Differential expression of ligands in the human malaria parasite Plasmodium falciparum enables it to recognize different receptors on the erythrocyte surface, thereby providing alternative invasion pathways. Switching of invasion from using sialated to nonsialated erythrocyte receptors has been linked to the transcriptional activation of a single parasite ligand. We have used quantitative proteomics to show that in addition to this single known change, there are a significant number of changes in the expression of merozoite proteins that are regulated independent of transcription during invasion pathway switching. These results demonstrate a so far unrecognized mechanism by which the malaria parasite is able to adapt to variations in the host cell environment by post-transcriptional regulation. Plasmodium falciparum is the most virulent species causing malaria in humans that affects and kills millions of people worldwide. The clinical symptoms of this parasitic disease are caused by the intraerythrocytic stages of the P. falciparum life cycle. Within the erythrocyte, the parasite matures over 48 h from ring stage to schizont stage. Upon maturation, the schizont ruptures and releases numerous invasive merozoites. Erythrocyte invasion is mediated by a range of different receptor-ligand interactions, with different parasite strains utilizing different receptor-ligand combinations. Two merozoite protein families termed reticulocyte-binding protein homologues (RH) 1 and erythrocyte-binding ligands have been linked to the ability of the parasite to recognize different erythrocyte receptors, thereby providing alternative invasion pathways (reviewed in Refs. 1 and 2).The P. falciparum W2mef clone can switch from a sialic acid-dependent to a sialic acid-independent invasion pathway (3, 4), and this switch is linked to the up-regulation of transcription and expression of PfRH4, as well as the posttranscriptional repression of expression of PfRH1, both members of the RH family (5-7). To date, these studies have focused on genome-wide transcriptional data with the subsequent expression analysis of a few selected candidate proteins that showed changes in transcription levels. Such an approach is unable to identify proteins regulated posttranscriptionally, and therefore a detailed analysis to correlate transcription, as well as protein expression, is essential.Here, we have combined quantitative proteomics with transcriptional profiling to define the extent of post-transcriptional regulation during invasion pathway switching in P. falciparum. This approach identified a number of merozoite proteins whose expression levels are post-transcriptionally regulated during invasion pathway switching. Sialic acid removal from erythrocytes by neuraminidase (sialidase) has been widely used as a tool to investigate invasion pathway properties of various P. falciparum strains (3, 8 -10). From this present work, it is clear that post-transcriptional regulation of protein expression plays an important role in invasion pathway switching; more...