Falciparum malaria in naturally infected human patients: I. Ultrastructural differences between malaria pigments in intraerythrocytic asexual and sexual forms.

Venous blood samples were taken from patients naturally infected with the human malaria parasite Plasmodium falciparum. Two types of malaria pigment (MP) particles have been demonstrated in intraerythrocytic asexual forms (trophozoites and schizonts), while a single type was detected in gametocytes. Type I MP particles, found in both asexual and sexual forms, are electron-dense. It is suggested that these are proteinaceous and may be intermediate, utilizable metabolic products that serve as a food reserve during development of the parasite in the human host and also during the growth cycle of the sexual form in the mosquito. In asexual forms, type I particles occur within food vacuoles (FV) containing semidigested hemoglobin (Hg), while they are unenveloped in the cytoplasm of the sexual forms. Type II MP particles, found in electron-lucent residual bodies, are crystalloid and of low electron density. It is suggested that these are the final, waste product of Hg digestion in the asexual forms.