Haemozoin (malaria pigment) is a haem polymer resulting from the break
down of haemoglobin by Plasmodium spp. This refractory substance has b
een the focus of many studies and of much debate, mainly because of it
s role in the pharmacological activity of certain antimalarials. Haemo
zoin is also important because its presence in tissues serves as an in
dicator of malaria infections, and may itself be a mediator of malaria
pathogenesis. In this article, Amy Sullivan and Steven Meshnick revie
w the structure and synthesis of haemozoin, and then focus on methods
of haemozoin identification in tissue. This latter aspect has implicat
ions for the study of haemozoin both as an indicator of malaria infect
ion and as a possible mediator of malaria pathogenesis.