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New way to stop falciparum malaria transmission
Australian scientists have successfully blocked the deadliest malaria parasite —- Plasmodium falciparum — in its transmission stage, paving the way for developing preventative therapies to stop the spread of the disease.
Lead researcher Justin Boddey from the Walter and Eliza Hall Institute of Medical Research and University of Melbourne says, “We have built on our previous studies, where we identified in the P. falciparum parasite an enzyme called plasmepsin V, an enzyme essential for the parasite to grow inside red blood cells. We showed that if you inhibit the enzyme’s activity then you can kill the parasites as they are growing in red blood cells.”
The new findings show that plasmepsin V is also essential in a subset of parasites called gametocytes (sexual form of the malaria parasite) that transition to infect the mosquito.
“They [gametocytes] go via a blood meal into the mosquito’s stomach. They fertilise in the gut and develop into another parasite form that can then productively infect that mosquito. We have developed small molecule compounds that act as an ‘inhibitor’, and by inhibiting the plasmepsin V enzyme in gametocytes, we can block them from transmitting to mosquitoes”.
Malaria is spread to people through the bites of infected Anopheles mosquito vectors. When a mosquito bites a person, the parasites first infect the liver, where they live for about seven days.
“The liver is also a fantastic place for intervention because one can then prevent that person from getting malaria by stopping parasites from coming out of their liver. We are testing if we can develop drugs that block plasmepsin V not just in blood and gametocyte stages but also during liver infection as a prophylactic,” Boddey tells.
Classically, anti-malarial drugs tend to focus on one part of the parasite lifecycle i.e. when people’s blood is infected and they need treatment. New drug development for malaria is focused on all stages of the malaria parasite’s lifecycle — liver, blood and gametocyte.
“So far, our published studies show that inhibiting plasmepsin V blocks two of the three lifecycle stages — the blood phase (sickness) as well as the gametocyte stage (transmission) with a single drug, and we are currently seeing positive results against the liver stage,” says Boddey. “Such breadth of efficacy of an antimalarial therapy would help accelerate the elimination of malaria.” (SciDev.Net)