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    Malar J. 2004 Mar 2;3:2.

    Can mutation and selection explain virulence in human P. falciparum infections?

    Source

    Liverpool School of Tropical Medicine, Pembroke Place, Liverpool L3 5QA, UK. hastings@liverpool.ac.uk

    Abstract

    BACKGROUND:

    Parasites incur periodic mutations which must ultimately be eliminated to maintain their genetic integrity.

    METHODS:

    It is hypothesised that these mutations are eliminated not by the conventional mechanisms of competition between parasites in different hosts but primarily by competition between parasites within the same infection.

    RESULTS:

    This process is enhanced by the production of a large number of parasites within individual infections, and this may significantly contribute to parasitic virulence.

    CONCLUSIONS:

    Several features of the most virulent human malaria parasite Plasmodium falciparum can usefully be re-interpreted in this light and lend support to this interpretation. More generally, it constitutes a novel explanation for the evolution of virulence in a wider range of microparasites.

    PMID:
    14992697
    [PubMed - indexed for MEDLINE]
    PMCID: PMC394339
    Free PMC Article

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