Targeting Human Transmission Biology for Malaria Elimination.

Targeting Human Transmission Biology for Malaria Elimination.
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DOI:
10.1371/journal.ppat.1004871
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发表时间:
2015-06
期刊:
影响因子:
6.7
通讯作者:
Marti M
Marti M
中科院分区:
医学1区
文献类型:
--
作者:
Nilsson SK;Childs LM;Buckee C;Marti M

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尽管几十年来在公共卫生方面作出了努力,但疟疾仍然是全世界的主要死亡原因之一。许多疟疾流行国家最近承诺消除疟疾,这标志着从旨在控制疾病负担的方案转向强调减少最致命的人类疟疾寄生虫恶性疟原虫传播的方案。配子体是能够感染蚊子的疟疾寄生虫的唯一发育阶段,由于其数量很少,不会引起疾病,并且难以通过常规方法在体内检测,因此仍然没有得到充分研究。在这里,我们回顾了恶性疟原虫配子体的传播生物学,具有重要的最近发现的基因影响寄生虫承诺配子体形成,微泡使寄生虫相互沟通,和解剖部位未成熟的配子体发展。我们提出了未来干预的潜在寄生虫目标,并强调了剩余的知识差距。
Malaria remains one of the leading causes of death worldwide, despite decades of public health efforts. The recent commitment by many endemic countries to eliminate malaria marks a shift away from programs aimed at controlling disease burden towards one that emphasizes reducing transmission of the most virulent human malaria parasite, Plasmodium falciparum. Gametocytes, the only developmental stage of malaria parasites able to infect mosquitoes, have remained understudied, as they occur in low numbers, do not cause disease, and are difficult to detect in vivo by conventional methods. Here, we review the transmission biology of P. falciparum gametocytes, featuring important recent discoveries of genes affecting parasite commitment to gametocyte formation, microvesicles enabling parasites to communicate with each other, and the anatomical site where immature gametocytes develop. We propose potential parasite targets for future intervention and highlight remaining knowledge gaps.
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