Invasion of human erythrocytes by Plasmodium knowlesi requires the Duffy blood group antigen. P. knowlesi merozoites synthesize a 135-kDa polypeptide which binds to the Duffy antigen with receptor-like specificity. In this study, we show that the sulfated polysaccharide fucoidan and the glycosaminoglycan dextran sulfate inhibit the binding of the 135-kDa polypeptide to human Duffy-positive and rhesus erythrocytes while the chondroitin sulfates do not. Fucoidan and dextran sulphate also blocked the in vitro invasion of human Duffy b and rhesus erythrocytes cells by P. knowlesi merozoites. These inhibitors were more effective at blocking the binding of the 135-kDa polypeptide to human Duffy b erythrocytes than to rhesus erythrocytes, which correlated with them having a greater inhibitory effect on invasion of merozoites into human than into rhesus erythrocytes.The blocking by these sulfated sugars is not related to charge density on the polysaccharides; fucoidan with a relatively low charge density blocks binding of the 135-kDa polypeptide at 4 pg/ml, while the highly negatively charged chondroitin sulfates do not block binding even at the concentration of 1 mg/ml. Furthermore, fucoidanSepharose bound and removed the 135-kDa polypeptide from parasite culture supernatants with a selectivity equal to that of the Duffy blood group antigen. The negatively charged sulfate groups on fucoidan and dextran sulfate and the conformation in which they are held possibly mimic similarly charged groups on the Duffy antigen which bind the 135-kDa P. knowlesi polypeptide.The asexual erythrocyte cycle of malaria begins with growth and proliferation of the intraerythrocytic parasite to individual merozoites which, on rupture of the erythrocyte, invade other erythrocytes. Growth and proliferation then begins again in the newly invaded erythrocyte. Invasion of erythrocytes involves recognition of specific ligands on erythrocytes by receptors on merozoites [l]. In the case of Plasmodium knowlesi, a monkey malaria that invades human erythrocytes, at least one of these ligands is the Duffy blood group antigen [2]. Human erythrocytes lacking the Duffy antigen are not invaded by P. knowlesi merozoites, and invasion can be blocked with anti-Duffy antibodies. Humans lacking the Duffy blood group antigens are also resistant to infection by Plasmodium vivax, a human malaria, indicating that this malaria also requires the Duffy antigen as a ligand for invasion [3]. Due to this requirement, P. vivax is absent from West Africa where almost all of the population is Duffy negative.We have recently identified a 135-kDa polypeptide synthesized by P. knowlesi asexual parasites which binds to the Duffy blood group antigen with receptor-like specificity [4]. We observed, using enzyme-treated erythrocytes, that binding of the 135-kDa polypeptide correlated with the ability of merozoites to invade these cells. In the present study, we demonstrate that fucoidan, a sulfated polysaccharide, and dextran sulfate, a glycosaminoglycan, specifically block the Cor...