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Malarial Host-Parasite Clash Causes Deadly Blood Sugar Drop

Scientists say they have finally figured out why some people with severe malaria end up with dangerous hypoglycemia, also reporting that the condition starves the parasite into changing tactics from virulence to transmission.

Written byNatalia Mesa, PhD
| 4 min read
Pink and purple <em>Plasmodium</em> parasites inside red blood cells
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Malaria is one of the world's deadliest diseases, responsible for 627,000 deaths worldwide in 2020 alone. In severe cases, patients develop dangerously low blood sugar levels. This complication is especially perilous in children and can be fatal if left untreated, but why it develops in the first place has been a long-standing mystery.

Now, in a study published Friday (July 15) in Cell Metabolism, researchers describe the complicated tug-of-war between host and parasite that appears to explain malaria-associated hypoglycemia. According to the study, the host’s blood sugar drops to dangerously low levels as the malaria parasite destroys blood cells. This starves the parasite, which responds by becoming less likely to kill the already-fragile host—but more likely to spread to others.

The researchers explain that both the host and the parasite are demonstrating adaptive behaviors during this process. The host is ridding itself of the parasite by lowering its blood sugar, ...

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Meet the Author

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    As she was completing her graduate thesis on the neuroscience of vision, Natalia found that she loved to talk to other people about how science impacts them. This passion led Natalia to take up writing and science communication, and she has contributed to outlets including Scientific American and the Broad Institute. Natalia completed her PhD in neuroscience at the University of Washington and graduated from Cornell University with a bachelor’s degree in biological sciences. She was previously an intern at The Scientist, and currently freelances from her home in Seattle. 

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