as artemisinin, act on multiple cellular processes involving reactive oxygen species in Plasmodium cells.
The parasites causing human malaria, especially P. falciparum, have acquired resistance to each of these antimalarials one by one, and today, drug-resistant parasites are prevalent in malaria endemic areas . It has been well documented that point mutations causing amino acid substitutions in the active site of dihydrofolate reductase (the target enzyme of pyrimethamine and proguanil) make P. falciparum highly resistant to those antifolate drugs [134, 135]. Another example includes specific point mutations occurring in pfcrt and pfmdr1, which specify transporters CRT and MDR1, respectively, which promote the efflux of antimalarials such as 4-aminoquinolines and aryl amino alcohols from the digestive vacuoles of P. falciparum . As a result, parasites with these mutated genes become resistant to antimalarials that block haem detoxification in the digestive vacuoles. Point mutations in a gene are not the only the way for the parasites to acquire resistance to antimalarials. For example, when expression of the affected gene product is elevated because of gene amplification or a change in regulatory mechanisms, antimalarials can reduce or lose their efficacy [137, 138]. It is also potentially possible that Plasmodium species acquire new machinery with which the parasites can survive without the metabolism targeted by an antimalarial. For example, if Plasmodium acquires a new transporter with which they can acquire IPP from the host, as Cryptosporidium species can, the parasites become resistant to fosmidomycin.
It has been reported that clinical isolates of P. falciparum showing resistance to multiple antimalarial drugs tend to have defects in DNA mismatch repair [139, 140]. Genetic changes are often harmful, so having defects in DNA mismatch repair, which causes a higher rate of genetic changes in the genome, can reduce the fitness of the parasites affected. However, parasites with such defects have a potential to generate a wider variety of genetic changes compared to those without such defects. This is presumably beneficial for the parasites in order to survive under strong drug pressure. The A + T content of the genome of Plasmodium species is generally high (> 60%); it is especially high in the genome of P. falciparum—nearly 80% in coding regions and approaching 90% in non-coding regions. The genome of P. falciparum has been shown to be prone to small genetic changes such as indel mutations . The high A + T content of the genome may also contribute to Plasmodium developing drug resistance.
The natural host range of Plasmodium depends on the species. It can be extremely narrow as in P. falciparum, which infects humans but not African apes that are phylogenetically very close to humans . The range can also be very wide as in P. relictum, which is known to infect more than 100 different species of birds around the world, classified into different families and orders . Traditionally, Plasmodium species are sub-categorised into distinct subgenera based on their morphology and ranges of vertebrate hosts and vectors . It has been pointed out that the genus Plasmodium as a whole is polyphyletic and that the taxonomy of the order Haemosporidia, which consists of Plasmodium and other related genera, has many conflicts . Nevertheless, each subgenus of Plasmodium seems to be monophyletic. Plasmodium species that infect mammals generally belong to either one of three subgenera, Laverania, Plasmodium or Vinckeia, apart from some species recently identified from ungulate hosts [32, 144, 145]. The subgenera Laverania, Plasmodium and Vinckeia consist of parasite species that infect apes, monkeys and rodents, respectively.
Unlike Plasmodium species that infect birds, which are transmitted by a wide variety of mosquitoes including Culex and Aedes, mammalian malaria parasites belonging to subgenera Laverania, Plasmodium and Vinckeia are transmitted only by anopheline mosquitoes . This is because mammalian Plasmodium species can complete their development from gametocytes to infectious sporozoites only in anopheline mosquitoes. However, this does not mean that these parasites cannot developmentally differentiate from gametocytes in non-anopheline mosquitoes . There was an early report that oocysts formed on the midgut epithelium, and sporozoites were observed in the salivary gland when Culex bitaeniorhynchus was fed with human blood containing gametocytes of P. falciparum or other human malaria parasites . However, another recent study reported that a laboratory strain of P. falciparum fed to C. quinquefasciatus developed ookinetes that soon lysed and never formed oocysts . This suggests that P. falciparum is killed by the mosquito’s immune system when the ookinetes are exposed to the haemolymph of non-anopheline mosquitoes .
It is not true that all anopheline mosquitoes are equally important in transmitting Plasmodium between humans or animals; different Anopheles species have different habitats, feeding behaviour and preference for the animal species from which they suck blood . These differences may promote species differentiation in the parasites they carry and provide a chance for the parasite to switch its host .
Of the four human Plasmodium species, P. falciparum belongs to subgenus Laverania, whereas all the others belong to subgenus Plasmodium. P. knowlesi that causes zoonotic malaria in humans also belongs to the subgenus Plasmodium. Generally, P. falciparum only infects humans in natural conditions , though it is possible to adapt the species to infect chimpanzees in the laboratory . Krief et al. reported that they isolated P. falciparum from bonobos (Pan paniscus) kept at the Lola ya Bonobo Sanctuary in the Democratic Republic of the Congo, though the mitochondrial haplotype map they drew indicated that the isolates from bonobos were genetically distant from P. falciparum parasites infecting humans . The non-P. falciparum Laverania species that is phylogenetically closest to P. falciparum is P. praefalciparum, which infects gorillas but not humans or chimpanzees . As with these two species, all Plasmodium species of subgenus Laverania so far described show a strong host specificity in their natural transmission [152, 155]. A longitudinal survey of anopheline mosquitoes carried out in two wildlife reserves in Gabon where different Laverania species coexist revealed that the three sylvan Anopheles species collected in the survey, An. vinckei, An. moucheti and An. marshallii, carried multiple Laverania species whose vertebrate host specificity varied . This indicates that the strong host specificity of the Laverania species is not solely caused by specific association between anopheline vectors and vertebrate hosts. A recent comparative genomics study between Laverania species revealed that these parasites have striking copy number differences and structural variations in multiple gene families in their genomes . Variations in the stevor family, which has been shown to be involved in host-parasite interactions in P. falciparum , showed a host-specific sequence pattern. Probably these variations are critically important for each Laverania species to determine their strong host specificity. Rh5, a member of another gene family, has been shown to be important for Plasmodium species of subgenus Laverania to bind to erythrocytes of specific hosts . EBA165, a member of the erythrocyte binding-like (EBL) gene family, is pseudogenised in the genome of P. falciparum but not in other Laverania species’ genomes. A recent study showed that P. falciparum becomes capable of binding to ape erythrocytes but loses the ability to bind human erythrocytes when a functional EBA165 product is expressed . This suggests that losing the functional EBA165 product was a key step in the emergence of the human-infecting P. falciparum from its P. praefalciparum-like ancestor that probably did not infect humans.
In the mosquito survey in Gabon described above, it was also found that the three sylvan species of Anopheles carried Plasmodium species which were extremely close to P. vivax or P. malariae . In a phylogenetic analysis, these P. vivax-like isolates from mosquitoes collected in the survey in Gabon made a cluster with P. simium, one of the two South American zoonotic Plasmodium species . Another study suggested that P. brasilianum, the other South American zoonotic Plasmodium, is probably an amphixenotic variant of P. malariae that acquired infectivity to the simian hosts while also keeping its original human infectivity . All these suggest that both P. vivax and P. malariae can switch their host more easily than the species of subgenus Laverania . However, the mechanisms behind host switching of species of subgenus Plasmodium including P. knowlesi and other simian species causing zoonotic malaria are not well understood.
Humans have long suffered from malaria, the disease caused by Plasmodium. Thanks to the discovery of natural and chemically synthesised antimalarials, malaria has become a disease curable by chemotherapy. Together with mosquito vector control using insecticides, treatment of malaria patients with synthetic antimalarials such as chloroquine and artemisinin has dramatically reduced the burden of malaria in the modern world compared to the past. Nevertheless, malaria is still prevalent, killing hundreds of thousands of people globally every year.
One of the problems that hinder control of malaria is the emergence and spread of chemotherapy-resistant parasites [160,161,162]. To solve this problem, novel antimalarial substances whose targets are different from those of existing antimalarials are sought. Using those inhibitors in combination with existing antimalarials largely reduces the risk that the parasites acquire resistance to each substance. For example, inhibitors of the plant-like metabolic pathways of the parasite are attracting attention.
Another problem is that Plasmodium can be easily carried from endemic areas to non-endemic areas in the modern world because of increased movement of people. Malaria-free countries and areas are steadily increasing, but imported malaria is a commonly shared threat against health in many countries and areas. Plasmodium species can be retained in the human body for a long time without causing any overt symptoms. Asymptomatic Plasmodium carriers can start developing malaria spontaneously and spread imported malaria in malaria non-endemic countries and areas. These people may also spread the parasite when they are involved in blood transfusions and organ transplantation as donors.
P. falciparum and other human-infecting Plasmodium species share a characteristic that lets them infect humans, which is the outcome of convergent evolution. Currently, Plasmodium species that naturally cause malaria in humans are limited, but other species may also acquire natural infectivity to humans and start causing new zoonotic malaria at any time. The physical distance between humans and non-human animals such as other primates can depend on the degree of local development, and this could affect the chance of non-human Plasmodium species becoming the cause of zoonotic malaria in humans.
Plasmodium species may change their insect hosts as well. Unlike the Plasmodium species that infect mammals, avian malaria parasites develop and produce infectious sporozoites in non-anopheline mosquitoes. This implies that mammalian Plasmodium species also could acquire resistance to the immune system of non-anopheline mosquitoes such as Culex and Aedes and use them as transmission vectors. Some non-anopheline mosquito species can breed even in harsh environments such as in tunnels, on the coast or in urbanised areas, and can be cosmopolitan [163, 164]. If a Plasmodium species that can cause malaria in humans acquired the capability of completing its mosquito stage development in non-anopheline mosquitoes, its impact on human society could be substantial.
The relationship between humans and Plasmodium changes dynamically due to both the parasites’ nature and the activities of humans. Understanding the basic biology of the parasites that leads to these changes, and applying the knowledge to malaria control, should help to achieve a healthier global society.
Availability of data and materials
Insecticide-treated bed net
National Malaria Control Programme
Rapid detection test
Hedrick PW. Population genetics of malaria resistance in humans. Heredity (Edinb). 2011;107:283–304 Available from: http://www.nature.com/articles/hdy201116.
Howes RE, Patil AP, Piel FB, Nyangiri OA, Kabaria CW, Gething PW, et al. The global distribution of the Duffy blood group. Nat Commun. 2011;2:266 Available from: http://www.nature.com/articles/ncomms1265.
Miller LH, Mason SJ, Clyde DF, McGinniss MH. The resistance factor to Plasmodium vivax in Blacks. N Engl J Med. 1976;295:302–4 Available from: http://www.nejm.org/doi/abs/10.1056/NEJM197608052950602.
Kano FS, de Souza AM, de Menezes TL, Costa MA, Souza-Silva FA, Sanchez BAM, et al. Susceptibility to Plasmodium vivax malaria associated with DARC (Duffy antigen) polymorphisms is influenced by the time of exposure to malaria. Sci Rep. 2018;8:13851 Available from: http://www.nature.com/articles/s41598-018-32254-z.
McManus KF, Taravella AM, Henn BM, Bustamante CD, Sikora M, Cornejo OE. Population genetic analysis of the DARC locus (Duffy) reveals adaptation from standing variation associated with malaria resistance in humans. Plos Genet. 2017;13:e1006560 PMID: 28282382. PMCID: PMC5365118. Available from: https://dx.plos.org/10.1371/journal.pgen.1006560.
WHO. World malaria report 2019. Geneva: World Health Organization; 2019. ISBN 9789241565721 Available from: https://apps.who.int/iris/handle/10665/330011.
Cibulskis RE, Alonso P, Aponte J, Aregawi M, Barrette A, Bergeron L, et al. Malaria: global progress 2000–2015 and future challenges. Infect Dis Poverty. 2016;5:61 Available from: http://idpjournal.biomedcentral.com/articles/10.1186/s40249-016-0151-8.
WHO. World malaria report 2016. Geneva: World Health Organization; 2016. ISBN 9789241511711 Available from: https://apps.who.int/iris/handle/10665/252038.
White NJ. The treatment of malaria. N Engl J Med. 1996;335:800–6 Available from: http://www.nejm.org/doi/abs/10.1056/NEJM199609123351107.
Haldar K, Bhattacharjee S, Safeukui I. Drug resistance in Plasmodium. Nat Rev Microbiol. 2018;16:156–70 Available from: http://www.nature.com/articles/nrmicro.2017.161.
Sutherland CJ. Persistent parasitism: the adaptive biology of malariae and ovale malaria. Trends Parasitol. 2016;32:808–19 Available from: https://linkinghub.elsevier.com/retrieve/pii/S147149221630099X.
Chu CS, White NJ. Management of relapsing Plasmodium vivax malaria. Expert Rev Anti Infect Ther. 2016;14:885–900 Available from: https://www.tandfonline.com/doi/full/10.1080/14787210.2016.1220304.
Baird JK. 8-Aminoquinoline therapy for latent malaria. Clin Microbiol Rev. 2019;32:e00011–19 Available from: https://cmr.asm.org/content/32/4/e00011-19. Accessed 3 Aug 2019.
Chin W, Contacos PG, Coatney GR, Kimball HR. A naturally acquired quotidian-type malaria in man transferable to monkeys. Science. 1965;149:865 Available from: https://www.sciencemag.org/lookup/doi/10.1126/science.149.3686.865.
Fong YL, Cadigan FC, Robert CG. A presumptive case of naturally occurring Plasmodium knowlesi malaria in man in Malaysia. Trans R Soc Trop Med Hyg. 1971;65:839–40 Available from: https://academic.oup.com/trstmh/article-lookup/doi/10.1016/0035-9203(71)90103-9.
Singh B, Daneshvar C. Plasmodium knowlesi malaria in Malaysia. Med J Malaysia. 2010;65:166–72 PMID: 21939162. Available from: http://www.e-mjm.org/2010/v65n3/Plasmodium_knowlesi_Malaria.pdf.
Cox-Singh J, Singh B. Knowlesi malaria: newly emergent and of public health importance? Trends Parasitol. 2008;24:406–10 Available from: http://linkinghub.elsevier.com/retrieve/pii/S1471492208001797.
Singh B, Sung LK, Matusop A, Radhakrishnan A, Shamsul SS, Cox-Singh J, et al. A large focus of naturally acquired Plasmodium knowlesi infections in human beings. Lancet. 2004;363:1017–24 Available from: https://linkinghub.elsevier.com/retrieve/pii/S0140673604158364.
Cox-Singh J, Davis TME, Lee K-S, Shamsul SSG, Matusop A, Ratnam S, et al. Plasmodium knowlesi malaria in humans is widely distributed and potentially life threatening. Clin Infect Dis. 2008;46:165–71 Available from: https://academic.oup.com/cid/article-lookup/doi/10.1086/524888.
Vythilingam I, NoorAzian YM, Huat T, Jiram A, Yusri YM, Azahari AH, et al. Plasmodium knowlesi in humans, macaques and mosquitoes in peninsular Malaysia. Parasit Vectors. 2008;1:26 PMID: 18710577. PMCID: PMC2531168. DOI: 10.1186/1756-3305-1-26. Available from: https://doi.org/10.1186/1756-3305-1-26.
White NJ. Plasmodium knowlesi: The fifth human malaria parasite. Clin Infect Dis. 2008;46:172–3 Available from: https://academic.oup.com/cid/article-lookup/doi/10.1086/524889.
Lee K-S, Cox-Singh J, Singh B. Morphological features and differential counts of Plasmodium knowlesi parasites in naturally acquired human infections. Malar J. 2009;8:73 Available from: http://malariajournal.biomedcentral.com/articles/10.1186/1475-2875-8-73.
Faust C, Dobson AP. Primate malarias: diversity, distribution and insights for zoonotic Plasmodium. One Heal. 2015;1:66–75. https://doi.org/10.1016/j.onehlt.2015.10.001.
Ramasamy R. Zoonotic malaria - global overview and research and policy needs. Front Public Heal. 2014;2:1–7. https://doi.org/10.3389/fpubh.2014.00123.
Raja TN, Hu TH, Zainudin R, Lee KS, Perkins SL, Singh B. Malaria parasites of long-tailed macaques in Sarawak, Malaysian Borneo: a novel species and demographic and evolutionary histories. BMC Evol Biol. 2018;18:49 Available from: https://bmcevolbiol.biomedcentral.com/articles/10.1186/s12862-018-1170-9.
Ta TH, Hisam S, Lanza M, Jiram AI, Ismail N, Rubio JM. First case of a naturally acquired human infection with Plasmodium cynomolgi. Malar J. 2014;13:68 Available from: http://malariajournal.biomedcentral.com/articles/10.1186/1475-2875-13-68.
Coatney GR, Chin W, Contacos PG, King HK. Plasmodium inui, a quartan-type malaria parasite of old world monkeys transmissible to man. J Parasitol. 1966;52:660 Available from: https://www.jstor.org/stable/3276423.
Brasil P, Zalis MG, de Pina-Costa A, Siqueira AM, Júnior CB, Silva S, et al. Outbreak of human malaria caused by Plasmodium simium in the Atlantic Forest in Rio de Janeiro: a molecular epidemiological investigation. Lancet Glob Heal. 2017;5:e1038–46. https://doi.org/10.1016/S2214-109X(17)30333-9 PMID: 28867401.
Lalremruata A, Magris M, Vivas-Martínez S, Koehler M, Esen M, Kempaiah P, et al. Natural infection of Plasmodium brasilianum in humans: man and monkey share quartan malaria parasites in the Venezuelan Amazon. EBioMedicine. 2015;2:1186–92. https://doi.org/10.1016/S2214-109X(17)30333-9.
Tazi L, Ayala FJ. Unresolved direction of host transfer of Plasmodium vivax v. P. simium and P. malariae v. P. brasilianum. Infect Genet Evol. 2011;11:209–21 Available from: https://linkinghub.elsevier.com/retrieve/pii/S1567134810002194.
Votýpka J, Modrý D, Oborník M, Šlapeta J, Lukeš J. Apicomplexa. In: Archibald J, et al., editors. Handbook of the Protists. Cham: Springer International Publishing; 2016. p. 1–58. https://doi.org/10.1007/978-3-319-32669-6_20-1.
Perkins SL. Malaria’s many mates: past, present, and future of the systematics of the order haemosporida. J Parasitol. 2014;100:11–25 Available from: http://www.bioone.org/doi/abs/10.1645/13-362.1.
Frischknecht F, Matuschewski K. Plasmodium sporozoite biology. Cold Spring Harb Perspect Med. 2017;7:a025478 Available from: http://perspectivesinmedicine.cshlp.org/lookup/doi/10.1101/cshperspect.a025478.
Amino R, Thiberge S, Martin B, Celli S, Shorte S, Frischknecht F, et al. Quantitative imaging of Plasmodium transmission from mosquito to mammal. Nat Med. 2006;12:220–4 Available from: http://www.nature.com/articles/nm1350.
Prudêncio M, Rodriguez A, Mota MM. The silent path to thousands of merozoites: the Plasmodium liver stage. Nat Rev Microbiol. 2006;4:849–56 Available from: http://www.nature.com/articles/nrmicro1529.
Sturm A, Amino R, van de Sand C, Regen T, Retzlaff S, Rennenberg A, et al. Manipulation of host hepatocytes by the malaria parasite for delivery into liver sinusoids. Science. 2006;313:1287–90 Available from: https://www.sciencemag.org/lookup/doi/10.1126/science.1129720.
Gerald N, Mahajan B, Kumar S. Mitosis in the human malaria parasite Plasmodium falciparum. Eukaryot Cell. 2011;10:474–82 Available from: https://ec.asm.org/content/10/4/474.
Josling GA, Llinás M. Sexual development in Plasmodium parasites: knowing when it’s time to commit. Nat Rev Microbiol. 2015;13:573–87 Available from: http://www.nature.com/articles/nrmicro3519.
Bancells C, Llorà-Batlle O, Poran A, Nötzel C, Rovira-Graells N, Elemento O, et al. Revisiting the initial steps of sexual development in the malaria parasite Plasmodium falciparum. Nat Microbiol. 2019;4:144–54 Available from: http://www.nature.com/articles/s41564-018-0291-7.
Shute PG, Maryon M. A study of gametocytes in a West African strain of Plasmodium falciparum. Trans R Soc Trop Med Hyg. 1951;44:421–38 Available from: https://academic.oup.com/trstmh/article-lookup/doi/10.1016/S0035-9203(51)80020-8.
Malvy D, Torrentino-Madamet M, L’Ollivier C, Receveur M-C, Jeddi F, Delhaes L, et al. Plasmodium falciparum recrudescence two years after treatment of an uncomplicated infection without return to an area where malaria is endemic. Antimicrob Agents Chemother. 2017;62 Available from: https://aac.asm.org/lookup/doi/10.1128/AAC.01892-17.
Battle KE, Karhunen MS, Bhatt S, Gething PW, Howes RE, Golding N, et al. Geographical variation in Plasmodium vivax relapse. Malar J. 2014;13:144 Available from: https://malariajournal.biomedcentral.com/articles/10.1186/1475-2875-13-144.
Krotoski WA, Collins WE, Bray RS, Garnham PC, Cogswell FB, Gwadz RW, et al. Demonstration of hypnozoites in sporozoite-transmitted Plasmodium vivax infection. Am J Trop Med Hyg. 1982;31:1291–3. https://doi.org/10.4269/ajtmh.1982.31.1291.
Commons RJ, Simpson JA, Watson J, White NJ, Price RN. Estimating the proportion of Plasmodium vivax recurrences caused by relapse: a systematic review and meta-analysis. Am J Trop Med Hyg. 2020;103:1094–9 Available from: http://www.ajtmh.org/content/journals/10.4269/ajtmh.20-0186.
Collins WE, Jeffery GM. Plasmodium malariae: parasite and disease. Clin Microbiol Rev. 2007;20:579–92 Available from: https://cmr.asm.org/content/20/4/579. Accessed 28 Aug 2020.
McKenzie FE, Jeffery GM, Collins WE. Gametocytemia and fever in human malaria infections. J Parasitol. 2007;93:627–33 Available from: http://www.bioone.org/doi/abs/10.1645/GE-1052R.1.
Vinetz JM, Li J, McCutchan TF, Kaslow DC. Plasmodium malariae infection in an asymptomatic 74-year-old Greek woman with splenomegaly. N Engl J Med. 1998;338:367–71 Available from: http://www.nejm.org/doi/abs/10.1056/NEJM199802053380605.
Veletzky L, Groger M, Lagler H, Walochnik J, Auer H, Fuehrer H-P, et al. Molecular evidence for relapse of an imported Plasmodium ovale wallikeri infection. Malar J. 2018;17:78 Available from: https://malariajournal.biomedcentral.com/articles/10.1186/s12936-018-2226-4.
Groger M, Fischer HS, Veletzky L, Lalremruata A, Ramharter M. A systematic review of the clinical presentation, treatment and relapse characteristics of human Plasmodium ovale malaria. Malar J. 2017;16:112 Available from: http://malariajournal.biomedcentral.com/articles/10.1186/s12936-017-1759-2.
Richter J, Franken G, Mehlhorn H, Labisch A, Häussinger D. What is the evidence for the existence of Plasmodium ovale hypnozoites? Parasitol Res. 2010;107:1285–90 Available from: http://link.springer.com/10.1007/s00436-010-2071-z.
Krotoski WA, Collins WE. Failure to detect hypnozoites in hepatic tissue containing exoerythrocytic schizonts of Plasmodium knowlesi. Am J Trop Med Hyg. 1982;31:854–6 Available from: http://www.ajtmh.org/content/journals/10.4269/ajtmh.1982.31.854.
Bennink S, Kiesow MJ, Pradel G. The development of malaria parasites in the mosquito midgut. Cell Microbiol. 2016;18:905–18 Available from: http://doi.wiley.com/10.1111/cmi.12604.
Sable MN, Chhabra G, Mishra S. Exflagellation of Plasmodium vivax in peripheral blood: an uncommon finding and its significance. J Lab Physicians. 2019;11:161–3 Available from: http://www.thieme-connect.de/DOI/DOI?10.4103/JLP.JLP_19_19.
Sinden RE, Hartley RH. Identification of the meiotic division of malarial parasites. J Protozool. 1985;32:742–4 Available from: http://doi.wiley.com/10.1111/j.1550-7408.1985.tb03113.x.
Walliker D, Quakyi I, Wellems T, McCutchan T, Szarfman A, London W, et al. Genetic analysis of the human malaria parasite Plasmodium falciparum. Science. 1987;236:1661–6. https://doi.org/10.1126/science.3299700 PMID: 3299700. Available from: https://www.sciencemag.org/lookup/doi/10.1126/science.3299700.
Fenton B, Walliker D. Genetic analysis of polymorphic proteins of the human malaria parasite Plasmodium falciparum. Genet Res. 1990;55:81–6 Available from: https://www.cambridge.org/core/product/identifier/S0016672300025301/type/journal_article.
Siciliano G, Costa G, Suárez-Cortés P, Valleriani A, Alano P, Levashina EA. Critical steps of Plasmodium falciparum ookinete maturation. Front Microbiol. 2020;11 Available from: https://www.frontiersin.org/article/10.3389/fmicb.2020.00269/full.
Araki T, Kawai S, Kakuta S, Kobayashi H, Umeki Y, Saito-Nakano Y, et al. Three-dimensional electron microscopy analysis reveals endopolygeny-like nuclear architecture segregation in Plasmodium oocyst development. Parasitol Int. 2020;76:102034 Available from: https://linkinghub.elsevier.com/retrieve/pii/S138357691930385X.
Vaughan JA. Population dynamics of Plasmodium sporogony. Trends Parasitol. 2007;23:63–70 Available from: https://linkinghub.elsevier.com/retrieve/pii/S1471492206003138.
Smith RC, Jacobs-Lorena M. Plasmodium–mosquito interactions. A tale of roadblocks and detours. Adv Insect Physiol. 2010;39(C):119–49. https://doi.org/10.1016/B978-0-12-381387-9.00004.
Creasey AM, Ranford-Cartwright LC, Moore DJ, Williamson DH, Wilson RJM, Walliker D, et al. Uniparental inheritance of the mitochondrial gene cytochrome b in Plasmodium falciparum. Curr Genet. 1993;23:360–4 Available from: http://link.springer.com/10.1007/BF00310900.
Creasey A, Mendis K, Carlton J, Williamson D, Wilson I, Carter R. Maternal inheritance of extrachromosomal DNA in malaria parasites. Mol Biochem Parasitol. 1994;65:95–8 Available from: https://linkinghub.elsevier.com/retrieve/pii/016668519490118X.
Markus MB. Do hypnozoites cause relapse in malaria? Trends Parasitol. Elsevier Ltd. 2015;31:239–45. https://doi.org/10.1016/j.pt.2015.02.003.
Imwong M, Snounou G, Pukrittayakamee S, Tanomsing N, Kim JR, Nandy A, et al. Relapses of Plasmodium vivax infection usually result from activation of heterologous hypnozoites. J Infect Dis. 2007;195:927–33 Available from: https://academic.oup.com/jid/article-lookup/doi/10.1086/512241.
White NJ. Determinants of relapse periodicity in Plasmodium vivax malaria. Malar J. 2011;10:297 Available from: https://malariajournal.biomedcentral.com/articles/10.1186/1475-2875-10-297.
Ashley EA, White NJ. The duration of Plasmodium falciparum infections. Malar J. 2014;13:500 Available from: https://malariajournal.biomedcentral.com/articles/10.1186/1475-2875-13-500.
Markus MB. Malaria: origin of the term “Hypnozoite.”. J Hist Biol. 2011;44:781–6 Available from: http://link.springer.com/10.1007/s10739-010-9239-3.
Markus MB. Dormancy in mammalian malaria. Trends Parasitol. 2012;28:39–45 Available from: https://linkinghub.elsevier.com/retrieve/pii/S1471492211001838.
Markus MB. Biological concepts in recurrent Plasmodium vivax malaria. Parasitology. 2018;145:1765–71 Available from: https://www.cambridge.org/core/product/identifier/S003118201800032X/type/journal_article.
Silva-Filho JL, Lacerda MVG, Recker M, Wassmer SC, Marti M, Costa FTM. Plasmodium vivax in hematopoietic niches: hidden and dangerous. Trends Parasitol. 2020;36:447–58 Available from: https://linkinghub.elsevier.com/retrieve/pii/S1471492220300611.
Snounou G, Pérignon J-L. Malariotherapy--insanity at the service of malariology. Adv Parasitol. 2013;81:223–55. https://doi.org/10.1016/B978-0-12-407826-0.00006-0.
Henry NB, Sermé SS, Siciliano G, Sombié S, Diarra A, Sagnon N, et al. Biology of Plasmodium falciparum gametocyte sex ratio and implications in malaria parasite transmission. Malar J. 2019;18:70 Available from: https://malariajournal.biomedcentral.com/articles/10.1186/s12936-019-2707-0.
Tadesse FG, Meerstein-Kessel L, Gonçalves BP, Drakeley C, Ranford-Cartwright L, Bousema T. Gametocyte sex ratio: the key to understanding Plasmodium falciparum transmission? Trends Parasitol. 2019;35:226–38 Available from: https://linkinghub.elsevier.com/retrieve/pii/S1471492218302514.
Carter LM, Kafsack BFC, Llinás M, Mideo N, Pollitt LC, Reece SE. Stress and sex in malaria parasites. Evol Med Public Heal. 2013;2013:135–47 PMID: 24481194. PMCID: PMC3854026. Available from: https://academic.oup.com/emph/article-lookup/doi/10.1093/emph/eot011.
Abdul-Ghani R, Basco LK, Beier JC, Mahdy MAK. Inclusion of gametocyte parameters in anti-malarial drug efficacy studies: filling a neglected gap needed for malaria elimination. Malar J. 2015;14:413 Available from: http://www.malariajournal.com/content/14/1/413.
Omondi P, Burugu M, Matoke-Muhia D, Too E, Nambati EA, Chege W, et al. Gametocyte clearance in children, from western Kenya, with uncomplicated Plasmodium falciparum malaria after artemether–lumefantrine or dihydroartemisinin–piperaquine treatment. Malar J. 2019;18:398 Available from: https://malariajournal.biomedcentral.com/articles/10.1186/s12936-019-3032-3.
Gebru T, Lalremruata A, Kremsner PG, Mordmüller B, Held J. Life-span of in vitro differentiated Plasmodium falciparum gametocytes. Malar J. 2017;16:330 Available from: http://malariajournal.biomedcentral.com/articles/10.1186/s12936-017-1986-6.
Dunyo S, Milligan P, Edwards T, Sutherland C, Targett G, Pinder M. Gametocytaemia after drug treatment of asymptomatic Plasmodium falciparum. Plos Clin Trials. 2006;1:e20 Available from: https://dx.plos.org/10.1371/journal.pctr.0010020.
Robert V, Awono-Ambene HP, Le Hesran JY, Trape JF. Gametocytemia and infectivity to mosquitoes of patients with uncomplicated Plasmodium falciparum malaria attacks treated with chloroquine or sulfadoxine plus pyrimethamine. Am J Trop Med Hyg. 2000;62:210–6 Available from: http://www.ajtmh.org/content/journals/10.4269/ajtmh.2000.62.210.
Dantzler KW, Ma S, Ngotho P, Stone WJR, Tao D, Rijpma S, et al. Naturally acquired immunity against immature Plasmodium falciparum gametocytes. Sci Transl Med. 2019;11:eaav3963 Available from: https://stm.sciencemag.org/lookup/doi/10.1126/scitranslmed.aav3963.
Nguitragool W, Mueller I, Kumpitak C, Saeseu T, Bantuchai S, Yorsaeng R, et al. Very high carriage of gametocytes in asymptomatic low-density Plasmodium falciparum and P. vivax infections in western Thailand. Parasit Vectors. 2017;10:512 Available from: https://parasitesandvectors.biomedcentral.com/articles/10.1186/s13071-017-2407-y.
Alves FP, Gil LHS, Marrelli MT, Ribolla PEM, Camargo EP, Da Silva LHP. Asymptomatic carriers of Plasmodium spp. as infection source for malaria vector mosquitoes in the Brazilian Amazon. J Med Entomol. 2005;42:777–9 Available from: https://academic.oup.com/jme/article-lookup/doi/10.1093/jmedent/42.5.777.
Pegha Moukandja I, Biteghe Bi Essone JC, Sagara I, Kassa Kassa RF, Ondzaga J, Lékana Douki J-B, et al. Marked rise in the prevalence of asymptomatic Plasmodium falciparum infection in rural Gabon. Plos One. 2016;11:e0153899 PMID: 27228058. PMCID: PMC4881998. Available from: https://dx.plos.org/10.1371/journal.pone.0153899.
Sattabongkot J, Suansomjit C, Nguitragool W, Sirichaisinthop J, Warit S, Tiensuwan M, et al. Prevalence of asymptomatic Plasmodium infections with sub-microscopic parasite densities in the northwestern border of Thailand: a potential threat to malaria elimination. Malar J. 2018;17:329 Available from: https://malariajournal.biomedcentral.com/articles/10.1186/s12936-018-2476-1.
Doolan DL, Dobaño C, Baird JK. Acquired immunity to malaria. Clin Microbiol Rev. 2009;22:13–36 Available from: https://cmr.asm.org/content/22/1/13.
Picot S, Cucherat M, Bienvenu A-L. Systematic review and meta-analysis of diagnostic accuracy of loop-mediated isothermal amplification (LAMP) methods compared with microscopy, polymerase chain reaction and rapid diagnostic tests for malaria diagnosis. Int J Infect Dis. 2020;98:408–19 Available from: https://linkinghub.elsevier.com/retrieve/pii/S1201971220305518.
Landier J, Haohankhunnatham W, Das S, Konghahong K, Christensen P, Raksuansak J, et al. Operational performance of a Plasmodium falciparum ultrasensitive rapid diagnostic test for detection of asymptomatic infections in Eastern Myanmar. J Clin Microbiol. 2018;56:e00565–18. PMID: 29898998. PMCID: PMC6062819. https://doi.org/10.1128/jcm.00565-18.
Lin JT, Saunders DL, Meshnick SR. The role of submicroscopic parasitemia in malaria transmission: what is the evidence? Trends Parasitol. 2014;30:183–90 Available from: https://linkinghub.elsevier.com/retrieve/pii/S1471492214000336.
Marangi M, Di Tullio R, Mens PF, Martinelli D, Fazio V, Angarano G, et al. Prevalence of Plasmodium spp. in malaria asymptomatic African migrants assessed by nucleic acid sequence based amplification. Malar J. 2009;8:12 Available from: http://malariajournal.biomedcentral.com/articles/10.1186/1475-2875-8-12.
Mischlinger J, Rönnberg C, Álvarez-Martínez MJ, Bühler S, Paul M, Schlagenhauf P, et al. Imported malaria in countries where malaria is not endemic: a comparison of semi-immune and nonimmune travelers. Clin Microbiol Rev. 2020;33:e00104–19 Available from: https://cmr.asm.org/content/33/2/e00104-19.
Verra F, Angheben A, Martello E, Giorli G, Perandin F, Bisoffi Z. A systematic review of transfusion-transmitted malaria in non-endemic areas. Malar J. 2018;17:36 Available from: https://malariajournal.biomedcentral.com/articles/10.1186/s12936-018-2181-0.
Pierrotti LC, Levi ME, Di Santi SM, Segurado AC, Petersen E. Malaria disease recommendations for solid organ transplant recipients and donors. Transplantation. 2018;102:S16–26 Available from: http://journals.lww.com/00007890-201802002-00003.
Monge-Maillo B, López-Vélez R, Ferrere-González F, Norman FF, Martínez-Pérez Á, Pérez-Molina JA. Screening of imported infectious diseases among asymptomatic Sub-Saharan African and Latin American immigrants: a public health challenge. Am J Trop Med Hyg. 2015;92:848–56 Available from: http://www.ajtmh.org/content/journals/10.4269/ajtmh.14-0520.
Monge-Maillo B, López-Vélez R. Migration and malaria in Europe. Mediterr J Hematol Infect Dis. 2012;4:e2012014 Available from: http://www.mjhid.org/index.php/mjhid/article/view/2012.014.
Ruggiero MA, Gordon DP, Orrell TM, Bailly N, Bourgoin T, Brusca RC, et al. A higher level classification of all living organisms. Plos One. 2015;10:e0119248 PMID: 25923521. PMCID: PMC4418965. Available from: https://dx.plos.org/10.1371/journal.pone.0119248.
Sato S. The apicomplexan plastid and its evolution. Cell Mol Life Sci. 2011;68:1285–96 Available from: http://link.springer.com/10.1007/s00018-011-0646-1.
McFadden GI, Yeh E. The apicoplast: now you see it, now you don’t. Int J Parasitol. 2017;47:137–44 Available from: https://linkinghub.elsevier.com/retrieve/pii/S0020751916302302.
Köhler S, Delwiche CF, Denny PW, Tilney LG, Webster P, Wilson RJM, et al. A plastid of probable green algal origin in Apicomplexan parasites. Science. 1997;275:1485–9 Available from: https://science.sciencemag.org/content/275/5305/1485.
Lemgruber L, Kudryashev M, Dekiwadia C, Riglar DT, Baum J, Stahlberg H, et al. Cryo-electron tomography reveals four-membrane architecture of the Plasmodium apicoplast. Malar J. 2013;12:25 Available from: https://malariajournal.biomedcentral.com/articles/10.1186/1475-2875-12-25.
Tomova C, Geerts WJC, Müller-Reichert T, Entzeroth R, Humbel BM. New comprehension of the apicoplast of Sarcocystis by transmission electron tomography. Biol Cell. 2006;98:535–45 Available from: http://doi.wiley.com/10.1042/BC20060028.
Sato S, Sesay AK, Holder AA. The unique structure of the apicoplast genome of the rodent malaria parasite Plasmodium chabaudi chabaudi. Plos One. 2013;8:e61778 PMID: 25923521. PMCID: PMC4418965. Available from: https://dx.plos.org/10.1371/journal.pone.0061778.
Garg A, Stein A, Zhao W, Dwivedi A, Frutos R, Cornillot E, Mamoun CB. Sequence and annotation of the apicoplast genome of the human pathogen Babesia microti. Plos One. 2014;9:e107939 PMID: 25280009. PMCID: PMC4184790. Available from: https://dx.plos.org/10.1371/journal.pone.0107939.
Oborník M, Vancová M, Lai D-H, Janouškovec J, Keeling PJ, Lukeš J. Morphology and ultrastructure of multiple life cycle stages of the photosynthetic relative of apicomplexa, Chromera velia. Protist. 2011;162:115–30 Available from: https://linkinghub.elsevier.com/retrieve/pii/S1434461010000453.
Moore RB, Oborník M, Janouškovec J, Chrudimský T, Vancová M, Green DH, et al. A photosynthetic alveolate closely related to apicomplexan parasites. Nature. 2008;451:959–63 Available from: http://www.nature.com/articles/nature06635.
Oborník M, Modrý D, Lukeš M, Černotíková-Stříbrná E, Cihlář J, Tesařová M, et al. Morphology, ultrastructure and life cycle of Vitrella brassicaformis n. sp., n. gen., a novel chromerid from the Great Barrier Reef. Protist. 2012;163:306–23 Available from: https://linkinghub.elsevier.com/retrieve/pii/S1434461011000939.
Janouskovec J, Horak A, Obornik M, Lukes J, Keeling PJ. A common red algal origin of the apicomplexan, dinoflagellate, and heterokont plastids. Proc Natl Acad Sci. 2010;107:10949–54 Available from: http://www.pnas.org/cgi/doi/10.1073/pnas.1003335107.
Wilson (Iain) R.J.M., Denny PW, Preiser PR, Rangachari K, Roberts K, Roy A, et al. Complete gene map of the plastid-like DNA of the malaria parasite Plasmodium falciparum. J Mol Biol. 1996;261:155–172. PMID: 8757284. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0022283696904490.
Wilson RJ, Williamson DH, Preiser P. Malaria and other apicomplexans: the “plant” connection. Infect Agents Dis. 1994;3:29–37 PMID: 7952925.
Gardner MJ, Hall N, Fung E, White O, Berriman M, Hyman RW, et al. Genome sequence of the human malaria parasite Plasmodium falciparum. Nature. 2002;419:498–511. https://doi.org/10.1038/nature01097.
Jomaa H, Wiesner J, Sanderbrand S, Altincicek B, Weidemeyer C, Hintz M, et al. Inhibitors of the nonmevalonate pathway of isoprenoid biosynthesis as antimalarial drugs. Science. 1999;285:1573–6. https://doi.org/10.1126/science.285.5433.1573/.
Pillai S, Rajagopal C, Kapoor M, Kumar G, Gupta A, Surolia N. Functional characterization of β-ketoacyl-ACP reductase (FabG) from Plasmodium falciparum. Biochem Biophys Res Commun. 2003;303:387–92 Available from: https://linkinghub.elsevier.com/retrieve/pii/S0006291X03003218.
Sato S, Clough B, Coates L, Wilson RJM. Enzymes for heme biosynthesis are found in both the mitochondrion and plastid of the malaria parasite Plasmodium falciparum. Protist. 2004;155:117–25 Available from: https://linkinghub.elsevier.com/retrieve/pii/S1434461004701704.
Ke H, Sigala PA, Miura K, Morrisey JM, Mather MW, Crowley JR, et al. The heme biosynthesis pathway is essential for Plasmodium falciparum development in mosquito stage but not in blood stages. J Biol Chem. 2014;289:34827–37 Available from: http://www.jbc.org/lookup/doi/10.1074/jbc.M114.615831.
van Schaijk BCL, Kumar TRS, Vos MW, Richman A, van Gemert G-J, Li T, et al. Type II fatty acid biosynthesis is essential for Plasmodium falciparum sporozoite development in the midgut of Anopheles mosquitoes. Eukaryot Cell. 2014;13:550–9 Available from: https://ec.asm.org/content/13/5/550.
Vaughan AM, O’Neill MT, Tarun AS, Camargo N, Phuong TM, Aly ASI, et al. Type II fatty acid synthesis is essential only for malaria parasite late liver stage development. Cell Microbiol. 2009;11:506–20 Available from: http://doi.wiley.com/10.1111/j.1462-5822.2008.01270.x.
Rathnapala UL, Goodman CD, McFadden GI. A novel genetic technique in Plasmodium berghei allows liver stage analysis of genes required for mosquito stage development and demonstrates that de novo heme synthesis is essential for liver stage development in the malaria parasite. Plos Pathog. 2017;13:e1006396. PMID: 28617870. PMCID: PMC5472305. doi: https://doi.org/10.1371/journal.ppat.1006396.
Yeh E, DeRisi JL. Chemical rescue of malaria parasites lacking an apicoplast defines organelle function in blood-stage Plasmodium falciparum. Plos Biol. 2011;9:e1001138. PMID: 21912516. PMCID: PMC3166167. https://doi.org/10.1371/journal.pbio.1001138.
Guggisberg AM, Amthor RE, Odom AR. Isoprenoid biosynthesis in Plasmodium falciparum. Eukaryot Cell. 2014;13:1348–59 Available from: https://ec.asm.org/content/13/11/1348.
Kuzuyama T, Shimizu T, Takahashi S, Seto H. Fosmidomycin, a specific inhibitor of 1-deoxy-d-xylulose 5-phosphate reductoisomerase in the nonmevalonate pathway for terpenoid biosynthesis. Tetrahedron Lett. 1998;39:7913–6 Available from: https://linkinghub.elsevier.com/retrieve/pii/S0040403998017559.
Wiesner J, Borrmann S, Jomaa H. Fosmidomycin for the treatment of malaria. Parasitol Res. 2003;90:S71–6 Available from: http://link.springer.com/10.1007/s00436-002-0770-9.
Wiesner J, Henschker D, Hutchinson DB, Beck E, Jomaa H. In vitro and in vivo synergy of fosmidomycin, a novel antimalarial drug, with clindamycin. Antimicrob Agents Chemother. 2002;46:2889–94 Available from: https://aac.asm.org/content/46/9/2889.
Clastre M, Goubard A, Prel A, Mincheva Z, Viaud-Massuart MC, Bout D, et al. The methylerythritol phosphate pathway for isoprenoid biosynthesis in coccidia: presence and sensitivity to fosmidomycin. Exp Parasitol. 2007;116:375–84. https://doi.org/10.1016/j.exppara.2007.02.002.
Nair SC, Brooks CF, Goodman CD, Strurm A, McFadden GI, Sundriyal S, et al. Apicoplast isoprenoid precursor synthesis and the molecular basis of fosmidomycin resistance in Toxoplasma gondii. J Exp Med. 2011;208:1547–59 Available from: https://rupress.org/jem/article/208/7/1547/41139/Apicoplast-isoprenoid-precursor-synthesis-and-the.
Baumeister S, Wiesner J, Reichenberg A, Hintz M, Bietz S, Harb OS, et al. Fosmidomycin uptake into Plasmodium and Babesia-infected erythrocytes is facilitated by parasite-induced new permeability pathways. Plos One. 2011;6:e19334. PMID: 21573242. PMCID: PMC3087763. https://doi.org/10.1371/journal.pone.0019334.
Lell B, Ruangweerayut R, Wiesner J, Missinou MA, Schindler A, Baranek T, et al. Fosmidomycin, a novel chemotherapeutic agent for malaria. Antimicrob Agents Chemother. 2003;47:735–8 Available from: https://aac.asm.org/content/47/2/735.
Toso MA, Omoto CK. Gregarina niphandrodes may lack both a plastid genome and organelle. J Eukaryot Microbiol. 2007;54:66–72 Available from: http://doi.wiley.com/10.1111/j.1550-7408.2006.00229.x.
He CY. A plastid segregation defect in the protozoan parasite Toxoplasma gondii. EMBO J. 2001;20:330–9 Available from: http://emboj.embopress.org/cgi/doi/10.1093/emboj/20.3.330.
Mathur V, Kolísko M, Hehenberger E, Irwin NAT, Leander BS, Kristmundsson Á, et al. Multiple independent origins of apicomplexan-like parasites. Curr Biol. 2019;29:2936–2941.e5 Available from: https://linkinghub.elsevier.com/retrieve/pii/S0960982219308644.
Xu Z, Li N, Guo Y, Feng Y, Xiao L. Comparative genomic analysis of three intestinal species reveals reductions in secreted pathogenesis determinants in bovine-specific and non-pathogenic Cryptosporidium species. Microb Genomics. 2020;6:e000379. PMID: 32416746. PMCID: PMC7371110. https://doi.org/10.1099/mgen.0.000379.
Achan J, Talisuna AO, Erhart A, Yeka A, Tibenderana JK, Baliraine FN, et al. Quinine, an old anti-malarial drug in a modern world: role in the treatment of malaria. Malar J. 2011;10:144 Available from: https://malariajournal.biomedcentral.com/articles/10.1186/1475-2875-10-144.
Ross LS, Fidock DA. Elucidating mechanisms of drug-resistant Plasmodium falciparum. Cell Host Microbe. 2019;26:35–47 Available from: https://linkinghub.elsevier.com/retrieve/pii/S1931312819302586.
Hyde JE. Drug-resistant malaria − an insight. FEBS J. 2007;274:4688–98 Available from: http://doi.wiley.com/10.1111/j.1742-4658.2007.05999.x.
Cowman AF, Morry MJ, Biggs BA, Cross GA, Foote SJ. Amino acid changes linked to pyrimethamine resistance in the dihydrofolate reductase-thymidylate synthase gene of Plasmodium falciparum. Proc Natl Acad Sci. 1988;85:9109–13 Available from: http://www.pnas.org/cgi/doi/10.1073/pnas.85.23.9109.
Peterson DS, Walliker D, Wellems TE. Evidence that a point mutation in dihydrofolate reductase-thymidylate synthase confers resistance to pyrimethamine in falciparum malaria. Proc Natl Acad Sci. 1988;85:9114–8 Available from: http://www.pnas.org/cgi/doi/10.1073/pnas.85.23.9114.
Valderramos SG, Fidock DA. Transporters involved in resistance to antimalarial drugs. Trends Pharmacol Sci. 2006;27:594–601 Available from: https://linkinghub.elsevier.com/retrieve/pii/S0165614706002240.
Cowman AF, Galatis D, Thompson JK. Selection for mefloquine resistance in Plasmodium falciparum is linked to amplification of the pfmdr1 gene and cross-resistance to halofantrine and quinine. Proc Natl Acad Sci. 1994;91:1143–7 Available from: http://www.pnas.org/cgi/doi/10.1073/pnas.91.3.1143.
Price RN, Uhlemann A-C, Brockman A, McGready R, Ashley E, Phaipun L, et al. Mefloquine resistance in Plasmodium falciparum and increased pfmdr1 gene copy number. Lancet. 2004;364:438–47 Available from: https://linkinghub.elsevier.com/retrieve/pii/S0140673604167676.
Castellini MA, Buguliskis JS, Casta LJ, Butz CE, Clark AB, Kunkel TA, et al. Malaria drug resistance is associated with defective DNA mismatch repair. Mol Biochem Parasitol. 2011;177:143–7 Available from: https://linkinghub.elsevier.com/retrieve/pii/S0166685111000697.
Trotta RF, Brown ML, Terrell JC, Geyer JA. Defective DNA repair as a potential mechanism for the rapid development of drug resistance in Plasmodium falciparum †. Biochemistry. 2004;43:4885–91 Available from: https://pubs.acs.org/doi/10.1021/bi0499258.
Hamilton WL, Claessens A, Otto TD, Kekre M, Fairhurst RM, Rayner JC, et al. Extreme mutation bias and high AT content in Plasmodium falciparum. Nucleic Acids Res. 2017;45(4):1889–901. PMID: 27994033. PMCID: PMC5389722. https://doi.org/10.1093/nar/gkw1259.
Liu W, Li Y, Learn GH, Rudicell RS, Robertson JD, Keele BF, et al. Origin of the human malaria parasite Plasmodium falciparum in gorillas. Nature. 2010;467:420–5 Available from: http://www.nature.com/articles/nature09442.
Valkiūnas G, Ilgūnas M, Bukauskaitė D, Fragner K, Weissenböck H, Atkinson CT, et al. Characterization of Plasmodium relictum, a cosmopolitan agent of avian malaria. Malar J. 2018;17:184 Available from: https://malariajournal.biomedcentral.com/articles/10.1186/s12936-018-2325-2.
Galen SC, Borner J, Martinsen ES, Schaer J, Austin CC, West CJ, et al. The polyphyly of Plasmodium : comprehensive phylogenetic analyses of the malaria parasites (order Haemosporida) reveal widespread taxonomic conflict. R Soc Open Sci. 2018;5:171780 Available from: https://royalsocietypublishing.org/doi/10.1098/rsos.171780.
Templeton TJ, Asada M, Jiratanh M, Ishikawa SA, Tiawsirisup S, Sivakumar T, et al. Ungulate malaria parasites. Sci Rep. 2016;6:23230 Available from: http://www.nature.com/articles/srep23230.
Molina-Cruz A, Lehmann T, Knöckel J. Could culicine mosquitoes transmit human malaria? Trends Parasitol. 2013;29:530–7 Available from: https://linkinghub.elsevier.com/retrieve/pii/S1471492213001554.
Williamson KBB, Zain M. A presumptive culicine host of the human malaria parasites. Nature. 1937;139:714 Available from: https://academic.oup.com/trstmh/article-lookup/doi/10.1016/S0035-9203(37)90109-3.
Knöckel J, Molina-Cruz A, Fischer E, Muratova O, Haile A, Barillas-Mury C, et al. An impossible journey? The development of Plasmodium falciparum NF54 in Culex quinquefasciatus. Plos One. 2013;8:e63387. PMID: 23658824. PMCID: PMC3643899. https://doi.org/10.1371/journal.pone.0063387.
Smith RC, Barillas-Mury C. Plasmodium oocysts: overlooked targets of mosquito immunity. Trends Parasitol. 2016;32:979–90 Available from: https://linkinghub.elsevier.com/retrieve/pii/S1471492216301428.
Molina-Cruz A, Zilversmit MM, Neafsey DE, Hartl DL, Barillas-Mury C. Mosquito vectors and the globalization of Plasmodium falciparum malaria. Annu Rev Genet. 2016;50:447–65 Available from: http://www.annualreviews.org/doi/10.1146/annurev-genet-120215-035211.
Makanga B, Yangari P, Rahola N, Rougeron V, Elguero E, Boundenga L, et al. Ape malaria transmission and potential for ape-to-human transfers in Africa. Proc Natl Acad Sci. 2016;113:5329–34 Available from: http://www.pnas.org/lookup/doi/10.1073/pnas.1603008113.
Liu W, Sundararaman SA, Loy DE, Learn GH, Li Y, Plenderleith LJ, et al. Multigenomic delineation of Plasmodium species of the Laverania subgenus infecting wild-living chimpanzees and gorillas. Genome Biol Evol. 2016;8:1929–39 Available from: https://academic.oup.com/gbe/article-lookup/doi/10.1093/gbe/evw128.
Taylor DW, Wells RA, Vernes A, Rosenberg YJ, Vogel S, Diggs CL. Parasitologic and immunologic studies of experimental Plasmodium falciparum infection in nonsplenectomized chimpanzees (Pan troglodytes). Am J Trop Med Hyg. 1985;34:36–44 Available from: http://www.ajtmh.org/content/journals/10.4269/ajtmh.1985.34.36.
Krief S, Escalante AA, Pacheco MA, Mugisha L, André C, Halbwax M, et al. On the diversity of malaria parasites in African apes and the origin of Plasmodium falciparum from Bonobos. Plos Pathog. 2010;6:e1000765. PMID: 20169187. PMCID: PMC2820532. https://doi.org/10.1371/journal.ppat.1000765.
Prugnolle F, Durand P, Neel C, Ollomo B, Ayala FJ, Arnathau C, et al. African great apes are natural hosts of multiple related malaria species, including Plasmodium falciparum. Proc Natl Acad Sci. 2010;107:1458–63 Available from: http://www.pnas.org/cgi/doi/10.1073/pnas.0914440107.
Otto TD, Gilabert A, Crellen T, Böhme U, Arnathau C, Sanders M, et al. Genomes of all known members of a Plasmodium subgenus reveal paths to virulent human malaria. Nat Microbiol. 2018;3:687–97 Available from: http://www.nature.com/articles/s41564-018-0162-2.
Niang M, Bei AK, Madnani KG, Pelly S, Dankwa S, Kanjee U, et al. STEVOR is a Plasmodium falciparum erythrocyte binding protein that mediates merozoite invasion and rosetting. Cell Host Microbe. 2014;16:81–93 Available from: https://linkinghub.elsevier.com/retrieve/pii/S1931312814002182.
Plenderleith LJ, Liu W, MacLean OA, Li Y, Loy DE, Sundararaman SA, et al. Adaptive evolution of RH5 in ape Plasmodium species of the Laverania Subgenus. mBio. 2018;9:e02237–17 PMID: 29362238. PMCID: PMC5784257. Available from: https://mbio.asm.org/content/9/1/e02237-17. Accessed 7 Sept 2020.
Proto WR, Siegel SV, Dankwa S, Liu W, Kemp A, Marsden S, et al. Adaptation of Plasmodium falciparum to humans involved the loss of an ape-specific erythrocyte invasion ligand. Nat Commun. 2019;10:4512 Available from: http://www.nature.com/articles/s41467-019-12294-3.
Mita T, Tanabe K, Kita K. Spread and evolution of Plasmodium falciparum drug resistance. Parasitol Int. 2009;58:201–9 Available from: https://linkinghub.elsevier.com/retrieve/pii/S1383576909000506.
Ashley EA, Dhorda M, Fairhurst RM, Amaratunga C, Lim P, Suon S, et al. Spread of artemisinin resistance in Plasmodium falciparum malaria. N Engl J Med. 2014;371:411–23 Available from: http://www.nejm.org/doi/10.1056/NEJMoa1314981.
Wellems TE, Plowe CV. Chloroquine-resistant malaria. J Infect Dis. 2001;184:770–6 Available from: https://academic.oup.com/jid/article-lookup/doi/10.1086/322858.
Fritz ML, Walker ED, Miller JR, Severson DW, Dworkin I. Divergent host preferences of above- and below-ground Culex pipiens mosquitoes and their hybrid offspring. Med Vet Entomol. 2015;29:115–23 Available from: http://doi.wiley.com/10.1111/mve.12096.
Hahn MB, Eisen L, McAllister J, Savage HM, Mutebi J-P, Eisen RJ. Updated reported distribution of Aedes (Stegomyia) aegypti and Aedes (Stegomyia) albopictus (Diptera: Culicidae) in the United States, 1995–2016. J Med Entomol. 2017;54:1420–4 Available from: https://academic.oup.com/jme/article/54/5/1420/3868585.
The author thanks Iain Wilson and Tony Holder for careful reading of the manuscript.
Ethics approval and consent to participate
Consent for publication
The author declares that they have no competing interests.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
The original version of this article was revised as there was a quantative mistake in the Recurrence of malaria and the hypnozoite section.
About this article
Cite this article
Sato, S. Plasmodium—a brief introduction to the parasites causing human malaria and their basic biology. J Physiol Anthropol 40, 1 (2021). https://doi.org/10.1186/s40101-020-00251-9
- Asymptomatic carrier
- Drug resistance
- Host specificity
- Host switch