Abstract

Malaria, the disease caused by Plasmodium parasites, causes significant mortality and morbidity. Whole parasite vaccination with pre-erythrocytic parasite stages, attenuated through sporozoite irradiation or chemo-attenuation, confers sterilizing immunity against subsequent parasite infection. This provides a rationale for the creation of whole parasite vaccines that are attenuated using gene editing. Here, we report on the creation of a novel genetically attenuated parasite (GAP) by the deletion of Plasmodium LINUP, encoding a liver stage nuclear protein. Epitope-tagging of LINUP in the rodent malaria parasite Plasmodium yoelii showed LINUP expression exclusively in liver stage nuclei after the onset of exo-erythrocytic schizogony. P. yoelii parasites with a gene deletion of LINUP (linup --) suffered an exclusive liver stage phenotype with developmental arrested late in exo-erythrocytic schizogony. Liver stages showed incomplete segregation of nuclei and, mitochondria and apicoplast. These cellular perturbations caused a defect in exo-erythrocytic merozoite formation and a concomitant severe attenuation of liver stage-to-blood stage transition. LINUP gene deletion in Plasmodium falciparum also caused a severe defect in late liver stage differentiation. Importantly, P. falciparum linup -- liver stages showed a severe defect in parasite transitioning from liver stage to viable blood stage infection. These results suggest that P. falciparum LINUPis a useful target for late liver stage attenuation and an additional gene deletion that can be incorporated into a late liver stage-arresting replication competent whole parasite vaccine.