Can mutation and selection explain virulence in human P. falciparum infections?

Ian Hastings, S. Paget-McNicol, A. Saul

Research output: Contribution to journalReview articlepeer-review

14 Citations (Scopus)

Abstract

Background: Parasites incur periodic mutations which must ultimately be eliminated to maintain their genetic integrity.

Methods: It is hypothesised that these mutations are eliminated not by the conventional mechanisms of competition between parasites in different hosts but primarily by competition between parasites within the same infection.

Results: This process is enhanced by the production of a large number of parasites within individual infections, and this may significantly contribute to parasitic virulence.

Conclusions: Several features of the most virulent human malaria parasite Plasmodium falciparum can usefully be re-interpreted in this light and lend support to this interpretation. More generally, it constitutes a novel explanation for the evolution of virulence in a wider range of microparasites.

Original languageEnglish
Article number1
Pages (from-to)1-5
Number of pages5
JournalMalaria Journal
Volume3
DOIs
Publication statusPublished - 2 Mar 2004

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