Apicomplexa
Apicomplexa
William C Marquardt, Colorado State University, Fort Collins, Colorado, USA Article Contents
CA Speer, Montana State University, Bozeman, Montana, USA . Introduction
. Characterization
. Place in Overall Taxonomic Scheme
The phylum Apicomplexa includes several thousand parasitic protists that cause major
. Phylogenetic and Evolutionary Considerations
diseases of mankind and of domestic and companion animals. Among the diseases that
. Host–Parasite Interactions
they cause are malaria, coccidiosis, toxoplasmosis, sarcocystosis, cyclosporosis,
. Major Taxa and Important Species
cryptosporidiosis and piroplasmosis.
Characterization
Members of the phylum have one or more elements of the
apical complex (Figure 1) at some stage of the life cycle:
polar ring, rhoptries, micronemes and conoid. Sexuality is Figure 1 Structure of apicomplexans as revealed by electron microscopy.
by syngamy. Multiplication is by schizogony or endodyo- Upper left: a metrocyte, or mother cell, in which the elements of the apical
geny; 9 1 2 flagellar form is present in some gametes; complex are minimally expressed. Upper right: a zoite in which all of the
elements of the apical complex are seen. Lower: A detailed view of the
locomotion is by body flexion or gliding; subpellicular conoid and associated elements such as the polar rings and the
tubules are present in most species. Feeding is by subpellicular tubules which extend about two-thirds of the length of the
osmotrophy or phagotrophy, the latter by a cytostome zoite. (Courtesy of C. A. Speer.)
ENCYCLOPEDIA OF LIFE SCIENCES © 2001, John Wiley & Sons, Ltd. www.els.net 1
Apicomplexa
cytokinesis until all the progeny have formed. Then, organisms such as Plasmodium spp. Merogony is also a
cytokinesis occurs simultaneously forming all of the schizogonic process and the main one by which the
progeny (Figure 3). Endodyogeny is a process in which apicomplexans multiply within a host. In malaria, this
two progeny form within a parental cell (Figure 4); when the process occurs first in the liver and then in the red blood
offspring are fully formed, the parental cell breaks down, cells. Gamogony results in the formation of gametocytes,
releasing them. which undergo syngamy to form a new individual. In most
Apicomplexans have three stages in their life cycles: instances, there are distinctly male and female gametes, but
in many of the gregarines, isogametes are formed.
Sporogony
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Figure 3 A meront of Sarcocystis sp. in a hepatocyte of a mouse as seen in transmission electron microscopy. (A) Merozoites that have completed budding
from (B) a centrally located residual body. (Courtesy of C. A. Speer.)
classes (excluding Perkinsea). Probably first were gregar- Haemosporea and Piroplasmea transmission haemato-
ines, or something like them. These organisms infect phagous arthropods inject the organisms.
invertebrates and most are coelozoic although some
groups are cytozoic. The long evolutionary history of the
apicomplexans can be inferred from the fact that members
of the genus Eimeria parasitize tunicates or sea squirts,
marine chordates from which fishes began to diverge Host–Parasite Interactions
perhaps 500 million years ago. Eimeria spp. infect the
intestines of all classes of vertebrates: fish, amphibia, Nearly all apicomplexans are cytozoic intracellular para-
reptiles, birds and mammals. Eimeria spp., with few sites. The gregarines usually have a holdfast or epimerite by
exceptions show a high degree of host specificity, usually which they attach to cells; as the organisms grow, the
infecting only a few closely related species of hosts and trophozoites become large enough to see with the naked
suggesting a long coevolution. eye and extend into the cavity of the organ. In Plasmodium
The shift to a two-host life cycle, such as occurs spp., which cause malaria in humans, the stages in the
facultatively in Toxoplasma gondii, probably occurred mosquito are extracellular. The intracellular mode of life is
when a paratenic host was inserted into the life cycle. Two often said to protect the organism from the immune
hosts eventually became obligatory, as in Sarcocystis and response of the host, but the long association of
Neospora. Transmission by haematophagous arthropods apicomplexans and coevolution with their hosts also
(or other invertebrates) is the final step in the evolutionary suggests that they parasitize the metabolic reactions of
sequence. In the Adeleina, the arthropod, often a their host cells. The striking enlargement of the nuclei and
mosquito, is eaten in order to infect the vertebrate. In nucleoli in host cells seen in certain coccidial infections
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Figure 4 Endodyogeny in zoites of Neospora caninum, an economically important parasite of domestic animals. (A) A zoite not undergoing
endodyogeny. (B) Partially formed progeny cells in which the nucleus is being divided into two progeny cells. (C) Two progeny cells completely formed and
probably ready to be released. (Courtesy of C. A. Speer.)
suggests that the transcriptional activity of the host cells is Sarcocystis, Toxoplasma, Isospora, Hammondia and
increased, perhaps selectively. others. In vitro cultivation of apicomplexans has led to
information on antigens, parasite development, biochem-
istry, host–parasite interactions, host cell invasion and
In vitro cultivation molecular biology.
A major advance concerning the cultivation of apicom-
Cultivation of an infectious agent outside of its host allows
plexans was made in 1976 by Trager and Jensen who
the organism to be characterized and its mode of
succeeded in continuous cultivation of meronts of Plas-
development can readily be studied. Advances in cultivat-
modium falciparum, the organism that causes malignant
ing bacteria in the nineteenth century brought about
tertian malaria in humans. This discovery facilitated
enormous advances in knowledge of infectious diseases
research in malaria immunology and biochemistry and is
and in their control. The earliest attempts to culture
recognized as initiating the era of molecular biological
apicomplexan parasites were made early in the twentieth
research on malaria.
century and involved Plasmodium spp., Sarcocystis tenella,
In a few instances, the complete life cycles of apicom-
Gastrocystis gilruthi, Toxoplasma gondii and Eimeria spp.
plexans have been obtained in vitro. In most cases, when
These attempts were unsuccessful, but somewhat later,
cultured cells are inoculated with sporozoites, apicomplex-
techniques for isolating and cultivating cells and tissues
ans develop only through the first-generation meronts or
from vertebrates were refined. By the late 1940s, major
they multiply exclusively by endodyogeny. Some apicom-
discoveries led to the development of reliable methods of
plexans are facultative or obligately heteroxenous para-
culturing vertebrate cells in vitro. Subsequently, techniques
sites (i.e. they require two hosts to complete their life
were developed that led to standardized procedures for the
cycles). Even in those that are monoxenous, the endogen-
cultivation of many types of cells, to the development of
ous stages often develop in different sites and in different
highly defined culture media, and to pathogen-free culture
types of cells within the host. For example, first-generation
media. Today, various culture media are available
meronts of Eimeria bovis develop in endothelial cells of the
commercially, as are some apicomplexan parasites.
central lacteals of the ileal portion of the intestine, whereas
Techniques have now been developed for the in vitro
second-generation meronts and gametocytes develop in
cultivation of many apicomplexans including species of
glandular epithelial cells in the large intestine and caecum.
Babesia, Plasmodium, Cryptosporidium, Eimeria, Theileria,
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Apicomplexa
Figure 5 The life cycle of Eimeria tenella of the chicken. This apicomplexan is typical of those coccidia that parasitize the intestinal tracts of their hosts.
Sporogony takes place outside of the host, and both merogony and gamogony occur within cells of the intestine. (From Marquardt et al., 1999.)
Cultures inoculated with sporozoites of E. bovis develop Neospora caninum in vitro. Meronts and gametocytes of
only to first-generation meronts, but merozoites obtained these species have not been cultured in vitro, indicating that
from the intestinal tract of infected calves develop to in these systems the appropriate cell types, cultural
gametocytes and oocysts in cultured cells. Further parasite conditions or components of the medium are lacking.
development probably involves certain environmental Research has shown that lowering the pH of the culture
conditions that are required for the stimulation of medium or adding parasite-specific antibodies to the
developmentally regulated genes, enabling the parasite to culture medium induces tachyzoites of T. gondii, Ham-
proceed to the next developmental phase. mondia spp. and N. caninum to form cysts containing
The complete endogenous cycles of Cryptosporidium bradyzoites. Techniques have also been developed for the
parvum, Isospora suis and certain Eimeria spp. from isolation and cultivation of apicomplexans from tissues of
chickens have been obtained in vitro. Endodyogeny is the infected hosts. For example, apicomplexans such as T.
only form of asexual reproduction that occurs with gondii, N. hughesi and Sarcocystis neurona (the latter
Toxoplasma gondii, Besnoitia spp., Hammondia spp. and
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penetrate another cell. However, there would be no usually have elevated levels of tumour necrosis factor alpha
receptor contact on the plasmalemma of the host cell (TNF-Ã). Localized overproduction of TNF-Ã is con-
being penetrated by a host cell-enveloped sporozoite. sidered to be primarily responsible for fever and tissue
Therefore, it appears that in some instances host cells may lesions in severe falciparum malaria, but IgE also appears
be receptive to purely mechanical penetration by zoites to contribute to the pathogenicity.
without the need of host cell–parasite receptor contact. More than 60 years have been dedicated to searching for
Penetration of an apicomplexan into a cultured cell does a malaria vaccine, yet there is still no effective means of
not necessarily result in multiplication of the parasite. immunizing against the disease. Four species infect
After entry into host cells, the parasite and host cell must humans: Plasmodium falciparum, P. malariae, P. vivax
set up an environment conducive to parasite growth and and P. ovale. Most of the effort in developing a vaccine has
development. When zoites of T. gondii penetrate into host focused on P. falciparum, because it causes the most
cells, a tight junction is formed between the host cell and debilitating and lethal infections. Immunizing against
parasite at the site of penetration, inducing the release of malaria is complicated by the complexity of development
rhoptry contents. Dense granules are also released during in the human host, which involves several stages in red
and shortly after penetration. Once inside the cell, a space blood cells and in the liver: the sporozoite, the exoery-
develops between the host cell and the parasite; this is throcytic (EE) forms in the liver, and the asexual and sexual
called the parasitophorous vacuole. Multiplication of the erythrocytic forms. Initially, efforts to develop a human
parasite appears to be dependent upon proteins from malaria vaccine were directed against sporozoites or
rhoptries and dense granules becoming incorporated into erythrocytic merozoites. However, it was discovered that
the parasitophorous vacuole membrane and the develop- immunizing against sporozoites failed to protect against
ment of a tubulovesicular membrane network within the erythrocytic merozoite infection. If a single sporozoite
parasitophorous vacuole. escaped immune detection, then a clinical infection could
result.
It is now accepted that a multistage and multivalent
Immunity vaccine will be needed to achieve an efficacious malaria
vaccine. Compared to a single-stage antigen-based vac-
The development of immunity is dependent upon the cine, a multistage and multivalent vaccine would be more
outcome of a complex and dynamic interplay between the efficacious by inducing multiple layers of immunity.
host and the apicomplexan and is mediated through the Recent efforts have focused on developing genetically
host’s immune system. The immune system changes engineered vaccines consisting of genes encoding for as
adaptively in response to the activity and behaviour of many as nine stage-specific antigens of P. falciparum
the apicomplexan. corresponding to sporozoite, EE forms, and erythrocytic
Both antibody-dependent and cell-mediated (CMI) asexual and sexual stages. Preliminary studies have shown
mechanisms contribute to immunity in malaria as well as that such a multicomponent vaccine can induce immune
in other apicomplexans. Antigenic variation among responses that inhibit parasite development at multiple
malarial parasites results in considerable variation in their stages. Thus, an effective human malaria vaccine may be on
sensitivity to antibody-mediated inhibition. Both Ãã and the horizon.
T cells are important in malaria immunity. Although T Cryptosporidium parvum is a common source of diar-
cells may increase 40-fold or more in acutely infected rhoea in animals and usually causes a mild enteric disease
humans and also inhibit growth of parasites in vitro and in in normal humans, and leaves the host solidly immune to
vivo, their relative importance in protection or pathogeni- reinfection. On the other hand, severe, chronic infections
city is still not clear. Both CD4 1 and CD8 1 Ãã T cells may develop in immunocompromised hosts. Infection
respond to malarial infection, but the role of CD8 1 T cells induces specific IgM, IgG, IgA and IgE antibody
in blood stage infections appears to be limited. CD4 1 cells responses, and transient local and secretory IgA antibody
are of major importance and comprise at least two responses occur in the duodenum. Although the role of
functionally different subsets (TH1 and TH2), with TH1 specific antibodies remains unclear, decreases in oocyst
cells producing primarily interleukin 2 (IL-2) and inter- shedding in lambs and calves coincide with a rise in levels of
feron gamma (IFN-) and giving rise to protection early in coproantibodies, or antibodies in the intestinal contents.
infections. TH2 cells produce primarily IL-4 and are However, experimental studies in B-cell deficient mice do
primarily responsible for clearance of parasites late in the not suggest a protective role for either endogenous or
infection. In areas of high endemicity of malaria, most secretory antibodies. Also, high antibody titres of IgG and
humans have significantly elevated blood levels of IgE, but IgM were found in many AIDS patients with chronic C.
only approximately 5% of the IgE antibodies are directed parvum infections. Nevertheless, colostrum from cows
against P. falciparum, indicating that there is skewing of immunized against C. parvum decreases parasite burden
the underlying T-helper cell ratio in favour of TH2. IgE and is moderately efficacious against C. parvum when given
levels are highest in patients with cerebral malaria who also by mouth in AIDS patients with severe diarrhoea. Similar
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Speer CA and Dubey JP (1999) Ultrastructure of schizonts and Fourmaux MN (1996) Toxoplasma gondii microneme proteins: gene
merozoites of Sarcocystis falcatula in the lungs of budgerigars cloning and possible function. Current Topics in Microbiology and
(Melopsittacus undulatus). Journal of Parasitology 85: 630–637. Immunology 219: 55–58.
Jensen JB (ed) (1983) In Vitro Cultivation of Protozoan Parasites. Boca
Raton, FL: CRC Press.
Further Reading Levine ND (1985) Apicomplexa. In: Lee JJ, Hutner SH and Bovee EC
(eds) An Illustrated Guide to the Protozoa. Lawrence, KS: Society of
Barta J (1989) Phylogenetic analysis of the class Sporozoa (phylum
Protozoologists.
Apicomplexa Levine, 1970): evidence for the independent evolution of
Levine ND (1988) The Protozoan Phylum Apicomplexa. Boca Raton,
heteroxenous life cycles. Journal of Parasitology 75: 195–206.
FL: CRC Press.
Clark DP and Sears CL (1996) The pathogenesis of cryptosporidiosis.
Margulis L, Corliss JO, Melkonian M and Chapman DJ (1990)
Parasitology Today 12: 221–225.
Handbook of the Protoctista. Boston: Jones & Bartlett Publishers.
Corliss JO (1994) An interim utilitarian (‘user-friendly’) hierarchical
Perlmann P, Perlmann H, Berzins K and Troye-Blomberg M (1998)
classification and characterization of the protists. Acta Protozoologica
Selected problems of malaria blood stage immunity. Tokai Journal of
33: 1–51.
Experimental Clinical Medicine 23: 55–62.
Doyle PS, Crabb J and Petersen C (1993) Anti-Cryptosporidium parvum
antibodies inhibit infectivity in vitro and in vivo. Infection and
Immunity 61: 4079–4084.