“…Despite all these considerations, the research has, in general, focused primarily on the description of the different clinical forms of LEV, in particular, in the visceral strains and in the proteomics of L. (L.) mexicana under the same conditions, which has provided valuable information on how polymorphisms in the LEV proteins may affect the cell-to-cell interactions between parasites and the host-parasite or the leishmanicidal activity [4,12,14,35,124]. Even so, comparative analyses of the reproducible isolation and the description of LEVs from procyclic and metacyclic-like in vitro cultures of a wider range of Leishmania species are still scarce [76,116,122]. New technologies such as proteomics have advanced existing knowledge on the differential expression of virulence factors in the different parasite stages, and the functional activity induced by the LEVs released by L. (L.) infantum, although the comparative proteomics of LEV production during the in vivo parasite cycle are still lacking [4,34,35,85,86].…”