Studying Malaria Parasite Liver Infection to Discover Novel Anti-Malaria Interventions
Approximately half of the world’s population is at risk of malaria infection, with over 220 million clinical cases and 450 thousand deaths occurring from malaria annually, the majority of which (>90%) are caused by Plasmodium falciparum. Plasmodium parasites cause blood infections known as malaria and they are transmitted through the bites of parasite-infected Anopheles mosquitoes. The infectious parasites transmitted by mosquitoes, called the sporozoite, travels from the "mozzie bite" to the liver within minutes. Sporozoites then invade hepatocytes (liver cells) and undergo an asymptomatic infection lasting 7-10 days.
Inside the hepatocyte, a single sporozoite will develop into thousands of merozoites and hide from the immune system. The liver merozoites will eventually exit the liver, enter the bloodstream and infect erythrocytes (red blood cells). This step initiates the life-threatening, clinical phase of P. falciparum infection known as malaria.
The liver stage of Plasmodium infection is the only path through which parasites must pass to infect red blood cells and also be successfully transmitted back to mosquitoes. The liver stage is therefore an ideal point for developing new anti-malarial solutions that prevent downstream malaria from establishing, and is also a fantastic target to stop malaria parasite spread by mosquitoes. Primary human hepatocytes are the natural target cells for sporozoites and they permit high levels of infectivity (5-20%), support the normal replication of parasites in the thousands per cell and can allow many different research approaches.
These features make primary human hepatocytes the gold standard for investigating malaria parasite liver infection biology, and for underdtanding the usefulness of drugs and optimizing vaccine development on liver stages. Therefore, the Malaria Research team at The Walter and Eliza Hall Institute (WEHI) have teamed up with the Hepatobiliary surgeons at St Vincent’s Hospital Melbourne to provide viable liver tissue for medical research.
Aim:
- To study the liver stage of infection by human Plasmodium parasites to better understand the biology of infection, identify novel therapeutic and vaccine targets and assess antimalarial drugs currently in development at WEHI.
Status: Currently recruiting
Site: St Vincent’s Hospital Melbourne
Ethics: HREC/45619/SVHM-2019-171113
Principal Investigator:
A/P Justin Boddey, The Walter & Eliza Hall Institute of Medical Research
Mr Brett Knowles, St Vincent’s Hospital Melbourne
Eligibility
Inclusion
Adults ≥18 years of age
Undergoing elective laparoscopic cholecystectomy or any liver surgery
Exclusion
HIV infection
Hepatitis C infection
Outcome Measures
Deeper understanding of the liver stage of infection by the human malaria parasite
Identify new mechanisms for liver-targeted anti-malaria treatments