P-glycoproteins in anthelmintic safety, efficacy, and resistance.

IF 7 1区 医学 Q1 PARASITOLOGY Trends in parasitology Pub Date : 2024-08-20 DOI:10.1016/j.pt.2024.07.008
Anne Lespine, Clara Blancfuney, Roger Prichard, Mélanie Alberich
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Abstract

P-glycoprotein (PGP) is a pivotal transmembrane transporter governing the cellular flux of diverse substances shielding mammals from toxics. It can thwart the effectiveness of medicines such as ivermectin (IVM) and other macrocyclic lactone (ML) anthelmintics, undermining therapeutic efforts. We analyze the role of PGPs in limiting the toxicity of these drugs in hosts, and their potential contribution to anthelmintic resistance in nematodes. Targeting nematode PGPs to increase drug sensitivity to MLs seems interesting, but is hampered by the lack of selective inhibitors. The nuclear hormone receptor (NHR)-8 should be seriously considered as a target because it upregulates multiple PGPs involved in anthelmintic resistance and it is specific to nematodes. This would advance our understanding of host-pathogen dynamics and foster innovative therapeutic strategies.

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P-糖蛋白在抗蠕虫药物安全性、有效性和抗药性中的作用。
P-糖蛋白(PGP)是一种重要的跨膜转运体,可控制多种物质在细胞内的流动,保护哺乳动物免受毒物的侵害。它能阻碍伊维菌素(IVM)和其他大环内酯类(ML)抗蠕虫药等药物的疗效,破坏治疗工作。我们分析了 PGPs 在限制这些药物对宿主的毒性方面的作用,以及它们对线虫抗药性的潜在贡献。以线虫的 PGPs 为靶标来提高药物对 MLs 的敏感性似乎很有意义,但由于缺乏选择性抑制剂而受到阻碍。应该认真考虑将核激素受体(NHR)-8 作为靶点,因为它能上调涉及线虫抗药性的多种 PGPs,而且对线虫具有特异性。这将增进我们对宿主-病原体动态的了解,并促进创新性治疗策略的制定。
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来源期刊
Trends in parasitology
Trends in parasitology 医学-寄生虫学
CiteScore
14.00
自引率
3.10%
发文量
148
审稿时长
6-12 weeks
期刊介绍: Since its inception as Parasitology Today in 1985, Trends in Parasitology has evolved into a highly esteemed review journal of global significance, reflecting the importance of medical and veterinary parasites worldwide. The journal serves as a hub for communication among researchers across all disciplines of parasitology, encompassing endoparasites, ectoparasites, transmission vectors, and susceptible hosts. Each monthly issue of Trends in Parasitology offers authoritative, cutting-edge, and yet accessible review articles, providing a balanced and comprehensive overview, along with opinion pieces offering personal and novel perspectives. Additionally, the journal publishes a variety of short articles designed to inform and stimulate thoughts in a lively and widely-accessible manner. These include Science & Society (discussing the interface between parasitology and the general public), Spotlight (highlighting recently published research articles), Forum (presenting single-point hypotheses), Parasite/Vector of the Month (featuring a modular display of the selected species), Letter (providing responses to recent articles in Trends in Parasitology), and Trendstalk (conducting interviews). Please note that the journal exclusively publishes literature reviews based on published data, with systematic reviews, meta-analysis, and unpublished primary research falling outside our scope.
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