Modulation of Host Cell Death Signaling Platforms by Plasmodium falciparum: Implications for Eryptosis Regulation and Parasite Survival

Résumé fourni par la source

Programmed cell death pathways in Plasmodium falciparum remain conceptually fragmented. Over decades, researchers have applied metazoan apoptotic, autophagic, and necrotic markers to this deep-branching protozoan, frequently clashing with the reality that the parasite lacks the canonical genetic machinery (such as true caspases or death receptors) found in multicellular eukaryotes. In this work, we shift the focus from the parasite’s disputed intrinsic death machinery to the host–parasite interaction arena: the active manipulation of the host erythrocyte’s autonomous suicide program, eryptosis. The intraerythrocytic development of P. falciparum generates profound oxidative stress through hemoglobin digestion and free heme release, driving lipid peroxidation and the accumulation of reactive aldehydes such as 4-hydroxynonenal (4-HNE)—potent signaling molecules that can trigger eryptotic pathways. We integrate existing literature on membrane remodeling, protein export, and lipid raft dynamics to propose a novel Host Protein Sequestration Hypothesis. We suggest that P. falciparum evades splenic clearance by actively dismantling the host cell’s surface death signaling platforms—Clusters of Apoptotic Signaling Molecule-Enriched Rafts (CASMERs)—and pulling these host components inward. We suggest that human FAS (CD95) is internalized by the parasite and physically interacts with Plasmodium lipid-raft scaffolding proteins, preventing it from engaging FasL (CD178) that is either expressed on adjacent erythrocytes or presented within the local splenic microenvironment—an interaction that would otherwise precipitate eryptotic signaling. This perspective offers a fundamentally fresh conceptual framework for understanding malaria survival strategies and highlights a vulnerable, non-canonical therapeutic target.

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