P. Balmer et al., The effect of nitric oxide on the growth of Plasmodium falciparum, P-chabaudi and P-berghei in vitro, PARASITE IM, 22(2), 2000, pp. 97-106
Protective immune mechanisms to the asexual erythrocytic stages of the mala
ria parasite Plasmodium chabaudi AS strain include antibody-independent mec
hanisms. Nitric oxide (NO) is produced during the infection and indirect ev
idence suggests that it can contribute to the antiparasitic mechanisms. We
examined the effect of an NO producer, S-nitroso-acetyl-penicillamine (SNAP
), on the growth and survival in vitro of P. chabaudi AS, P. berghei and P.
falciparum. Growth of the parasites was monitored by the uptake of tritiat
ed hypoxanthine and, in the case of P. falciparum, by morphological examina
tion in stained blood smears. dl-penicillamine and sodium nitrite, as contr
ols, had no inhibitory activity at the concentrations used. The results sho
wed that at SNAP concentrations of approximately 182 mu m and above NO was
cytotoxic to P. falciparum but, at lower concentrations, there was a cytost
atic effect and some parasites resumed growth and division after NO product
ion had ceased. Rings were less susceptible to NO effects than later stages
in the asexual cycle. The antimalarial activity of NO from SNAP also exten
ded to the rodent parasites but, under the experimental conditions used, th
ey were less sensitive than the human species. In the cultures of P. chabau
di, increasing the numbers of noninfected erythrocytes present did not dimi
nish the antimalarial activity of SNAP, suggesting that here at least haemo
globin was not scavenging NO significantly.