Plasmodium falciparum erythrocyte membrane protein 3 (PfEMP3) is a parasite-derived protein that appears on the cytoplasmic surface of the host cell membrane in the later stages of the parasite's development where it associates with membrane skeleton. We have recently demonstrated that a 60-residue fragment (FIa1, residues 38 -97) of PfEMP3 bound to spectrin. Here we show that this polypeptide binds specifically to a site near the C terminus of ␣-spectrin at the point that spectrin attaches to actin and protein 4.1R in forming the junctions of the membrane skeletal network. We further show that this polypeptide disrupts formation of the ternary spectrin-actin-4.1R complex in solution. Importantly, when incorporated into the cell, the PfEMP3 fragment causes extensive reduction in shear resistance of the cell. We conjecture that the loss of mechanical cohesion of the membrane may facilitate the exit of the mature merozoites from the cell.The intraerythrocytic form of Plasmodium falciparum, the agent of the most severe type of human malaria, exports many (according to a proteomic estimate, up to 400) proteins into the host cell in the course of its growth and development (1-3). Certain of these proteins are known to associate with the host cell membrane skeleton and thereby modify its structure and properties. Among the changes that have been reported are an altered morphology, an increased membrane rigidity, and an enhanced propensity to adhere to the vascular endothelium (4). Several such proteins that bind to the red cell membrane skeleton have so far been characterized. When the parasite first invades red cells, it deposits RESA (the ring parasite-infected erythrocyte surface antigen) at the membrane skeleton of the newly invaded cell where it binds to spectrin and protects against thermal damage (5-7). As the intracellular parasite further matures, it traffics further proteins to the skeleton. P. falciparum erythrocyte membrane protein 1, or PfEMP1, 2 is inserted into the red cell membrane and its extracellular domain adheres to receptors on endothelial cells (8). PfEMP1 clusters on the red cell surface at dimpled areas called knobs by binding of its intracellular domain to the parasite-encoded protein KAHRP (knob-associated histidine-rich protein) from which knobs are formed (9) and to spectrin and actin (10). KAHRP itself is stabilized at the membrane by interactions with the fourth repeat of spectrin ␣-chain (11). MESA (the mature parasite-infected erythrocyte surface antigen) binds to the 30-kDa domain of protein 4.1R and displaces the host protein p55 (12, 13). Its role in parasite biology is still uncertain, but interference with MESA binding is lethal to the parasite (14). The P. falciparum erythrocyte membrane protein 3 (PfEMP3), with which we are concerned here, is a large protein of 315 kDa that is expressed from the late ring stage onward and is exported via the Maurer's clefts, vesicular structures of parasite origin, into the cytoplasm of the red cell, where it associates with membrane skeleton. H...