SUMMARYAntigenic variation in malaria was discovered in Plasmodium knowlesi
studies involving longitudinal infections of rhesus macaques (M.
mulatta). The variant proteins, known as the P. knowlesi
Schizont Infected Cell Agglutination (SICA) antigens and the P.
falciparum Erythrocyte Membrane Protein 1 (PfEMP1) antigens, expressed by the
SICAvar and var multigene families, respectively, have
been studied for over 30 years. Expression of the SICA antigens in P.
knowlesi requires a splenic component, and specific antibodies are necessary for
variant antigen switch events in vivo. Outstanding questions revolve
around the role of the spleen and the mechanisms by which the expression of these variant
antigen families are regulated. Importantly, the longitudinal dynamics and molecular
mechanisms that govern variant antigen expression can be studied with P.
knowlesi infection of its mammalian and vector hosts. Synchronous infections can
be initiated with established clones and studied at multi-omic levels, with the benefit of
computational tools from systems biology that permit the integration of datasets and the
design of explanatory, predictive mathematical models. Here we provide an historical
account of this topic, while highlighting the potential for maximizing the use of
P. knowlesi – macaque model systems and summarizing exciting new
progress in this area of research.