The heme polymer hemozoin is produced in the food vacuole (fv) of the parasite after hemoglobin proteolysis and is the target of the drug chloroquine. A candidate heme polymerase, the histidine-rich protein II (HRPII), is proposed to be delivered to the fv by ingestion of the infected-red cell cytoplasm. Here we show that 97% of endogenous Plasmodium falciparum (Pf) HRPII (PfHR-PII) is secreted as soluble protein in the periphery of the red cell and avoids endocytosis by the parasite, and 3% remains membrane-bound within the parasite. Transfected cells release 90% of a soluble transgene PfHRPIImyc into the red cell periphery and contain 10% membrane bound within the parasite. Yet these cells show a minor reduction in hemozoin production and IC 50 for chloroquine. They also show decreased transport of resident fv enzyme PfPlasmepsin I, the endoplasmic reticulum (ER) marker PfBiP, and parasite-associated HRPII to fvs. Instead, all three proteins accumulate in the ER, although there is no defect in protein export from the parasite. The data suggest that novel mechanisms of sorting (i) soluble antigens like HRPII in the red cell cytoplasm and (ii) fv-bound membrane complexes in the ER regulate parasite digestive processes.Plasmodium falciparum is a protozoan parasite that causes the most virulent of human malarias (1, 2). During the blood stages of infection, it invades and develops within a parasitophorous vacuolar membrane (PVM) 1 in a red cell (3). The parasite exports numerous proteins to the cytoplasm and membrane of the red cell (4). Association with the host skeleton or insertion across its membrane is thought to be required to keep the protein in the periphery of the red cell. Soluble exported proteins are expected to be ingested with hemoglobin and delivered to the fv within the parasite (3, 5). The parasite ingests and degrades ϳ80% of the hemoglobin in the red cell (3, 5). Ingestion occurs via a specialized organelle called the cytostome, which is a double membrane invagination of the parasite plasma membrane (PPM) and PVM (see Fig. 1). The cytostome pinches off to form a large, double membrane vesicle containing hemoglobin that fuses with the fv where hemoglobin is degraded (Fig. 1). The released, toxic-free heme is detoxified by polymerization to hemozoin (6, 7). Heme polymerization is also likely to be the main target of chloroquine, of which the emergence of drug resistance is a major problem in controlling malaria (8 -10).Histidine-rich proteins have been shown to function as heme polymerases in vitro, and the best characterized of these proteins is P. falciparum HRPII (or PfHRPII) (11-13). This protein has been detected in the red cell as well as the fv, leading to the suggestion that it is ingested from the red cell by the cytostome along with hemoglobin and subsequently delivered to the fv. Early studies also suggest that resident fv proteases synthesized in a membrane-bound pro-form are transported to the PVM and then retrieved into the newly developing cytostome, which ingests hemoglobin (11,1...