Malaria pathology (sequestration and rosetting) JB
sporozoites released, head to
liver, merozoites, sequestration of
PRBC
Rosetting linked to death in children. Deficiencies in
blood group O and complement recprtor 1 confer
resistance
PfEMP-1 (part of var gene repertoir) binds to
complement receptor 1 (and others) on IE = rosetting
Other parasite proteins associated with
knobs
There are differemt pathogologies associated with dif
receptors (e.g. CSA binding = placental, CD36 binding = mild
malaria, PfEMP-1 and CR1 rosetting = cerebral malaria
Study covered in lecture:creating a knobless protein. Gene knockdown of
KHARP (knob-associated histidine rich protein), changed antigenic
properties and therefore was less stickiness to CD36. Therefore know that
KHARP causes binding to CD36
Rosettes btween normal and infected.
Receptors: PfEMP1 (CR1/CD35), Repetitive
interdispersed family (RIF)
Sequestration in cerebral malaria causes hemozoin pigment
Pregnancy: Rosetting doesnt happen, placental parasites have
specific antigens coded by VAR2CSA genes, bind to CSA in the placenta