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Blood, 1 February 2007, Vol. 109, No. 3, pp. 1289-1297.
Prepublished online as a Blood First Edition Paper on October 5, 2006; DOI 10.1182/blood-2006-08-043364.
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Submitted December 15, 2005
Accepted August 28, 2006
Skeleton Binding Protein 1 functions at the parasitophorous vacuole membrane to traffic PfEMP1 to the Plasmodium falciparum-infected erythrocyte surface
Alexander G Maier, Melanie Rug, Matthew T O'Neill, James G Beeson, Matthias Marti, John Reeder, and Alan Cowman*
Walter and Eliza Hall Institute of Medical Research, Melbourne, Australia
Papua New Guinea Institute of Medical Research, Goroka, Papua New Guinea
* Corresponding author; email: cowman{at}wehi.edu.au.
A key feature of Plasmodium falciparum, the parasite causing the most severe form of malaria in humans, is its ability to export parasite molecules onto the surface of the erythrocyte. The major virulence factor and variant surface protein PfEMP1 (P.falciparum erythrocyte membrane protein 1) acts as a ligand to adhere to endothelial receptors avoiding splenic clearance. Since the erythrocyte is devoid of protein transport machinery, the parasite provides infrastructure for trafficking across membranes it traverses. In this study, we show that the P.falciparum skeleton binding protein 1 (PfSBP1) is required for transport of PfEMP1 to the P.falciparum-infected erythrocyte surface. We present evidence that PfSBP1 functions at the parasitophorous vacuole membrane to load PfEMP1 into Maurer's clefts during formation of these structures. Furthermore, the major reactivity of antibodies from malaria-exposed multigravid women is directed towards PfEMP1 since this is abolished in the absence of PfSBP1.

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