Binding of Plasmodium falciparum-infected erythrocytes (PE) to
endothelial cells is mediated by the erythrocyte-membrane
protein, band 3-related adhesin. To determine its role, the binding of
infected cells treated with various
chemical modifiers was investigated. Binding was inhibited by a lysine
modifier (4,4′-diisothiocyanostilbene-2,2′-di-sulfonate
(DIDS)) known to specifically bind to band 3, another lysine modifier (trinitrobenzene
sulfonic acid), a tyrosine
modifier (sodium iodide in conjunction with lactoperoxidase, hydrogen peroxide)
and oxidants (diamide, sodium periodate
and ADP-chelated ferric ion), but binding was unaffected by the histidine
modifier (diethylpyrocarbonate) and the arginine
modifier (phenyl glyoxyl monohydrate). To artificially expose the band
3-related adhesin, uninfected erythrocytes were
treated with acridine orange or loaded with calcium. These cells bound
to C32 amelanotic melanoma cells, were
immunostained with a monoclonal antibody that specifically binds to the
band 3-related adhesin on PE, and the binding
was inhibited by this monoclonal antibody. The binding of acridine orange-treated
and calcium-loaded uninfected
erythrocytes, could also be blocked by DIDS. In the case of acridine orange-treated
erythrocytes, the patterns of the
effects of the chemical modification on binding were consistent with that
of PE except for tyrosine modification. These
results demonstrate that the band 3-related adhesin, even in the absence
of parasite-encoded proteins, contributes to PE
adhesion.