Abstract
More than sesquicentennial years of malarial research, however the unique malarial parasite, Plasmodium still bewilders us with its atypical characteristic features. Elimination strategies, deeper knowledge of the parasite biology and pathways can help combat this global health concern that affects ∼250 million people annually. In this review, we unveil an unusual phenomenon observed in the parasite proteome, N-terminal extensions in proteins and highlight that the proteases that may be involved in their processing events, are potential candidates to target this pathogen. Plasmodium encodes larger proteins as compared to its eukaryotic counterparts with homology regions present in the C-terminus of the protein. In contrast, the function of unusual extensions in the N-terminus remains mostly elusive. This novelty observed in Plasmodium proteins is collated here with a focus on replication proteins. The plausible functions and prevalence of these extensions, despite the reduction in genome size, through the parasite evolution are also mentioned. We hypothesize that these extensions, propagated via the energy consuming cellular processes in the otherwise host-dependent obligate parasite, are beneficial to the parasite in ways that are yet to be explored. Consequently, targeting the proteolytic processing of these proteins and the involved proteases would serve as a new drug development regimen to tackle the emerging resistance in parasites to existing antimalarials.
Introduction
The deadly parasitic Plasmodium infection malaria, affects approximately 250 million individuals annually worldwide. The WHO reported 619,000 deaths due to this global menace in 2021 (). Umpteen strategies and stringent measures have been devised globally to eradicate this mosquito vector transmitted disease. Malaria-related symptoms include fever and chills; the severe form results in coma and system failure. Among the five protozoa species, P. falciparum and P. vivax are the culprits of maximum malarial deaths (). This fatal parasite has been prevalent since ancient history and is known to complete its complex life cycle in both mosquito (definitive host) and humans (secondary host) (; ). A deeper understanding of the parasite biology, rapid diagnostic tests, treatment approaches and prevention strategies have proved quite remarkable in tackling this disease. However, global malaria elimination and the ways to overcome the alarmingly rise in drug resistance have become exigent. Moreover, the inability of any malarial vaccine to induce a consistent immune response has raised concerns (). Genomic data, genetic polymorphisms and profound knowledge of the parasitic pathways can reduce the global burden on public health. Potential drug target screening, along with the development of novel anti-malarials through meticulous research, can assist in achieving the global malaria eradication plan (; ; ).
Apicomplexan parasites have diverse hosts and need to replicate their genomes within different niches, sometimes under complicated stress conditions. This uphill battle is accomplished with the help of dedicated replication machinery and gene regulators. The appropriate timing and regulation of replication, multiple nuclear division and cell division are the vital factors for these parasites to thrive in different environments. Technological and genomic advances have aided researchers to understand the complex genomic, transcriptional, proteomic and metabolic details of parasite. This information is helpful for the development of drug-targeted intervention approaches. Genomic analyses have revealed that these parasites have reduced genome size and lesser number of genes as compared to their ancestors. The crafty nature of the parasite is to hijack the host proteins and scavenge the host nutrients, thus making up for the lineage-specific losses. Plasmodium, a member of the apicomplexan parasite family is also dependent on human host for its survival and has evolved through endosymbiosis (; ; ).
Any functional protein can be divided into two segments: N and C terminus. The N-terminus carries critical information that determines the fate of the protein within the cell and also acts as intracellular postal codes. Here we review a novel insight depicting an unusual phenomenon in Plasmodium proteins taking replication proteins as our model. Plasmodium proteome exhibits unique N-terminal extensions in proteins as compared to their eukaryotic counterparts (Figure 1A) (; ; ; ; ; ; ; Yusuf et al., 2015; ; ; ). Phylogeny tree analysis revealed divergence among the Plasmodium proteins taken here as model (ORC1, ORC5 and GCN5), from S. cerevisiae and H. sapiens as indicated by branch lengths (Figure 1B). We anticipate that this novelty, despite reduced genome size, is a classical means adopted by the parasite as a regulation strategy to synthesize multi-functional proteins and carry specific information for protein localization (Figure 1C). Thus, the proteases responsible for processing of these proteins become important for their function that may lead to exploring possibilities to use them as potential drug targets. These proteases may have many substrates in the malaria parasite and, in turn, affect many essential pathways of the parasite biology. Among several substrates some could be proteins with unusual N-terminal extensions, serving as substrates to specific proteases and ultimately undergo proteolytic processing to deliver multifunctional proteins. The proteases involved in the processing can belong to either class of proteases: Serine, Threonine, Aspartic, Cysteine and Metalloproteases. Therefore, identifying and targeting the specific class of protease for such processing presents an attractive way of targeting this deadly parasite.
FIGURE 1
N-terminal extension idiosyncrasy through the evolutionary process
Proteins with long N-terminus extensions (NTEs) that are associated with DNA replication are not ubiquitous, but few are present in different species. In eukaryotes, subunits of Minichromosome Maintenance protein helicase complex; MCM2, MCM4 and MCM6 possess large disordered NTEs. Whereas, MCMs in archaea lack these NTEs (
In prokaryotes, the majority of the repeat containing proteins (RCPs) are uncharacterized. Those characterized function as enzymes, transport proteins, structural proteins, and in transcription/translation. Contrastingly, in eukaryotes (Human, Drosophila and C. elegans) irrespective of the type of repeat, RCPs are mostly associated with DNA, RNA or chromatin (
Many of the Plasmodium proteins with repeats are intrinsically disordered (
N-terminal extensions in Plasmodium and functional enigma
Proteins in P. falciparum parasite are longer in size, on average, as compared to other species. Plasmodium proteome analysis reveals that the homologous sequences within the proteins (when compared with similar proteins from other systems) reside exclusively in the C-terminus of the protein and the N-terminus has non-homologous, unique extensions which may/may not have a specific function to be performed. The critical role played by these unusual extensions remains elusive and needs to be further characterized to understand the parasite pathways and biology in a profound manner. Furthermore, the long N-terminus extensions mostly consist of repetitive sequences such as poly-asparagine tracts, found in approximately one-fourth of the P. falciparum proteins (
The manifestation of the clinical symptoms of malaria occur due to the continuous multiplication of the parasite in blood (
Many of the Plasmodium proteins display a unique property of possessing an unusually long N-terminus. FIKK8, a member of the protein kinases FIKK subfamily, is reported to contain N-terminal extension and conserved kinase domains within the C-terminus. The N-terminal extension is an integral component of the FIKK architecture. It consists of auto-phosphorylation components that may be crucial for regulation purposes, but the functional significance is unknown (
The essential histone acetyltransferase, PfGCN5 regulates gene expression in the parasite. This chromatin-remodeling enzyme is 170 kDa long and the conserved bromodomain (BrD) and acetyltransferase domain (GNAT) reside within the C-terminus region. The N-terminus of this protein is unusually long and the functional significance of this extension is not yet known. The full-length protein is subjected to a novel proteolytic processing event via cysteine protease-like enzyme that results in the generation of multiple fragments of the protein or the mature peptides including ∼45 kDa C-terminal fragment containing the HAT domain. This proteolytic cleavage is crucial for the in vivo activity of PfGCN5 (
Thus, N-terminal extensions have been reported in multiple proteins belonging to different pathways in the Plasmodium parasite. One can understand its necessity for the proteins exported out of the parasite and targeted to a particular organelle within the parasite that it accommodates the vacuolar targeting sequence and the signal sequence. However, unusually long N-terminus is found in numerous proteins that are not exported out of the parasite like the proteins involved in DNA replication. The presence of these unusual long N-terminal extensions in the machinery of this highly conserved process of replication is quite astonishing that may reflect the unique properties of this deadly parasite.
Prevalence of extensions in replication proteins
The fundamental cellular life process DNA replication is executed with the help of a closely monitored machinery. The parasite circulates between two hosts and replication occurs five times in the Plasmodium life cycle (
The replicative machinery components include ORC proteins, MCMs, PCNAs and DNA polymerases similar to eukaryotes. ORC1, the first subunit of the complex to be identified in P. falciparum in both sexual and asexual stages, binds to ARS like sequences (PfARS) (
ORC5 has also been characterized and it exhibits colocalisation with ORC1 and PCNA, establishing its function as a replication protein (
Another ORC subunit homologue ORC2, has been identified in P. falciparum. A novel unconventional protein trafficking pathway involving the ER association of this protein followed by translocation to the nucleus has been proposed (
Followed by the initiator proteins, recruitment of helicase ring completes the pre-RC formation. As in eukaryotes, P. falciparum also has 6 MCM subunits, MCM2-7 that comprise the signature MCM motif, WALKER-A domain and zinc-finger motif. MCM2, 6 and 7 have been characterized and the remaining subunits are not yet studied (
Eukaryotes have five polymerases, namely DNA polymerase alpha (α), DNA polymerase gamma (γ), DNA polymerase delta (δ), DNA polymerase beta (β) and DNA polymerase epsilon (ε). In P. falciparum, Pol α and Pol β from the crude extract and Pol γ from mitochondria have been characterized. Pol δ has also been studied in detail (
Replication proteins are the “sine quo non” of the Plasmodium life cycle. The role of long N-terminus in replication initiation proteins (ORC proteins) still remains elusive. It raises the question about its necessity as they do not require to be exported out of the cell. Further, we analyzed sequences of the different proteins involved in DNA replication of P. falciparum. The sequence analysis of the essential chromatin modifying enzyme, GCN5 known to regulate parasite gene expression, was also performed. The presence of long N-terminus and low complexity repeats were screened using bioinformatics tools such as ScanProsite and Delta Blast (Table 1). It was observed that apart from ORC proteins described above (PfORC1, PfORC2 and PfORC5), PfORC4 (putative), PfCdt1, RFC subunit1, PfRPA1, DNA polymerase α, DNA ligase I and GCN5 possess long N-terminus extensions. As mentioned earlier, PfORC1, PfORC2, PfORC5 and GCN5 have already been reported to comprise unusual N-terminus extensions, hence validate our findings using the bioinformatics tools. Among these proteins, excluding the asparagine repeats, ORC1 has serine residue repeats, ORC1 and ORC2 have lysine repeats. Nuclear localization signal is present in ORC1, ORC2, ORC5 and GCN5 (Table 1).
TABLE 1
| S. No. | Name | PlasmoDB ID | N-terminal extensions | Extension lengtha (approximate) | Asparagine residues | Serine residues | Lysine residues | Glutamine residues | Aspartic acid residues | NLS |
|---|---|---|---|---|---|---|---|---|---|---|
| 1 | ORC1 | PF3D7_1203000 | + | 774 | + | + | + | - | - | + |
| 2 | ORC2 | PF3D7_0705300 | + | 517 | + | - | + | - | + | + |
| 3 | ORC5 | PF3D7_0215800 | + | 277 | + | - | - | - | + | + |
| 4 | ORC4 | PF3D7_1334100 | + | 505 | + | - | - | - | - | - |
| 5 | MCM2 | PF3D7_1417800 | + | 218 | - | - | - | + | + | - |
| 6 | MCM3 | PF3D7_0527000 | + | 121 | - | - | - | - | - | + |
| 7 | MCM4 | PF3D7_1317100 | + | 160 | + | - | - | - | - | - |
| 8 | MCM5 | PF3D7_1211700 | - | - | - | - | - | - | - | - |
| 9 | MCM6 | PF3D7_1355100 | + | 180 | - | - | - | + | + | - |
| 10 | MCM7 | PF3D7_0705400 | - | - | - | - | - | - | - | - |
| 11 | MCM8 | PF3D7_1211300 | + | 656 | + | - | + | - | - | + |
| 12 | MCM9 | PF3D7_0416300 | + | 565 | + | - | + | - | + | + |
| 13 | Cdt1 | PF3D7_1343300 | + | 540b | + | - | - | - | - | + |
| 14 | RPA1 large subunit | PF3D7_0409600 | + | 682 | + | - | - | - | - | - |
| 15 | RPA1 small fragment | PF3D7_0904800 | - | - | - | - | - | - | - | - |
| 16 | RFC subunit1 | PF3D7_0219600 | + | 217 | + | + | + | - | + | + |
| 17 | PCNA1 | PF3D7_1361900 | - | - | - | - | - | - | - | - |
| 18 | PCNA2 | PF3D7_1226600 | - | - | - | - | - | - | - | - |
| 19 | Primase | PF3D7_1438700 | - | - | - | - | - | - | - | - |
| 20 | DNA polymerase α | PF3D7_0411900 | + | 395 | + | - | - | + | - | + |
| 21 | DNA polymerase ε | PF3D7_0630300 | - | - | - | - | - | - | - | + |
| 22 | DNA polymerase δ | PF3D7_1017000 | - | - | - | - | - | - | - | - |
| 23 | FLAP endonuclease-I | PF3D7_0408500 | - | - | - | - | - | - | - | + |
| 24 | DNA ligase I | PF3D7_1304100 | + | 170 | - | - | - | - | - | + |
| 25 | Topoisomerase II | PF3D7_1433500 | - | - | - | - | - | - | - | + |
| 26 | GCN5 | PF3D7_0823300 | + | 1104 | + | - | - | - | - | + |
P. falciparum replication proteins and the essential histone acetyltransferase, GCN5 are listed. The presence of N-terminal extensions and the prevalence of the respective amino acids within these extensions are mentioned. NLS was predicted using NLStradamus (
Indicates N-terminal amino acid stretch without any homology domains with S. cerevisiae and H. sapiens proteins using NCBI protein-protein BLAST.
Indicates N-terminal amino acid stretch without any homology domain using NCBI protein-protein BLAST.
It is interesting to note that the replication proteins analyzed and listed in Table 1, in the proteins with unusual N-terminal extensions, asparagine repeats are highly prevalent within these extensions. These unique extensions are an excellent candidate for further detailed studies to reveal the need of these long terminus and repeats in the parasite proteins within the cell. Similarly, longer N-terminus extensions are also found in the apicoplast-targeted proteins in both T. gondii and P. falciparum. Some of these larger extensions are processed to expose the N-terminal apicoplast translocation signals. Additionally, these extensions are thought to be involved in regulating the gene expression via protein-protein interactions and facilitating transport across membranes (
Furthermore, the presence of N-terminal extensions within replication proteins in Plasmodium, but not in other eukaryotic species, hints at parasite specific roles. It is possible that these longer replication proteins undergo proteolytic processing, as has been reported for PfOrc2, to produce smaller fragments in order to carry out the conserved process of replication efficiently. The translocation and formation of a larger complex comprising these longer proteins might impede origin firing and prevent the completion of replication, known to occur five times at remarkably rapid rates within the parasite. Thus, the smaller fragments generated by means of proteolytic processing would adhere to the exceptionally swift replication rates and cell cycle dynamics in the parasite. Moreover, the long N terminal extensions and further processing to create separate proteins would keep the genome size minimal as two or more proteins can be made without the need of separate 5′and 3′sequences for each protein thus, curtailing cellular energy expenses.
Proteolytic processing events and proteases as drug targets
As described above, proteins with unusual N-terminal extensions are processed to yield multifunctional proteins. Proteolytic processing of the proteins is catalyzed by proteases that hydrolyze the peptide bond. Based on the catalytic mechanism employed, these proteases are differentiated into different classes that include serine, cysteine, threonine, aspartic and metallo proteases (Figure 2). The pioneer work highlighting the importance of these proteolytic events was the protein activation by limited proteolysis, in blood coagulation mechanism. Following which, several other processes of cellular regulation through proteolytic processing were discovered including DNA replication, cell-cycle progression, hemostasis, cell proliferation and death, immune response, tissue remodeling and wound healing (
FIGURE 2

Different classes of protease families present in Plasmodium. The residue involved in catalytic site are mentioned on the protease structure shown as Pac-man. Few of the identified proteases in each protease class are mentioned below the Pac-man. Figure created with BioRender.com.
In Plasmodium, few proteases have been characterized and shown to be potential drug targets (
The proteolytic processing of PfGCN5 is essential for its nuclear function, and a cysteine protease mediates this crucial processing. The protease is a Falcipain and the processing event takes place in the vicinity of food vacuole. These falcipains have role in hemoglobin degradation in food vacuole, erythrocyte invasion and rupture. Interestingly, they have role in activation of pro-plasmepsins (
Similarly, the processing of Orc2 can be targeted by developing small molecule inhibitors against the SPP-like protease (of the aspartyl class) which is involved in the processing event. Targeting this aspartyl class of protease will inhibit the processing of this replication protein and thus affect the replication process that occurs five times in these highly proliferating parasites. The known aspartic protease inhibitor, Pepstatin inhibits this class of proteases and blocks P. falciparum development (
Further, the proteases involved in the possible processing of proteins with extensions as mentioned in Table 1 will first require proper identification of the type of protease class involved followed by screening and validation of potent small molecule inhibitors with antimalarial activity. The processing of these proteins with unusual N-terminal extensions occurs mostly in Food vacuole or ER where the proteases generally reside in the parasites. Thus, targeting these two organelles either alone or in combination will affect the proteolytic processing of many of these proteins in turn affecting the critical processes of this pathogen.
Therefore, identifying and targeting the specific class of protease presents an attractive way of targeting this deadly parasite. These proteases are responsible for protein quality control and processing to yield multifunctional domains essential for proper parasite development. Interestingly, Plasmodium proteases have unique “structural signatures” that can be employed for developing specific and effective anti-malarials (
Pros and cons of proteases as drug targets
The ubiquitous and highly diverse mechanistic nature of proteases makes them attractive drug targets. The different class of proteases operate via distinct class specific mechanism structurally and functionally. Moreover, these proteases have specific substrates that can be exploited for therapeutic purposes by developing substrate mimicking inhibitors. As discussed above, the proteases are involved in proteolytic processing of multiple proteins and thus contribute to the parasite development, progression, egress, nutrient uptake, protein trafficking and homeostasis, organelle biogenesis and host invasion. The involvement of proteases in these critical and a number of processes underscores proteases as prime targets for antimalarial therapy. Not just proteins with N-terminal extensions but a particular protease can cleave other protein substrates that play important roles in the parasite. Thus, affecting multiple processes and pathways further adds to the potential of targeting proteases for antimalarial therapeutics. Apart from the above-mentioned advantages of using proteases as drug targets, a combination of inhibitors targeting one or more proteases will be a potent approach. For example, E-64 (the cysteine protease inhibitor) and pepstatin (the aspartic protease inhibitor) exhibited synergistic effect together and blocked parasite development (
A thorough biological, biochemical and chemical validation of the inhibitors is crucial for its development as antimalarial agent. These validation approaches include investigating the inhibition of the specific target, uptake by cells, bioavailability and negligible secondary effects. Homology with host proteases can lead to off-targeting of the general non-specific inhibitors designed to target proteases in the parasite. This can impact the host and ultimately lead to detrimental effects on the host. Therefore, a stringent bioinformatics and structural analysis of the respective Plasmodium protease to develop specific inhibitor against the protease of interest is extremely critical to avoid off targets. Additionally, redundancy among host proteases and higher concentration of proteases within host cells can be exploited to design and select inhibitors in a way such that the host cells show less sensitivity as compared to parasites at a particular concentration (
Discussion
Comparative genomic analyses and large-scale sequencing datasets have paved the way for a better understanding of the parasite biology, that is, critical for the pathogen eradication. The abundance of unusual extensions in the N-terminal region of proteins in the Plasmodium proteome is thought-provoking. Interestingly, most of these extensions comprise of asparagine repeats. These repeats, accounting for 25% of the Plasmodium proteome, is known to have expanded evolutionary and undergone positive selection pressure. Several hypotheses have come up with the putative functions of these highly prevalent repeats, but none seem likely to answer the ubiquitous nature of these repeats (
Therefore, despite the reduced gene content due to the deletion of introns and unwanted genes in Plasmodium, the expansion and prevalence of these N-terminal extensions throughout the parasite genome is quite intriguing. The putative functions of these extensions include specific information for protein localization, processing events, serve as adapters for recruiting interacting partners, or behave as a separate functional protein altogether upon possible proteolytic processing (Figure 1C). How these extra set of residues at the N-terminus of parasite proteins benefit the parasite and influence its function and phenotype remains to be investigated thoroughly to combat this deadly infection. The role of proteases in processing of these proteins with N-terminal extension is crucial and thus a strategy to develop specific inhibitors against these parasitic proteases is exigent. Targeting the involved proteases that mostly reside either in the digestive food vacuole and ER will impede proteolytic processing of these N-terminal extension containing proteins leading to obstruction of critical processes of this pathogen (Figure 3). Additionally, the use of protease inhibitors in the treatment of HIV and COVID-19 infections further encourages the development of protease inhibitors as antimalarial therapeutics. Detailed structural analysis of the parasite protease will also reveal parasite-specific sites that can be targeted for generation of parasite-specific inhibitors. Moreover, targeting one or more proteases in combinatorial mode would serve as a potential antimalarial therapy to overcome the developing cases of resistance to currently available antimalarial drugs.
FIGURE 3

Targeting proteases to impede the proteolytic processing of proteins with N-terminal extensions, a unique phenomenon in Plasmodium. The processing of PfOrc2 (in ER) and PfGCN5 (in vicinity of digestive vacuole) is taken as a model here to show the novel targeting approach against aspartate (yellow Pac-man) and cysteine class proteases (purple Pac-man) involved in the processing events respectively, for developing antimalarial therapeutics. Following processing, PfGCN5 enters nucleus and PfOrc2 trafficks to nucleus either in Golgi-dependent or independent pathway. Vesicles are not shown in the figure for clarity. Figure created with BioRender.com.
Statements
Author contributions
Conceptualization: AT, AS, and SD; writing, review and editing: AT, AS, and SD; funding acquisition: SD. All authors contributed to the article and approved the submitted version.
Acknowledgments
SD acknowledges SERB, DST, Govt. of India for providing J. C. Bose fellowship (JCB/2021/000029) to carry forward this work. Jawaharlal Nehru University, New Delhi is acknowledged for providing infrastructural support. AT acknowledges CSIR and AS acknowledges UGC, India for fellowships.
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Publisher’s note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.
Abbreviations
Pf, plasmodium falciparum; NTE, N-terminal extensions; WHO, world health organization; ER, endoplasmic reticulum; ORC, origin recognition complex; ORC, origin recognition complex; GCN5, general control nonderepressible 5; PTM, post-translational modifications; HAT, histone acetyltransferase; MCM, minichromosome maintenance protein.
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Summary
Keywords
Plasmodium falciparum, N-terminal extensions (NTE), proteases, replication, antimalarials, proteolytic processing
Citation
Tehlan A, Saha A and Dhar SK (2023) Targeting proteases and proteolytic processing of unusual N-terminal extensions of Plasmodium proteins: parasite peculiarity. Front. Drug Discov. 3:1223140. doi: 10.3389/fddsv.2023.1223140
Received
15 May 2023
Accepted
28 June 2023
Published
13 July 2023
Volume
3 - 2023
Edited by
Brijesh Rathi, University of Delhi, India
Reviewed by
Prakasha Kempaiah, Mayo Clinic Florida, United States
Kailash C. Pandey, National Institute of Malaria Research (ICMR), India
Vinoth Rajendran, Pondicherry University, India
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© 2023 Tehlan, Saha and Dhar.
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*Correspondence: Suman Kumar Dhar, skdhar2002@yahoo.co.in, skdhar@mail.jnu.ac.in
†These authors have contributed equally to this work
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