Abstract

Malaria parasites generate vast quantities of heme during blood stage infection via hemoglobin digestion and limited de novo biosynthesis, but it remains unclear if parasites metabolize heme for utilization or disposal. Recent in vitro experiments with a heme oxygenase (HO)-like protein from Plasmodium falciparum suggested that parasites may enzymatically degrade some heme to the canonical HO product, biliverdin (BV), or its downstream metabolite, bilirubin (BR). To directly test for BV and BR production by P. falciparum parasites, we DMSO-extracted equal numbers of infected and uninfected erythrocytes and developed a sensitive LC-MS/MS assay to quantify these tetrapyrroles. We found comparable low levels of BV and BR in both samples, suggesting the absence of HO activity in parasites. We further tested live parasites by targeted expression of a fluorescent BV-binding protein within the parasite cytosol, mitochondrion, and plant-like plastid. This probe could detect exogenously added BV but gave no signal indicative of endogenous BV production within parasites. Finally, we recombinantly expressed and tested the proposed heme degrading activity of the HO-like protein, PfHO. Although PfHO bound heme and protoporphyrin IX with modest affinity, it did not catalyze heme degradation in vivo within bacteria or in vitro in UV absorbance and HPLC assays. These observations are consistent with PfHO's lack of a heme-coordinating His residue and suggest an alternative function within parasites. We conclude that P. falciparum parasites lack a canonical HO pathway for heme degradation and thus rely fully on alternative mechanisms for heme detoxification and iron acquisition during blood stage infection.

Highlights

  • Malaria parasites detoxify copious amounts of heme during human infection, but enzyme involvement remains unclear

  • Biliverdin IX␣ and bilirubin IX␣ were purchased from Frontier Scientific Inc. (Logan, UT); DMSO, reduced NADPH, spinach ferredoxin (Fd), spinach ferredoxinNADPϩ reductase (FNR), heme, protoporphyrin IX, sodium ascorbate, bovine liver catalase, deferoxamine, BSA, equine heart myoglobin, and equine cytochrome c were purchased from Sigma; [13C]glycerol was purchased from Cambridge Isotope Laboratories Inc. (Andover, MA); and IPTG was purchased from Gold Biotechnology Inc

  • Measurement of Biliverdin and Bilirubin Levels in Infected Versus Uninfected Erythrocytes by LC-MS/MS—Mature red blood cells do not contain the human HO1 or HO2 proteins found in other human cell types [45,46,47] and lack an enzymatic pathway for heme degradation

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Summary

Background

Malaria parasites detoxify copious amounts of heme during human infection, but enzyme involvement remains unclear. Recent in vitro experiments with a heme oxygenase (HO)-like protein from Plasmodium falciparum suggested that parasites may enzymatically degrade some heme to the canonical HO product, biliverdin (BV), or its downstream metabolite, bilirubin (BR). 3 Supported in part by a summer undergraduate research fellowship from Washington University. Recent in vitro studies of a recombinant HO-like protein (PF3D7_1011900, formerly PF10_0116) from P. falciparum (termed PfHO) showing sequence similarity to known HO enzymes have suggested that parasites may enzymatically degrade some heme to BV or BR, using an apicoplast-targeted ferredoxin as a reductant co-factor [22, 23]. Because of conflicting suggestions and assumptions in the literature and because no direct tests of enzymatic heme degradation by parasites have been reported, confusion and uncertainty persist regarding the presence of a heme oxygenase pathway within blood stage P. falciparum parasites [2, 19, 24, 25]

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