Malaria’s molecular dance: Mechanism, therapies, and emerging insights

Nabila Ananda, Athaya Sabina, Ulfa Rahmadani, Ali Syahrizal, Nabillah Deskya, Sinta Maria, Muhammad Riza, Lusi Rahmadia, Anni Holila, Dwi Putri, Kevin Gabriel, Ratna Sari Zai, Mega Carensia, Princella Halim, Naomi Regina, Dinda Rizka, Aulia Syahfitri, Tessa Rotua, Maria Belen, Fahmy Nanda, Rizzanda Pramuditya, Khairunnisa Khairunnisa, Emil Salim, F. Nurkolis, Chindy Umaya, Rony Abdi Syahputra
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Abstract

Malaria, caused by Plasmodium parasites and transmitted through Anopheles mosquitoes, remains a formidable global health challenge. This abstract provides an overview of the intricate molecular mechanisms underlying malaria pathogenesis, explores current therapeutic approaches, and highlights emerging insights that may shape future strategies for malaria control. The intricate dance between Plasmodium parasites and their human hosts begins with the mosquito’s bite, leading to the invasion of erythrocytes by Plasmodium species. We delve into the molecular mechanisms governing parasite entry and subsequent replication within host cells, shedding light on key factors such as erythrocyte surface receptors and parasite-encoded proteins critical to invasion and survival. While malaria treatment has relied heavily on antimalarial drugs, the emergence of drug resistance necessitates ongoing exploration of novel therapeutic strategies. This abstract reviews current antimalarial drug classes, their mechanisms of action, and the challenges posed by drug resistance. We also highlight promising drug candidates and innovative approaches in the pipeline, including the use of advanced molecular techniques and immunotherapies. Emerging insights from genomics, proteomics, and transcriptomics have deepened our understanding of Plasmodium biology and host-parasite interactions. We discuss the potential of these omics approaches in identifying new drug targets, understanding drug resistance mechanisms, and developing vaccines. Additionally, we examine the role of human genetics in influencing susceptibility to malaria and response to treatment. Vector control remains a critical component of malaria prevention. We touch upon emerging strategies, such as genetically modified mosquitoes and novel insecticides, in the context of integrated vector management programs. Finally, we emphasize the importance of a multifaceted approach to malaria control, combining advances in molecular biology, drug development, vector control, and public health interventions.
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疟疾的分子舞蹈:机制、疗法和新见解
疟疾由疟原虫引起,通过按蚊传播,仍然是全球健康面临的严峻挑战。本摘要概述了疟疾发病机制背后错综复杂的分子机制,探讨了当前的治疗方法,并重点介绍了可能影响未来疟疾控制策略的新见解。疟原虫与人类宿主之间错综复杂的关系始于蚊子叮咬,导致疟原虫入侵红细胞。我们深入研究了寄生虫进入宿主细胞以及随后在宿主细胞内复制的分子机制,揭示了红细胞表面受体和寄生虫编码蛋白等对入侵和存活至关重要的关键因素。虽然疟疾的治疗主要依靠抗疟药物,但抗药性的出现要求我们不断探索新的治疗策略。本摘要回顾了目前的抗疟药物类别、作用机制以及抗药性带来的挑战。我们还重点介绍了前景看好的候选药物和正在研发中的创新方法,包括先进分子技术和免疫疗法的应用。基因组学、蛋白质组学和转录组学的新见解加深了我们对疟原虫生物学和宿主-寄生虫相互作用的了解。我们讨论了这些 omics 方法在确定新的药物靶点、了解耐药机制和开发疫苗方面的潜力。此外,我们还探讨了人类遗传学在影响疟疾易感性和治疗反应方面的作用。病媒控制仍然是疟疾预防的重要组成部分。我们将结合病媒综合管理计划,探讨转基因蚊子和新型杀虫剂等新兴战略。最后,我们强调采取多方面方法控制疟疾的重要性,将分子生物学、药物开发、病媒控制和公共卫生干预方面的进展结合起来。
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