Leishmania resistant to arsenicals and antimonials extrude arsenite. Previous results of arsenite uptake into plasma membrane-enriched vesicles suggested that the transported species is a thiol adduct of arsenite. In this paper, we demonstrate that promastigotes of arsenite-resistant Leishmania tarentolae have increased levels of intracellular thiols. High-pressure liquid chromatography of the total thiols showed that a single peak of material was elevated almost 40-fold. The major species in this peak was identified by matrix-assisted laser desorption/ionization mass spectrometry as N',N5-bis-(glutathionyl)spermidine (trypanothione). The trypanothione adduct of arsenite was effectively transported by the As-thiol pump. No difference in pump activity was observed in wild type and mutants. A model for drug resistance is proposed in which Sb(V)/As(V)-containing compounds, including the antileishmanial drug Pentostam, are reduced intracellularly to Sb(III)/As(III), conjugated to trypanothione, and extruded by the As-thiol pump. The ratelimiting step in resistance is proposed to be formation of the metalloid-thiol pump substrates, so that increased synthesis of trypanothione produces resistance. Increased synthesis of the substrate rather than an increase in the number of pump molecules is a novel mechanism for drug resistance.The trypanosomatid protozoan parasite Leishmania is the causative agent of kala azar and other less severe forms of leishmaniasis (1). Between 10 and 15 million people worldwide have clinical symptoms, and 400,000 new cases are diagnosed each year (2). The treatment of choice for all forms of leishmaniasis depends on Sb(V)-containing drugs such as sodium stibogluconate (Pentostam) and N-methylglucamine (Glucantime). Unresponsiveness to antimonial drugs in mucocutaneous and visceral leishmaniasis has long been recognized and is now becoming a common problem, occurring in 5% of patients. Resistance rates as high as 70% have been described in some endemic areas (3).To serve as models for resistance, strains of Leishmania tarentolae resistant to trivalent arsenicals and antimonials have been generated in vitro. The strains used in this study were branes, suggesting that in vivo it is not free arsenite but rather the thiol adducts that are extruded (7). The Pentostamglutathione complex inhibited 73As(III)-glutathione transport, pointing to a single transport system that is involved in extrusion of and resistance to both arsenite and Pentostam. Based on those results, we suggested that resistance entailed formation of a complex of As(III) or Sb(III) with a thiol that the results in this report show to be N1,N8-bis-(glutathionyl)-spermidine (trypanothione) [T(SH)2], the major reduced thiol of trypanosomatidae (8). The ATP-coupled efflux pump would then extrude the As(III)/Sb(III)-T(S)2 conjugate from the cell. Thus, both conjugation and extrusion would be required for resistance.Although resistant cells accumulate less arsenite than wildtype cells as a result of active extrusion (5), in vi...

A laser microfabricated device was constructed for rapid microdialysis cleanup of biological samples for analysis by electrospray ionization mass spectrometry (ESI-MS) in both off-line and on-line modes. A microdialysis membrane was sandwiched between two chips having micromachined serpentine channels. The total volume of the sample serpentine channel used for the microdialysis was 1 microL. Efficient desalting was demonstrated for both DNA and protein samples using ESI with an ion trap mass spectrometer after microdialysis against a counter flow of ESI-compatible buffer. Signal-to-noise ratios were also greatly enhanced compared to direct infusion of the original nondialyzed samples. Importantly, the microfabricated device allowed use of sample flow rates 1 order of magnitude smaller than previous designs based on a microdialysis fiber, allowing reduced sample utilization and improved sensitivity with ESI-MS. The effectiveness of the cleanup was attributed to the size difference between the sample channel and the buffer channel and the fact that the sample is continuously refreshed by the buffer counterflow. The results indicate substantial potential for construction of highly compact and rugged devices enabling field applications of ESI-MS.

Human prostaglandin-endoperoxide H synthase-1 and -2 (hPGHS-1 and hPGHS-2) were expressed by transient transfection of COS-1 cells. Microsomes prepared from the transfected cells were used to measure the rates of oxygenation of several 18- and 20-carbon polyunsaturated fatty acid substrates including eicosapentaenoic, arachidonic, dihomo-gamma-linolenic > alpha-linolenic (delta 9, 12, 15), gamma-linolenic, and linoleic acids. Comparisons of kcat/Km values indicate that the order of efficiency of oxygenation is arachidonate > dihomo-gamma-linolenate > linoleate > alpha-linolenate for both isozymes; while the order of efficiency was the same for hPGHS-1 and hPGHS-2, alpha-linolenate was a particularly poor substrate for hPGHS-1. Gamma-Linolenate and eicosapentaenoate were poor substrates for both isozymes, but in each case, these two fatty acids were better substrates for hPGHS-2 than hPGHS-1. These studies of substrate specificities are consistent with previous studies of the interactions of PGHS isozymes with nonsteroidal anti-inflammatory drugs that have indicated that the cyclooxygenase active site of PGHS-2 is somewhat larger and more accommodating than that of PGHS-1. The major products formed from linoleate and alpha-linolenate were characterized. 13-Hydroxy-(9Z,11E)-octadecadienoic acid was found to be the main product formed from alpha-linoleate by both isozymes. The major products of oxygenation of alpha-linolenate were determined by mass spectrometry to be 12-hydroxy-(9Z,13E/Z,15Z)-octadecatrienoic acids. This result suggests that alpha-linolenate is positioned in the cyclooxygenase active site with a kink in the carbon chain such that hydrogen abstraction occurs from the omega 5-position in contrast to abstraction of the omega 8-hydrogen from other substrates.