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The natural ecology of malaria

The natural ecology of malaria involves malaria parasites infecting successively two types of hosts: humans and female Anopheles mosquitoes. In humans, the parasites grow and multiply first in the liver cells and then in the red cells of the blood. In the blood, successive broods of parasites grow inside the red cells and destroy them, releasing daughter parasites ("merozoites") that continue the cycle by invading other red cells.
The blood stage parasites are those that cause the symptoms of malaria. When certain forms of blood stage parasites ("gametocytes") are picked up by a female Anopheles mosquito during a blood meal, they start another, different cycle of growth and multiplication in the mosquito.
After 10-18 days, the parasites are found (as "sporozoites") in the mosquito's salivary glands. When the Anopheles mosquito takes a blood meal on another human, the sporozoites are injected with the mosquito's saliva and start another human infection when they parasitize the liver cells.
Thus the mosquito carries the disease from one human to another (acting as a "vector"). Differently from the human host, the mosquito vector does not suffer from the presence of the parasites.
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An image depicting the Life Cycle of the Malaria Parasite
The malaria parasite life cycle involves two hosts. During a blood meal, a malaria-infected female Anopheles mosquito inoculates sporozoites into the human host Image may be NSFW.
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. Sporozoites infect liver cells Image may be NSFW.
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and mature into schizonts Image may be NSFW.
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, which rupture and release merozoites Image may be NSFW.
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. (Of note, in P. vivax and P. ovale a dormant stage [hypnozoites] can persist in the liver and cause relapses by invading the bloodstream weeks, or even years later.) After this initial replication in the liver (exo-erythrocytic schizogony Image may be NSFW.
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), the parasites undergo asexual multiplication in the erythrocytes (erythrocytic schizogony Image may be NSFW.
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). Merozoites infect red blood cells Image may be NSFW.
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. The ring stage trophozoites mature into schizonts, which rupture releasing merozoites Image may be NSFW.
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. Some parasites differentiate into sexual erythrocytic stages (gametocytes) Image may be NSFW.
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. Blood stage parasites are responsible for the clinical manifestations of the disease.
The gametocytes, male (microgametocytes) and female (macrogametocytes), are ingested by an Anopheles mosquito during a blood meal Image may be NSFW.
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. The parasites’ multiplication in the mosquito is known as the sporogonic cycle Image may be NSFW.
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. While in the mosquito's stomach, the microgametes penetrate the macrogametes generating zygotes Image may be NSFW.
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. The zygotes in turn become motile and elongated (ookinetes) Image may be NSFW.
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which invade the midgut wall of the mosquito where they develop into oocysts Image may be NSFW.
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. The oocysts grow, rupture, and release sporozoites Image may be NSFW.
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, which make their way to the mosquito's salivary glands. Inoculation of the sporozoites Image may be NSFW.
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into a new human host perpetuates the malaria life cycle.

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