2020
DOI: 10.3390/genes11070722
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Of Drugs and Trypanosomatids: New Tools and Knowledge to Reduce Bottlenecks in Drug Discovery

Abstract: Leishmaniasis (Leishmania species), sleeping sickness (Trypanosoma brucei), and Chagas disease (Trypanosoma cruzi) are devastating and globally spread diseases caused by trypanosomatid parasites. At present, drugs for treating trypanosomatid diseases are far from ideal due to host toxicity, elevated cost, limited access, and increasing rates of drug resistance. Technological advances in parasitology, chemistry, and genomics have unlocked new possibilities for novel drug concepts and compound screening … Show more

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Cited by 32 publications
(33 citation statements)
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“…In addition to CNVs, single-nucleotide polymorphisms (SNPs) in drug target genes or in transporters can lead to drug resistance without the need for altering gene content [22,23,24]. Markedly, recent studies point to the need for experimental generation of drug-resistance to promising compounds in order to clinically evaluate and eventually circumvent the phenomenon [25,26,27].…”
Section: Discussionmentioning
confidence: 99%
“…In addition to CNVs, single-nucleotide polymorphisms (SNPs) in drug target genes or in transporters can lead to drug resistance without the need for altering gene content [22,23,24]. Markedly, recent studies point to the need for experimental generation of drug-resistance to promising compounds in order to clinically evaluate and eventually circumvent the phenomenon [25,26,27].…”
Section: Discussionmentioning
confidence: 99%
“…However, many compounds have been evaluated in forms of the free-living parasites, such as promastigotes and trypomastigotes, or axenic amastigotes, an unnatural extracellular form created under laboratory conditions, that can detect very preliminary antiprotozoal activity or simple cytotoxicity ( Table 1 ) [ 9 ]. Therefore, it is necessary to culture mammalian cells infected in vitro with the pathogen, and, thus, the toxicity of the drug towards cells and its ability to be selective towards the parasites is known [ 125 ]. However, after a drug has demonstrated potential antiparasitic activity, its mechanism of action must be known, so target-based assays are indispensable.…”
Section: Future Microbial Metabolitesmentioning
confidence: 99%
“…The chemotherapy of leishmaniasis is based on the use of sodium stibogluconate, meglumine antimoniate, pentamidine, amphotericin B, paromomycin, and miltefosine. These drugs are toxic and have other limitations such as the route of administration, length and cost of treatment, and emergence of drug resistance [ 6 ].…”
Section: Introductionmentioning
confidence: 99%