The excessive production of tumour necrosis factor (TNF) is associated
with the pathology of blood-stage malaria and phosphatidylinositol-co
ntaining phospholipid antigens from parasitized erythrocytes stimulate
its secretion by macrophages, thus acting as toxins. This brief repor
t describes some properties of an inhibitor present in lysates from er
ythrocytes infected with malarial parasites that blocked the detection
of recombinant TNF in an enzyme-linked immunosorbent assay and dimini
shed or abolished the cytotoxicity of TNF. It was not found in control
lysates of normal erythrocytes. Its addition to macrophage cultures s
timulated by toxic malarial preparations or by bacterial lipopolysacch
aride also blocked the detection of TNF. These findings may explain th
e contradictory results obtained from different assays for TNF, and em
phasize the need for caution when interpreting the results of a single
assay system. If released when parasitized erythrocytes rupture in vi
vo, the inhibitor could help protect both parasite and host from the d
amaging effects of TNF.