Trichomoniasis
is the most common nonviral sexually transmitted
infection, affecting an estimated 275 million people worldwide. The
causative agent is the parasitic protozoan Trichomonas vaginalis. Although the disease itself is typically mild, individuals with
trichomonal infections have a higher susceptibility to more serious
conditions. The emergence of parasite strains resistant to current
therapies necessitates the need for novel treatment strategies. Since T. vaginalis is an obligate parasite that requires nucleoside
salvage pathways, essential nucleoside ribohydrolase enzymes are promising
new drug targets. Fragment screening and X-ray crystallography have
enabled structure-guided design of inhibitors for two of these enyzmes.
Linkage of enzymatic and antiprotozoal activity would be a transformative
step toward designing novel, mechanism-based therapeutic agents. While
a correlation with inhibition of purified enzyme would be mechanistically
suggestive, a correlation with inhibition of in-cell enzyme activity
would definitively establish this linkage. To demonstrate this linkage,
we have translated our NMR-based activity assays that measure the
activity of purified enzymes for use in T. vaginalis cells. The 19F NMR-based activity assay for the pyrimidine-specific
enzyme translated directly to in-cell assays. However, the 1H NMR-based activity assay for the purine-specific enzyme required
a switch from adenosine to guanosine substrate and the use of 13C-editing to resolve the substrate 1H signals
from cell and growth media background signals. The in-cell NMR assays
are robust and have been demonstrated to provide inhibition data on
test compounds. The results described here represent the first direct
measurement of enzyme activity in protozoan parasite cells.