Malaria parasites proliferate asexually within the vertebrate host but must
undergo sexual reproduction for transmission to mosquitoes and hence infec
tion of new hosts. The developmental pathways controlling gametocytogenesis
are not known, but several protein kinases and other putative signal trans
duction elements possibly involved in this phenomenon have been found in Pl
asmodium. Recently, another developmental pathway, that of Plasmodium sex d
etermination (male or female), has been shown to be triggered by erythropoi
esis in the host. Rapid progress is being made in our understanding of the
molecular basis of mammalian erythropoiesis, revealing kinase pathways that
are essential to cellular responses triggered by the hormone erythropoieti
n. Although the molecular mechanisms whereby this hormone modulates the sex
ratio of malaria parasites remain to be elucidated, it probably activates,
within the parasite, transduction pathways similar to those found in other
eukaryotes, Indeed, enzymes belonging to protein kinase families known to
be involved in the response of mammalian cells to erythropoietin (such as t
he mitogen-activated protein kinases) have been identified in P. falciparum
gametocytes. Some of these enzymes differ markedly from their mammalian ho
mologs; therefore, identification of the transduction pathways of the paras
ite that are responsible for its developmental response to erythropoietin o
pens the way to the development of transmission-blocking drugs based on kin
ase inhibitors.