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