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YSM Issue 90.1

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BLAST<br />

from<br />

the<br />

PAST<br />

Malaria: Finding the Missing Pieces of Malaria’s Migratory Patterns<br />

►BY WILL BURNS<br />

In 1925, Spain’s Catalan Government set up a humble<br />

hospital in the Ebro Delta region. The hospital treated<br />

patients suffering from malaria. Ildefonso Canicio, a<br />

doctor at the hospital, spent decades diagnosing and<br />

treating patients. By drawing blood from patients,<br />

and placing a drop on a microscope slide, he could<br />

determine whether the blood contained Plasmodium,<br />

the parasite that causes malaria.<br />

Canicio threw away most of his slides, but he kept<br />

a few slides from the 1940s. Little did he know that<br />

seventy years later, these slides would provide insight<br />

into the global migratory patterns of the malaria<br />

Plasmodium.<br />

To fight malaria in the present day, researchers are<br />

looking to the past to understand how the parasite<br />

evolved over time, specifically exploring how human<br />

movements transmitted the parasite across the globe.<br />

Malaria was successfully eradicated from Europe after<br />

World War II. Thus, researchers have had to search<br />

for old, badly preserved slides from Europe’s preeradication<br />

era, hoping to find clues about the nowextinct<br />

parasite.<br />

Carles Lalueza-Fox, a paleo-genomics researcher<br />

at the Institute of Evolutionary Biology in Barcelona,<br />

reached out to Canicio’s family who gave him three<br />

slides to analyze. Back at the lab, he quickly realized<br />

that analyzing the slides would be difficult. “There<br />

were just a few drops of blood in the samples. Once<br />

they were extracted and sequenced, they were gone.<br />

The slides were fragile and covered with stains and<br />

oils,” said Lalueza-Fox.<br />

Despite the fragility and small size of the samples,<br />

Lalueza-Fox and his team successfully obtained<br />

a huge amount of genetic data from Plasmodium<br />

mitochondrial DNA (mtDNA). Unlike nuclear DNA,<br />

mtDNA is inherited only from the mother, so it is<br />

better suited for determining the maternal lineage<br />

and genealogy of a species. “As far as I know, this is<br />

the first study where such old slides were used and<br />

such an amount of genetic data from the pathogens<br />

was retrieved,” Lalueza-Fox added.<br />

Using the reconstructed European Plasmodium<br />

mtDNA genomes, Lalueza-Fox and his team shed light<br />

on certain controversies surrounding the parasite’s<br />

evolutionary history. “It was not clearly understood<br />

how the pathogen spread along different continents,<br />

because Europe was central to some of these dispersals<br />

but no data from Europe was available,” noted Lalueza-<br />

Fox.<br />

His team found surprising genetic similarities<br />

between European Plasmodium mtDNA and Indian<br />

Plasmodium mtDNA. Lalueza-Fox believes that<br />

malaria was transmitted from India to Europe when<br />

the Persian Empire expanded into India in the sixth<br />

century BCE.<br />

The team also found evidence that European,<br />

Central American, and South American parasites<br />

are genetically similar–indicating that, the exchange<br />

of food, plants, culture, and technology between the<br />

Old World and the Americas in the 15th and 16th may<br />

have helped spread malaria.<br />

Lalueza-Fox is now attempting to construct the<br />

nuclear genome of the European Plasmodium<br />

parasite. “So far, we have about 40 percent of the<br />

nuclear genome of the P. falciparum. I reckon we need<br />

four or five more slides,” Lalueza-Fox said.<br />

In Lalueza-Fox’s opinion, understanding the<br />

nature of parasites from 100 years ago is critical for<br />

understanding the resistance of modern parasites to<br />

treatment. “Plasmodium is a very dynamic organism<br />

and very difficult to tackle because of these mutations,”<br />

Lalueza-Fox added.<br />

His team will continue to search for the missing<br />

pieces of the Plasmodium “puzzle,” researching the<br />

extinct parasite to enhance our understanding of<br />

malaria.<br />

www.yalescientific.org<br />

December 2016<br />

Yale Scientific Magazine<br />

35

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