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Killing the competition: a theoretical framework for liver-stage malaria

Authors: Clemente F. Arias; Francisco J. Acosta; Cristina Fernandez-Arias;

Killing the competition: a theoretical framework for liver-stage malaria

Abstract

The first stage of malaria infections takes place inside the host's hepatocytes. Remarkably, Plasmodium parasites do not infect hepatocytes immediately after reaching the liver. Instead, they migrate through several hepatocytes before infecting their definitive host cells, thus increasing their chances of immune destruction. Considering that malaria can proceed normally without cell traversal, this is indeed a puzzling behaviour. In fact, the role of hepatocyte traversal remains unknown to date, implying that the current understanding of malaria is incomplete. In this work, we hypothesize that the parasites traverse hepatocytes to actively trigger an immune response in the host. This behaviour would be part of a strategy of superinfection exclusion aimed to reduce intraspecific competition during the blood stage of the infection. Based on this hypothesis, we formulate a comprehensive theory of liver-stage malaria that integrates all the available knowledge about the infection. The interest of this new paradigm is not merely theoretical. It highlights major issues in the current empirical approach to the study of Plasmodium and suggests new strategies to fight malaria.

Country
Spain
Keywords

Plasmodium, 2412 Inmunología, 24 Ciencias de la Vida, QH301-705.5, Inmunología, antimalarial vaccines, liver-stage malaria, Antimalarial vaccines, Superinfection exclusion, Concomitant immunity, Humans, Liver-stage malaria, Biology (General), superinfection exclusion, Research, Immunity, 616.936, Malaria, Liver, Ciencias, Hepatocytes, concomitant immunity

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selected citations
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This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
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