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Licochalcone a: A promising antiparasitic drug against giardiasis. 甘草查尔酮a:一种很有前途的抗贾第虫病药物。
IF 4.1 2区 医学 Q1 PARASITOLOGY Pub Date : 2024-12-12 DOI: 10.1016/j.ijpddr.2024.100573
Yingying Zhang, Wenchao Zhao, Haili Du, Pitambar Dhakal, Xinyi Chen, Longfei Wu, Xiaoying Li, Rongjun Wang, Longxian Zhang, Sumei Zhang, Junqiang Li

Giardiasis, caused by Giardia duodenalis, is a prevalent and significant zoonotic disease. While nitroimidazole drugs are primarily used to treat giardiasis, the urgent need for the development and formulation of new drugs has arisen due to increasing drug resistance. Several plant derived medicine have been employed as antiparasitic drugs. This study has evaluated the anti-Giardia effect of Licochalcone A (Lic A) through both in vitro and in vivo experiments. We determined the 50% inhibitory concentration (IC50) of Lic A, analyzed the adhesive ability of G. duodenalis, and assessed intestinal morphology and various indicators in the gerbil model. The in vitro assays demonstrated that the IC50 value of Lic A against G. duodenalis was 27.42 μM. Additionally, Lic A significantly inhibited the adhesiveability of G. duodenalis trophozoites, impairing their cell structure and cytoskeleton. In vivo experiments showed that Lic A significantly mitigated weight loss due to G. duodenalis infection, and lowered the intestinal parasite load. Histopathological examinations in gerbils indicated that Lic A could reduce intestinal damage, increase the height of intestinal villi, decrease crypt depth, and maintain the integrity of intestinal structure. Furthermore, Lic A altered cytokine levels and enhanced the body's antioxidant capacity. In conclusion, Lic A exbibits significant anti-Giardia effects both in vitro and in vivo, suggesting its potential as a promising antiparasitic drug candidate against giardiasis.

贾第虫病由十二指肠贾第虫引起,是一种流行的重大人畜共患疾病。虽然硝基咪唑药物主要用于治疗贾第虫病,但由于耐药性增加,迫切需要开发和配制新药。几种植物源性药物已被用作抗寄生虫药物。本研究通过体外和体内实验评价了Licochalcone A (Lic A)的抗贾第鞭毛虫作用。在沙鼠模型中测定Lic A的50%抑制浓度(IC50),分析十二指肠沙鼠的粘附能力,评估肠道形态及各项指标。体外实验表明,Lic A对十二指肠巨噬菌的IC50值为27.42 μM。此外,Lic A显著抑制了十二指肠巨噬菌滋养体的粘附能力,破坏了它们的细胞结构和细胞骨架。体内实验表明,Lic A可显著减轻十二指肠螺旋体感染引起的体重下降,降低肠道寄生虫负荷。沙鼠组织病理学检查表明,Lic A能减轻肠道损伤,增加肠绒毛高度,减小隐窝深度,保持肠道结构的完整性。此外,Lic A改变了细胞因子水平,增强了身体的抗氧化能力。综上所述,Lic A在体外和体内均表现出明显的抗贾第虫作用,提示其有潜力成为一种有前景的抗贾第虫病候选药物。
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引用次数: 0
Efficacy of fenbendazole against gastrointestinal nematodes in naturally infected goats in Maputo Province, Mozambique using in vivo, in vitro and molecular assessment. 芬苯达唑对莫桑比克马普托省自然感染山羊胃肠道线虫的体内、体外和分子评价效果。
IF 4.1 2区 医学 Q1 PARASITOLOGY Pub Date : 2024-12-06 DOI: 10.1016/j.ijpddr.2024.100572
Edna F X Guinda, Sonia M S Afonso, Stefan Fiedler, Eric R Morgan, Sabrina Ramünke, Marc Borchert, Alsácia Atanásio, Bettencourt P S Capece, Jürgen Krücken, Georg von Samson-Himmelstjerna

Anthelmintic resistance occurs worldwide in strongyles of ruminants but data from low-income countries are sparse and rarely apply most up to date methods, while effects of management practices in these countries are poorly documented. In Mozambique, benzimidazole resistance has been previously reported; the present study followed this up in detail, applying in vivo faecal egg count (FEC) reduction test (FECRT), in vitro egg hatch test (EHT) and molecular deep amplicon sequencing approaches targeting the internal transcribed spacer 2 (ITS-2, nemabiome) and the isotype 1 β-tubulin gene to determine the resistance status on farms and the strongyle species involved. Adult Landim goats (433) from six semi-intensive and ten extensive farms (22-30 animals/farm) from Maputo Province were visited April 2021 to February 2022. Fenbendazole (5 mg/kg bw, Panacur®) was administered orally and FEC determined using Mini-FLOTAC. The eggCounts package was used to calculate FECRs with 90% confidence intervals from paired day 0 and 14 data. In vivo and in vitro tests detected AR on 5/16 (31%) farms. This included 1/10 extensive and 4/6 semi-intensive farms. The odds of finding resistant strongyles on a semi-intensive commercial farm was 40-fold higher than on an extensive farm (p = 0.016, logistic regression). A strong, negative correlation was observed between FECRT and EHT EC50 values (Pearson's R = -0.83, P = 0.001; Cohen's κ coefficient 1.0). Nemabiome data showed that Haemonchus contortus, Trichostrongylus colubriformis and unclassified Oesophagostomum closely related to Oesophagostomum columbianum were most abundant before treatment and in particular H. contortus frequencies increased after treatment. Benzimidazole resistance associated polymorphisms were detected in H. contortus and T. colubriformis. Moreover, there were hints that resistance alleles were present in Trichostrongylus axei and Teladorsagia circumcincta. Farmers should regularly test the efficacy of anthelmintics used and consider more sustainable worm control approaches to reduce selection for resistance.

世界各地的反刍动物都存在驱虫抗药性,但来自低收入国家的数据很少,而且很少采用最新的方法,而这些国家的管理措施的效果也缺乏记录。在莫桑比克,以前曾报告过苯并咪唑耐药性;本研究采用体内粪卵计数(FECRT)减少试验(FECRT)、体外卵孵化试验(EHT)和分子深度扩增子测序方法,针对内部转录间隔物2 (ITS-2, nemabiome)和同型1 β-微管蛋白基因,确定了农场和相关圆管种的抗性状况。研究人员于2021年4月至2022年2月访问了马普托省6个半集约化农场和10个粗放型农场(22-30只/农场)的成年兰迪姆山羊(433只)。口服芬苯达唑(5mg /kg bw, Panacur®),并用Mini-FLOTAC测定FEC。使用eggCounts软件包计算第0天和第14天配对数据的fecr,置信区间为90%。体内和体外试验在5/16(31%)养殖场检测到AR。这包括1/10的粗放农场和4/6的半集约化农场。在半集约化商业养殖场发现耐药圆形菌的几率比粗放型养殖场高40倍(p = 0.016,逻辑回归)。FECRT与EHT的EC50值呈显著负相关(Pearson’s R = -0.83, P = 0.001;科恩κ系数1.0)。Nemabiome数据显示,治疗前以扭曲血蜱(Haemonchus contortus)、色状毛线虫(Trichostrongylus colbriformis)和与柱状食道口密切相关的未分类食道口(oesophageal gostomum columbianum)最多,尤其是治疗后扭曲血蜱(H. contortus)的频率增加。在弯毛鼠和黄毛鼠中检测到苯并咪唑抗性相关多态性。此外,在毛线虫和环皮绒球线虫中均存在抗性等位基因。农民应定期测试所使用的驱虫药的功效,并考虑更可持续的蠕虫控制方法,以减少抗性选择。
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引用次数: 0
Corrigendum to "Efficacy of flukicides against Fasciola hepatica and first report of triclabendazole resistance on German sheep farms" [Int. J. Parasitol. Drugs Drug Resist. 23 (2023) 94-105]. 对 "杀鼠剂对肝包虫病的疗效及德国养羊场首次报告三苯咪唑抗药性 "的更正[Int. J. Parasitol. Drugs Drug Resist. 23 (2023) 94-105].
IF 4.1 2区 医学 Q1 PARASITOLOGY Pub Date : 2024-12-01 Epub Date: 2024-08-13 DOI: 10.1016/j.ijpddr.2024.100562
Alexandra Kahl, Georg von Samson-Himmelstjerna, Christina Helm, Jane Hodgkinson, Diana Williams, Wiebke Weiher, Werner Terhalle, Stephan Steuber, Martin Ganter, Jürgen Krücken
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引用次数: 0
Antileishmanial and synergic effects of Rhanterium epapposum essential oil and its main compounds alone and combined with glucantime against Leishmania major infection Rhanterium epapposum 精油及其主要化合物单独使用或与葡糖酸联合使用对利什曼原虫感染的抗利什曼作用和协同作用。
IF 4.1 2区 医学 Q1 PARASITOLOGY Pub Date : 2024-11-16 DOI: 10.1016/j.ijpddr.2024.100571
Abdullah D. Alanazi , Areej Jameel Alghabban
Cutaneous leishmaniasis (CL) is a widespread disease affecting both humans and animals globally. Currently, common treatments (e.g., glucantime (GC) for CL treatment have many side effects that limit their use. The current experimental study aims to assess the in vitro, in vivo, and potential mechanisms of action of Rhanterium epapposum essential oil (REE) and its main compounds β-Myrcene (MC), camphene (CP), and limonene (LN) alone and in combination against Leishmania major. In vitro effects of REE and its main compounds were evaluated on amastigote forms, infection in macrophages cells stimulation of nitric oxide (NO), and stimulation of the cellular immunity in macrophages. In vivo efficacy of REE and its main constituents was also assessed in mice with CL through evaluating parasite burden, oxidative stress and proinflammatory-related genes. A concentration-dependent reduction in the average number of amastigotes was observed, with statistical significance (p < 0.001); whereas the results revealed synergistic effects when REE, MC and LN were combined with GC. REE and main compounds mainly in combination elicited a dose-dependent elevation in NO production and the expression levels of inducible nitric oxide synthase (iNOS), interferon gamma (IFN-γ), and tumor necrosis factor (TNF-α) genes in macrophages. Notably, mice treated with a combination of REE, MC, and GC showed the complete recovery of CL lesions after 28 days of treatment and resulted in a reduction of tissue malondialdehyde levels and a significant increase (p < 0.001) in the gene expression levels of the antioxidant enzymes. Topical treating CL-infected mice with REE and its main compounds alone particularly in conjunction with GC, significantly increased (p < 0.001) the expression levels of IFN-γ and interleukin (IL-12), while also causing a notable reduction in IL-4 expression. The findings of the current experimental research revealed the high in vitro and in vivo antileishmanial efficacy of REE and its main compounds MC, CP, and LN mainly in combination with GC; which indicated the high synergic effects of these compounds.
皮肤利什曼病(CL)是一种影响全球人类和动物的广泛疾病。目前,治疗皮肤利什曼病的常用疗法(如葡萄糖醛酸(GC))有许多副作用,限制了其使用。目前的实验研究旨在评估 Rhanterium epapposum 精油(REE)及其主要化合物 β-月桂烯(MC)、莰烯(CP)和柠檬烯(LN)单独或混合使用对大肠利什曼原虫的体外、体内和潜在作用机制。对 REE 及其主要化合物的体外效应进行了评估,包括对变形虫形态、巨噬细胞感染一氧化氮(NO)的刺激以及对巨噬细胞细胞免疫的刺激。还通过评估寄生虫负担、氧化应激和促炎相关基因,评估了 REE 及其主要成分对 CL 小鼠的体内疗效。结果发现,寄生虫平均数量的减少与浓度有关,具有统计学意义(p
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引用次数: 0
Deep-amplicon sequencing of the complete beta-tubulin gene in Trichuris trichiura before and after albendazole treatment 阿苯达唑治疗前后毛滴虫 beta-tubulin全基因的深度扩增子测序。
IF 4.1 2区 医学 Q1 PARASITOLOGY Pub Date : 2024-11-12 DOI: 10.1016/j.ijpddr.2024.100570
Javier Gandasegui , Berta Grau-Pujol , Valdemiro Novela , Osvaldo Muchisse , Maria Cambra-Pellejà , Anélsio Cossa , José Carlos Jamine , Charfudin Sacoor , Eric A.T. Brienen , Francesc Catala-Moll , Lisette van Lieshout , María Martínez-Valladares , Roger Paredes , José Muñoz , Stephen R. Doyle
Concerns about the emergence of benzimidazole resistance in soil-transmitted helminths (STH) infections, particularly against Trichuris trichiura, have arisen. Previous studies of veterinary nematodes have linked benzimidazole resistance to single-nucleotide polymorphisms (SNPs) at three specific codons in the beta-tubulin gene, but similar associations in STH have not been consistently observed. In this work, we screened the complete beta-tubulin gene previously linked to benzimidazole resistance in T. trichiura by deep-amplicon sequencing to identify genetic variants and associate levels of diversity with drug response to albendazole. We used 99 DNA samples extracted from T. trichiura pooled eggs, previously semi-purified from human stool samples collected in Manhiça district, Mozambique. We obtained a set of 39 amplicons of the complete gene by subjecting the pooled eggs to long-read PCR and subsequently sequencing them. Of those amplicons, 22 and 17 were obtained from stool samples collected before, and 21 days after albendazole treatment, respectively. We observed genetic variation across the whole gene sequence, in both exons and introns; however, none were associated with the previously proposed resistance-associated SNPs, and none were predicted to significantly affect protein function. No significant differences in genetic diversity were observed between pre- and post-treatment samples. Using publicly available genome-wide data, we also analysed a second beta-tubulin isotype in the T. trichiura genome. We focused on detecting the canonical SNPs and assessing for signatures of genetic selection around this second isotype gene. This analysis did not reveal evidence supporting this second isotype's role in anthelmintic resistance. Despite the limitations of our study, such as a small sample size, particularly paired pre- and post-treatment samples (n = 6), or a restricted geographical area, we found no evidence linking either of the two beta-tubulin genes to benzimidazole resistance in T. trichiura, suggesting that genetic markers of drug resistance likely exist outside the beta-tubulin genes.
人们对土壤传播蠕虫(STH)感染中出现的苯并咪唑抗药性,尤其是对毛滴虫的抗药性表示担忧。以前对兽用线虫的研究表明,苯并咪唑耐药性与 beta-tubulin(β-管蛋白)基因中三个特定密码子上的单核苷酸多态性(SNPs)有关,但在 STH 中尚未持续观察到类似的关联。在这项工作中,我们通过深度扩增子测序筛选了以前与三疣梭菌苯并咪唑耐药性相关的完整 beta-tubulin基因,以确定遗传变异,并将多样性水平与阿苯达唑的药物反应联系起来。我们使用了从毛滴虫集合卵中提取的 99 个 DNA 样本,这些样本之前是从莫桑比克曼希萨地区采集的人类粪便样本中进行半纯化的。通过对这些集合卵进行长线程 PCR,我们获得了一组 39 个完整基因的扩增子,随后对它们进行了测序。在这些扩增子中,22 个和 17 个分别来自阿苯达唑治疗前和治疗后 21 天采集的粪便样本。我们在整个基因序列的外显子和内含子中都观察到了遗传变异;但是,这些变异都与之前提出的抗药性相关 SNPs 无关,也没有预测到它们会对蛋白质功能产生显著影响。治疗前和治疗后样本的遗传多样性没有明显差异。利用公开的全基因组数据,我们还分析了三疣梭菌基因组中的第二种β-微管蛋白同工型。我们重点检测了典型 SNPs,并评估了第二种同工型基因周围的遗传选择特征。这项分析没有发现支持第二种同工型在抗蠕虫药耐药性中发挥作用的证据。尽管我们的研究存在一些局限性,如样本量较小,尤其是治疗前和治疗后的配对样本(n = 6),或地理区域有限,但我们没有发现任何证据表明两个 beta-tubulin基因与三鳃丝虫的苯并咪唑抗药性有关,这表明抗药性的遗传标记可能存在于 beta-tubulin基因之外。
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引用次数: 0
Rapid detection of mutations in the suspected piperaquine resistance gene E415G-exo in Plasmodium falciparum exonuclease via AS‒PCR and RAA with CRISPR/Cas12a 通过 AS-PCR 和 CRISPR/Cas12a RAA 快速检测恶性疟原虫外切酶中疑似哌喹抗性基因 E415G-exo 的突变。
IF 4.1 2区 医学 Q1 PARASITOLOGY Pub Date : 2024-10-28 DOI: 10.1016/j.ijpddr.2024.100568
Huiyin Zhu , Daiqian Zhu , Yuting Li , Yun Li , Xiaonan Song , Jinyu Mo , Long Liu , Zhixin Liu , Siqi Wang , Yi Yao , He Yan , Kai Wu , Wei Wang , Jianhai Yin , Min Lin , Jian Li
Malaria remains a major public health concern. The rapid spread of resistance to antimalarial drugs is a major challenge for malaria eradication. Timely and accurate molecular monitoring based on practical detection methods is a critical step toward malaria control and elimination. In this study, two rapid detection techniques, allele-specific PCR (ASPCR) and recombinase-aided amplification (RAA) combined with CRISPR/Cas12a, were established, optimized and assessed to detect single nucleotide polymorphisms in the Plasmodium falciparum exonuclease (Pfexo) gene related to suspected piperaquine resistance. Moreover, phosphorothioate and artificial mismatches were introduced into the allele-specific primers for ASPCR, and crRNA-mismatched bases were introduced into the RAACRISPR/Cas12a assay because crRNAs designed according to conventional rules fail to discriminate genotypes. As a result, the detection limits of the ASPCR and RAACRISPR/Cas12a assays were 104 copies/μL and 103 copies/μL, respectively. The detection threshold for dried blood spots was 100150 parasites/μL, with no cross-reactivity against other genotypes. The average cost of ASPCR is approximately $1 per test and takes 23 h, whereas that of the RAACRISPR/Cas12a system is approximately $7 per test and takes 1 h or less. Therefore, we provide more options for testing single nucleotide polymorphisms in the Pfexo gene, considering economic conditions and the availability of instruments, equipment, and reagents, which can contribute to the molecular monitoring of antimalarial resistance.
疟疾仍然是一个重大的公共卫生问题。抗疟药物抗药性的迅速蔓延是根除疟疾的一大挑战。基于实用检测方法的及时准确的分子监测是控制和消除疟疾的关键一步。本研究建立、优化并评估了两种快速检测技术,即等位基因特异性 PCR(AS-PCR)和结合 CRISPR/Cas12a 的重组酶辅助扩增(RAA),用于检测恶性疟原虫外切酶(Pfexo)基因中与疑似哌喹抗药性相关的单核苷酸多态性。此外,在 AS-PCR 的等位基因特异引物中引入了硫代磷酸酯和人工错配,在 RAA-CRISPR/Cas12a 检测中引入了 crRNA 错配碱基,因为按照传统规则设计的 crRNA 无法区分基因型。因此,AS-PCR 和 RAA-CRISPR/Cas12a 检测方法的检测限分别为 104 个拷贝/μL 和 103 个拷贝/μL。干血斑的检测阈值为 100-150 个寄生虫/μL,对其他基因型无交叉反应。AS-PCR每次检测的平均成本约为1美元,耗时2-3小时,而RAA-CRISPR/Cas12a系统每次检测的平均成本约为7美元,耗时1小时或更短。因此,考虑到经济条件以及仪器、设备和试剂的可用性,我们为检测 Pfexo 基因的单核苷酸多态性提供了更多的选择,有助于对抗疟药物耐药性的分子监测。
{"title":"Rapid detection of mutations in the suspected piperaquine resistance gene E415G-exo in Plasmodium falciparum exonuclease via AS‒PCR and RAA with CRISPR/Cas12a","authors":"Huiyin Zhu ,&nbsp;Daiqian Zhu ,&nbsp;Yuting Li ,&nbsp;Yun Li ,&nbsp;Xiaonan Song ,&nbsp;Jinyu Mo ,&nbsp;Long Liu ,&nbsp;Zhixin Liu ,&nbsp;Siqi Wang ,&nbsp;Yi Yao ,&nbsp;He Yan ,&nbsp;Kai Wu ,&nbsp;Wei Wang ,&nbsp;Jianhai Yin ,&nbsp;Min Lin ,&nbsp;Jian Li","doi":"10.1016/j.ijpddr.2024.100568","DOIUrl":"10.1016/j.ijpddr.2024.100568","url":null,"abstract":"<div><div>Malaria remains a major public health concern. The rapid spread of resistance to antimalarial drugs is a major challenge for malaria eradication. Timely and accurate molecular monitoring based on practical detection methods is a critical step toward malaria control and elimination. In this study, two rapid detection techniques, allele-specific PCR (AS<strong>‒</strong>PCR) and recombinase-aided amplification (RAA) combined with CRISPR/Cas12a, were established, optimized and assessed to detect single nucleotide polymorphisms in the <em>Plasmodium falciparum exonuclease</em> (<em>Pfexo</em>) gene related to suspected piperaquine resistance. Moreover, phosphorothioate and artificial mismatches were introduced into the allele-specific primers for AS<strong>‒</strong>PCR, and crRNA-mismatched bases were introduced into the RAA<strong>‒</strong>CRISPR/Cas12a assay because crRNAs designed according to conventional rules fail to discriminate genotypes. As a result, the detection limits of the AS<strong>‒</strong>PCR and RAA<strong>‒</strong>CRISPR/Cas12a assays were 10<sup>4</sup> copies/μL and 10<sup>3</sup> copies/μL, respectively. The detection threshold for dried blood spots was 100<strong>‒</strong>150 parasites/μL, with no cross-reactivity against other genotypes. The average cost of AS<strong>‒</strong>PCR is approximately $1 per test and takes 2<strong>–</strong>3 h, whereas that of the RAA<strong>‒</strong>CRISPR/Cas12a system is approximately $7 per test and takes 1 h or less. Therefore, we provide more options for testing single nucleotide polymorphisms in the <em>Pfexo</em> gene, considering economic conditions and the availability of instruments, equipment, and reagents, which can contribute to the molecular monitoring of antimalarial resistance.</div></div>","PeriodicalId":13775,"journal":{"name":"International Journal for Parasitology: Drugs and Drug Resistance","volume":"26 ","pages":"Article 100568"},"PeriodicalIF":4.1,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142545291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Profile of molecular markers of Sulfadoxine-Pyrimethamine-resistant Plasmodium falciparum in individuals living in southern area of Brazzaville, Republic of Congo 刚果共和国布拉柴维尔南部地区耐磺胺-甲氧苄啶恶性疟原虫分子标记的概况。
IF 4.1 2区 医学 Q1 PARASITOLOGY Pub Date : 2024-10-26 DOI: 10.1016/j.ijpddr.2024.100569
Jean Claude Djontu , Marcel Tapsou Baina , Jacque Dollon Mbama Ntabi , Abel Lissom , Dieu Merci Umuhoza , Naura veil Assioro Doulamo , Christevy Jeanney Vouvoungui , Reauchelvy Kamal Boumpoutou , Alain Maxime Mouanga , Etienne Nguimbi , Francine Ntoumi

Background

Although the seasonal and perennial malaria chemopreventions are not implemented in the Republic of Congo, resistance to Sulfadoxine-pyrimethamine (SP) threatens the intermittent preventive treatment during pregnancy (IPTp-SP) and others treatments using the drug. The objective of this study was to determine the prevalence of molecular markers of P.falciparum resistance to SP in individuals with microscopic malaria infection in the south of Brazzaville.

Methods

Two parallel surveys (health facilities and community-based cross sectional studies) were carried out in urban and rural areas in southern Brazzaville. Between March and October 2021, blood samples were collected from 328 P. falciparum microscopic positive individuals (1–83 years old, and sex ratio female/male of 1.1) to characterize dhfr and dhps genes involved in the P.falciparum resistance to SP. Restriction Fragment Length Polymorphism PCR was used for the detection of mutations within these parasite genes.

Results

High prevalence of mutations was reported within Pfdhfr gene: N51I; 328/328 (100%) ratio (prevalence) [95 CI uncertainty], C59R; 317/328 (96.6 %) [94.1–98.1%], S108N; 326/326 (100%), N164L; 3/326 (0.9%) [0.3–2.7%], and Pfdhps gene: A437G; 292/327 (89.3%) [85.5–92.2%], K540E; 140/327(42.8 %) [37.6–48.2%], A581G; 136/325 (41.8%) [36.6–42.3%]. The quintuple mutant (N51I + C59R + S108N + A437G + K540E) and sextuple mutant haplotypes (N51I + C59R + S108N + A437G + K540E + A581G) were reported for 11/144 (7.6%) [4.3–13.2%] and 5/144 (3.4%) [1.5–7.9%]) of the participants respectively. The K540E and A437G mutants were more prevalent in the rural community; 81/139 (58.3%) [50.0–66.1%] and 135/139 (97.1%) [92.8–98.9%] respectively) than in the urban community; 21/50 (46.3%) [33.7–59.4%] and 47/54(87.0%) [75.6–93.6%] (p = 0.004 and p˂0.0001 respectively)

Conclusion

These results indicate high prevalence of SP resistance mutations within the dhfr and dhps genes of P. falciparum isolates circulating in study sites, which may limit the efficacy of treatments using SP in these settings.
背景:虽然刚果共和国没有实施季节性和常年性疟疾化学预防措施,但磺胺乙胺嘧啶(SP)的抗药性威胁着孕期间歇性预防治疗(IPTp-SP)和其他使用该药物的治疗方法。本研究旨在确定布拉柴维尔南部微小疟疾感染者中恶性疟原虫对SP耐药性分子标记的流行情况:在布拉柴维尔南部的城市和农村地区开展了两项平行调查(医疗机构和社区横断面研究)。2021 年 3 月至 10 月间,采集了 328 名恶性疟原虫显微镜下阳性患者(1-83 岁,女性/男性性别比为 1.1)的血样,以确定恶性疟原虫抗 SP 基因 dhfr 和 dhps 的特征。利用限制性片段长度多态性聚合酶链式反应(PCR)检测这些寄生虫基因的突变:结果:据报告,Pfdhfr 基因突变的发生率很高:N51I; 328/328 (100%) ratio (prevalence) [95 CI uncertainty], C59R; 317/328 (96.6 %) [94.1-98.1%], S108N; 326/326 (100%), N164L; 3/326 (0.9%) [0.3-2.7%], 以及 Pfdhps 基因:A437G;292/327(89.3%)[85.5-92.2%],K540E;140/327(42.8%)[37.6-48.2%],A581G;136/325(41.8%)[36.6-42.3%]。11/144(7.6%)[4.3-13.2%]和5/144(3.4%)[1.5-7.9%]的参与者分别报告了五倍突变型(N51I + C59R + S108N + A437G + K540E)和六倍突变型单倍型(N51I + C59R + S108N + A437G + K540E + A581G)。K540E 和 A437G 突变体在农村社区(分别为 81/139 (58.3%) [50.0-66.1%] 和 135/139 (97.1%) [92.8-98.9%] )比在城市社区(分别为 21/50 (46.3%) [33.7-59.4%] 和 47/54(87.0%) [75.6-93.6%] )更普遍(分别为 p = 0.004 和 p˂0.0001) 结论:这些结果表明,在研究地点流行的恶性疟原虫分离株的 dhfr 和 dhps 基因中,SP 抗性突变的发生率很高,这可能会限制在这些环境中使用 SP 治疗的疗效。
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引用次数: 0
Yeast-based assay to identify inhibitors of the malaria parasite sodium phosphate uptake transporter as potential novel antimalarial drugs 基于酵母的检测方法,以确定作为潜在新型抗疟药物的疟原虫磷酸钠吸收转运体抑制剂。
IF 4.1 2区 医学 Q1 PARASITOLOGY Pub Date : 2024-10-13 DOI: 10.1016/j.ijpddr.2024.100567
Joseph M. Sweeney , Ian M. Willis , Myles H. Akabas
Malaria affects almost 250 million people annually and continues to be a significant threat to global public health. Infection with protozoan parasites from the genus Plasmodium causes malaria. The primary treatment for malaria is artemisinin-based combination therapies (ACTs). The spread of ACT-resistant parasites has undermined efforts to control and eradicate malaria. Thus, it is crucial to identify new targets for the development of novel antimalarial drugs. Phosphate is an essential nutrient for all cells. The Plasmodium falciparum genome encodes a single sodium-coupled inorganic phosphate transporter named PfPiT that is essential for parasite proliferation in the asexual blood stage. Thus, PfPiT inhibitors may be promising antimalarial drugs. Like Plasmodium, yeast requires phosphate to grow. We developed a Saccharomyces cerevisiae based growth assay to identify inhibitors of PfPiT. Genome editing was used to create a yeast strain where PfPiT was the only phosphate transporter. Using a radioactive [32P]phosphate uptake assay, the measured phosphate Km for PfPiT in yeast was 56 ± 7 μM in 1 mM NaCl at pH 7.4. The Km decreased to 24 ± 3 μM in 25 mM NaCl consistent with it being a Na+ coupled cotransporter. Conditions under which yeast growth was dependent on phosphate uptake mediated by PfPiT were identified and a 22-h growth assay was developed to screen for PfPiT inhibitors. In a screen of 21 compounds, two compounds were identified that inhibited the growth of the PfPiT strain but not that of the parental strain expressing Pho84, one of the five endogenous yeast phosphate transporters. Radioactive phosphate uptake experiments confirmed inhibition of phosphate uptake by the two compounds. The growth inhibition assay provides a simple and inexpensive approach to screen a large compound library for PfPiT inhibitors that may serve as starting points for the development of novel antimalarial drugs.
疟疾每年影响近 2.5 亿人,仍然是全球公共卫生的重大威胁。疟原虫感染导致疟疾。疟疾的主要治疗方法是青蒿素类复方疗法(ACTs)。青蒿素综合疗法抗药性寄生虫的传播破坏了控制和根除疟疾的努力。因此,确定开发新型抗疟药物的新目标至关重要。磷酸盐是所有细胞必不可少的营养物质。恶性疟原虫基因组编码一种名为 PfPiT 的钠偶联无机磷酸盐转运体,它对寄生虫在无性血液阶段的增殖至关重要。因此,PfPiT 抑制剂可能是很有前途的抗疟药物。与疟原虫一样,酵母也需要磷酸盐才能生长。我们开发了一种基于酿酒酵母的生长试验,以确定 PfPiT 的抑制剂。我们利用基因组编辑技术创造了一种酵母菌株,其中 PfPiT 是唯一的磷酸盐转运体。利用放射性[32P]磷酸盐吸收测定法,在 pH 值为 7.4 的 1 mM NaCl 溶液中,测得酵母中 PfPiT 的磷酸盐 Km 为 56 ± 7 μM。在 25 mM NaCl 中,Km 降至 24 ± 3 μM,这与它是一种 Na+ 偶联共转运体是一致的。确定了酵母生长依赖于 PfPiT 介导的磷酸盐吸收的条件,并开发了一种 22 小时生长试验来筛选 PfPiT 抑制剂。在对 21 种化合物的筛选中,发现两种化合物能抑制 PfPiT 菌株的生长,但不能抑制表达 Pho84(五种内源酵母磷酸盐转运体之一)的亲本菌株的生长。放射性磷酸盐吸收实验证实了这两种化合物对磷酸盐吸收的抑制作用。生长抑制实验为筛选大型化合物库中的 PfPiT 抑制剂提供了一种简单而廉价的方法,可作为开发新型抗疟药物的起点。
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引用次数: 0
Comparative proteomic analysis of metronidazole-sensitive and resistant Trichomonas vaginalis suggests a novel mode of metronidazole action and resistance 对甲硝唑敏感和耐药阴道毛滴虫的蛋白质组比较分析表明了甲硝唑作用和耐药的新模式。
IF 4.1 2区 医学 Q1 PARASITOLOGY Pub Date : 2024-09-26 DOI: 10.1016/j.ijpddr.2024.100566
Anna-Lena Mayr , Ana Paunkov , Karin Hummel , Ebrahim Razzazi-Fazeli , David Leitsch
The microaerophilic parasite Trichomonas vaginalis occurs worldwide and causes inflammation of the urogenital tract, especially in women. With 156 million infections annually, trichomoniasis is the most prevalent non-viral sexually transmitted disease. Trichomoniasis is treated with 5-nitroimidazoles, especially metronidazole, which are prodrugs that have to be reduced at their nitro group to be activated. Resistance rates to metronidazole have remained comparably low, but they can be higher in certain areas leading to an increase of refractory cases. Metronidazole resistance in T. vaginalis can develop in vivo in clinical isolates, or it can be induced in the laboratory. Both types of resistance share certain characteristics but differ with regard to the dependence of ambient oxygen to become manifest. Although several candidate factors for metronidazole resistance have been described in the past, e.g. pyruvate:ferredoxin oxidoreductase and ferredoxin or thioredoxin reductase, open questions regarding their role in resistance have remained.
In order to address these questions, we performed a proteomic study with metronidazole-sensitive and –resistant laboratory strains, as well as with clinical strains, in order to identify factors causative for resistance. The list of proteins consistently associated with resistance was surprisingly short. Resistant laboratory and clinical strains only shared the downregulation of flavin reductase 1 (FR1), an enzyme previously identified to be involved in resistance. Originally, FR1 was believed to be an oxygen scavenging enzyme, but here we identified it as a ferric iron reductase which produces ferrous iron. Based on this finding and on further experimental evidence as presented herein, we propose a novel mechanism of metronidazole activation which is based on ferrous iron binding to proteins, thereby rendering them susceptible to complex formation with metronidazole. Upon resolution of iron-protein-metronidazole complexes, metronidazole radicals are formed which quickly react with thiols or proteins in the direct vicinity, leading to breaks in the peptide backbone.
阴道毛滴虫(Trichomonas vaginalis)是一种嗜水性微寄生虫,分布于世界各地,会导致泌尿生殖道发炎,尤其是女性。滴虫病每年感染 1.56 亿人次,是最流行的非病毒性传播疾病。治疗滴虫病的药物是 5-硝基咪唑类,尤其是甲硝唑。对甲硝唑的耐药率相对较低,但在某些地区可能较高,导致难治性病例增加。阴道球菌对甲硝唑的耐药性可以在临床分离株体内产生,也可以在实验室中诱导产生。这两种抗药性都有某些共同的特征,但在对环境氧气的依赖性方面有所不同。尽管过去曾描述过甲硝唑耐药性的几种候选因子,如丙酮酸:铁氧还蛋白氧化还原酶和铁氧还蛋白或硫氧还蛋白还原酶,但关于它们在耐药性中的作用,仍有一些未决问题。为了解决这些问题,我们对甲硝唑敏感和耐药的实验室菌株以及临床菌株进行了蛋白质组学研究,以确定导致耐药性的因素。令人惊讶的是,与耐药性一致相关的蛋白质清单非常短。耐药的实验室菌株和临床菌株只有黄素还原酶 1(FR1)的下调是相同的,这种酶以前被认为与耐药性有关。最初,FR1 被认为是一种氧清除酶,但在这里我们发现它是一种产生亚铁的铁还原酶。基于这一发现和本文提出的进一步实验证据,我们提出了一种新的甲硝唑激活机制,该机制基于亚铁与蛋白质的结合,从而使蛋白质容易与甲硝唑形成复合物。铁-蛋白质-甲硝唑复合物分解后,会形成甲硝唑自由基,这些自由基会迅速与直接邻近的硫醇或蛋白质发生反应,导致肽骨断裂。
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引用次数: 0
In artemisinin-resistant falciparum malaria parasites, mitochondrial metabolic pathways are essential for survival but not those of apicoplast 在耐青蒿素的恶性疟原虫中,线粒体代谢途径对寄生虫的存活至关重要,但细胞质代谢途径则不然
IF 4.1 2区 医学 Q1 PARASITOLOGY Pub Date : 2024-09-19 DOI: 10.1016/j.ijpddr.2024.100565
Manel Ouji , Thibaud Reyser , Yoshiki Yamaryo-Botté , Michel Nguyen , David Rengel , Axelle Dutreuil , Marlène Marcellin , Odile Burlet-Schiltz , Jean-Michel Augereau , Michael K. Riscoe , Lucie Paloque , Cyrille Botté , Françoise Benoit-Vical
Emergence and spread of parasite resistance to artemisinins, the first-line antimalarial therapy, threaten the malaria eradication policy. To identify therapeutic targets to eliminate artemisinin-resistant parasites, the functioning of the apicoplast and the mitochondrion was studied, focusing on the fatty acid synthesis type II (FASII) pathway in the apicoplast and the electron transfer chain in the mitochondrion. A significant enrichment of the FASII pathway among the up-regulated genes in artemisinin-resistant parasites under dihydroartemisinin treatment was found, in agreement with published transcriptomic data. However, using GC-MS analyzes of fatty acids, we demonstrated for the first time that the FASII pathway is non-functional, ruling out the use of FASII inhibitors to target artemisinin-resistant parasites. Conversely, by assessing the modulation of the oxygen consumption rate, we evidenced that mitochondrial respiration remains functional and flexible in artemisinin-resistant parasites and even at the quiescent stage. Two novel compounds targeting electron transport chain (ELQ300, ELQ400) efficiently killed quiescent artemisinin-resistant parasites. Therefore, mitochondrial respiration represents a key target for the elimination of artemisinin-resistant persistent Plasmodium falciparum parasites.
寄生虫对一线抗疟药青蒿素的抗药性的出现和蔓延威胁着根除疟疾的政策。为了确定消除青蒿素抗药性寄生虫的治疗目标,研究人员对细胞质和线粒体的功能进行了研究,重点是细胞质中的脂肪酸合成 II 型(FASII)途径和线粒体中的电子传递链。研究发现,在双氢青蒿素处理下,青蒿素抗性寄生虫的上调基因中,FASII途径的基因明显丰富,这与已发表的转录组数据一致。然而,通过对脂肪酸的气相色谱-质谱分析,我们首次证明 FASII 通路是无功能的,这就排除了使用 FASII 抑制剂来抑制青蒿素抗性寄生虫的可能性。相反,通过评估耗氧率的调节,我们证明线粒体呼吸在青蒿素抗性寄生虫体内,甚至在静止阶段仍具有功能性和灵活性。两种针对电子传递链的新型化合物(ELQ300 和 ELQ400)能有效杀死静止期的青蒿素抗性寄生虫。因此,线粒体呼吸是消灭耐青蒿素持久性恶性疟原虫的关键目标。
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引用次数: 0
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International Journal for Parasitology: Drugs and Drug Resistance
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