A mathematical model of ion homeostasis in the malaria parasite, Plasmodium falciparum

Abstract

Malaria is currently responsible for more than 200 million estimated cases and half a million deaths annually, with the majority of cases and deaths attributable to Plasmodium falciparum, one of six strains of malaria parasite able to infect humans. The P. falciparum parasite has developed varying degrees of resistance against most, if not all, of the antimalarial drugs currently available and there is an ongoing need to develop new antimalarial agents. Two compounds, which are currently in clinical trials against malaria target an ’ion pump’ on the surface membrane of the malaria parasite. Ion regulation in the P. falciparum parasite has been the subject of extensive studies over recent decades. This research has led to a general understanding of how the parasite regulates its internal ionic composition. However, there has not yet been any attempt to integrate these findings into a quantitative model. In the work presented in this thesis, I have developed a mathematical model for ion homeostasis in the asexual intra-erythrocytic blood-stage of the P. falciparum parasite. The model provides new insights into formerly unexplained in vitro observations and predicts interactions of ion transport inhibitors. The newly formulated model of ion regulation in the parasite was integrated with a pre-existing mathematical model for ion regulation in the host erythrocyte to generate a preliminary ’combined model’ of the parasite-infected erythrocyte as a whole. Outputs from this combined model were compared to the results from a limited number of experiments conducted in the course of this thesis. These experiments entailed measuring the change of infected erythrocytes following different osmotic perturbations. The mathematical modelling conducted in the course of this work adds to the understanding of the interdependencies involved in malaria parasite ion regulation and provides a framework to help understand the effects of ’ion-transport-inhibiting’ antimalarial agents. Show more