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Am J Physiol Cell Physiol (July 2, 2008). doi:10.1152/ajpcell.00105.2008
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Submitted on February 23, 2008
Revised on June 9, 2008
Accepted on June 30, 2008

Febrile temperature leads to significant stiffening of Plasmodium falciparum parasitized erythrocytes

Marina Marinkovic1*, Monica Diez-Silva2, Ivan Pantic1, Jeffrey J. Fredberg3, Subra Suresh4, and James P. Butler5

1 Harvard School of Public Health
2 Massachusetts Institute of Technology
3 Harvard Univ. School of Public Health
4 School of Engineering and Harvard-MIT Division of Health Science and Technology
5 Harvard School of Public Health, Harvard Medical School

* To whom correspondence should be addressed. E-mail: mpuigdem{at}hsph.harvard.edu.

Parasitic infection with Plasmodium falciparum is responsible for the most severe form of human malaria, in which patients suffer from periodic fever. It is well established that during intraerythrocytic maturation of the parasite in the red blood cell (RBC), the RBC becomes significantly more cytoadhesive and less deformable; these and other biochemical factors together with human host factors such as compromised immune status are important contributors to the disease pathology. There is currently substantial interest in understanding the loss of RBC deformability due to P. falciparum infection, but few results are available concerning effects of febrile conditions or parasitization on RBC membrane rheology. Here, for the first time, we report rheology of the single, isolated RBC with and without P. falciparum merozoite invasion, spanning a range from room temperature to febrile conditions (41 °C), over all the stages of parasite maturation. As expected, stiffness increased with parasite maturation. Surprisingly, however, stiffness increased acutely with temperature on a scale of minutes, particularly in late trophozoite and schizont stages. This acute stiffening in late falciparum stages may contribute to fever-dependent pathological consequences in the microcirculation.







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