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The long and winding road towards new treatments against lymphatic filariasis and onchocerciasis. 迈向淋巴丝虫病和盘尾丝虫病新疗法的道路漫长而曲折。
IF 7 1区 医学 Q1 PARASITOLOGY Pub Date : 2024-09-01 Epub Date: 2024-08-08 DOI: 10.1016/j.pt.2024.07.005
Frederic Risch, Alexander Kazakov, Sabine Specht, Kenneth Pfarr, Peter U Fischer, Achim Hoerauf, Marc P Hübner

Although lymphatic filariasis and onchocerciasis have been targeted for global elimination, these helminth infections are still a major public health problem across the tropics and subtropics. Despite decades of research, treatment options remain limited and drugs that completely clear the infections, and can be used on a large scale, are still unavailable. In the present review we discuss the strengths and weaknesses of currently available treatments and new ones in development. Novel candidates (corallopyronin A, DNDi-6166, emodepside, and oxfendazole) are currently moving through (pre)clinical development, while the development of two candidates (AWZ1066S and ABBV-4083/flubentylosin) was recently halted. The preclinical R&D pipeline for filarial infections continues to be limited, and recent setbacks highlight the importance of continuous drug discovery and testing.

尽管淋巴丝虫病和盘尾丝虫病已成为全球消灭的目标,但这些蠕虫感染仍然是热带和亚热带地区的主要公共卫生问题。尽管进行了数十年的研究,但治疗方案仍然有限,完全清除感染并可大规模使用的药物仍然缺乏。在本综述中,我们将讨论目前可用的治疗方法和正在开发的新方法的优缺点。新的候选药物(珊瑚皂苷 A、DNDi-6166、依莫德塞和奥芬达唑)目前正在进行(临床前)研发,而两个候选药物(AWZ1066S 和 ABBV-4083/flubentylosin )的研发最近已经停止。丝虫感染的临床前研发渠道仍然有限,最近的挫折凸显了持续药物发现和测试的重要性。
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引用次数: 0
Unconditional versus condition-dependent social immunity. 无条件的社会免疫力与依赖条件的社会免疫力。
IF 7 1区 医学 Q1 PARASITOLOGY Pub Date : 2024-09-01 Epub Date: 2024-08-15 DOI: 10.1016/j.pt.2024.07.014
Sylvia Cremer, Christopher D Pull

Socially living animals can counteract disease through cooperative defences, leading to social immunity that collectively exceeds the sum of individual defences. In superorganismal colonies of social insects with permanent caste separation between reproductive queen(s) and nonreproducing workers, workers are obligate altruists and thus engage in unconditional social immunity, including highly specialised and self-sacrificial hygiene behaviours. Contrastingly, cooperation is facultative in cooperatively breeding families, where all members are reproductively totipotent but offspring transiently forgo reproduction to help their parents rear more siblings. Here, helpers should either express condition-dependent social immunity or disperse to pursue independent reproduction. We advocate inclusive fitness theory as a framework to predict when and how indirect fitness gains may outweigh direct fitness costs, thus favouring conditional social immunity.

生活在社会中的动物可以通过合作防御来抵御疾病,从而产生集体免疫力,这种免疫力超过了个体免疫力的总和。在社会性昆虫的超级有机体群落中,有生殖能力的虫后和无生殖能力的工蚁之间有永久性的种姓分离,工蚁是义务利他主义者,因此参与无条件的社会免疫,包括高度专业化和自我牺牲的卫生行为。与此相反,在合作繁殖家庭中,所有成员都是全能繁殖者,但后代会暂时放弃繁殖,以帮助父母养育更多的兄弟姐妹。在这种情况下,帮助者要么表现出依赖条件的社会免疫力,要么分散开来追求独立繁殖。我们主张以包容性适存理论为框架,预测间接适存收益何时以及如何超过直接适存成本,从而支持条件性社会免疫。
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引用次数: 0
The immunomicrotope of Leishmania control and persistence. 利什曼病控制和持续存在的免疫微观图谱。
IF 7 1区 医学 Q1 PARASITOLOGY Pub Date : 2024-09-01 Epub Date: 2024-08-21 DOI: 10.1016/j.pt.2024.07.013
Christian Bogdan, Noor-A-Kasida Islam, David Barinberg, Didier Soulat, Ulrike Schleicher, Baplu Rai

Leishmania is an intracellular protozoan transmitted by sand fly vectors; it causes cutaneous, mucocutaneous, or visceral disease. Its growth and survival are impeded by type 1 T helper cell responses, which entail interferon (IFN)-γ-mediated macrophage activation. Leishmania partially escapes this host defense by triggering immune cell and cytokine responses that favor parasite replication rather than killing. Novel methods for in situ analyses have revealed that the pathways of immune control and microbial evasion are strongly influenced by the tissue context, the micro milieu factors, and the metabolism at the site of infection, which we collectively term the 'immunomicrotope'. Understanding the components and the impact of the immunomicrotope will enable the development of novel strategies for the treatment of chronic leishmaniasis.

利什曼原虫是一种通过沙蝇媒介传播的细胞内原生动物,可引起皮肤、粘膜或内脏疾病。它的生长和存活受到 1 型 T 辅助细胞反应的阻碍,其中包括干扰素(IFN)-γ 介导的巨噬细胞活化。利什曼病通过引发有利于寄生虫复制而非杀死寄生虫的免疫细胞和细胞因子反应,部分躲过了宿主的这种防御。原位分析的新方法揭示了免疫控制和微生物逃避的途径受到感染部位的组织环境、微环境因素和新陈代谢的强烈影响,我们将其统称为 "免疫微环境"。了解免疫微环境的组成和影响将有助于开发治疗慢性利什曼病的新策略。
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引用次数: 0
Gels and cells: the Leishmania biofilm as a space and place for parasite transmission. 凝胶和细胞:利什曼病生物膜作为寄生虫传播的空间和场所。
IF 7 1区 医学 Q1 PARASITOLOGY Pub Date : 2024-08-31 DOI: 10.1016/j.pt.2024.08.001
Matthew E Rogers, Luis Miguel de Pablos, Jack D Sunter

Leishmania make an abundant glycoprotein and proteophosphoglycan-rich gel, called the promastigote secretory gel, in the anterior midgut of their sand fly vector. This gel is a multi-faceted virulence factor which promotes the survival and transmission of the parasites between hosts. Here, we present the case that Leishmania parasites embedded in the promastigote secretory gel should be redefined as a biofilm as it shares striking similarities in biogenesis, form, and function with biofilms of other unicellular organisms. We believe that this reinterpretation will stimulate new hypotheses and avenues of research to improve our understanding of the developmental programme of Leishmania and the interaction these parasites and other kinetoplastids have with their insect hosts.

利什曼原虫在其沙蝇载体的前中肠中制造一种富含糖蛋白和蛋白磷聚糖的凝胶,称为原体分泌凝胶。这种凝胶是一种多方面的毒力因子,可促进寄生虫在宿主间的生存和传播。在这里,我们提出的理由是,嵌入原体分泌凝胶中的利什曼原虫应被重新定义为生物膜,因为它在生物发生、形式和功能上与其他单细胞生物的生物膜有着惊人的相似之处。我们相信,这种重新解释将激发新的假设和研究途径,从而增进我们对利什曼原虫发育程序以及这些寄生虫和其他动植体与其昆虫宿主之间相互作用的了解。
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引用次数: 0
Towards precision parasite management for livestock gastrointestinal nematodes in 2030. 2030 年实现牲畜胃肠道线虫的精准寄生虫管理。
IF 7 1区 医学 Q1 PARASITOLOGY Pub Date : 2024-08-30 DOI: 10.1016/j.pt.2024.08.002
Jan Šlapeta, Fiona Vande Velde, María Martínez-Valladares, Candela Canton, Edwin Claerebout, John Stuart Gilleard

The management of parasitic nematodes calls for a shift from conventional, indiscriminate, anthelmintic use to a more precise approach, directed by diagnostics. We should accept those parasite infection intensities that have minimal impact on production and welfare rather than attempt to eliminate them. The diagnostic toolbox for gastrointestinal nematodes (GINs) faces challenges due to anthelmintic resistance (AR), which is species-specific, drug-class-specific, and varies by region. We discuss which traditional tools may become obsolete and which tools need development to gain widespread use. Social science research highlights the need for dialogue between farmers and veterinarians that emphasises effective parasite management and upskilling the veterinary workforce for more sustainable practices centred on diagnostics to be adopted in practice by 2030.

对寄生线虫的管理需要从传统的滥用驱虫药转变为以诊断为导向的更精确的方法。我们应该接受那些对生产和福利影响最小的寄生虫感染强度,而不是试图消灭它们。胃肠道线虫(GINs)的诊断工具箱面临着抗蠕虫药耐药性(AR)带来的挑战,抗蠕虫药耐药性具有物种特异性、药物类别特异性和地区差异性。我们讨论了哪些传统工具可能会过时,哪些工具需要开发才能得到广泛使用。社会科学研究强调,农民和兽医之间需要开展对话,强调有效的寄生虫管理,并提高兽医队伍的技能,以便到 2030 年在实践中采用以诊断为中心的更可持续的做法。
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引用次数: 0
Pathogenic nematodes exploit Achilles' heel of plant symbioses. 致病线虫利用植物共生的致命弱点
IF 7 1区 医学 Q1 PARASITOLOGY Pub Date : 2024-08-29 DOI: 10.1016/j.pt.2024.08.005
Peter Mergaert, Eric Giraud

Cyst nematode parasites disrupt beneficial associations of crops with rhizobia and mycorrhiza. Chen et al. discovered the mechanism and demonstrated that the soybean cyst nematode Heterodera glycines secretes a chitinase that destroys key symbiotic signals from the microbial symbionts. The authors further developed a chitinase inhibitor that alleviates symbiosis inhibition.

胞囊线虫寄生会破坏作物与根瘤菌和菌根的有益结合。Chen 等人发现了这一机制,并证明大豆胞囊线虫 Heterodera glycines 会分泌一种几丁质酶,破坏微生物共生体发出的关键共生信号。作者进一步开发了一种几丁质酶抑制剂,可缓解共生抑制作用。
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引用次数: 0
Nosema ceranae. 陶瓷鼻疽
IF 7 1区 医学 Q1 PARASITOLOGY Pub Date : 2024-08-24 DOI: 10.1016/j.pt.2024.07.007
Raquel Martín-Hernández, Soledad Sagastume, Mariano Higes
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引用次数: 0
P-glycoproteins in anthelmintic safety, efficacy, and resistance. P-糖蛋白在抗蠕虫药物安全性、有效性和抗药性中的作用。
IF 7 1区 医学 Q1 PARASITOLOGY Pub Date : 2024-08-20 DOI: 10.1016/j.pt.2024.07.008
Anne Lespine, Clara Blancfuney, Roger Prichard, Mélanie Alberich

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.

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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引用次数: 0
Ixodes uriae (The seabird tick). Ixodes uriae(海鸟蜱)。
IF 7 1区 医学 Q1 PARASITOLOGY Pub Date : 2024-08-10 DOI: 10.1016/j.pt.2024.07.012
Sofia Capasso, Bruno Fusaro, Eliana Lorenti, Juliana Sánchez, Julia Inés Diaz
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引用次数: 0
Fasciola hepatica. 肝腹水
IF 7 1区 医学 Q1 PARASITOLOGY Pub Date : 2024-08-10 DOI: 10.1016/j.pt.2024.07.011
Isabella V F Martins, Guilherme G Verocai
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Trends in parasitology
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