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doi: 10.1098/rsob.210341
pmid: 35350863
pmc: PMC8965401
handle: 20.500.12530/98675 , 20.500.14352/72548 , 10261/266838 , 20.500.14352/113746
doi: 10.1098/rsob.210341
pmid: 35350863
pmc: PMC8965401
handle: 20.500.12530/98675 , 20.500.14352/72548 , 10261/266838 , 20.500.14352/113746
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.
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
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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