Expression of the Plasmodium falciparum Clonally Variant clag3 Genes in Human Infections

J Infect Dis. 2017 Mar 15;215(6):938-945. doi: 10.1093/infdis/jix053.

Abstract

Background: Many genes of the malaria parasite Plasmodium falciparum show clonally variant expression regulated at the epigenetic level. These genes participate in fundamental host-parasite interactions and contribute to adaptive processes. However, little is known about their expression patterns during human infections. A peculiar case of clonally variant genes are the 2 nearly identical clag3 genes, clag3.1 and clag3.2, which mediate nutrient uptake and are linked to resistance to some toxic compounds.

Methods: We developed a procedure to characterize the expression of clag3 genes in naturally infected patients and in experimentally infected human volunteers.

Results: We provide the first description of clag3 expression during human infections, which revealed mutually exclusive expression and identified the gene predominantly expressed. Adaptation to culture conditions or selection with a toxic compound resulted in isolate-dependent changes in clag3 expression. We also found that clag3 expression patterns were reset during transmission stages.

Conclusions: Different environment conditions select for parasites with different clag3 expression patterns, implying functional differences between the proteins encoded. The epigenetic memory is likely erased before parasites start infection of a new human host. Altogether, our findings support the idea that clonally variant genes facilitate the adaptation of parasite populations to changing conditions through bet-hedging strategies.

Keywords: Malaria; Plasmodium falciparum; adaptation; bet-hedging; controlled human malaria infection (CHMI); epigenetics; mutually exclusive gene expression; transcription; transcriptional variation; clag3.

MeSH terms

  • Adult
  • Antimalarials / pharmacology
  • Antimalarials / therapeutic use
  • Child
  • Cohort Studies
  • Drug Resistance
  • Epigenesis, Genetic
  • Gambia
  • Gene Expression Profiling
  • Gene Expression Regulation
  • Genes, Protozoan
  • Host-Parasite Interactions
  • Humans
  • Malaria, Falciparum / drug therapy
  • Malaria, Falciparum / genetics*
  • Malaria, Falciparum / parasitology*
  • Malaria, Falciparum / transmission
  • Plasmodium falciparum / drug effects
  • Plasmodium falciparum / genetics*
  • Plasmodium falciparum / metabolism
  • Protozoan Proteins / blood
  • Protozoan Proteins / genetics*
  • Protozoan Proteins / metabolism*

Substances

  • Antimalarials
  • Protozoan Proteins
  • cytoadherence-linked asexual protein 3, Plasmodium falciparum