“…Exoproteome analysis of L. donovani revealed that the parasite secretes a repertoire of secretory molecules including, molecules for immunomodulation and evasion [glycoprotein 63 (gp63), elongation factor 1α (EF1α), oligopeptidase, proteophosphoglycan (PPG)], increased pathogenicity [chitinase, casein kinase, KMP-11, cysteine peptidase and metalloproteases], and parasite protection [tryparedoxin peroxidase (cTXNPx)], which influence the pathophysiology of the disease by induction of inflammatory cytokines, particularly IL-17a [ 139 , 140 , 141 , 142 , 143 , 144 , 145 , 146 , 147 , 148 , 149 , 150 , 151 , 152 , 153 , 154 , 155 ] and/or implicated in drug-resistance in parasites [ 155 ]. Exosomes secreted by drug-resistant parasite form a nucleosome complex with human histone in host chromatin during the progression of the disease [ 156 ].…”