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Prepublished online as a Blood First Edition Paper on January 16, 2003; DOI 10.1182/blood-2002-08-2654.
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Blood, 15 May 2003, Vol. 101, No. 10, pp. 4189-4194
RED CELLS
Excess hemoglobin digestion and the osmotic stability of
Plasmodium falciparum-infected red blood cells
Virgilio L. Lew,
Teresa Tiffert, and
Hagai Ginsburg
From the Physiological Laboratory, University
of Cambridge, Cambridge, United Kingdom; and the Department of
Biological Chemistry, Institute of Life Sciences, The Hebrew University
of Jerusalem, Jerusalem, Israel.
During their asexual reproduction cycle (about 48 hours) in human
red cells, Plasmodium falciparum parasites consume most of
the host cell hemoglobin, far more than they require for protein biosynthesis. They also induce a large increase in the permeability of
the host cell plasma membrane to allow for an increased traffic of
nutrients and waste products. Why do the parasites digest hemoglobin in
such excess? And how can infected red cells retain their integrity for
the duration of the asexual cycle when comparably permeabilized uninfected cells hemolyse earlier? To address these questions we
encoded the multiplicity of factors known to influence host cell volume
in a mathematical model of the homeostasis of a parasitized red cell.
The predicted volume changes were subjected to thorough experimental
tests by monitoring the stage-related changes in the osmotic fragility
of infected red cell populations. The results supported the model
predictions of biphasic volume changes comprising transient shrinkage
of infected cells with young trophozoites followed by continuous volume
increase to about 10% lower than the critical hemolytic volume of
approximately 150 fL by the end of the asexual cycle. Analysis
of these results and of additional model predictions demonstrated that
the osmotic stability of infected red cells can be preserved only by a
large reduction in impermeant solute concentration within the host cell
compartment. Thus, excess hemoglobin consumption represents an
essential evolutionary strategy to prevent the premature hemolysis of
the highly permeabilized infected red cell.

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