A Receptor for the Malarial Parasite <i>Plasmodium vivax</i> : the Erythrocyte Chemokine Receptor

Plasmodium vivax and P. falciparum are the major causes of human malaria, except in sub-Saharan Africa where people lack the Duffy blood group antigen, the erythrocyte receptor for P. vivax . Duffy negative human erythrocytes are resistant to invasion by P. vivax and the related monkey malaria, P. knowlesi . Several lines of evidence in the present study indicate that the Duffy blood group antigen is the erythrocyte receptor for the chemokines interleukin-8 (IL-8) and melanoma growth stimulatory activity (MGSA). First, IL-8 binds minimally to Duffy negative erythrocytes. Second, a monoclonal antibody to the Duffy blood group antigen blocked binding of IL-8 and other chemokines to Duffy positive erythrocytes. Third, both MGSA and IL-8 blocked the binding of the parasite ligand and the invasion of human erythrocytes by P. knowlesi , suggesting the possibility of receptor blockade for anti-malarial therapy.