Background
All parasites are adapted to extract energy from their host and divert it towards their own survival and reproduction. To survive within the host, malaria (
Plasmodium) parasites must first replicate asexually in the liver, and then in the blood, [
1]. Transmission (i.e., reproduction) requires the production of sexual stages (gametocytes) in the host, which mate when taken up by an insect vector. In the host’s blood, the vast majority of parasite biomass consists of asexually replicating stages, adapted for foraging on host resources and serving as a source population for the production of gametocytes [
2]. Parasite traits that underpin asexual replication rate include burst size (the number of merozoites produced by a schizont [
3]), preferential invasion of red blood cells (RBCs) of certain ages, the duration of the asexual cycle, the ability of parasites to avoid clearance (e.g., by the spleen) through sequestration [
4], and the conversion rate [
5,
6].
The conversion rate is well studied in
Plasmodium chabaudi [
7‐
9] and so the focus here is on other traits (hereafter termed ‘asexual traits’) affecting asexual replication, namely: burst size, the duration of the asexual cycle, and invasion rates of mature (normocytes) and immature (reticulocytes) RBCs. Variation in asexual traits has been observed within and between different species of
Plasmodium [
10‐
13]. Antia et al. [
12], for example suggest that different genotypes of
P. chabaudi have different age preferences for the RBCs they infect, and genetic variation in invasion preference, burst sizes and parasite effects on host erythropoiesis are thought to contribute to virulence differences between
P.
chabaudi genotypes [
3,
11]. In addition to ‘genetically hardwired’ variation, asexual traits of a given genotype can vary according to changes in the within-host environment (‘phenotypic plasticity’). Furthermore, different parasite genotypes may react differently to the same change in within-host conditions (‘genotype by environment effects’). For example, the densities of asexuals and gametocytes produced by several
P. chabaudi genotypes are differentially affected by host strain [
14], and burst size is predicted to be higher if parasites develop inside reticulocytes compared to normocytes, especially for more virulent genotypes [
3]. Environmentally driven variation in traits of the human malaria parasite
Plasmodium falciparum are difficult to assess in natural infections due to the need to study parasites in culture, whereas examples of genetic variation are plentiful [
15]: RBC invasion phenotypes [
16],
var gene repertoire [
17] and anti-malarial drug resistance mutations [
18].
All else being equal, simple predictions to act as null hypotheses can be made for how asexual traits affect replication rate. For example, a high burst size should result in rapid increase in asexual density. If parasites can alter their ability to invade mature and immature RBCs to match the changing age structure of RBCs during infection, as hosts develop and then recover from anaemia, they could maximize replication rate throughout infections. Burst size may also be plastic in response to the age of host RBC and drive variation in cycle-to-cycle replication during infections [
3,
11]. In contrast, a faster asexual cycle may not lead to fast replication because development during asexual replication coordinates with host circadian rhythms [
19‐
21], so (stabilizing) selection may favour parasites with a cycle closest to the 24-h duration of host rhythms. Finally, because each individual parasite can develop either as an asexual or a gametocyte, a resource allocation trade-off exists in which the more parasites convert to gametocytes, the slower the asexual replication rate [
5]. Similar to the trade-off involved in conversion, trade-offs may govern interactions between other traits. A high burst size might come at a cost of elongating cycle duration, or merozoites must specialize on the expression of ligands for invading RBC of certain ages [
22].
Genetic variation, plasticity and genotype by environment effects are important to quantify because they may maintain genetic variation in populations as well as allowing genetic variation to be exposed to natural selection [
23‐
25]. However, these concepts are hard to study for parasites due to the difficulty of separating parasite control of traits from variation that is caused by the direct impact of environmental change (i.e., host control of parasite traits). For example, host control of immune responses and RBC resources also mediates how permissive the within-host environment is to replication [
12,
13,
26,
27]. However, there is evidence that parasites are at least in part responsible for adjusting asexual traits. For example, [
10] show that burst size is reduced in calorie-restricted hosts and this is not simply because parasites fail to acquire sufficient resources for maximum merozoite production, but instead, that they appear to use a nutrient sensing pathway to match burst size to the resources available.
This study investigates genetic variation, phenotypic plasticity and genotype by environment interactions in replication rate and the asexual traits that underpin replication rate. An experiment was conducted to test whether the dynamics of asexual densities and the traits that underpin replication (burst size, asexual cycle duration and RBC invasion preference) vary between parasites infecting anaemic and control hosts, for 4 genotypes of
P. chabaudi. Sequestration of asexual stages was not considered due to the difficulties of obtaining reliable estimates. Finally, the relative contributions of asexual traits to the variation observed in replication rate were assessed. The findings reveal genetic variation (G), plasticity (E) and genotype by environment interactions (G×E) in asexual traits and suggest that plasticity in burst size is the main contributor to faster replication in anaemic hosts. Quantifying the genetic variation, plasticity and genotype by environment interactions involved in asexual traits, and how variation in traits acts in concert, may reveal new intervention opportunities where targeting one trait may affect other traits through trade-offs or pleiotropy in clinically favourable ways [
28].
Discussion
The experiment presented here finds that the impact of host anaemia differs between four genotypes of
P. chabaudi. First, asexual density dynamics are altered in anaemic hosts in a genotype specific manner (G×E; the trait value of a particular genotype depends on its environment). Specifically, AJ exhibits a greater increase in replication in PHZ-treated hosts than AS, CR and ER, and AS has similar amounts of replication in both control and treatment groups. Second, CR exhibits a lower burst size (approx. 0.5 merozoites/schizonts) than the other genotypes and across all genotypes, burst size increases (approx. 1 merozoite/schizont) in PHZ-treated hosts. This increase may seem modest but when multiplied across millions of parasites within a cohort that replicate every day, a small increase can make a large contribution to within-host replication.
Plasmodium falciparum genotypes also differ, on average, in burst size by 2 merozoites [
39]. Third, ER exhibits a faster asexual cycle (approx. 1 h) than the other genotypes and across all genotypes, cycle duration slows (by approx. 35 min) in PHZ-treated hosts. This 2–4% divergence in cycle duration is similar to that reported for two
P. falciparum genotypes (50 and 44 h, [
39]). Fourth, in contrast to the other traits, variation in the invasion rates of differently aged RBCs is not associated with genotype or host anaemia, concluding
P. chabaudi to be a generalist. Genotype-specific preferences for RBCs of different ages has been reported for
P. chabaudi (e.g., reticulocyte preference for AS, [
3]) and normocyte preference for AJ, [
12] but these data are not from PHZ-treated hosts and differ qualitatively from those presented here. Fifth, plasticity in burst size and genotype identity are the only traits that make significant contributions to the variation observed in replication rates. However, > 50% of the variation in replication could not be explained, suggesting key roles for other traits such as sequestration behaviours and switching of surface antigens [
40].
To what extent is the variation observed in asexual traits attributable to parasite control? Could the plasticity observed simply reflect how much the within-host environment directly affects the ability of parasites to achieve particular trait values? For example, are parasites programmed to achieve the same burst size regardless of their environment, but unable to achieve this trait value in control hosts due to a lack of resources? If so, the increase in burst size in PHZ-treated hosts may simply be the outcome of an external constraint being lifted rather than active decision by the parasite to modulate burst size. In support of the former, conversion rate is increased in PHZ-treated hosts, which suggests the parasite is better resourced in PHZ-treated hosts [
33]. However, in support of latter, parasites can control burst size [
10]. Alternatively, cycle duration might be extended in anaemic hosts simply because blood with a low RBC density may not generate sufficient friction to facilitate schizonts bursting on time [
38]. In reality, parasite traits are likely shaped both by parasites adjusting their strategies and the constraints imposed (or opportunities provided) by the prevailing within-host conditions.
Further complications arise if multiple traits are correlated. For example, achieving a high burst size may require a long asexual cycle to garner sufficient resources and construct merozoites. If so, parasites might benefit from actively increasing burst size but how much they can alter this trait is constrained by the need keep the cycle duration as close to 24 h as possible. However, given that
Plasmodium berghei typically produces 12–18 merozoites per schizont (i.e., twice as many as
P. chabaudi) from a shorter cycle [
29] and here, ER alters burst size independently of cycle duration, burst size is not inevitably linked to cycle duration. Furthermore, the genotypes used here (AJ, AS, CR, ER) also adopt different conversion rates in PHZ-treated hosts [
33]. Because conversion rate trades off against asexual density, a high converting genotype could suffer low asexual densities as a consequence [
6]. This is unlikely to be the case here because the genotype groupings for the effects of PHZ on asexual densities and conversion rates differ: asexual densities of AJ are the most affected by PHZ (Fig.
3) but, out of all 4 genotypes, AS responds with the biggest increase in conversion and ER with the smallest increase (Fig. 3 from [
33]).
The same difficulties in ascertaining the extent to which plasticity in asexual traits is controlled by the parasite also apply to interpreting genetic variation. For example, can the differences between genotypes in PHZ-treated hosts be explained simply by them exacerbating PHZ-induced anaemia to different extents? The dynamics of RBC density (normocytes plus reticulocytes, Fig.
1c) did not vary in a genotypic-specific manner during infections (of both PHZ-treated and control hosts) suggesting the differences in replication rate are independent of RBC densities. Similar logic can be applied to an influence of reticulocyte proportion on genotype differences in control hosts. However, reticulocyte proportion dynamics did vary between the genotypes in PHZ-treated hosts and in this group, reticulocyte proportion correlates closely with asexual density on day 4 (F(4,27) = 6.45, p = 0.001; adj. R
2 = 0.38) but genotype does not (F(3,26) = 2.02, p = 0.14). Parasites achieving higher densities in anaemic hosts simply because they perform better in reticulocytes is not consistent with two observations. First, that plasticity in burst size is not explained by the age of RBC a parasite infects. Second, that parasites do not differ in their ability to invade normocytes or reticulocytes. Further work should examine whether the different reticulocyte proportion dynamics are due to chance variation between hosts, resulting from how different genotypes influence erythropoiesis or the development of innate immune responses, for example RBC-age specific filtering by the spleen. Using different doses of PHZ to induce different levels of anaemia could also discriminate between genetically encoded differences in replication rate in anaemic hosts from the consequences of abundant resources.
G×E interactions in fitness-related traits are key contributors to evolution [
23]. This is because environmental change can expose genetic variation and allow natural selection to change gene frequencies in the population. For instance, if all genotypes exhibit similar values for a particular fitness trait in control infections, then natural selection operating in this environment cannot sort between genotypes [
23,
24]. In contrast, if the trait values of some genotypes increase (suggesting higher fitness) in anaemic hosts but the trait values for other genotypes remain unchanged or decrease, selection pressures resulting from infecting anaemic hosts are able to favour the genotypes with higher fitness, and they rise in frequency in the population. Such a phenomena may operate on replication rate because the rank order of genotypes differs between control and anaemic hosts (e.g., AS reaches the highest density in control hosts but is lower than AJ in PHZ-treated hosts). Extending this to natural infections suggests that interventions affecting the prevalence or degree of anaemia may facilitate a change in parasite gene frequencies. Furthermore, a host population with variable levels of anaemia may maintain genetic variation in the parasite population.
Conclusion
Explaining variation in parasite traits is inherently challenging because quantitative and qualitative characteristics of an infection are the result of both host and parasite effects [
11]. Additional complexity is introduced if parasite traits are phenotypically plastic and vary according to within-host-conditions, in manners that differ between genotypes (G×E). Given that asexual replication is responsible for host exploitation and virulence, it is paramount to improve approaches for quantification of other asexual traits such as sequestration behaviours and switching between variable surface antigens [
17]. Furthermore, the present study focuses on using anaemia as an environmental perturbation but plasticity and genetic variation in asexual traits is likely in response to a range of within-host pressures, including co-infection, immunity and drug treatment. Predicting treatment success and preventing evolution in response to anti-malarial interventions could be facilitated by better understanding the drivers of variation in both asexual and sexual traits of parasites and the correlations between them. For example, if different ligand-receptor interactions used by different
P. falciparum genotypes drive variation in both invasion phenotypes and immune selection [
41], this should be accounted for in vaccine development.
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