In the burgeoning field of Plasmodium gene expression, there are-to borrow some famous words from a former U.S. Secretary of Defense-"known knowns, known unknowns, and unknown unknowns." This is in itself an important achievement, since it is only in the past decade that facts have begun to move from the third category into the first. Nevertheless, much remains in the middle ground of known or suspected "unknowns." It is clear that the malaria parasite controls vital virulence processes such as host cell invasion and cytoadherence at least partly via epigenetic mechanisms, so a proper understanding of epigenetic transcriptional control in this organism should have great clinical relevance. Plasmodium, however, is an obligate intracellular parasite: it operates not in a vacuum but rather in the complicated context of its metazoan hosts. Therefore, as valuable data about the parasite's basic epigenetic machinery begin to emerge, it becomes increasingly important to relate in vitro studies to the situation in vivo. This review will focus upon the challenge of understanding Plasmodium epigenetics in an integrated manner, in the human and insect hosts as well as the petri dish.
WHY DOES EPIGENETICS MATTER IN PLASMODIUM?The malaria parasite has a complicated life cycle involving several functionally distinct forms living in two very different host species. It must be able to perform rapid transitions between morphological states and also long-term antigenic variation to sustain chronic infections in human hosts. To achieve all this, the parasite employs various types of regulation, including transcriptional and posttranscriptional regulation of gene expression, translational repression, and posttranslational protein modification. While several of these regulatory modes are suited to respond rapidly to host conditions during an acute infection or a life cycle transition, only the epigenetic control of gene expression can then maintain that "imprinted" pattern in later generations. (The term "epigenetic" will be used here to refer to the heritable marking of genetic material without alterations in the actual genetic code.) Epigenetic mechanisms of transcriptional control are thus likely to act in at least three major areas of Plasmodium biology.The first area is the cascade of changing gene expression which occurs during asexual replication in the human bloodstream. This is the most studied stage of the life cycle and the one which causes all the clinical symptoms of malaria. Plasmodium falciparum, the main Plasmodium species responsible for human mortality, has an unusual, formulaic mode of gene expression during its 48-h developmental process inside the erythrocyte, implying tight and integrated genome-wide regulation of transcription (13,62,65). It was initially thought that the Plasmodium genus had a striking paucity of classical transcription factors because few could be found in the sequenced genome of P. falciparum (49), and epigenetics was postulated as an alternative primary mode of transcriptional regulation. ...