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Vital and dispensable roles of Plasmodium multidrug resistance transporters during blood‐ and mosquito‐stage development
Authors:Sanna R Rijpma  Maarten van der Velden  Takeshi Annoura  Joachim M Matz  Sanketha Kenthirapalan  Taco W A Kooij  Kai Matuschewski  Geert‐Jan van Gemert  Marga van de Vegte‐Bolmer  Rianne Siebelink‐Stoter  Wouter Graumans  Jai Ramesar  Onny Klop  Frans G M Russel  Robert W Sauerwein  Chris J Janse  Blandine M Franke‐Fayard  Jan B Koenderink
Institution:1. Department of Pharmacology and Toxicology, Radboud University Medical Center, GA, Nijmegen, The Netherlands;2. Department of Tropical Medicine, The Jikei University School of Medicine, Minato‐ku, Tokyo, Japan;3. Department of Medical Microbiology, Radboud University Medical Center, GA, Nijmegen, The Netherlands;4. Parasitology Unit, Max Planck Institute for Infection Biology, Berlin, Germany;5. Centre for Molecular and Biomolecular Informatics, Radboud University Medical Center, GA, Nijmegen, The Netherlands;6. Institute of Biology, Humboldt University, Berlin, Germany;7. Leiden Malaria Research Group, Parasitology, Center of Infectious Diseases, Leiden University Medical Center (LUMC), ZA, Leiden, The Netherlands
Abstract:Multidrug resistance (MDR) proteins belong to the B subfamily of the ATP Binding Cassette (ABC) transporters, which export a wide range of compounds including pharmaceuticals. In this study, we used reverse genetics to study the role of all seven Plasmodium MDR proteins during the life cycle of malaria parasites. Four P. berghei genes (encoding MDR1, 4, 6 and 7) were refractory to deletion, indicating a vital role during blood stage multiplication and validating them as potential targets for antimalarial drugs. Mutants lacking expression of MDR2, MDR3 and MDR5 were generated in both P. berghei and P. falciparum, indicating a dispensable role for blood stage development. Whereas P. berghei mutants lacking MDR3 and MDR5 had a reduced blood stage multiplication in vivo, blood stage growth of P. falciparum mutants in vitro was not significantly different. Oocyst maturation and sporozoite formation in Plasmodium mutants lacking MDR2 or MDR5 was reduced. Sporozoites of these P. berghei mutants were capable of infecting mice and life cycle completion, indicating the absence of vital roles during liver stage development. Our results demonstrate vital and dispensable roles of MDR proteins during blood stages and an important function in sporogony for MDR2 and MDR5 in both Plasmodium species.
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