Essential function of alveolin PfIMC1g in the Plasmodium falciparum asexual blood stage

ABSTRACT The cytoskeleton of Plasmodium parasites is essential for replication, motility, and infectivity. Plasmodium falciparum leverages a family of cytoskeletal proteins known as alveolins to meet these diverse needs. The functional role of individual alveolins in Plasmodium blood stages, however, remains unexplored. Here, we demonstrate that the alveolin PfIMC1g (PF3D7_0525800) is essential for P. falciparum asexual replication. Unlike alveolins studied in mosquito stages, PfIMC1g does not play an important role in determining cell shape. PfIMC1g-deficient parasites exhibit only minor defects during segmentation, with most merozoites being indistinguishable from wild type by super-resolution fluorescence microscopy, ultrastructure expansion microscopy, and electron microscopy. In the current study, we demonstrate that the absence of PfIMC1g leads to parasite death shortly after merozoite internalization into red blood cells (RBCs). PfIMC1g-deficient parasites egress and enter new RBCs but fail to develop into rings and die. We hypothesize that the primary role of PfIMC1g is to maintain structural integrity, protecting parasites from incurring damage during the process of internalization. Along with the dispensability of PfIMC1g for merozoite cell shape, we report new findings about the architecture of Plasmodium alveolins including the localization of PfIMC1e and 1f to the basal complex. Importance Infection by the Plasmodium falciparum parasite is responsible for the most severe form of human malaria. The asexual blood stage of the parasite, which occurs inside human red blood cells, is responsible for the symptoms of malaria and is the target of most antimalarial drugs. Plasmodium spp. rely on their highly divergent cytoskeletal structures to scaffold their cell division, sustain the mechanical stress of invasion, and survive in both the human bloodstream and the mosquito. We investigate the function of a class of divergent intermediate filament-like proteins called alveolins in the clinically important blood stage. The functional role of individual alveolins in Plasmodium remains poorly understood due to pleiotropic effects of gene knockouts and redundancy among alveolins. We evaluate the localization and essentiality of the four asexual-stage alveolins and find that PfIMC1g and PfIMC1c are essential. Furthermore, we demonstrate that PfIMC1g is critical for survival of the parasite post-invasion.

Unlike animal cytoskeletons, alveolate cytoskeletal systems are built around a distinctive cortical structure called the pellicle, which in Plasmodium and other apicomplexans comprises the plasma membrane and an organelle known as the inner membrane complex (IMC) (2).The IMC is an endomembrane structure with associated proteins that serves a cytoskeleton-like function in conjunction with the meshwork of proteins that lies directly interior to it, the subpellicular network (SPN) (3).As a whole, the pellicle partitions cytoplasmic contents during segmentation, dictates cell shape, and provides essential structural support (4)(5)(6).Studying these divergent structures in Plasmodium falciparum, the causative agent of the deadliest form of human malaria, promises to reveal much-needed novel drug targets.However, the short-lived nature of P. falciparum merozoites, the parasite's infectious blood stage, has made it challenging to measure their biophysical properties or link these properties to any specific protein or invasion phenotype.
It has been suggested that the subpellicular microtubules (MTs), which line the IMC of Plasmodium mosquito stages, provide the structural integrity needed for invasion (7).However, P. falciparum merozoites lack the array of microtubules present in other invasive stages.Instead, merozoites have a single spine of two to three microtubules which runs from the parasite's apical ring toward its basal complex (BC) (8).Merozoites must derive the mechanical properties which allow them to survive invasion from elsewhere, perhaps because they have distinct cytoskeletal requirements incompatible with a microtubule corset.
Besides tubulin, the other major component of the SPN is a family of intermedi ate filament (IF)-like proteins called alveolins.These proteins form filaments 8-10 nm in diameter, organizing into a regularly (~32 nm) spaced mesh in Plasmodium sporo zoites (9) and the related parasite Toxoplasma gondii (2).Alveolins are evolutionarily distinct from metazoan intermediate filaments, despite sharing many of their biophysi cal attributes.Their complete absence outside the kingdom Alveolata, and sequence divergence from IFs, makes alveolins a promising drug target (10).So far, 13 alveolins have been identified in Plasmodium and named PfIMC1a-1m.They differ greatly in expression pattern and size, but all have one or more valine-and proline-rich "alveolin repeat" (IMCp) domains (11).
Studies in Plasmodium berghei, which is infectious in rodents, have demonstrated that some alveolins have stage-specific functions and expression patterns.For example, PbIMC1a, 1b, and 1 h knockouts lead to defects in the shape, tensile strength, and infectivity of P. berghei sporozoites and ookinetes (5,12,13).To our knowledge, there has not yet been a comparable analysis in P. falciparum or characterization of any Plasmo dium alveolin in the asexual blood stages.Furthermore, it remains unclear whether the pleiotropic effects of alveolin knockouts indicate multifunctionality of these proteins or a common mechanism to these phenotypes.Thus, the molecular and stage-specific roles of the alveolins remain unknown.In merozoites, PfIMC1c/PF3D7_1003600, PfIMC1e/ PF3D7_0304100, PfIMC1f/PF3D7_1351700, and PfIMC1g/PF3D7_0525800 are the main alveolin components of the SPN as predicted by transcriptomics (14).Previous studies have observed PfIMC1g in schizonts, where its localization is consistent with that of the subpellicular network (15).Furthermore, PfIMC1g was predicted to be essential for survival and replication in the blood stages by the piggyBac transposon insertion mutagenesis screen (16).In this work, we examined the role of PfIMC1g in merozoite cell shape and red blood cell (RBC) invasion to see if this protein contributes to the cytoskeletal properties that allow merozoites to survive the mechanical stress of invasion in RBCs.

PfIMC1g is essential for P. falciparum asexual replication
To confirm the essentiality of PfIMC1g and further investigate its role in asexual bloodstage replication, we generated inducible knockdown (iKD) and inducible knockout (iKO) lines of PfIMC1g as well as a primary antibody against it (Fig. 1; Fig. S1).We generated a PfIMC1g iKO line by placing two synthetic introns with LoxP sites, previously developed for use in Plasmodium (17), into the PfIMC1g locus.The first intron was placed 20aa downstream from the PfIMC1g start codon (Fig. 1A), and the second was placed after the stop codon of an HA x2 tag at the C-terminal end of PfIMC1g.This second intron is followed by nanoluciferase (nLuc) to report successful PfIMC1g excision (Fig. 1C).This line also contains a dimerizable Cre (DiCre) recombinase controlled by rapamycin (RAPA), such that addition of rapamycin induces excision of PfIMC1g (18).
We also generated an iKD line using the TetR-DOZI system, which was previously adapted for use in Plasmodium, to conditionally deplete the mRNA of PfIMC1g using the TetR ligand anhydrotetracycline (ATc) (19,20).In brief, removal of ATc results in the sequestration of PfIMC1g mRNA into stress granules and prevents its translation.We generated both an untagged PfIMC1g iKD line and a line with a C-terminal spaghetti monster V5 tag (smV5) (21).While parasites of the untagged line maintained in ATc had a similar replication rate to its parental line, parasites tagged with smV5 had a lower parasite multiplication rate (Fig. S2).This indicates that the C-terminal domain of PIMC1g may be important for its function, and placement of the bulky smV5 tag may interfere with this putative function.
Both our iKD and iKO systems allowed us to achieve levels of PfIMC1g undetectable by western blot in the absence of ATc and presence of rapamycin, respectively (Fig. S1).Parasite replication was completely abolished in PfIMC1g-deficient conditions in both lines, as measured by flow cytometry (Fig. 1B and D).No infected RBCs were detected up to 4 days post-knockdown, and no rings were observed by Field's (Hemacolor) stain after the first cycle.Despite lacking a large tag, our iKO line showed a lower parasite multiplication rate than its parental line and had above-background nLuc expression in the absence of rapamycin (Fig. 1C).Given these observations, we could not be sure whether any phenotype observed under iKO conditions relative to control was solely a product of PfIMC1g deficiency.To address this limitation, we performed phenotypic characterization of PfIMC1g using both the iKO and untagged iKD lines in parallel to account for possible artifactual effects of the iKO.

IMC1g-deficient parasites have a segmentation defect, leading to a small reduction in total number of viable daughter cells
To characterize daughter cell shape and size during schizogony, we used immunofluorescence assays (IFAs) for PfGAP45 (22) and PfPhIL1 (23) as markers of IMC integrity and biogenesis and PfMSP1 (24) as a plasma membrane marker.While WT (+ATc) cells were uniform in size and exhibited the expected coordination of segmentation across all proteins visualized, PfIMC1g-deficient (−ATc) cells were heterogeneous and produced daughter cells of inconsistent size (Fig. 2A).To quantify this phenotype, we imaged WT (+ATc) and PfIMC1g-deficient (−ATc) post-egress parasites arrested with the protease inhibitor E64 for 2-3 h prior to harvest.This inhibitor allows for normal daughter cell maturation but prevents parasites from rupturing the RBC plasma membrane once segmentation is complete (25).To ensure that the parasites imaged were fully segmen ted and the observed differences were not a product of a developmental delay, we imaged only schizonts which had a single hemozoin crystal and showed translocation of microneme protein PfAMA1 to the parasite plasma membrane.From this data set, we quantified the area of the largest cross-section of each daughter cell as a measure of merozoite size.To our surprise, the mean size of merozoites was not different between WT and iKD (Fig. 2B; mean daughter size WT [+ATc] = 1.26 µm 2 ; iKD [−ATc] = 1.31 µm 2 ; analysis of variance [ANOVA] with Welch's correction P > 0.99).Rather, there was a difference in variance (Brown-Forsythe test P < 0.0001).On average, 12.50% of daughter cells produced by PfIMC1g-deficient (−ATc) parasites are of aberrant size (>3 SD from the WT [+ATc] mean).Thus, most daughters produced by PfIMC1g-deficient parasites are of the same size as those produced by WT parasites.
We also quantified the number of anucleation events (daughters lacking a nucleus) per schizont.There is a high incidence of anucleation in PfIMC1g-deficient parasites (Fig. 2D; mean anucleation events WT [+ATc] = 0.40; KD [−ATc] = 5.30 anucleated daughters/ schizont) and a few schizonts have, in addition, an enlarged residual body with >2 nuclei (Fig. 2E, middle row).However, in quantifying the number of viable daughter cells (daughters of size within 3 SD of the WT mean, with a single nucleus, and with transloca ted AMA1) we noticed that WT parasites only make, on average, ~7 more viable daugh ters than PfIMC1g-deficient parasites (Fig. 2C; mean WT [+ATc] = 25.33;mean KD [−ATc] = 17.80 daughters/schizont, ANOVA with Welch's correction P < 0.0001).While this could explain a small reduction in replication factor, this difference in the number of viable daughter cells is not enough to account for the complete lethality of PfIMC1g depletion (Fig. 1B and D).
To assess whether residual PfIMC1g could explain the small degree of this segmenta tion defect, we stained iKD (−ATc) parasites against PfIMC1g by IFA.Residual PfIMC1g distribution did not correlate with daughter size, confirming that this minor segmenta tion defect is not due to residual PfIMC1g (Fig. S1b).Furthermore, the merozoite size distribution observed in our iKO (+RAPA) conditions was indistinguishable from that of the KD (−ATc) (Fig. 2; mean daughter size KD [−ATc] = 1.31 ± 0.92 µm 2 ; KO [+RAPA] = 1.51 ± 1 µm 2 ; Brown-Forsythe test to compare variance P = 0.12).In addition, there was no significant difference in the number of anucleation events or number of viable daughters produced (Fig. 2C and D; mean anucleation events KO [+RAPA] = 3.47 anucleated daughters/schizont; mean viable daughters KO [+RAPA] = 18.33 daughters/schizont) Thus, complete loss of PfIMC1g does not lead to a more severe segmentation defect than depletion by iKD.
Thus, even with complete KO of PfIMC1g, we fail to detect a segmentation pheno type that could account for the complete lethality of PfIMC1g deficiency.This could be because aberrations caused by PfIMC1g deficiency lie at a finer ultrastructural level.Thus, we looked in more detail at potential disruption to the ultrastructure and cytoskeleton of PfIMC1g-deficient parasites.

Loss of PfIMC1g does not affect the tubulin cytoskeleton
It has been observed that disruption of alveolin network-associated proteins in T. gondii disrupts the parasite's conoid and subpellicular microtubules (26).While a similar effect was not observed in P. berghei sporozoites (5), the organizing principles and architecture of the merozoite cytoskeleton remain largely unexplored.So, we stained parasites with antibodies against tubulin to determine whether the disruption to the alveolin meshwork caused by PfIMC1g deficiency led to corresponding disruptions in the subpellicular microtubules, beyond what could be explained by the difference in cell size.While tubulin appeared highly heterogeneous in length by IFA, this approach did not provide sufficient resolution to answer this question (Fig. S3).Therefore, we used ultrastructure expansion microscopy (U-ExM) (27) to look at tubulin in the context of schizont ultrastructure.
We stained expanded parasites with an amine-reactive NHS-ester conjugated to a fluorophore, in addition to using a primary antibody against tubulin (Fig. 3).NHS-ester allows us to visualize protein-rich structures including the rhoptries, the basal complex, and the apical polar ring (APR).Using these images, we measured the length of each subpellicular microtubule bundle and compared it to cell length, measured as distance from the APR to the basal complex (Fig. 3B).There was no significant difference in the ratio of tubulin length to APR-BC distance between WT and PfIMC1g-deficient parasites (mean length ratio WT [+ATc] = 0.87; KD [−ATc] = 0.93 µm, one-way ANOVA P = 0.15).Though we observed a larger variance in E64-arrested parasites, this is likely due to the disorganized, random orientation of E64 arrested parasites, which makes it more challenging to accurately pair basal complex and apical polar rings belonging to the same parasite in both WT (+ATc) and PfIMC1g-deficient (−ATc) conditions.Furthermore, the correlation between cell length and tubulin length in WT (+ATc) parasites (Pearson r = 0.90, P < 0.0001) and KD parasites (−ATc) (Pearson r = 0.87, P < 0.0001) was not significantly different (z-test on Fisher z-transformed correlation coefficients P = 0.20; Fig. S3B).This indicates that the length of tubulin relative to cell size is not affected by PfIMC1g KD.

Loss of PfIMC1g does not affect parasite ultrastructure
U-ExM combined with NHS-ester staining additionally allowed us to obtain 3D recon structions of WT (+ATc) and PfIMC1g-deficient (−ATc) schizonts at a resolution allowing individual parasite organelles to be distinguished, to better assess potential cell shape and ultrastructural defects.In these images, PfIMC1g-deficient parasites have APR, basal complex, and rhoptries comparable to those of WT cells regardless of cell size (Fig. 3C  and D).This suggests that PfIMC1g deficiency does not affect apical organelle biogenesis in schizonts.In parasites with segmentation defects, the residual body contains four to six nuclei on average, in addition to additional protein-dense material we were not able to conclusively identify by NHS-ester staining (Fig. 3E).Anucleated daughters appear either small and rounded or flexible and elongated, suggesting PfIMC1g deficiency could cause an increase in deformability (Fig. 3D).However, it is possible that this increase in deformability is shared by nucleated PfIMC1g-deficient daughters, and only becomes apparent by U-ExM in the absence of a nucleus.Despite these morphological abnormali ties, PfIMC1g-deficient anucleated daughters have rhoptries, APRs, and basal complexes indistinguishable from those of WT parasites (Fig. 3C through E).
We supplemented these studies by examining parasite ultrastructure using stand ard transmission electron microscopy (TEM).No apparent differences in parasite and organelle morphology were observed between E64-arrested WT (+ATc) and PfIMC1gdeficient (−ATc) parasites (Fig. 4).Chemical fixation and dehydration used for TEM can affect cell size and morphology.Thus, the cell morphology observed in these TEM studies may not reflect the natural state of the parasite.The effects of this sample preparation, however, should be consistent between WT (+ATc) and KD (−ATc) parasites, and any aberrations which arise disproportionally in the KD could indicate a larger biological phenomenon we have been otherwise unable to measure.Despite lacking ultrastructural differences, KD parasites appeared rounder than WT parasites by TEM.We quantified and confirmed this difference in roundness using particle analysis in ImageJ (Fig. S3C; mean roundness score WT [+ATc ]= 0.83, KD [−ATc ]= 0.89, P < 0.0001).This suggests that PfIMC1g-deficient parasites may have stiffness or permeability different from that of WT parasites, leading to different reactions to the TEM preparation.This fits with observations in the mosquito stages of Plasmodium that mutating or knocking out certain alveolins leads to decreased tensile strength of ookinetes in a hypoosmotic shock assay (28).WT and PfIMC1g-deficient parasites were indistinguishable from each other beyond this difference in post-fixation roundness, the enlarged residual body, and the presence of anucleated daughters in the iKD.

IMC1g-deficient parasites egress normally after segmentation and have functional apical organelles
To further assess whether parasite apical organelles, which are key for invasion, retain their function in the absence of PfIMC1g, we quantified the translocation of microneme protein PfAMA1 (29,30).We harvested WT (+ATc) and PfIMC1g-deficient (−ATc) schizonts which had been arrested with E64 for 4 h and stained for PfAMA1 by IFA.We quantified the prevalence of PfAMA1 translocation by dividing the number of schizonts where PfAMA1 had translocated from the apical end to the cell plasma membrane in one or more daughters by the total number of schizonts which stained positive for PfAMA1.
We observed no difference in PfAMA1 translocation at a population level (Fig. 5C; mean translocation WT [+ATc] = 38%; KD [−ATc] = 39%).We used time-lapse microscopy to observe whether PfIMC1g deficiency affects parasite egress and RBC invasion.To our surprise, these videos showed that at least some PfIMC1g-deficient daughter cells were able to complete invasion and become internalized by the RBC.PfIMC1g-deficient merozoite egress, attachment, and induction of echinocytosis is indistinguishable from that of WT parasites by brightfield microscopy (Fig. 5A).To confirm these observations, we quantified egress and re-invasion by flow cytometry, tracking DNA content of RBCs using a DNA stain.WT (+ATc) and KD (−ATc) parasites egressed at the same rates (Fig. 5B), but only WT parasites produced newly infected RBCs (Fig. 1D).These data confirm that our time-lapse microscopy observa tions reflect population-level trends.Since we did not observe any defect in PfAMA1 translocation, internalization, or triggering of echinocytosis, we concluded that PfIMC1g deficiency is unlikely to cause a defect in apical organelle function.

PfIMC1g deficiency affects daughter cell survival after internalization
Given the surprising results of our time-lapse microscopy, we examined the fate of tightly synchronized parasites 3 h and 20 h post-invasion by Field's stain.This revealed that at 3 hpi, the percentage of RBCs staining positive for parasite material was only 27% lower in PfIMC1g-deficient (−ATc) parasites than their wild-type (+ATc) control (Fig. S4A).This difference is consistent with the loss in viable parasites produced by the minor segmentation defect described above (~30% decrease in viable daughter cells).The close match between the difference between WT and PfIMC1g-deficient conditions in the two experiments suggests that parasite attachment, reorientation, and actinomyosindependent motility in normal-sized merozoites remain sufficient to meet the parasite's invasion needs.
To assess whether these internalized parasites had normal morphology, we catego rized 100 parasites at each time point into one of three morphologies: ring, early trophozoite, and unknown/aberrant (Fig. S4B).Briefly, parasites categorized into rings and trophozoites have traits specific to those stages, while parasites of unknown/ aberrant morphology have ambiguous traits such that they cannot be discerned as either dead or bona fide rings (see detailed categorization criteria in Table S1).At 3 hpi, RBCs in wild-type conditions have a substantial number of rings (WT [+ATc] 3 hpi rings = 25%, unknown/aberrant = 75%; Fig. S4C).In contrast, rings are rarely observed in the PfIMC1g-deficient condition (PfIMC1g KD [−ATc] 3 hpi rings = 6%, unknown/ aberrant = 94%).This confirms the observation we made in our time-lapse microscopy that PfIMC1g-deficient parasites seem to successfully enter new RBCs but suggests that subsequent steps do not progress normally.
At 3 hpi, heparin was added to the cultures to prevent further invasion, and the cultures were checked again 17 h later after washing away extracellular parasite debris.At 20 hpi, the percentage of RBCs that stained positive for parasite material in WT conditions matched that recorded at 3 h, with most parasites having attained a ring or early trophozoite morphology [WT (+ATc) 20 hpi rings = 35%, early trophozoite = 25%, unknown/aberrant = 40%; Fig. S4C].However, few RBCs stained positive for parasite material in the PfIMC1g-deficient (−ATc) condition (mean loss in parasitemia = 91.15%).This suggests PfIMC1g-deficient daughter cells die inside RBCs during or shortly after internalization.It is likely that RBCs with dead parasite material inside them eventually lyse.

Death of IMC1g-deficient daughter cells is a catastrophic event that occurs within 3 h of invasion
To investigate whether the aberrant parasite morphology we observed by Field's stain was due to parasite death, we imaged live invaded RBCs at 3 hpi by differential interference contrast (DIC) microscopy (Fig. 5; Video S1).Invaded RBCs were identified using a membrane-permeable DNA dye and parasites were imaged every 30 s for 30 min to determine whether they displayed amoeboid forms, the first morphological marker of ring development (31).We observed parasite amoeboid forms in 74% of DNA-positive RBCs in the WT (+ATc) condition and in 7% of DNA-positive RBCs in the IMC1g iKD (−ATc) condition (Fig. 5D).Most internalized IMC1g iKD parasites appeared small and rounded, suggesting the aberrant morphologies we observed by Field's stain were not a product of fixation and indicating that parasites are likely already dead at this point (Fig. 5E).In our live cell microscopy, we routinely notice merozoites in both PfIMC1g-sufficient and PfIMC1g-deficient conditions which fail to invade but still attain amoeboid form outside the RBC (Fig. S5A).This suggests that PfIMC1g-deficient parasites are not ipso facto incapable of adopting the amoeboid form but rather that they lose this ability in the process of invasion.
To characterize the nature of the damage incurred by parasites during invasion, we looked for ultrastructural abnormalities in internalized parasites at 3 hpi using expansion microscopy (Fig. 6).A DNA dye and BODIPY-TRc, a dye-conjugated fatty acid, were used to examine the integrity of the nucleus and other membranous structures (Fig. 6A).Parasites were also stained with a fluorophore-conjugated NHS-ester as a marker of protein density to visualize the host-cell cytoplasm and protein-dense parasite features (Fig. 6C).Finally, to further pinpoint time of death, parasites were stained against ring-infected erythrocyte surface antigen (RESA).This dense granule protein is released inside the RBC on entry and trafficked to the RBC membrane (32).
As observed by DIC, most WT (+ATc) parasites showed amoeboid form (61%), while morphology suggestive of amoeboid form was only observed in 3% of IMC1g-deficient (−ATc) parasites (Fig. 6B).Besides the absence of amoeboid forms, no obvious cause of death was observed in IMC1g-deficient parasites, which showed no abnormalities in their nuclear membrane, plasma membrane, or parasitophorous vacuole membrane (Fig. 6A).
Nearly all RBCs which had internalized parasites showed RESA staining at their plasma membranes regardless of IMC1g status (RESA-positive RBCs WT [+ATc] = 97%; KD [−ATc] = 97%).This suggests that all imaged parasites carry out initial discharge of their dense granules and begin the process of RBC remodeling.While 21 of 36 (58%) WT (+ATc) parasites imaged across two biological replicates had RESA staining in their tubulovesic ular network (TVN), this was only observed in 8 of 34 (24%) imaged IMC1g-deficient (−ATc) parasites (Fig. 6D).These structures have been observed to appear almost immediately (<12 min) after invasion (33).Interestingly, all KD (−ATc) parasites that did have RESA-positive TVNs also had membranous foci which were rarely observed in WT (+ATc) parasites.Membranous foci similar to these have been previously described as disassembling IMC which has detached from the plasma membrane and compacted (34).While there is no reliable way of judging parasite age in these fixed samples beyond the fact that they are 3 hpi or less, the presence of membranous foci could suggest that these parasites are either still in the process of disassembling their IMC and are therefore no more than 1 hpi (35) or developmentally delayed compared to WT parasites (Fig. 6C).
Overall, these data show that IMC1g-deficient (−ATc) parasites carry out successful and complete internalization as indicated by the formation of the parasitophorous vacuole, absence of residual tethering to the RBC membrane, and RESA staining of the RBC membrane.These parasites, however, do not show amoeboid form, the hallmark sign of normal morphology in the ring stage, or sustained remodeling of the RBC through the formation of a TVN.It is unclear to what extent parasites are metabolically active during initial RESA discharge and IMC disassembly.Absence of amoeboid form and sustained RBC remodeling are, however, clear signs that normal ring-stage physio logic processes are severely disrupted.Thus, we conclude that IMC1g-deficient parasites die (or are severely damaged and dying) within 1 h of internalization, and that the disappearance of infected RBCs from culture is downstream of parasite death.

PfIMC1c is a potential interacting partner of PfIMC1g
While PfIMC1g is the first alveolin confirmed to be essential in the blood stages of P. falciparum, it is only one of four alveolins which are upregulated during schizogony.Like PfIMC1g, PfIMC1c and 1e are also predicted to be essential in blood-stage asexual stages, while PfIMC1f is predicted to be dispensable (16).To test these predictions, we attemp ted to directly knock out PfIMC1e, 1c, 1g, and 1f by inserting constitutively expressed human dihydrofolate reductase (hDHFR), which conveys resistance to the drug WR99210, into their protein coding sequences, disrupting protein expression.Multiple attempts at knocking out PfIMC1c, 1e, and 1g failed.However, we successfully knocked out PfIMC1f without adverse effects for the parasites (Fig. S6B), confirming it is dispensable.To further investigate PfIMC1c and 1e essentiality, we endogenously tagged them and added a TetR-DOZI knockdown system to control protein expression using ATc.While PfIMC1c deficiency was lethal (Fig. S6A), induction of PfIMC1e knockdown only had a small effect on parasite fitness likely due to insufficient KD (data not shown).
Our tagged PfIMC1c colocalized with PfIMC1g, displaying a localization and distribution in the IMC identical to that previously reported (Fig. 7A).However, the presence of a c-terminal hemagglutinin (HA) tag on PfIMC1c disrupts PfIMC1g distribu tion.While parasites with untagged PfIMC1c show an even distribution of PfIMC1g throughout the IMC (Fig. 7B), c-terminally tagged PfIMC1c parasites show basally enriched PfIMC1g localization (Fig. 7A).This effect is variable from parasite to parasite, with the bulk of parasites showing normal PfIMC1c and disrupted PfIMC1g but with some parasites occasionally showing normal localization of both proteins or basal enrichment of both proteins.This effect is not noticeable at the beginning of segmenta tion but becomes more pronounced as segmentation progresses (Fig. 7A).
This matches our earlier observation that addition of a large tag to the PfIMC1g cterminus is deleterious for parasite health (Fig. S2) and suggests that the c-terminus of alveolins may in general be important for protein function or filament formation.Notably, adding a flexible linker between PfIMC1c and its tag restored PfIMC1g to its wild-type even distribution (Fig. 7C).This effect, coupled with their colocalization, suggests that PfIMC1c and 1g could be interacting partners.To test this possibility, we also performed immunoprecipitation mass spectrometry analysis using PfIMC1g as bait, which revealed PfIMC1c as one of the most enriched proteins co-precipitated by PfIMC1g, providing further evidence for their interaction (Fig. S7).
Intriguingly, PfIMC1e and 1f were much less enriched, indicating that they are less closely associated with 1g.While PfIMC1c had been localized to the IMC before, the localization of PfIMC1e and 1f in schizonts remains unexplored.Thus, we sought to investigate the localization of epitope-tagged PfIMC1e and 1f by super-resolution microscopy.To our surprise, they did not colocalize with PfIMC1g (Fig. 7D and E).Rather, they remained at the leading edge of the IMC, expanding and contracting during schizogony in the same pattern as the basal complex.Furthermore, they both colocalize with the basal complex marker PfMORN1 (36,37).While there are several alveolins that localize to the basal complex of T. gondii (38), this is the first report of an alveolin that localizes to the basal complex of Plasmodium.

DISCUSSION
In this work, we used iKD and iKO systems to confirm that the alveolin PfIMC1g (PF3D7_0525800) is essential for P. falciparum asexual replication in RBCs.We went on to characterize its role in schizogony and invasion, the first functional characterization of an alveolin in the blood stages of Plasmodium.This characterization yielded multiple unexpected results.First, PfIMC1g-deficient parasites only exhibit minor defects during segmentation, with most merozoites being indistinguishable from wild type by superresolution fluorescence microscopy, ultrastructure expansion microscopy, and electron microscopy.So, unlike essential P. berghei alveolins studied in mosquito stages, PfIMC1g only plays a minor role in determining merozoite cell shape.Second, despite being an essential member of the subpellicular network, PfIMC1g does not play a key role in the formation and positioning of the subpellicular microtubules.Lastly, our live cell micro scopy and expansion microscopy show that PfIMC1g-deficient merozoites can complete all the steps of invasion up to RESA discharge and parasitophorous vacuole formation but cannot develop into amoeboid rings.
While these findings do not pinpoint a molecular cause of death, they are consistent with a model where IMC1g provides structural support during merozoite internaliza tion.In mammalian cells which have suffered mechanical damage due to intermediate filament deficiencies, such damage often results in changes in membrane permeability and a loss of homeostasis inside the cell due to DNA damage and ion leakage that eventually leads to death (39).A loss in homeostasis of this kind is consistent with our observation that IMC1g-deficient parasites do not show expected signs of ring-stage metabolic activity.Thus, we suspect the key to PfIMC1g's molecular function lies in its effect on parasite biophysical properties.
Together with existing knowledge about the localization of PfIMC1g, its homology to intermediate filaments, and alveolins' role in tensile strength of P. berghei ookinetes, these results lead us to hypothesize that PfIMC1g is a tension-bearing filament that provides elasticity to the IMC and protects merozoites from excessive deformation during invasion.This explains why slide-based IFAs on PfIMC1g-deficient parasites, which involve smearing and drying parasites on a slide, result in parasites that appear distorted when compared to their wild-type control (Fig. S5B).Evidence of this increased deformability is also observed in our U-ExM and TEM images.Unfortunately, there is still a lack of tools to directly measure tensile strength and cell stiffness of P. falcipa rum merozoites due to their short lifespan outside the RBC.Specifically, P. falciparum merozoite infectivity has a half-life of 15 min at room temperature and centrifugation of merozoites leads to a large amount of agglutination and loss of infectivity (40).Developing a protocol to make biologically relevant measurements of merozoite tensile strength and cell stiffness therefore remains a difficult task.
A loss in IMC elasticity can also explain why we observe a more severe cell shape phenotype in ookinetes and sporozoites than in merozoites.In ookinetes and sporo zoites, the nucleus adopts a flattened shape to conform to the restrictions of a narrow cell body.This is likely facilitated by the elastic, rope-like properties of alveolins which return the IMC to its narrow shape and prevent deformation.In the absence of essential ookinete and sporozoite alveolins, the IMC loses its elasticity, causing the area of the IMC surrounding the nucleus to bulge (5,12,13).Our model for damage during invasion follows similar principles; if the IMC is more deformable, parasites would have less resistance against cytoplasmic displacement, resulting in a smaller tight junction and increased shear stress on organelles (Fig. 8).
In addition to our functional characterization of PfIMC1g, we report that the alveolin composition of the merozoite SPN is much less diverse than that of the ookinete and sporozoite SPN: while four alveolins are expressed at the schizont and merozoite stage, only two, PfIMC1c and 1g, localize to the SPN.The other two alveolins, PfIMC1e and 1f, localize to the basal complex.Alveolins are a known component of the Toxoplasma basal complex and PbIMC1e was previously observed to enrich basally in ookinetes, but this is the first report of an alveolin localizing specifically and exclusively to the basal complex in Plasmodium.
The above observations have opened a new framework for understanding the role of alveolins in SPN biogenesis, function, and architecture.For example, studies performed in the mosquito stages of Plasmodium have observed that absence of certain alveolins leads to a variety of defects and that double knockout of alveolins exacerbates some phenotypes but not others (13).These studies have so far been unable to conclusively determine to what extent these phenotypes were interdependent or a result of alveolin redundancy.In this work, we were able to observe that loss of merozoite infectivity as a result of PfIMC1g depletion is independent of cell morphological abnormalities, demon strating that cell morphology does not necessarily lie upstream of other alveolin deficiency phenotypes.We also confirm that both alveolins in the merozoite SPN, PfIMC1g and 1c, are essential and that they are potential interacting partners.Thus, it is a possibility that simultaneous disruption of PfIMC1g and 1c could result in more dramatic segmentation defects in merozoites.Our ongoing research attempts to determine whether PfIMC1c and 1g form distinct filaments, shedding light on whether PfIMC1g has partial redundancy with PfIMC1c.
While our system could have presented an opportunity to assess whether the motility defects caused by alveolin knockouts are independent from cell shape defects, our attempts to assess merozoite gliding motility have thus far been unable to obtain reproducible results.Therefore, we were unable to measure a motility defect, or lack thereof, in our PfIMC1g-deficient parasites.
Overall, we show that PfIMC1g is essential and demonstrate its importance for RBC invasion.While we could not conclusively pinpoint the molecular mechanism behind parasite death, our data bring valuable insights into the stage-specific roles of alveolins.Our phenotypic observations and mapping of PfIMC1e and 1f to the basal complex open new avenues of research to better understand the interactions and specialized functions of these filaments in the asexual blood stages.

Parasite synchronization
Parasites were synchronized using one or a combination of the following approaches.Schizont-stage parasites were isolated by density centrifugation with 60% (vol/vol) Percoll (GE Healthcare), washed in complete media, and allowed to re-invade fresh erythrocytes.Rings were selected by incubation in 5% (wt/vol) sorbitol (Sigma-Aldrich) for 10 min followed by a wash in complete media.Invasion was constrained to a desired window by blocking merozoite attachment with 125 µg/mL heparin (Sigma) when invasion was not desired.

IMC1g smV5 iKD
One hundred micrograms of homology-directed repair (HDR) plasmid was linearized by digestion, purified, and co-transfected with 100 µg Cas9 targeting plasmid into 3D7 parasites.Parasites were maintained on 500 nM ATc and drug pressure was applied 1 day post-transfection with 2.5 nM WR99210 (Jacobus Pharmaceuticals).
Integration of each targeting construct was confirmed by PCR.Tet aptamer size was confirmed by amplifying the aptamer region and digesting the PCR fragment with PspOMI and KpnI.Individual transgenic clones for PfIMC1g smV5 iKD, PfIMC1g iKD, PfIMC1g HAx2 iKO, PfIMC1c HAx2 iKD, PfIMC1e HAx2 iKD, and PfIMC1f KO parasite lines were obtained by limiting dilution.Integration PCR descriptions are provided in Table S1 and Fig. S8.

Washout of ATc for protein knockdown
Depletion of PfIMC1g was achieved by adjusting a tightly synchronized ring culture to the desired parasitemia and then washing it three times in ATc-free RPMI.The washed culture was then divided into two dishes with half of the synchronized parasites receiving 500 nM ATc, and the other half receiving 0 nM ATc.

Depletion of PfIMC1g by inducible knockout
A tightly synchronized ring culture was adjusted to the desired parasitemia and then divided into two dishes with half of the synchronized parasites receiving 100 nM rapamycin (VWR), and the other half receiving dimethyl sulfoxide (DMSO) as a vehicle control.The final concentration of DMSO in both conditions was 0.01%.

Reagents and antibodies
Primers were obtained from Integrated DNA Technologies or Life Technologies; restriction enzymes were obtained from New England Biolabs (NEB).

Plasmid construction
All PCRs were performed with PrimeSTAR GXL DNA Polymerase (Takara Bio).All sequences for oligonucleotides and gene block sequences are provided in Table S1.Cloning outline for each plasmid is described in Table S1.All transformations were performed using Escherichia coli XL-10 Gold chemically competent bacteria.

Genomic DNA extraction
Parasite genomic DNA was isolated from 5 mL of ~2% parasitemia schizont-stage culture using the EZ-10 Spin Column Blood Genomic DNA Miniprep Kit (Bio Basic).

Growth assays
After ring-stage washout or addition of rapamycin, synchronized parasite lines and their parental lines were diluted to 0.25% parasitemia at 1% hematocrit.One hundred microliters of culture was collected 2 and 4 days after plating and immediately stained in 1:1,000 dilution of SYBR green I (Invitrogen) in 0.5% bovine serum albumin phos phate-buffered saline (BSA-PBS) for 20 min at room temperature.Stained parasites were washed in 0.5% BSA-PBS and resuspended in filtered PBS.The proportion of infected cells was measured by flow cytometry.One hundred thousand RBCs were counted for each condition.Data represented as mean values ± standard deviation (SD) of three independent biological replicates each with three technical replicates.

Immunoblots
Parasite pellets were purified by lysing RBCs using 0.05% saponin in PBS with protease inhibitors (SigmaFast Protease Inhibitor Cocktail, Sigma).Pellets were then resuspended in Laemmli buffer and incubated for 10 min at 95°C.Equal volumes of each paired sample was run on a 4%-20% Tris-glycine-sodium dodecyl sulfate gel and transferred to a nitrocellulose membrane.Membranes were blocked in Odyssey PBS blocking buffer (LI-COR Biosciences), incubated overnight at 4°C with primary antibody diluted in blocking buffer, and then incubated with secondary antibodies diluted in blocking buffer.Membranes were scanned on a Licor Odyssey CLx imager system.Data shown are representative of three independent biological replicates.

Immunoprecipitation and mass spectrometry
Synchronized parasites were expanded to 200 mL at 2% schizontemia per condition and collected at approximately 48 hpi.At collection, RBCs were lysed with 0.05% saponin in PBS with protease inhibitors (SigmaFast Protease Inhibitor Cocktail, Sigma).Parasite pellets were lysed in RIPA (50 mM Tris-HCl, pH 7.5, 150 mM NaCl, 1% NP-40, 0.5% sodium deoxycholate, 0.1% sodium dodecyl sulfate) plus protease inhibitor for 30 min on ice, sonicated twice at 20% amplitude for 30 s, and insoluble material was removed by centrifugation.Parasite lysate was applied to magnetic α-V5 beads (MBL Interna tional) and incubated for 3 h at 4°C.Beads were washed three times with fresh RIPA plus protease inhibitors, resuspended in 50 µL of 5 mM ammonium bicarbonate, and submitted for detergent removal, on-bead digestion, and mass spectrometry analysis.Mass spectrometry results were analyzed by comparing the number of unique and total peptides present in experimental and control samples.Data shown represent peptides detected in two independent biological replicates.

IFAs
Tightly synchronized parasite lines (after ring-stage washout when appropriate) were seeded at 2%-10% ring parasitemia and 1%-4% hematocrit depending on the assay and parasite mass required.Parasites were given daily media changes and, for experiments observing AMA1 translocation, arrested using E64 2-3 h prior to harvest.

Slide-based IFAs
Dried blood smears were fixed with 4% PFA for 10 min.Following fixation, slides were washed three times in PBS and permeabilized with 0.1% Triton X-100 in PBS for 10 min.Parasites were then washed three times in PBS and blocked in 3% BSA-PBS for 1 h at room temperature or overnight at 4°C.Primary antibodies were diluted in 3% BSA-PBS, and slides were incubated overnight at 4°C.Slides were washed three times in PBS, and secondary antibodies were diluted in 3% BSA-PBS and applied for 45 min at room temperature.Slides were washed three times in PBS and mounted with VECTASHIELD Vibrance with DAPI (4´,6-diamidino-2-phenylindole) or washed once and stained with Hoechst (1 µg/mL) in PBS for 10 min at room temperature (RT).Slides stained with Hoechst were washed three times in PBS and mounted with VECTASHIELD Vibrance or PLUS (Vector Laboratories).using C1 2 h prior to harvest.Five hundred microliters of each culture were collected and washed twice with warm media to release from C1. Parasites were settled on dishes immediately and imaged using brightfield every 4 s using a Nikon Ti Eclipse inverted microscope.For DIC imaging of egressed merozoites without RBCs, parasites underwent the same preparation but were MACS purified prior to C1 addition, recovered for 1 h in warm complete media, and settled on ibidi μ-slide I Luer chambers (Cat.No. 80176) after C1 release.Samples were imaged using a Nikon Ti2-E inverted microscope 1 h post C1 release.
For DIC imaging of invaded RBCs, tightly synchronized parasite lines were washed from ATc as rings and seeded at 8%-10% parasitemia and 2% hematocrit.To constrain invasion to a 3-h time window, 125 µg/mL heparin (Sigma) was used to prevent parasite invasion starting at 24 h pre-egress.Then, 2 h pre-egress, C1 was added to each parasite culture.After 2-3 h of C1 incubation, heparin and C1 were washed out and parasites were allowed to invade for 3 h under shaking conditions.Then, 250 µL of culture was collected and adjusted to 1% HCT using phenol red-free media supplemented with Trolox (Acros Organics, final concentration 10 µM) and 5 µg/mL Hoechst.After incubating for 10 min protected from light, 30 µL of sample was settled on a four-chamber 35 mm glass bottom dish (Cellvis) coated with concanavalin A (Sigma).After settling for 10 min at 37°C, 400 µL of phenol red-free media supplemented with Trolox (10 µM) was added to each chamber.Regions of interest (ROIs) were selected using Hoechst and brightfield.Each ROI contained at least one RBC meeting the following criteria: single nucleus as observed by Hoechst, no extracellular parasite material attached to RBC, and no hemozoin visible by brightfield.After acquiring an initial picture with both Hoechst and DIC, parasites were imaged every 30 s for 30 min using DIC only.

Transmission electron microscopy
E64-treated WT and PfIMC1g-deficient schizonts were purified by MACS.The parasite pellet was washed with 1 mL incomplete RPMI, and resuspended in 50 µL incomplete RPMI.Then, 50 µL fixative (2.5% paraformaldehyde, 5% GA, 0.06% picric acid in 0.2 M cacodylate buffer) was added to the pellet.Fixed pellets were submitted to the Harvard Medical School Electron Microscopy Core.There, they were washed once in 0.1 M cacodylate buffer, twice in water, and then incubated for 1 h in 1% osmium tetroxide/1.5% potassium ferrocyanide in water.Next, the samples were washed twice in water then once in 50 mM maleate buffer pH 5.15 (MB).Samples were incubated for 1 h in 1% uranyl acetate in MB, then washed once in MB and twice in water.Pellets were then subjected to dehydration by increasing concentrations of ethanol and were put successively in 50%, 70%, 90%, 100%, and 100% ethanol for 10 min each.Following dehydration, samples were incubated in propylene oxide for 1 h, then overnight with a 1:1 mixture of propylene oxide and TAAB 812 Resin (TAAB, #T022).The next day, samples were embedded in TAAB 812 Resin then polymerized at 60C for 48 h.Slices were imaged using a JEOL 1200EX -80kV electron microscope.For analysis, images were blinded and loaded onto ImageJ.Parasite roundness was quantified by thresholding parasites and then applying the shape descriptors measurement under the Analyze menu in ImageJ.

Measuring daughter cell size
Images were blinded and then the largest diameter of each cell (estimated by eye) was traced using the polygon selection tool on FIJI and saved to the ROI manager.The area of a fitted ellipse was calculated by measuring the Ferret's minimum and maximum diameter and plugging them into the formula for the area of an ellipse (A = πr min r max ).All datapoints collected and their mean values across three independent biological replicates are shown.

Measuring tubulin and cell length
Images were blinded and then, showing the NHS-ester channel, the apical polar ring and basal complex of each parasite were mapped with the point tool and saved to the ROI manager on ImageJ.Then, showing the tubulin channel only, the beginning and end of each subpellicular microtubule bundle were mapped and saved to the ROI manager.The coordinates of each point were then exported and the distances between each pair of coordinates (APR and basal complex for cell length and tubulin for the subpellicular microtubules) were determined by calculating their hypotenuse in 3D space D = x 1 − x 2 2 + y 1 − y 2 2 + z 1 − z 2 2 .

Post-invasion Field's stain time course
After ring-stage washout, tightly synchronized parasite lines were seeded at 2% parasitemia and 4% hematocrit.To constrain invasion to a 3-h time window, 125 µg/mL heparin (Sigma) was used to prevent parasite invasion starting at 24 h pre-egress.Then, 2 h pre-egress, C1 was added to each parasite culture.After 2 h of C1 incubation, heparin and C1 were washed out and parasites were allowed to invade for 3 h.Smears for Field's stains were collected and stained with Hemacolor every hour.At the end of 3 h, heparin was added again to inhibit further invasion.Smears for Field's stains were collected and stained once more at 20 hpi.Randomized ROIs were captured on an Olympus BX40 microscope.Images were blinded and then each parasite was categorized according to the morphologies described in Table S1.Tallies were kept using the cell counter tool on ImageJ.Data represented as mean values ± SD of three independent biological replicates.

FIG 1
FIG 1 PfIMC1g is essential for asexual replication.(A) Diagram of PfIMC1g iKO construct.Predicted palmitoylation sites in pink.LoxP sites are inserted in synthetic introns.PfIMC1g is excised upon addition of RAPA, yielding a fusion protein of the PfIMC1g N-term with nLuc.(B) Replication of PfIMC1g wild type (WT) (−RAPA) and KO (+RAPA) parasites, in pink, and their parental line, in black, as measured by flow cytometry.Graph shows mean ± SD of three biological replicates.(C) Nanoluciferase assay of PfIMC1g iKO line without induction of excision (−RAPA) and with induction (+RAPA) compared to its parental (3D7 DiCre).Each point represents a technical replicate, n = 9 (three biological replicates with three technical replicates each).n.d.indicates at least one point is not shown because its value was not detected.****, P < 0.0001 (unpaired t-test).(D) Replication of PfIMC1g WT (+ATc) and KD (−ATc) parasites, in pink, and their parental line, in black, as measured by flow cytometry.Graph shows mean ± SD of three biological replicates.Atc, anhydrotetracycline.

FIG 2
FIG 2 PfIMC1g-deficient parasites have a segmentation defect, leading to a slight reduction in the number of viable daughter cells produced.(A) Airyscan super-resolution images of merozoite plasma membrane (PfMSP1) and inner membrane complex (PfGAP45 and PfPhIl1) markers in schizonts under PfIMC1g WT (+ATc) and KD (−ATc) conditions.Scale bars = 2 µm.(B) Mean and distribution of merozoite size reported as area of maximum cross-section.Each point represents (Continued on next page)

FIG 2 ( 6 FIG 3
FIG 2 (Continued) a daughter cell, columns show pooled data from three biological replicates.Pie charts show proportion of outliers (>3 SD from WT mean) in white.(C) Mean and distribution of number of viable daughter cells produced and (D) anucleated daughter cells produced.Columns in both graphs represent data from 30 schizonts across three biological replicates, where each point represents data from one schizont.****, P < 0.0001; **, P < 0.01 (ordinary one-way ANOVA, Dunnett multiplicity adjusted P-values).(E) Airyscan super-resolution images of translocated microneme protein PfAMA1 and inner membrane complex marker PfGAP45 in schizonts under PfIMC1g WT (+ATc) and KD (−ATc) conditions.Scale bars = 2 µm.Zoomed images highlight aberrant residual body and anucleated cells (*) in KD parasites.Scale bars = 1 µm.

FIG 5
FIG 5 PfIMC1g-deficient parasites egress normally after segmentation but do not survive internalization.(A) Live cell microscopy stills of WT (+ATc) and PfIMC1g KD (−ATc) schizonts undergoing egress and invasion of new RBCs.First frame is set at 1 min before the first sign of egress.Timestamp MM:SS.Magenta arrows indicate attached merozoites.(B) Parasite egress as quantified by flow cytometry.% Egress = 100 * (1 − (schizontemia at 6 hpi/ schizontemia at 0 hpi)), where schizontemia is the proportion of RBCs ≥ 3N and hpi is hours post-invasion.Graph shows mean ± SD of four biological replicates.ns, not significant (P > 0.05, unpaired t-test).(C) Quantification of microneme function by IFA.The graph shows the proportion of schizonts which have translocated PfAMA1 to the plasma membrane after being arrested with E64.Graph shows mean ± SD of three biological replicates.ns, not significant (P > 0.05, unpaired t-test).(D) Percentage of RBCs showing amoeboid parasites at 3 h after C1 release.Graph shows mean ± SD of three biological replicates.****, P < 0.0001 (unpaired t-test).(E) Representative images of time-lapse differential interference contrast (DIC) imaging of RBCs positive for parasite material.Hoechst (magenta) was used as a DNA stain.

FIG 7
FIG 7 PfIMC1c is a potential interacting partner of PfIMC1g while PfIMC1e and PfIMC1f are novel members of the basal complex.(A) Batch IFA showing PfIMC1c-HA (no linker) and PfIMC1g.(B) Batch IFA showing PfCINCH-smV5 as a basal complex marker and PfIMC1g.(C) Batch IFA showing PfIMC1c-HA (with linker) and PfIMC1g.(D) Slide-based IFA showing PfIMC1f-smV5 and IMC marker PfIMC1g or basal complex marker PfMORN1.(E) Slide-based IFA showing PfIMC1e-HA and IMC marker PfGAP45 or basal complex marker PfMORN1.(F) Schematic of IMC and basal complex formation during schizogony and alveolin localization to each compartment.Scale bars = 2 µm.

FIG 8
FIG 8Diagram of hypothesized mechanism of death.Wild-type parasites have an elastic IMC that prevents parasite deformation by resisting cytoplasmic displacement.During invasion, the tight junction formed by the parasite enlarges as the parasite passes through.In PfIMC1g-deficient parasites, the IMC membrane is less elastic.This leads to less resistance to cytoplasmic displacement.Thus, when parasites pass through the tight junction, they undergo a larger degree of deformation.This deformation can cause tears in the parasite membranes as they stretch to accommodate displaced cytoplasm and DNA damage due to shear stress.