Penetration of the mosquito midgut epithelium is obligatory for the further development of Plasmodium parasites. Therefore, blocking the parasite from invading the midgut wall disrupts the transmission of malaria. Despite such a pivotal role in malaria transmission, the cellular and molecular interactions that occur during the invasion are not understood. Here, we demonstrate that the ookinetes of Plasmodium gallinaceum, which is related closely to the human malaria parasite Plasmodium falciparum, selectively invade a cell type in the Aedes aegypti midgut. These cells, unlike the majority of the cells in the midgut, do not stain with a basophilic dye (toluidine blue) and are less osmiophilic. In addition, they contain minimal endoplasmic reticulum, lack secretory granules, and have few microvilli. Instead, these cells are highly vacuolated and express large amounts of vesicular ATPase. The enzyme is associated with the apical plasma membrane, cytoplasmic vesicles, and tubular extensions of the basal membrane of the invaded cells. The high cost of insecticide use in endemic areas and the emergence of drug resistant malaria parasites call for alternative approaches such as modifying the mosquito to block the transmission of malaria. One of the targets for such modification is the parasite receptor on midgut cells. A step toward the identification of this receptor is the realization that malaria parasites invade a special cell type in the mosquito midgut. This is the centennial of the discovery in 1897 by Ronald Ross that mosquitoes transmit malaria (1). In the 1890s, fertilization of malaria parasites to form zygotes, the first step of Plasmodium development in the mosquito, also was discovered. Zygotes develop into ookinetes within the midgut and penetrate the peritrophic matrix and the midgut epithelium. In the hemolymph, parasites develop as oocysts between the midgut epithelium and basal lamina. Sporozoites develop during the hemolymph stage and penetrate the salivary glands to be injected into the human during blood feeding (2, 3). One of the most crucial aspects of the sporogonic development of malaria parasites is the crossing of the mosquito midgut epithelium by the ookinetes. The ookinetes that fail to penetrate the midgut epithelium die in the gut lumen. Blocking ookinete penetration of mosquito midgut epithelium, therefore, is a potential strategy to block malaria transmission. To exploit this invasion process, however, a better understanding of ookinete interaction with the midgut is necessary. The molecular aspects of this penetration process currently are not known.The ultrastructure of ookinetes within the mosquito midgut epithelium has been studied (4-7). In these experiments, only a few parasites were observed because invasion and transit across the epithelial cells are asynchronous. To examine the invasion process more extensively, we have developed an in vitro invasion assay. This assay, along with an in vivo procedure, has allowed us to examine a large number of invaded cells and has pr...