Palasuwan D.Palasuwan A.Boonpeng K.Ketprasit N.Imwong M.Kulkeaw K.Mahidol University2023-06-182023-06-182022-04-01Journal of Infectious Diseases Vol.225 No.7 (2022) , 1238-124700221899https://repository.li.mahidol.ac.th/handle/20.500.14594/85985Background: Protection against Plasmodium falciparum is observed in a population deficient in glucose-6-phosphate dehydrogenase (G6PD), particularly in African and Mediterranean regions. However, such protection remains unknown among G6PD-deficient individuals in Southeast Asia. Methods: In this study, we assessed the invasion and maturation of P falciparum K1 in a culture of erythrocytes isolated from Thai subjects carrying Viangchan (871G>A) and Mahidol (487G>A). Results: We found that the parasites lost their ability to invade hemizygous and homozygous G6PD-deficient erythrocytes of Viangchan and Mahidol variants in the second and third cycles of intraerythrocytic development. It is interesting to note that P falciparum parasites selectively grew in erythrocytes from hemi-and homozygous genotypes with normal G6PD activity. Moreover, externalization of phosphatidylserine upon P falciparum infection was significantly increased only in Viangchan hemizygous variant cells. Conclusions: This study is the first to show that blockage of invasion in long-Term culture and potentially enhanced removal of parasitized erythrocytes were observed for the first time in erythrocytes from Viangchan and Mahidol G6PD-deficient individuals.MedicineArticleSCOPUS10.1093/infdis/jiab4842-s2.0-851281610921537661334558618