Evidence map›Paper›PMID 25918423›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2015

Multiple stiffening effects of nanoscale knobs on human red blood cells infected with Plasmodium falciparum malaria parasite.

Yao Zhang, Changjin Huang, Sangtae Kim, Mahdi Golkaram, Matthew W A Dixon, Leann Tilley, Ju Li, Sulin Zhang, Subra Suresh

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed
9.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 116 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Contact Dynamics of CytoadheringACS infectious diseases · 2025
    Article
  6. Biomechanics of phagocytosis of red blood cells by macrophages in the human spleen.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  7. Article
  8. Review
  9. Knobs, Adhesion, and Severe Falciparum Malaria.Tropical medicine and infectious disease · 2023
    Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Biophysical Tools and Concepts Enable Understanding of Asexual Blood Stage Malaria.Frontiers in cellular and infection microbiology · 2022
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Yao ZhangDepartment of Engineering Science and Mechanics, The Pennsylvania State University, University Park, PA 16802;
Changjin HuangDepartment of Engineering Science and Mechanics, The Pennsylvania State University, University Park, PA 16802; suz10@psu.edu suresh@cmu.edu.
Sangtae KimDepartments of Materials Science and Engineering and.
Mahdi GolkaramDepartment of Engineering Science and Mechanics, The Pennsylvania State University, University Park, PA 16802;
Matthew W A DixonDepartment of Biochemistry and Molecular Biology, Bio21 Molecular Science and Biotechnology Institute, The University of Melbourne, Melbourne, VIC 3010, Australia; and.
Leann TilleyDepartment of Biochemistry and Molecular Biology, Bio21 Molecular Science and Biotechnology Institute, The University of Melbourne, Melbourne, VIC 3010, Australia; and.
Ju LiDepartments of Materials Science and Engineering and Nuclear Science and Engineering, Massachusetts Institute of Technology, Cambridge, MA 02139;
Sulin ZhangDepartment of Engineering Science and Mechanics, The Pennsylvania State University, University Park, PA 16802; suz10@psu.edu suresh@cmu.edu.
Subra SureshDepartment of Materials Science and Engineering, Department of Biomedical Engineering, and Computational Biology Department, Carnegie Mellon University, Pittsburgh, PA 15213 suz10@psu.edu suresh@cmu.edu.
Pennsylvania State University · USUniversity of Melbourne · AUCarnegie Mellon University · USMassachusetts Institute of Technology · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

During its asexual development within the red blood cell (RBC), Plasmodium falciparum (Pf), the most virulent human malaria parasite, exports proteins that modify the host RBC membrane. The attendant increase in cell stiffness and cytoadherence leads to sequestration of infected RBCs in microvasculature, which enables the parasite to evade the spleen, and leads to organ dysfunction in severe cases of malaria. Despite progress in understanding malaria pathogenesis, the molecular mechanisms responsible for the dramatic loss of deformability of Pf-infected RBCs have remained elusive. By recourse to a coarse-grained (CG) model that captures the molecular structures of Pf-infected RBC membrane, here we show that nanoscale surface protrusions, known as "knobs," introduce multiple stiffening mechanisms through composite strengthening, strain hardening, and knob density-dependent vertical coupling. On one hand, the knobs act as structural strengtheners for the spectrin network; on the other, the presence of knobs results in strain inhomogeneity in the spectrin network with elevated shear strain in the knob-free regions, which, given its strain-hardening property, effectively stiffens the network. From the trophozoite to the schizont stage that ensues within 24-48 h of parasite invasion into the RBC, the rise in the knob density results in the increased number of vertical constraints between the spectrin network and the lipid bilayer, which further stiffens the membrane. The shear moduli of Pf-infected RBCs predicted by the CG model at different stages of parasite maturation are in agreement with experimental results. In addition to providing a fundamental understanding of the stiffening mechanisms of Pf-infected RBCs, our simulation results suggest potential targets for antimalarial therapies.

Indexed as

Plasmodium falciparumComputer SimulationCytoskeletonErythrocyte CountErythrocyte MembraneErythrocytesHumansLipid BilayersMalaria, FalciparumMolecular Dynamics SimulationShear StrengthStress, MechanicalLipid Bilayerscoarse-grained simulationsmalariared blood cellsshear modulusstiffening

Identifiers

PMID25918423
PMCPMC4434686
OpenAlexW2025763583

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.