Perhaps the most challenging event of the malaria parasite's lifecycle
is the sporozoite's journey to the hepatocyte. Because few parasites
are injected by the mosquito, they must be efficiently and rapidly tar
geted to hepatocytes, where they will invade and develop into merozoit
es, the form of the parasite infective for red blood cells. Little is
known about how sporozoites make their way to the liver and subsequent
ly invade hepatocytes. Some evidence suggests that they are initially
trapped by Kupffer cells and then transported to hepatocytes. Other fi
ndings support the hypothesis that sporozoites home to hepatocytes dir
ectly. We have found that the major surface protein of malaria sporozo
ites. the CS protein, binds to the basolateral domain of hepatocytes a
nd, when injected intravenously into mice, is rapidly cleared from the
circulation by the liver. Whether sporozoites are arrested in the liv
er by the same mechanisms as CS protein is not known, although prelimi
nary data suggests this may be the case. Other sporozoite proteins are
also likely to be involved in hepatocyte invasion. TRAP or SSP2, foun
d on the parasite surface and in micronemes, binds to hepatocytes in a
similar pattern as CS protein. There is evidence demonstrating its in
volvement in invasion, although it is not known whether it functions i
n the initial sequestration of the parasites by the liver or in subseq
uent invasion events.