Activation loop phosphorylation and cGMP saturation of PKG regulate egress of malaria parasites.

The cGMP-dependent protein kinase (PKG) is the sole cGMP sensor in malaria parasites, acting as an essential signalling hub to govern key developmental processes throughout the parasite life cycle. Despite the importance of PKG in the clinically relevant asexual blood stages, many aspects of malarial PKG regulation, including the importance of phosphorylation, remain poorly understood. Here we use genetic and biochemical approaches to show that reduced cGMP binding to cyclic nucleotide binding domain B does not affect in vitro kinase activity but prevents parasite egress. Similarly, we show that phosphorylation of a key threonine residue (T695) in the activation loop is dispensable for kinase activity in vitro but is essential for in vivo PKG function, with loss of T695 phosphorylation leading to aberrant phosphorylation events across the parasite proteome and changes to the substrate specificity of PKG. Our findings indicate that Plasmodium PKG is uniquely regulated to transduce signals crucial for malaria parasite development. Author summary: Despite all efforts to control and eradicate malaria, the disease still poses a huge burden on human health. Almost half of the world's population lives in high malaria transmission areas with over half a million deaths occurring annually due to the disease, which is caused by a single-celled parasite called Plasmodium. Replication of the parasite inside red blood cells is responsible for all the clinical manifestations of the disease. At the end of each replicative cycle, parasites rupture the red blood cell in a process known as egress in order to invade new red blood cells. Previous studies have shown that an essential kinase termed PKG is a master regulator of egress. However, many aspects of PKG regulation are still unknown. In this work we examined the importance of phosphorylation on PKG function by replacing wild type PKG with mutant forms refractory to phosphorylation. We found that phosphorylation in a specific region of the protein is essential for parasite survival. Excitingly though, phosphorylation is not essential for kinase activity, as has been shown for mammalian PKG proteins but regulates its substrate specificity. Our results suggest that Plasmodium PKG is uniquely regulated compared to its mammalian counterparts, to facilitate parasite proliferation. [ABSTRACT FROM AUTHOR]