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Validation of solvent proteome profiling for antimalarial drug target deconvolution 抗疟药物靶向反卷积的溶剂蛋白质组分析验证
IF 3.4 2区 医学 Q1 PARASITOLOGY Pub Date : 2025-12-01 DOI: 10.1016/j.ijpddr.2025.100626
Yijia Ji , Joshua P. Morrow , Christopher A. MacRaild , Haijian Zhang , Carlo Giannangelo , Ralf B. Schittenhelm , Darren J. Creek , Ghizal Siddiqui
Malaria remains a global health threat, with rising drug resistance accelerating the urgent need for new therapeutics. Target elucidation is a critical step in antimalarial drug discovery, enabling a deeper understanding of the molecular mechanisms of action of both existing and novel compounds. This study validates solvent-induced proteome profiling (SPP) as a proteomics-based approach for identifying drug-protein interactions in Plasmodium falciparum. SPP detects shifts in protein stability induced by ligand binding, allowing the identification of drug target/s without the need for compound modifications. Here, we successfully generated solvent denaturation curves for the P. falciparum proteome, and demonstrated the utility of SPP with five antimalarial compounds: pyrimethamine, atovaquone, cipargamin, MMV1557817 and OSM-S-106. In addition to measuring each compound's impact across the full denaturation curve, investigating protein levels at individual solvent percentages preserved specific stability changes that would otherwise be masked in pooled analyses performed by integral SPP. This strategy was critical for the identification of the cipargamin target, non-SERCA-type Ca2+-transporting P-ATPase (PfATP4). Notably, we propose live-cell treatment SPP as a novel approach, demonstrating its ability to identify the validated target of pyrimethamine, bifunctional dihydrofolate reductase-thymidylate synthase (PfDHFR), with high specificity. We also introduced the novel one-pot mixed-drug SPP, which enables the evaluation of multiple drugs within a single lysate and experimental setup. This alternative method simplifies the experimental workflow and includes positive controls to affirm the performance of the experiment. Overall, this study demonstrates that SPP can be successfully applied in both lysate and live-cell treatment conditions to elucidate drug targets in P. falciparum, as well as providing additional information regarding the mechanisms of drug action, offering insights for the optimisation of existing antimalarials and the development of novel therapies.
疟疾仍然是一个全球健康威胁,随着耐药性的增加,迫切需要新的治疗方法。靶标阐明是抗疟药物发现的关键一步,使人们能够更深入地了解现有和新化合物的分子作用机制。本研究验证了溶剂诱导的蛋白质组分析(SPP)作为一种基于蛋白质组学的方法来鉴定恶性疟原虫的药物-蛋白质相互作用。SPP检测由配体结合引起的蛋白质稳定性的变化,允许在不需要化合物修饰的情况下识别药物靶点。在这里,我们成功地生成了恶性疟原虫蛋白质组的溶剂变性曲线,并证明了SPP与五种抗疟疾化合物的效用:乙胺嘧啶、阿托伐醌、西帕gamin、MMV1557817和OSM-S-106。除了测量每种化合物在整个变性曲线上的影响外,研究单个溶剂百分比下的蛋白质水平保留了特定的稳定性变化,否则这些变化将被积分SPP进行的合并分析所掩盖。这一策略对于识别西帕gamin靶蛋白,非serca型Ca2+转运p - atp酶(PfATP4)至关重要。值得注意的是,我们提出了活细胞治疗SPP作为一种新方法,证明其能够以高特异性识别乙胺嘧啶双功能二氢叶酸还原酶-胸苷酸合成酶(PfDHFR)的有效靶标。我们还介绍了新的一锅混合药物SPP,它可以在单个裂解物和实验设置中评估多种药物。这种替代方法简化了实验工作流程,并包括肯定实验性能的阳性对照。总的来说,本研究表明SPP可以成功地应用于裂解物和活细胞治疗条件下,以阐明恶性疟原虫的药物靶点,并提供有关药物作用机制的额外信息,为现有抗疟药物的优化和新疗法的开发提供见解。
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引用次数: 0
Surveillance of single nucleotide polymorphisms correlated to macrocyclic lactone resistance in Dirofilaria immitis from client-owned dogs across the United States. 美国客户养的狗的大环内酯耐药相关的单核苷酸多态性监测
IF 3.4 2区 医学 Q1 PARASITOLOGY Pub Date : 2025-12-01 Epub Date: 2025-08-05 DOI: 10.1016/j.ijpddr.2025.100604
Emily Curry, David Tack, Jessica Rodriguez, Danielle Brehm-Lowe, John Letherer, Megan Lineberry, Roger Prichard, Tobias Clark

Dirofilaria immitis is a parasitic filarial nematode and the causative agent of heartworm disease in canids and other species. Heartworm disease is predominantly managed via macrocyclic lactone (ML) - based chemoprophylactics. Through opportunistic sampling, genotypically and phenotypically confirmed ML-resistant D. immitis isolates have been isolated in the Lower Mississippi River Valley region (LMRV); however, the pervasiveness of resistant isolates in the USA has not been evaluated. This study aimed to evaluate the geographic distribution and prevalence of genotypically ML-resistant heartworms in client-owned dogs across the USA over a 3-year period. Owner consent was obtained to collect microfilaremic blood samples from heartworm-positive dogs from participating clinics. Veterinarians completed a questionnaire on the known history of each dog, including treatment and travel history. A total of 310 microfilaremic blood samples were collected from 45 geographically diverse veterinary clinics located in 22 states. Microfilariae were filtered from blood, DNA extracted utilizing the QIAGEN QIAamp DNA Micro Kit and samples sequenced by the Génome Québec Innovation Centre to determine allele frequencies at nine SNP sites previously correlated with ML resistance. The highly predictive 2-SNP model was used to identify genotypically susceptible, mixed, and resistant populations. Computational analysis indicated 111 (35.8 %) were genotypically susceptible, 96 (31.0 %) were genotypically resistant, and 103 (33.2 %) were genotypically mixed. The genotypically mixed and ML-resistant infections were located within and outside of the endemic LMRV, as far north as Michigan, which indicates canine populations outside of the LMRV are at increased risk for transmission of potentially ML-resistant heartworm infections than previously hypothesized. Veterinary practitioners across the USA need to be aware of the potential risks of ML resistance heartworm infections and ensure patient compliance with recommended prevention protocols.

原丝虫是一种寄生虫,是犬科动物和其他物种心丝虫病的病原体。心丝虫病主要通过以大环内酯(ML)为基础的化学预防药物进行治疗。通过机会性取样,在密西西比河下游河谷地区(LMRV)分离出了经基因型和表型型证实的耐ml免疫球菌分离株;然而,耐药分离株在美国的普遍性尚未得到评估。本研究旨在评估美国客户拥有的狗中基因典型ml抗性心丝虫的地理分布和流行情况,为期3年。获得犬主同意,从参与诊所的心丝虫阳性犬采集微丝蚴血样。兽医完成了一份关于每只狗已知病史的调查问卷,包括治疗和旅行史。从22个州45个地理位置不同的兽医诊所共收集了310份微丝蚴血液样本。从血液中过滤微丝蚴,使用QIAGEN QIAamp DNA Micro Kit提取DNA,并由gsamnome qusambec创新中心对样品进行测序,以确定先前与ML抗性相关的9个SNP位点的等位基因频率。高预测的2-SNP模型用于鉴定基因典型易感、混合和抗性群体。计算分析结果显示,基因典型易感111例(35.8%),基因典型耐药96例(31.0%),基因典型混合103例(33.2%)。基因典型混合感染和ml耐药感染位于LMRV的内部和外部,远至密歇根州北部,这表明LMRV之外的犬群传播潜在ml耐药心丝虫感染的风险比先前假设的要高。美国各地的兽医从业人员需要意识到ML抗性心丝虫感染的潜在风险,并确保患者遵守推荐的预防方案。
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引用次数: 0
Novel heterospirocyclic antimalarials with activity against artemisinin- and multidrug-resistant P. falciparum malaria 具有抗青蒿素和耐多药恶性疟原虫活性的新型异旋环抗疟药。
IF 3.4 2区 医学 Q1 PARASITOLOGY Pub Date : 2025-12-01 DOI: 10.1016/j.ijpddr.2025.100627
Liana Theodoridis , Carlo Giannangelo , Farrah El-Saafin , MR Ranga Prabhath , Christopher A. Macraild , Pallavi Sharma , Delphine Merino , Darren J. Creek , Teresa G. Carvalho
Malaria is an infectious disease that imposes a significant global health burden. Increasing drug resistance creates an urgent demand for novel treatment options. We have previously synthesised a new class of heterospirocyclic compounds with novel chemical linkages, which have shown preliminary antimalarial activity. Compounds 25 and 26 display antimalarial activity within 24 h against a panel of drug-resistant strains of Plasmodium falciparum, the most virulent of human malaria parasites. Untargeted metabolomics analysis of P. falciparum-infected red blood cells revealed that the mechanism of action of compound 25 could involve disruption of the pyrimidine biosynthesis pathway and haemoglobin catabolism. Further, compounds 25 and 26 do not induce major toxicity in kidney- and hepatic-derived human cell lines, highlighting their specificity. These heterospirocyclic compounds represent a promising opportunity for antimalarial drug development and could prove relevant against drug-resistant malaria.
疟疾是一种传染病,对全球健康造成重大负担。不断增加的耐药性产生了对新型治疗方案的迫切需求。我们以前已经合成了一类新的具有新的化学键的杂环杂环化合物,这些化合物已经显示出初步的抗疟疾活性。化合物25和26在24小时内对恶性疟原虫(最致命的人类疟疾寄生虫)的一组耐药菌株显示出抗疟疾活性。恶性疟原虫感染红细胞的非靶向代谢组学分析显示,化合物25的作用机制可能涉及破坏嘧啶生物合成途径和血红蛋白分解代谢。此外,化合物25和26在肾脏和肝脏来源的人类细胞系中不会引起主要毒性,这突出了它们的特异性。这些杂环化合物代表了抗疟药物开发的一个有希望的机会,并可能证明与耐药疟疾有关。
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引用次数: 0
Evaluation of the inhibitory effects of emodin on Neospora caninum invasion and proliferation in vitro 大黄素对犬新孢子虫体外侵袭和增殖抑制作用的评价。
IF 3.4 2区 医学 Q1 PARASITOLOGY Pub Date : 2025-10-30 DOI: 10.1016/j.ijpddr.2025.100624
Feixue Liu , Jianhua Li , Xin Li, Xu Zhang, Liuzhenxiu Yan, Lanbi Gao, Zhenzhen Liu, Pengtao Gong, Nan Zhang, Xichen Zhang, Xiaocen Wang
The impact of neosporosis on the livestock industry has worsening each year. Globally, annual losses were estimated to exceed $2.4 billion, with abortion rates reaching up to 47 % in affected herds. But no effective vaccines or drugs are currently available for prevention and treatment. This study aimed to investigate the inhibitory effects of emodin on Neospora caninum (N. caninum) infection and its potential mechanisms. The appropriates safe concentration of emodin was determined by the Cell Counting Kit-8 (CCK-8) assay. The anti-N. caninum effects of emodin in Vero cells, MDBK cells, macrophages, as well as the combined effects of emodin and niclosamide in Vero cells, were further verified using qPCR or Giemsa staining. Subsequently, the effects of direct incubation of tachyzoites with emodin on N. caninum invasion and proliferation were also examined. The activation of necroptosis by emodin was evaluated by measuring Lactate Dehydrogenase (LDH) levels in the supernatant and assessing cellular pMLKL levels. The CCK-8 results indicated that emodin exhibited low toxicity to Vero cells, MDBK cells, and macrophages. The qPCR results showed that emodin reduced the number of N. caninum in Vero cells, MDBK cells, and macrophages. Giemsa results showed that the number of tachyzoites within the parasitophorous vacuole was decreased accordingly. Notably, emodin directly affected tachyzoites, reducing its invasion capability by 55 %–63 % and its proliferation capacity by 62 %–88 %. Additionally, the combination of emodin with niclosamide significantly enhanced its antiparasitic effects compared with emodin alone. Western blot analysis showed that emodin significantly increased pMLKL levels and enhanced LDH release, assisting N. caninum in activating necroptosis. However, the inhibitory effects of emodin on N. caninum invasion and proliferation were not significantly altered in Mlkl−/− macrophages. In conclusion, emodin inhibited N. caninum infection may through a necroptosis-independent mechanism by directly targeting the parasite, highlighting its potential as a therapeutic candidate for neosporosis.
新孢子病对畜牧业的影响每年都在恶化。在全球范围内,每年的损失估计超过24亿美元,受影响畜群的流产率高达47%。但目前尚无有效的疫苗或药物用于预防和治疗。本研究旨在探讨大黄素对犬新孢子虫感染的抑制作用及其可能的机制。采用细胞计数试剂盒-8 (CCK-8)法确定大黄素的适宜安全浓度。anti-N。采用qPCR或Giemsa染色进一步验证大黄素对Vero细胞、MDBK细胞、巨噬细胞的犬毒性作用,以及大黄素与氯胺酮对Vero细胞的联合作用。随后,我们还研究了大黄素直接孵育速殖子对犬北蝽入侵和增殖的影响。通过测量上清中乳酸脱氢酶(LDH)水平和细胞pMLKL水平来评估大黄素对坏死性坏死的激活作用。CCK-8结果表明,大黄素对Vero细胞、MDBK细胞和巨噬细胞具有低毒性。qPCR结果显示,大黄素能降低Vero细胞、MDBK细胞和巨噬细胞中犬乳杆菌的数量。吉姆萨实验结果表明,寄生液泡内速殖子数量相应减少。值得注意的是,大黄素直接影响速殖子,使其入侵能力降低55% ~ 63%,增殖能力降低62% ~ 88%。此外,与单用大黄素相比,大黄素与氯硝柳胺合用可显著增强其抗寄生虫作用。Western blot分析显示,大黄素显著提高pMLKL水平,促进LDH释放,促进犬链球菌坏死。然而,大黄素对犬链球菌在Mlkl-/-巨噬细胞中的侵袭和增殖的抑制作用没有明显改变。综上所述,大黄素可能通过一种与坏死无关的机制,直接靶向犬奈米原虫,从而抑制犬奈米原虫感染,这凸显了其作为新孢子虫病治疗候选药物的潜力。
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引用次数: 0
Comparative transcriptomics of naturally susceptible and resistant Trypanosoma cruzi strains in response to Benznidazole 克氏锥虫自然敏感和耐药菌株对苯并硝唑的转录组学比较
IF 3.4 2区 医学 Q1 PARASITOLOGY Pub Date : 2025-10-25 DOI: 10.1016/j.ijpddr.2025.100623
Carlos Ospina , Tatiana Cáceres , Stivenn Gutiérrez , Luz Helena Patiño , Luis David Sáenz-Pérez , Karen Moreno Medina , Juan Carlos Villar , Juan David Ramírez
Chagas disease (CD), caused by the protozoan Trypanosoma cruzi, remains a major public health challenge due to limited treatment options, Benznidazole and Nifurtimox; which are associated with adverse effects and variable efficacy. The emergence of drug-resistant in T. cruzi strains, along with limited knowledge of the molecular mechanisms underlying resistance, hampers the development of more effective therapies. To explore these mechanisms, we performed a comparative transcriptomic analysis of two T. cruzi TcI strains: MG (naturally susceptible) and DA (naturally resistant) to Benznidazole. Parasites were cultured in LIT medium, and IC50 values were determined using the MTT assay. RNA was extracted and sequenced (RNA-seq), with reads aligned to a reference genome. Differential gene expressions were analyzed with DESeq2, functional enrichment through Gene Ontology (GO), and metabolic pathways were mapped via KAAS. The IC50 for Benznidazole in DA (28.92 μg/mL; 111.13 μM) was substantially higher than in MG (0.88 μg/mL; 3.39 μM), confirming differential susceptibility. DA showed 408 upregulated and 1515 downregulated genes, while MG had 153 upregulated and 866 downregulated (Log2FoldChange ≥ 2 or ≤ −2). GO analysis indicated divergent biological processes between strains: DA exhibited enrichment in electron transport and detoxification, while MG was enriched in DNA repair and energy metabolism. Metabolic mapping revealed significant differences in the pentose phosphate pathway, glycolysis/gluconeogenesis, and the tricarboxylic acid (TCA) cycle. Key genes potentially involved in resistance like prostaglandin F2α synthase, trypanothione synthase, thioredoxin, and prostaglandin F synthase were identified as candidate therapeutic targets. These findings suggest that Benznidazole resistance in T. cruzi involves multifactorial, strain-specific responses at the transcriptomic and metabolic levels. By analyzing naturally resistant and susceptible TcI strains of T. cruzi under identical experimental conditions, this study reveals strain-specific transcriptomic adaptations that have not been previously characterized in naturally resistant and susceptible populations. These findings expand our current understanding of intrinsic Benznidazole resistance in T. cruzi, moving beyond purely experimental models. Specifically, they highlight novel metabolic and redox pathways that could serve as therapeutic targets effective against diverse T. cruzi strains and Discrete Typing Units (DTUs).
由克氏锥虫引起的南美锥虫病(恰加斯病)仍然是一个重大的公共卫生挑战,因为治疗选择有限,苯并硝唑和硝呋替莫;这些都与不良反应和不同的疗效有关。克氏T. cruzi菌株耐药的出现,以及对耐药分子机制的有限了解,阻碍了开发更有效的治疗方法。为了探索这些机制,我们对两种克氏T. TcI菌株:MG(自然敏感)和DA(自然耐药)进行了比较转录组学分析。寄生物在LIT培养基中培养,采用MTT法测定IC50值。提取RNA并测序(RNA-seq), reads与参考基因组对齐。通过DESeq2分析差异基因表达,通过gene Ontology (GO)进行功能富集,通过KAAS绘制代谢途径。DA对苯并硝唑的IC50 (28.92 μg/mL; 111.13 μM)显著高于MG (0.88 μg/mL; 3.39 μM),证实了两者的敏感性差异。DA有408个基因上调,1515个基因下调,MG有153个基因上调,866个基因下调(Log2FoldChange≥2或≤- 2)。氧化石墨烯分析表明菌株之间的生物过程存在差异:DA富集于电子传递和解毒,而MG富集于DNA修复和能量代谢。代谢图谱揭示了戊糖磷酸途径、糖酵解/糖异生和三羧酸(TCA)循环的显著差异。前列腺素F2α合成酶、锥虫硫酮合成酶、硫氧还蛋白和前列腺素F合成酶等可能参与耐药的关键基因被确定为候选治疗靶点。这些发现表明,克氏锥虫对苯并硝唑的耐药性涉及转录组学和代谢水平上的多因子、菌株特异性反应。通过在相同的实验条件下分析自然耐药和易感的克氏t型虫TcI菌株,本研究揭示了以前在自然耐药和易感人群中未被表征的菌株特异性转录组适应性。这些发现扩展了我们目前对克氏锥虫内在苯并硝唑耐药性的理解,超越了纯粹的实验模型。具体来说,他们强调了新的代谢和氧化还原途径,可以作为有效对抗多种克氏T.菌株和离散分型单位(dtu)的治疗靶点。
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引用次数: 0
Recent advances in intestinal helminth parasites of horses in the Asia-Pacific region: Current trends, challenges and future directions 亚太地区马肠道寄生虫研究进展:当前趋势、挑战和未来方向
IF 3.4 2区 医学 Q1 PARASITOLOGY Pub Date : 2025-10-17 DOI: 10.1016/j.ijpddr.2025.100622
Ghazanfar Abbas , Martin K. Nielsen , Charles E-Hage , Abdul Ghafar , Ian Beveridge , Jenni Bauquier , Anne Beasley , Edwina J.A. Wilkes , Peter Carrigan , Lucy Cudmore , Caroline Jacobson , Kristopher J. Hughes , Abdul Jabbar
Over the past 25 years, significant progress has been made in understanding and managing equine gastrointestinal parasites in the Asia-Pacific region, particularly in Australia and New Zealand. This review synthesises current knowledge of the epidemiology, diagnostic methods, anthelmintic resistance (AR), and control strategies for major equine intestinal parasites, including cyathostomins, Parascaris spp., Anoplocephala perfoliata, and Strongyloides westeri. Recent studies highlight substantial regional variation in parasite prevalence, egg shedding and cyathostomin population composition, shaped by diverse climatic conditions. Of increasing concern is the emergence of resistance to commonly used anthelmintics which is now evident in both Parascaris and cyathostomins, although data for S. westeri and A. perfoliata remain limited. High-throughput molecular diagnostics, such as next-generation sequencing, have advanced species-level characterisation in Australia and Thailand. ELISA-based tests for A. perfoliata and encysted cyathostomins are promising but remain unvalidated and underutilised regionally. The routine use of combination anthelmintics, including benzimidazoles, praziquantel, pyrimidines, and macrocyclic lactones, may accelerate resistance across nematode and cestode populations, emphasising the need for regular efficacy monitoring and improved antiparasitic stewardship. Findings from recent research on horse parasites in Australia have informed the development of country's first national equine parasite control guidelines which recommend targeted or selective treatment strategies. However, the effectiveness of these strategies requires ongoing evaluation, particularly in year-round grazing systems in tropical and subtropical regions. Sustainable parasite control will depend on the integration of non-chemical strategies along with the use of anthelmintics and the establishment of a national parasite surveillance database. This review highlights the need for climate-specific treatment protocols, strengthened collaborative research infrastructure, and continued investment in innovative diagnostic and control methods to preserve equine health and anthelmintic efficacy across the region.
在过去25年中,亚太地区,特别是澳大利亚和新西兰,在了解和管理马胃肠道寄生虫方面取得了重大进展。本文综述了马主要肠道寄生虫(包括cyathostomins、Parascaris spp、Anoplocephala perfoliata和Strongyloides westeri)的流行病学、诊断方法、抗虫性(AR)和控制策略方面的最新知识。最近的研究强调,受不同气候条件的影响,寄生虫流行率、虫卵脱落和cyathostomin种群组成存在显著的区域差异。越来越令人关注的是对常用驱虫剂的耐药性的出现,目前在拟寄生虫和cyathostomins中都很明显,尽管关于西风拟虫和细叶拟虫的数据仍然有限。在澳大利亚和泰国,高通量分子诊断,如新一代测序,具有先进的物种水平特征。基于酶联免疫吸附试验的细叶藻和囊胞口蛋白是有希望的,但仍然未经验证和利用不足的区域。常规使用联用驱虫药,包括苯并咪唑、吡喹酮、嘧啶和大环内酯,可能加速线虫和寄生虫种群的耐药性,强调需要定期监测药效和改进抗寄生虫管理。澳大利亚最近对马寄生虫的研究结果为该国第一个国家马寄生虫控制指南的制定提供了信息,该指南建议有针对性或选择性的治疗策略。然而,这些战略的有效性需要持续评估,特别是在热带和亚热带地区的全年放牧系统中。可持续的寄生虫控制将取决于将非化学战略与驱虫剂的使用结合起来,并建立一个国家寄生虫监测数据库。这一综述强调需要制定针对气候的治疗方案,加强合作研究基础设施,并继续投资于创新的诊断和控制方法,以保护整个地区的马健康和驱虫功效。
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引用次数: 0
Development of a clinical risk scoring system for artesunate treatment failure prediction in malaria patients 用于疟疾患者青蒿琥酯治疗失败预测的临床风险评分系统的开发。
IF 3.4 2区 医学 Q1 PARASITOLOGY Pub Date : 2025-10-10 DOI: 10.1016/j.ijpddr.2025.100621
Dasom Kim , Da Hoon Lee , Yubin Song , Jung Sun Kim , Hye Sun Gwak

Background

Severe malaria remains a major cause of morbidity and mortality worldwide. Early identification of patients at high risk of poor response to treatment is essential, yet no simple clinical tool is currently available. This study aimed to develop a risk scoring system to predict failure to artesunate therapy.

Methods

This retrospective study included adult patients (aged ≥18 years) who received at least one dose of intravenous artesunate at the National Medical Center in South Korea between 2014 and 2023. Treatment failure (early or late clinical failure) was the response variable, which was defined according to WHO criteria. Candidate predictor variables included demographic, clinical, parasitological, and laboratory parameters. Odds ratios (ORs) and adjusted odds ratios (aORs) were calculated using univariate and multivariable logistic regression analyses, respectively. Final predictors were selected through backward elimination based on the Likelihood Ratio criterion, and a clinical risk scoring system was developed based on the adjusted ORs.

Results

Among 98 patients included in the final analysis, treatment failure occurred in 12 (12.2 %). Multivariable analysis identified female sex, parasitemia >5 %, and impaired consciousness as independent risk factors. Using these variables, a risk-scoring system was constructed, and the predicted probabilities of treatment failure for patients with scores of 0, 1, 2, 3, and 4 points were 5 %, 16 %, 41 %, 72 %, and 90 %, respectively (AUROC = 0.768, 95 % CI: 0.605–0.931).

Conclusions

Parasitemia >5 %, impaired consciousness, and female sex were predictive of artesunate treatment failure as defined by WHO clinical criteria. The developed risk scoring system provides a practical tool for identifying high-risk patients requiring intensified monitoring and alternative treatment strategies. These findings are derived from a South Korean cohort and should be interpreted with caution when extrapolated to endemic populations.
背景:严重疟疾仍然是全世界发病率和死亡率的主要原因。早期识别对治疗反应不良的高风险患者至关重要,但目前尚无简单的临床工具。本研究旨在建立一个风险评分系统来预测青蒿素治疗的失败。方法:这项回顾性研究纳入了2014年至2023年间在韩国国家医疗中心接受至少一剂静脉注射青蒿琥酯的成年患者(年龄≥18岁)。治疗失败(早期或晚期临床失败)是反应变量,根据世卫组织标准定义。候选预测变量包括人口统计学、临床、寄生虫学和实验室参数。分别使用单变量和多变量logistic回归分析计算优势比(ORs)和调整优势比(aORs)。根据似然比标准反向剔除最终预测因子,并根据调整后的or建立临床风险评分系统。结果:最终分析的98例患者中,12例(12.2%)出现治疗失败。多变量分析发现女性、寄生虫血症5%和意识受损是独立的危险因素。利用这些变量构建风险评分系统,0分、1分、2分、3分和4分患者治疗失败的预测概率分别为5%、16%、41%、72%和90% (AUROC = 0.768, 95% CI: 0.605-0.931)。结论:根据世卫组织临床标准,寄生虫血症5%、意识受损和女性是青蒿琥酯治疗失败的预测因素。开发的风险评分系统为识别需要加强监测和替代治疗策略的高危患者提供了实用工具。这些发现来自韩国的一个队列,在推断到流行人群时应谨慎解释。
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引用次数: 0
Similar patterns of benzimidazole resistance alleles in ovine gastrointestinal nematodes from Western Canada and Eastern United States supports their shared origins and subsequent spread 在加拿大西部和美国东部的绵羊胃肠道线虫中,苯并咪唑抗性等位基因的相似模式支持它们的共同起源和随后的传播
IF 3.4 2区 医学 Q1 PARASITOLOGY Pub Date : 2025-10-07 DOI: 10.1016/j.ijpddr.2025.100620
Camila Queiroz , Michel Levy , Russell Avramenko , Rebecca Chen , Michaela Seal , Elizabeth Redman , Anne Zajac , John Stuart Gilleard
Livestock movement facilitates translocation of anthelmintic resistant parasites, but the extent to which resistance emergence depends on animal movement is still poorly understood. Benzimidazole resistance is widespread in ovine trichostrongylid nematodes, and our understanding of its molecular basis now allows for molecular epidemiology investigations. This study applies deep amplicon sequencing of the isotype-1 β-tubulin locus to compare the prevalence and frequency of benzimidazole resistance Single Nucleotide Polymorphisms (SNPs), and their alleles, for trichostrongylid populations from 102 Western Canadian and 28 Eastern USA sheep flocks. For H. contortus, benzimidazole resistance SNPs were at fixation tin almost all flocks from both regions; that is, present at, or close to, 100 % frequency. For T. circumcincta and T. colubriformis, although at fixation in most Eastern USA flocks, resistance SNPs they were at a much lower prevalence in Western Canada, consistent with the lower anthelmintic use and selection pressure. The benzimidazole resistance SNP profiles were identical across these regions: F200Y (TTC > TAC) predominated for all three species in both regions, but there were differences between the species at codons 167 and 198. For H. contortus, F167Y (TTC > TAC) was at moderate prevalence but no codon 198 resistance SNPs occurred in either region. For T. circumcincta, E198A (GAA > GCA) was at low prevalence and for T. colubriformis, F200Y (TTC > TAC) was the only resistance SNP detected in both regions. Analysis of diversity and distribution of Amplicon Sequence Variants (ASVs) carrying resistance SNPs revealed that, in all three species, the same major resistance alleles were present in both regions at very similar relative frequencies. These results are consistent with a model of benzimidazole resistant ovine gastrointestinal nematodes (GIN) spreading across North America from common origins facilitated by animal movement. This model emphasizes the importance of biosecurity in limiting the emergence and spread of anthelmintic resistance in ruminant GIN. Keywords: molecular epidemiology, deep amplicon sequencing, anthelmintic resistance, nemabiome, benzimidazoles.
牲畜的流动促进了抗虫寄生虫的易位,但耐药性的出现在多大程度上取决于动物的流动仍然知之甚少。苯并咪唑耐药性在羊毛线虫中广泛存在,我们对其分子基础的了解现在允许进行分子流行病学调查。本研究对来自102个加拿大西部和28个美国东部绵羊群体的单核苷酸多态性(snp)及其等位基因进行了深扩增子测序,比较了其对苯并咪唑抗性的患病率和频率。对弯纹夜蛾,两区几乎所有禽群的固定物中均存在苯并咪唑抗性snp;也就是说,以或接近100%的频率出现。对于环皮绦虫和绿形绦虫,尽管在大多数美国东部禽群中固定,但抗性snp在加拿大西部的流行率要低得多,这与较低的驱虫使用和选择压力相一致。在这两个区域中,3个物种对苯并咪唑的抗性SNP谱是相同的:F200Y (TTC >; TAC)在两个区域均占优势,但在密码子167和198处存在差异。在弯毛鼠中,F167Y (TTC >; TAC)的流行率中等,但两个地区均未出现密码子198抗性snp。在环皮绦虫中,E198A (GAA >; GCA)的流行率较低,而在色形绦虫中,F200Y (TTC >; TAC)是两个地区唯一检测到的耐药SNP。对携带抗性snp的扩增子序列变异(Amplicon Sequence variant, asv)的多样性和分布分析表明,在所有3个物种中,两个区域均存在相同的主要抗性等位基因,且相对频率非常相似。这些结果与抗苯并咪唑羊胃肠道线虫(GIN)通过动物运动从共同起源传播到北美的模型一致。该模型强调了生物安全在限制反刍金猴抗虫性出现和传播方面的重要性。关键词:分子流行病学,深度扩增子测序,驱虫耐药,奈马比组,苯并咪唑。
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引用次数: 0
Illuminating the druggability of the Giardia duodenalis kinome through reannotation and high-throughput screens 通过重新注释和高通量筛选阐明十二指肠贾第鞭毛虫kinome的药物性。
IF 3.4 2区 医学 Q1 PARASITOLOGY Pub Date : 2025-10-04 DOI: 10.1016/j.ijpddr.2025.100619
Alexander Y.F. Lam , Isabelle S. Lucet , Aaron R. Jex , Samantha J. Emery-Corbin
Giardia duodenalis (syn Giardia intestinalis, Giardia lamblia) is a neglected, microaerophilic gastrointestinal parasite reliant on broad spectrum anti-microaerophilic/-anaerobic nitroheterocyclic antibiotics (metronidazole) which have been in use for over 70 years. New drugs which avoid their predecessor’s shortfalls of toxic and adverse effects, as well as circumvent its increasing treatment failure, are urgently required to lower global rates of up to 200 million symptomatic cases annually. Kinases are essential regulatory enzymes that primarily catalyse the phosphorylation post-translational modification involved in dynamic cellular processes. Kinases are well-validated and attractive drug targets, with many kinase inhibitors demonstrating great success in the clinic as anticancer therapeutics. In G. duodenalis, its intriguing set of minimal “core” protein kinases and the highly expanded Giardia-specific Never-in-Mitosis-A related kinases (Neks) emerge as a novel druggable space. We propose this kinome as an understudied and underutilised space to explore novel antigiardial targets. Intriguingly, despite over 15 years of advances in kinase biology and new annotation tools, there are limited functional evidence on the existence of ‘Neks’ in G. duodenalis. To incentivise new efforts, we provide an updated kinome reannotation and examination of the giardial core and specific sub-kinomes using novel bioinformatic tools, suggesting a nomenclature and providing insights in a drug-discovery context. Lastly, we have conducted a high-throughput screening of 430 compounds, covering 53 kinase targets and 51 chemical scaffolds, identifying 83/430 antigiardial kinase inhibitors of which 33 true positives could be validated in a subset subjected to drug-susceptibility testing, highlighting intriguing spaces for further development and molecular probes to further explore kinase regulatory pathways in this parasite.
十二指肠贾第鞭毛虫(又称肠贾第鞭毛虫,兰贾第鞭毛虫)是一种被忽视的、嗜微气的胃肠道寄生虫,依赖于广谱抗嗜微气/厌氧硝基杂环抗生素(甲硝唑),甲硝唑已被使用了70多年。迫切需要能够避免其前身毒副作用不足以及避免其日益增加的治疗失败的新药,以降低全球每年高达2亿有症状病例的发生率。激酶是基本的调节酶,主要催化磷酸化翻译后修饰参与动态细胞过程。激酶是经过充分验证和有吸引力的药物靶点,许多激酶抑制剂在临床抗癌治疗中表现出巨大的成功。在G. duodenalis中,其有趣的最小“核心”蛋白激酶和高度扩展的贾第鞭毛虫特异性Never-in-Mitosis-A相关激酶(Neks)成为一个新的药物空间。我们提出这个基因组作为一个未充分研究和未充分利用的空间来探索新的抗心绞痛靶点。有趣的是,尽管在激酶生物学和新的注释工具方面取得了超过15年的进展,但关于G. duodenalis中“Neks”存在的功能证据有限。为了激励新的努力,我们使用新的生物信息学工具提供了更新的kinome重新注释和对gi心包核心和特定亚kinome的检查,建议命名并在药物发现背景下提供见解。最后,我们对430种化合物进行了高通量筛选,涵盖53种激酶靶点和51种化学支架,鉴定出83/430种抗心包激酶抑制剂,其中33种可在药敏试验中验证为真阳性,突出了进一步开发和分子探针进一步探索该寄生虫激酶调控途径的有趣空间。
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引用次数: 0
Challenges in applying W.A.A.V.P. criteria to diagnosing triclabendazole resistance in Fasciola hepatica, an example from the Southern Tablelands of New South Wales, Australia 应用W.A.A.V.P.标准诊断肝片形吸虫三氯苯达唑耐药性的挑战,以澳大利亚新南威尔士州南部高原为例。
IF 3.4 2区 医学 Q1 PARASITOLOGY Pub Date : 2025-09-30 DOI: 10.1016/j.ijpddr.2025.100618
Chelsie Uthayakumar , Hayley Martinez DeCristi , Emily Kate Francis , Roger Alan Willoughby , Shannon Taylor , Nichola Eliza Davies Calvani
Fasciola hepatica (liver fluke) is a zoonotic parasite of global concern. In Australia, it is the 13th most important cause of economic loss in the sheep meat industry alone. Resistance to the frontline drug, triclabendazole (TCBZ), was first recorded in Australia in 1995 and has since emerged globally. In 2023, producers from the New South Wales (NSW) Southern Tablelands raised concerns over a reported 230% increase in liver fluke, which they suspected was due to drug resistance. To confirm or deny these suspicions, we co-designed a diagnostic field investigation aligned with guidelines from the World Association for the Advancement of Veterinary Parasitology (W.A.A.V.P.) to evaluate the prevalence and susceptibility of F. hepatica on naturally infected sheep, cattle, and goat properties. Nine mobs (seven sheep, one goat, one cattle) across eight farms were divided into three treatment groups (15 animals/group) and treated with either TCBZ, closantel/abamectin (CLOS/AVM, positive control – sheep), albendazole (ABZ, positive control – goats), or water (H2O; negative control). Prevalence was determined by sedimentation and faecal egg count (FEC), alongside a commercial coproantigen ELISA (cELISA) and in-house qPCR. Drug efficacy was assessed using faecal egg count reduction tests (FECRT) and coproantigen reduction tests (CRT). Four of the eight farms had a within-herd true prevalence >25%. TCBZ resistance was confirmed on one sheep property (86–89% efficacy). The goat property demonstrated susceptibility to TCBZ (97–98% efficacy), but reduced efficacy of ABZ (79%), representing the first potential report of ABZ resistance in F. hepatica infecting goats. Nemabiome sequencing of co-infecting gastrointestinal nematodes confirmed widespread benzimidazole resistance, underscoring the broader challenges faced by producers. Other potential causes of drug failure included climate variability, pseudo-parasites, and low cELISA diagnostic sensitivity. These results highlight the complexity of diagnosing and managing drug resistance in naturally infected populations and reinforce the need for Fasciola-specific W.A.A.V.P. guidelines.
肝吸片虫是一种引起全球关注的人畜共患寄生虫。在澳大利亚,仅在羊肉行业中,它就排在经济损失的第13位。对一线药物三氯苯达唑(TCBZ)的耐药性首次记录于1995年在澳大利亚,此后在全球范围内出现。2023年,新南威尔士州南部高原的生产商对肝吸虫增加了230%的报道表示担忧,他们怀疑这是由于耐药性。为了证实或否认这些怀疑,我们根据世界兽医寄生虫学促进协会(W.A.A.V.P.)的指导方针,共同设计了一项诊断性实地调查,以评估自然感染的羊、牛和山羊的流行性和易感性。来自8个农场的9只动物(7只绵羊、1只山羊、1头牛)被分为3个治疗组(15只/组),分别使用TCBZ、closantel/abamectin (CLOS/AVM,阳性对照-绵羊)、阿苯达唑(ABZ,阳性对照-山羊)或水(H2O,阴性对照)进行治疗。通过沉淀和粪卵计数(FEC)以及商用粪原抗原ELISA (cELISA)和内部qPCR来确定患病率。采用粪卵计数减少试验(FECRT)和粪原抗原减少试验(CRT)评估药物疗效。8个农场中有4个农场的群内真实患病率为25%。1只羊被证实对TCBZ耐药(有效率86-89%)。山羊对TCBZ的敏感性为97-98%,但对ABZ的敏感性降低(79%),这是首次报道山羊对肝F.感染的ABZ产生耐药性。共感染胃肠道线虫的Nemabiome测序证实了广泛存在的苯并咪唑耐药性,强调了生产商面临的更广泛的挑战。其他潜在的药物失败原因包括气候变化、伪寄生虫和低cELISA诊断敏感性。这些结果突出了在自然感染人群中诊断和管理耐药性的复杂性,并加强了制定针对片形虫的W.A.A.V.P.指南的必要性。
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International Journal for Parasitology: Drugs and Drug Resistance
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