The asexual blood stage of the apicomplexan parasite
Plasmodium falciparum is responsible for clinical manifestations associated with the most virulent form of malaria in humans [
1]. As the parasite matures within a parasitophorous vacuole (PV) inside the red blood cell (RBC), it extensively modifies the RBC to make it amenable for nutrient uptake and to prevent clearance by the spleen [
2,
3]. The parasite accomplishes this remodeling of the terminally differentiated RBC by exporting proteins across the parasite plasma membrane and the parasitophorous vacuolar membrane (PVM) to the red cell cytosol (RCC) or red cell membrane (RCM). A major example of a parasite-induced modification to the host RBC is the formation of knobs on the outer surface of the RCM [
3]. These large protrusions consist of the parasite-encoded knob-associated histidine-rich protein (KAHRP) anchoring the immunovariant adhesin
P. falciparum erythrocyte membrane protein 1 (
PfEMP1) to the RBC cytoskeleton [
4–
6]. These protein complexes are implicated in the cytoadherance of infected RBCs to the host endothelium leading to their sequestration in the peripheral vasculature [
7]. Therefore, the exported proteins involved in the formation of these knobs and the actual machinery involved in their transport are not only major virulence factors in severe disease pathology, they are also crucial to the survival of
P. falciparum.
A highly conserved 5-amino acid motif (RxLxE/Q/D) termed the
Plasmodium export element (PEXEL) or host-targeting signal was recently identified through bioinformatic approaches and experimentally verified to mediate the translocation of parasite-derived proteins across the PVM and into the host RBC [
8,
9]. Site-directed mutagenesis of the conserved residues R, L, or E/Q/D with alanine abolished the export of green fluorescent protein (GFP) chimeras to the RCC. The discovery of the PEXEL has allowed for the
in silico annotation of the
P. falciparum “exportome” or “secretome” that has brought to light novel protein families exported by the parasite [
10]. Conservation of the PEXEL motif and its corresponding pathway across the genus
Plasmodium indicates the existence of common trafficking components in malaria parasites. The importance and uniqueness of this trafficking signal has generated considerable interest in the identification of the machinery that interacts with the PEXEL because of the potential for drug design.
With the discovery of this signal-mediated mechanism in
P. falciparum, an updated model for the export of proteins to the host RBC involves recruitment into the parasite endoplasmic reticulum (ER) [
11,
12], default secretion into the PV lumen [
12–
15], and PEXEL-mediated translocation across the PVM [
8,
9,
14,
15]. In other eukaryotic cells, proteins destined for export enter the secretory pathway by co-translational translocation across the ER membrane mediated by the recognition of a N-terminal signal peptide and concomitant cleavage of this signal peptide by the signal peptidase complex (SPC) [
16]. It has been assumed that
P. falciparum proteins exported to the host RBC have their ER-type signal peptides cleaved by the parasite SPC but this type of N-terminal processing has never been definitively characterized. Here, we show that exported parasite proteins do undergo N-terminal processing that involves cleavage and
N-acetylation of the PEXEL. The two examples of PEXEL processing described here indicate that this N-terminal cleavage and acetylation are likely to occur in many soluble proteins exported by
P. falciparum. Probing these N-terminal processing events with brefeldin A (BFA) reveal that PEXEL cleavage and
N-acetylation occurs in the parasite ER. The PEXEL processing of a PV-trapped GFP chimera suggests a recognition event in the PV may be crucial for export beyond the PVM. The dissection of the PEXEL as a novel ER peptidase cleavage site and a classical
N-acetyltransferase substrate sequence is also discussed.