Invasion of the red blood cell (RBC) by the Plasmodium parasite defines the start of malaria disease pathogenesis. To date, experimental investigations into invasion have focused predominantly on the role of parasite adhesins or signaling pathways and the identity of binding receptors on the red cell surface. A potential role for signaling pathways within the erythrocyte, which might alter red cell biophysical properties to facilitate invasion, has largely been ignored. The parasite erythrocyte-binding antigen 175 (EBA175), a protein required for entry in most parasite strains, plays a key role by binding to glycophorin A (GPA) on the red cell surface, although the function of this binding interaction is unknown. Here, using real-time deformability cytometry and flicker spectroscopy to define biophysical properties of the erythrocyte, we show that EBA175 binding to GPA leads to an increase in the cytoskeletal tension of the red cell and a reduction in the bending modulus of the cell's membrane. We isolate the changes in the cytoskeleton and membrane and show that reduction in the bending modulus is directly correlated with parasite invasion efficiency. These data strongly imply that the malaria parasite primes the erythrocyte surface through its binding antigens, altering the biophysical nature of the target cell and thus reducing a critical energy barrier to invasion. This finding would constitute a major change in our concept of malaria parasite invasion, suggesting it is, in fact, a balance between parasite and host cell physical forces working together to facilitate entry.erythrocyte | malaria | real-time deformability cytometry | flicker spectroscopy | merozoite M alaria infections cause ∼438,000 deaths per year, most of which are due to the protozoan parasite Plasmodium falciparum (1). Although extensive eradication efforts have helped to reduce the incidence of malaria, the spread of drug resistance is a growing concern and novel treatments are urgently needed (2). Throughout the Plasmodium life cycle, parasites shuttle between replicative and motile life-cycle stages, with the motile forms or "zoites" highly adapted to the invasion of host cells. During the blood stages of infection, the merozoite targets and invades the red blood cell (RBC) rapidly (< 30 s) in a process that involves numerous parasite ligands and host cell receptors (3). Merozoite entry is a multistep process commencing with initial attachment and ending with parasite actomyosin-driven invasion (4). Although extensive cellular and molecular details of each step have been elucidated (5, 6), there is still little mechanistic understanding of the role of each protein involved or the signaling events within the erythrocyte that accompany entry (7).Initial attachment to the RBC surface is likely mediated by merozoite surface proteins. Subsequently, the key signaling and strong attachment interactions between host and parasite membranes are thought to be mediated by two major classes of adhesins released either before or concomitant with inva...