Characterisation of Plasmodium vivax lactate dehydrogenase dynamics in P. vivax infections

Abstract Plasmodium vivax lactate dehydrogenase (PvLDH) is an essential enzyme in the glycolytic pathway of P. vivax. It is widely used as a diagnostic biomarker and a measure of total-body parasite biomass in vivax malaria. However, the dynamics of PvLDH remains poorly understood. Here, we develope...

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Main Authors: Pengxing Cao, Steven Kho, Matthew J. Grigg, Bridget E. Barber, Kim A. Piera, Timothy William, Jeanne R. Poespoprodjo, Ihn Kyung Jang, Julie A. Simpson, James M. McCaw, Nicholas M. Anstey, James S. McCarthy, Sumudu Britton
Format: Article
Language:English
Published: Nature Portfolio 2024-03-01
Series:Communications Biology
Online Access:https://doi.org/10.1038/s42003-024-05956-6
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author Pengxing Cao
Steven Kho
Matthew J. Grigg
Bridget E. Barber
Kim A. Piera
Timothy William
Jeanne R. Poespoprodjo
Ihn Kyung Jang
Julie A. Simpson
James M. McCaw
Nicholas M. Anstey
James S. McCarthy
Sumudu Britton
author_facet Pengxing Cao
Steven Kho
Matthew J. Grigg
Bridget E. Barber
Kim A. Piera
Timothy William
Jeanne R. Poespoprodjo
Ihn Kyung Jang
Julie A. Simpson
James M. McCaw
Nicholas M. Anstey
James S. McCarthy
Sumudu Britton
author_sort Pengxing Cao
collection DOAJ
description Abstract Plasmodium vivax lactate dehydrogenase (PvLDH) is an essential enzyme in the glycolytic pathway of P. vivax. It is widely used as a diagnostic biomarker and a measure of total-body parasite biomass in vivax malaria. However, the dynamics of PvLDH remains poorly understood. Here, we developed mathematical models that capture parasite and matrix PvLDH dynamics in ex vivo culture and the human host. We estimated key biological parameters characterising in vivo PvLDH dynamics based on longitudinal data of parasitemia and PvLDH concentration collected from P. vivax-infected humans, with the estimates informed by the ex vivo data as prior knowledge in a Bayesian hierarchical framework. We found that the in vivo accumulation rate of intraerythrocytic PvLDH peaks at 10–20 h post-invasion (late ring stage) with a median estimate of intraerythrocytic PvLDH mass at the end of the life cycle to be 9.4 × 10−3ng. We also found that the median estimate of in vivo PvLDH half-life was approximately 21.9 h. Our findings provide a foundation with which to advance our quantitative understanding of P. vivax biology and will facilitate the improvement of PvLDH-based diagnostic tools.
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spelling doaj.art-d48ba3507e1249c79abee4305c4342582024-03-24T12:29:26ZengNature PortfolioCommunications Biology2399-36422024-03-017111110.1038/s42003-024-05956-6Characterisation of Plasmodium vivax lactate dehydrogenase dynamics in P. vivax infectionsPengxing Cao0Steven Kho1Matthew J. Grigg2Bridget E. Barber3Kim A. Piera4Timothy William5Jeanne R. Poespoprodjo6Ihn Kyung Jang7Julie A. Simpson8James M. McCaw9Nicholas M. Anstey10James S. McCarthy11Sumudu Britton12School of Mathematics and Statistics, University of MelbourneGlobal and Tropical Health Division, Menzies School of Health Research and Charles Darwin UniversityGlobal and Tropical Health Division, Menzies School of Health Research and Charles Darwin UniversityQIMR Berghofer Medical Research InstituteGlobal and Tropical Health Division, Menzies School of Health Research and Charles Darwin UniversityGlobal and Tropical Health Division, Menzies School of Health Research and Charles Darwin UniversityPapuan Community Health and Development FoundationDiagnostics Program, PATHCentre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of MelbourneSchool of Mathematics and Statistics, University of MelbourneGlobal and Tropical Health Division, Menzies School of Health Research and Charles Darwin UniversityQIMR Berghofer Medical Research InstituteQIMR Berghofer Medical Research InstituteAbstract Plasmodium vivax lactate dehydrogenase (PvLDH) is an essential enzyme in the glycolytic pathway of P. vivax. It is widely used as a diagnostic biomarker and a measure of total-body parasite biomass in vivax malaria. However, the dynamics of PvLDH remains poorly understood. Here, we developed mathematical models that capture parasite and matrix PvLDH dynamics in ex vivo culture and the human host. We estimated key biological parameters characterising in vivo PvLDH dynamics based on longitudinal data of parasitemia and PvLDH concentration collected from P. vivax-infected humans, with the estimates informed by the ex vivo data as prior knowledge in a Bayesian hierarchical framework. We found that the in vivo accumulation rate of intraerythrocytic PvLDH peaks at 10–20 h post-invasion (late ring stage) with a median estimate of intraerythrocytic PvLDH mass at the end of the life cycle to be 9.4 × 10−3ng. We also found that the median estimate of in vivo PvLDH half-life was approximately 21.9 h. Our findings provide a foundation with which to advance our quantitative understanding of P. vivax biology and will facilitate the improvement of PvLDH-based diagnostic tools.https://doi.org/10.1038/s42003-024-05956-6
spellingShingle Pengxing Cao
Steven Kho
Matthew J. Grigg
Bridget E. Barber
Kim A. Piera
Timothy William
Jeanne R. Poespoprodjo
Ihn Kyung Jang
Julie A. Simpson
James M. McCaw
Nicholas M. Anstey
James S. McCarthy
Sumudu Britton
Characterisation of Plasmodium vivax lactate dehydrogenase dynamics in P. vivax infections
Communications Biology
title Characterisation of Plasmodium vivax lactate dehydrogenase dynamics in P. vivax infections
title_full Characterisation of Plasmodium vivax lactate dehydrogenase dynamics in P. vivax infections
title_fullStr Characterisation of Plasmodium vivax lactate dehydrogenase dynamics in P. vivax infections
title_full_unstemmed Characterisation of Plasmodium vivax lactate dehydrogenase dynamics in P. vivax infections
title_short Characterisation of Plasmodium vivax lactate dehydrogenase dynamics in P. vivax infections
title_sort characterisation of plasmodium vivax lactate dehydrogenase dynamics in p vivax infections
url https://doi.org/10.1038/s42003-024-05956-6
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