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Explain the name "malaria"
mal = bad
aria = air
How is malaria transmitted?
Passed from one human to another by the bite of an infected mosquito
What parasite causes malaria?
Plasmodium parasites
What type of parasite is Plasmodium parasites?
Obligate; cannot survive independently as a free-living organism
How many hosts does Plasmodium parasites require?
2
List the 2 different hosts required for lifestyle
Vertebrate host
Arthropod vector
Asexual/sexual reproduction occurs in the vertebrate hosts
Asexual
Asexual/sexual reproduction occurs in the arthropod (mosquito) vector
Sexual
Which is the definitive host?
Mosquito
There are more than ___ species of Plasmodium
100
List the 4 species of Plasmodium that have long been recognized to infect humans in nature
P. falciparum
P. vivax
P. ovale
P. malariae
Which species is known to cause the most harm/death?
P. falciparum
Which region is P. falciparum most prevalent in?
Africa, tropical areas
Which two species are very similar in terms of parasite function?
P. vivax and P. ovale
How do P. vivax and P. ovale differ?
Geographic locations + type of blood group of host
Which regions are P. vivax found in?
Asia, Latin America, a bit in Africa
Which regions are P. ovale found in?
West Africa
Define tertian cycle
fever that occurs every 48 hours, or every third day
How is P. malariae different from the others?
Can cause chronic disease + slightly different life cycle
What is the fever cycle for P. malariae?
Quartan (every 72 hours)
P. knowlesi parasite travels from mosquito to which animal?
Macaques
What is the fever cycle of P. knowlesi?
Much shorter (24 hours)
Human malaria is transmitted only by mosquitoes of the genus ______
Anopheles
Human malaria is transmitted only by female or male mosquitoes?
Females
Of the ~430 Anonpheles spp., only ____ transmit malaria (ie. vectors) in nature
30-40
What do female mosquitoes need to eat for egg production?
Blood meal (+sugar)
What do male mosquitoes eat instead of blood meals?
Sugar
How long do males live for?
1 week
What nutrients do females require from blood meals?
- Iron
- Sugar
Where do females lay eggs?
Standing freshwater
What is the function of the proboscis?
Used by female mosquito to pierce skin, take up blood meal
What is the function of the salivary glands?
Contains many chemicals + proteins, saliva is injected at the site of blood meal
What is the purpose of saliva being injected at the site?
Numbs the site, thins the blood to prevent clot
What is the function of the crop area?
Storage area for sugar molecules from blood meal
What is the function of the Dorsal diverticulum?
digestion of the sugar meal
What is the function of the Anterior midgut junction organ?
Specialized function to help separate between sugar and blood meals
Which organ/pouch do blood meals get sent to?
Midgut
What is the Malpighian tube?
Like kidneys: helps with water balance/hydration
Do mosquitoes have a closed/open circulatory system?
Open
What is hemolymph?
Circulatory fluid in invertebrates, functioning like blood in vertebrates and circulating through their open circulatory system
Where does the mosquito pick up gametocytes of the parasite?
In peripheral blood (capillary) of the infected individual
Are macrogametocytes female/male?
Female
Are microgametocytes female/male?
Male
Does the mosquito pick up macro or microgametocytes?
Both female and male
Is the mosquito affected by the parasite?
No
What triggers a change in the gametocytes after ingestion with the blood meal?
Change in environment (from human to mosquito); different temperature, chemicals, etc
What event is triggered?
Exflagellation
Define exflagellation
Sperm comes out of male gametocytes
Where does fertilization occur in the mosquito's body?
Stomach
What is the ploidy of the zyote?
Diploid
What is the ookinete?
the motile zygote; formed after replication
What is the ploidy of the ookinete?
Tetraploid
Where does the ookinete move to?
Migrates between epithelial cells, to the lining of the stomach wall
Define sporogony
Asexual reproductive process of spore formation; mitosis
What is the ploidy of the spores?
Haploid
What structure does sporogony take place in?
Oocyst: formation occurs in wall of stomach
Where do the sporozoites travel to once division causes the oocyst to rupture?
Hemolymph
Which area of the mosquito body do the sporozoites travel to?
Salivary glands --> duct
What is the infective stage of the parasite?
Haploid sporozoites
Is the process that makes more copies of sporozoites asexual or sexual?
Asexual
Sporozoites are injected into humans with _____
mosquito saliva
What are the only cells that sporozoites can invade?
Hepatocytes (liver cells)
What triggers the conformation change from sporozoite to cryptozoite?
Change in environment
Are cryptozoites infective forms?
no
Cryptozoites undergo sexual/asexual reproduction in hepatocytes
asexual
Define schizogony
Asexual reproduction by multiple fission
During schizogeny, the schizont do not undergo _____. The progeny are all still attached
cytokinesis
When does cytokinesis occur?
When the hepatocyte ruptures
Define schizont
a cell that divides by schizogony to form daughter cells; the mass of cells
What is the name of the blood state of the parasite, after it leaves the liver?
Merozoite
What cells do the merozoites infect?
RBCs
Define invagination
the action or process of being turned inside out or folded back on itself to form a cavity or pouch.
What triggers the invagination of RBCs?
Merozoites invade RBCs
What stage forms when the merozoite invades the RBCs?
ring stage
Describe how the RBC changes after ring stage
- Own proteins are starting to be expressed
- RBC appearance changes
What causes the RBCs to become sticky and stick to the endothelium?
proteins and receptors expressed by the parasite on the RBCs
What happens if the RBCs become sticky?
Can create blockages in the vasculature
What happens to the merozoites after they are released from the RBCs?
Back into circulation; goes onto infect more RBCs
What does the parasite like to break down hemoglobin for?
For amino acids + sugar source
Explain how anemia is caused
Breakdown of RBCs
Can merozoites go back and infect the liver?
No
In ___ % of the merozoites, formation of male/female gametocytes is triggered
5-10%
What is the impact of mosquitoes taking up merozoites in their blood meal?
No impact, simply digested
Merozoites are pocketed inside a _____ upon entering the RBC
vacuole
What is the ring stage?
Early stage of trophozoite inside RBC
The trophozoites divide sexually/asexually to form the schizont in the RBCs
asexually
How many sporozoites are formed inside the oocyst?
thousands
When does the brief diploid phase occur?
In the mosquito
Which is the final/definitive host, the human or mosquito?
Mosquito
What phase is it briefly tetraploid?
Ookinete
What are the common symptoms of malaria?
fever, fatigue, muscle aches, nausea, and headaches
How long does it take between infection to feeling symptoms?
a few weeks
Describe the blood smear diagnosis technique
Smear blood across glass slide; stain; recognize different species of Plasmodium under light microscope
You can narrow your species diagnosis according to...
geographic location
Once you've been infected multiple times by malaria, are you able to build up immunity?
yes
What age is very susceptible to malaria?
children under 5
Explain in utero malaria infection
Vertical transmission: from mother to baby
When does transmission occur throughout the preganancy?
Placenta works to protect throughout pregnancy (in utero), but can be transmitted during birthing process
What are pregnant mothers treated with to protect their unborn babies?
anti-malarials
It is considered vertical transmission if the infant is infected within the first __ days of life
7