Abstract
In this chapter, the most common molecular targets and mechanisms of action of anti-trypanosomatid drugs are described: biosynthesis of sterols, trypanothione pathway, purine salvage pathway, cysteine proteinases, trans-sialidase, metallocarboxypeptidases, tubulin, calcium homeostasis and pyrophosphate metabolism, heme uptake and degradation, glycolytic pathway, DNA interaction, oxidative stress and apoptosis. Interaction of the sesquiterpene lactones with hemin, the induction of oxidative stress, the inhibition of enzymes as cruzipain and trypanothione reductase, the apoptosis induction and the ability of this type of compounds to inhibit sterol biosynthesis will be also discussed.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Alvarez VE, Niemirowicz GT, Cazzulo JJ (2012) The peptidases of Trypanosoma cruzi: digestive enzymes, virulence factors, and mediators of autophagy and programmed cell death. Biochim Biophys Acta 1824:195–206
Alvarez VE, Niemirowicz GT, Cazzulo JJ (2013) Metacaspases, autophagins and metallocarboxypeptidases: potential new targets for chemotherapy of the trypanosomiases. Curr Med Chem 20:3069–3077. Review
Amin D, Cornell SA, Gustafson SK et al (1992) Bisphosphonates used for the treatment of bone disorders inhibit squalene synthase and cholesterol biosynthesis. J Lipid Res 33:1657–1663
Assíria Fontes Martins T, de Figueiredo Diniz L, Mazzeti AL et al (2015) Benznidazole/itraconazole combination treatment enhances anti-Trypanosoma cruzi activity in experimental Chagas disease. PLoS One 10:e0128707
Babokhov P, Sanyaolu AO, Oyibo WA et al (2013) A current analysis of chemotherapy strategies for the treatment of human African trypanosomiasis. Pathog Glob Health 107:242–252
Barrera P, Sülsen VP, Lozano E et al (2013) Natural sesquiterpene lactones induce oxidative stress in Leishmania mexicana. Evid Based Complement Alternat Med 2013:163404
Baum SG, Wittner M, Nadler JP et al (1981) Taxol, a microtubule stabilizing agent, blocks the replication of Trypanosoma cruzi. Proc Natl Acad Sci U S A 78:4571–4575
Benaim B, Garcia CR (2011) Targeting calcium homeostasis as the therapy of Chagas’ disease and leishmaniasis – a review. Trop Biomed 28:471–481
Benaim G, Paniz Mondolfi AE (2012) The emerging role of amiodarone and dronedarone in Chagas disease. Nat Rev Cardiol 9:605–609
Benaim G, Hernandez-Rodriguez V, Mujica-Gonzalez S et al (2012) In vitro anti-Trypanosoma cruzi activity of dronedarone, a novel amiodarone derivative with an improved safety profile. Antimicrob Agents Chemother 56:3720–3725
Benaim G, Casanova P, Hernandez-Rodriguez V et al (2014) Dronedarone, an amiodarone analog with improved anti-Leishmania mexicana efficacy. Antimicrob Agents Chemother 58:2295–2303
Brener Z, Cançado JR, Galvão LM et al (1993) An experimental and clinical assay with ketoconazole in the treatment of Chagas disease. Mem Inst Oswaldo Cruz 88:149–153
Brengio S, Belmonte S, Guerreiro E et al (2000) The sesquiterpene lactone dehydroleucodine (DhL) affects the growth of cultured epimastigotes of Trypanosoma cruzi. J Parasitol 86:407–412
Bryson K, Besteiro S, McGachy HA et al (2009) Overexpression of the natural inhibitor of cysteine peptidases in Leishmania mexicana leads to reduced virulence and a Th1 response. Infect Immun 77:2971–2978
Buckner FS (2008) Sterol 14-demethylase inhibitors for Trypanosoma cruzi infections. Adv Exp Med Biol 625:61–80
Burtoloso AC, de Albuquerque S, Furber M et al (2017) Anti-trypanosomal activity of non-peptidic nitrile-based cysteine protease inhibitors. PLoS Negl Trop Dis 11:e0005343
Campos-Salinas J, Cabello-Donayre M, García-Hernández R et al (2011) A new ATP-binding cassette protein is involved in intracellular haem trafficking in Leishmania. Mol Microbiol 79:1430–1444
Caputto ME, Fabian LE, Benítez D et al (2011) Thiosemicarbazones derived from 1-indanones as new anti-Trypanosoma cruzi agents. Bioorg Med Chem 19:6818–6826
Chakraborti S, Das L, Kapoor N et al (2011) Curcumin recognizes a unique binding site of tubulin. J Med Chem 54:6183–6196
Chatelain E (2015) Chagas disease drug discovery: toward a new era. J Biomol Screen 20:22–35
Chawla B, Madhubala R (2010) Drug targets in Leishmania. J Parasit Dis 34:1–13
Ciccarelli A, Araujo L, Batlle A et al (2007) Effect of haemin on growth, protein content and the antioxidant defence system in Trypanosoma cruzi. Parasitology 134:959–965
Ciccarelli AB, Frank FM, Puente V et al (2012) Antiparasitic effect of vitamin B12 on Trypanosoma cruzi. Antimicrob Agents Chemother 56:5315–5320
Cupello MP, Souza CF, Buchensky C et al (2011) The heme uptake process in Trypanosoma cruzi epimastigotes is inhibited by heme analogues and by inhibitors of ABC transporters. Acta Trop 120:211–218
Dc-Rubin SS, Schenkman S (2012) Trypanosoma crWuzi trans-sialidase as a multifunctional enzyme in Chagas’ disease. Cell Microbiol 14:1522–1530
Fernandes Rodrigues JC, Concepcion JL, Rodrigues C et al (2008) In vitro activities of ER-119884 and E5700, two potent squalene synthase inhibitors, against Leishmania amazonensis: antiproliferative, biochemical, and ultrastructural effects. Antimicrob Agents Chemother 52:4098–4114
Ferreira RS, Simeonov A, Jadhav A et al (2010) Complementarity between a docking and a high-throughput screen in discovering new cruzain inhibitors. J Med Chem 53:4891–4905
Frasch AP, Carmona AK, Juliano L et al (2012) Characterization of the M32 metallocarboxypeptidase of Trypanosoma brucei: differences and similarities with its orthologue in Trypanosoma cruzi. Mol Biochem Parasitol 184:63–70
Freire-de-Lima L, Ribeiro TS, Rocha GM et al (2011) The toxic effects of piperine against Trypanosoma cruzi: ultrastructural alterations and reversible blockage of cytokinesis in epimastigote forms. Parasitol Res 102:1059–1067
Galaka T, Ferrer Casal M, Storey M et al (2017) Antiparasitic activity of sulfur- and fluorine-containing bisphosphonates against trypanosomatids and apicomplexan parasites. Molecules 22(1):82. https://doi.org/10.3390/molecules22010082
Heby O, Persson L, Rentala M (2007) Targeting the polyamine biosynthetic enzymes: a promising approach to therapy of African sleeping sickness, Chagas’ disease, and leishmaniasis. Amino Acids 33:359–366
Huynh C, Yuan X, Miguel DC et al (2012) Heme uptake by Leishmania amazonensis is mediated by the transmembrane protein LHR1. PLoS Pathog 8:e1002795
Jiang Z, Zhou Y (2005) Using bioinformatics for drug target identification from the genome. Am J Pharmacogenomics 5:387–396. Review
Jimenez V, Kemmerling U, Paredes R et al (2014) Natural sesquiterpene lactones induce programmed cell death in Trypanosoma cruzi: a new therapeutic target? Phytomedicine 21:1411–1418
Jimenez-Ortiz V, Brengio SD, Giordano O et al (2005) The trypanocidal effect of sesquiterpene lactones helenalin and mexicanin on cultured epimastigotes. J Parasitol 91:170–174
Karioti A, Skaltsa H, Kaiser M et al (2009) Trypanocidal, leishmanicidal and cytotoxic effects of anthecotulide-type linear sesquiterpene lactones from Anthemis auriculata. Phytomedicine 16:783–787
Katsila T, Spyroulias GA, Patrinos GP et al (2016) Computational approaches in target identification and drug discovery. Comput Struct Biotechnol J 14:177–184. Review
Kavanagh KL, Guo K, Dunford JE et al (2006) The molecular mechanism of nitrogen-containing bisphosphonates as antiosteoporosis drugs. Proc Natl Acad Sci 103:7829–7834
Kerr ID, Lee JH, Farady CJ et al (2009) Vinyl sulfones as antiparasitic agents and a structural basis for drug design. J Biol Chem 284:25697–25703
Kerr ID, Wu P, Marion-Tsukamaki R et al (2010) Crystal structures of TbCatB and rhodesain, potential chemotherapeutic targets and major cysteine proteases of Trypanosoma brucei. PLoS Negl Trop Dis 4:e701
Lechuga GC, Borges JC, Calvet CM et al (2016) Interactions between 4-aminoquinoline and heme: promising mechanism against Trypanosoma cruzi. Int J Parasitol Drugs Drug Resist 6:154–164
Leroux AE, Krauth-Siegel RL (2016) Thiol redox biology of trypanosomatids and potential targets for chemotherapy. Mol Biochem Parasitol 206:67–74
Manta B, Comini M, Medeiros A et al (2013) Trypanothione: a unique bis-glutathionyl derivative in trypanosomatids. Biochim Biophys Acta 1830:3199–3216
Maya JD, Cassels BK, Iturriaga-Vásquez P et al (2007) Mode of action of natural and synthetic drugs against Trypanosoma cruzi and their interaction with the mammalian host. Comp Biochem Physiol A Mol Integr Physiol 146:601–620
McCabe R (1988) Failure of ketoconazole to cure chronic murine Chagas’ disease. J Infect Dis 158:1408–1409
McCall LI, El Aroussi A, Choi JY et al (2015) Targeting ergosterol biosynthesis in Leishmania donovani: essentiality of sterol 14 alpha-demethylase. PLoS Negl Trop Dis 9:e0003588
Merli ML, Pagura L, Hernández J et al (2016) The Trypanosoma cruzi protein TcHTE is critical for heme uptake. PLoS Negl Trop Dis 10:e0004359
Miller BR, Roitberg AE (2013) Trypanosoma cruzi trans-sialidase as a drug target against Chagas disease (American trypanosomiasis). Future Med Chem 5:1889–1900
Moreira AA, de Souza HB, Amato Neto V et al (1992) Evaluation of the therapeutic activity of itraconazole in chronic infections, experimental and human, by Trypanosoma cruzi. Rev Inst Med Trop Sao Paulo 34:177–180
Mukherjee S, Huang C, Guerra F et al (2009) Thermodynamics of bisphosphonates binding to human bone: a two-site model. J Am Chem Soc 131:8374–8375
Nowicki MW, Tulloch LB, Worralll L et al (2008) Design, synthesis and trypanocidal activity of lead compounds based on inhibitors of parasite glycolysis. Bioorg Med Chem 16:5050–5061
Paniz-Mondolfi AE, Pérez-Alvarez AM, Lanza G et al (2009) Amiodarone and itraconazole: a rational therapeutic approach for the treatment of chronic Chagas’ disease. Chemotherapy 55:228–233
Proto WR, Coombs GH, Mottram JC (2013) Cell death in parasitic protozoa: regulated or incidental? Nat Rev Microbiol 11:58–66
Raviolo MA, Solana ME, Novoa MM et al (2013) Synthesis, physicochemical properties of allopurinol derivatives and their biological activity against Trypanosoma cruzi. Eur J Med Chem 69:455–464
Rodenko B, van der Burg AM, Wanner MJ et al (2007) 2,N 6-disubstituted adenosine analogs with antitrypanosomal and antimalarial activities. Antimicrob Agents Chemother 51:3796–3802
San Francisco J, Barría I, Gutiérrez B et al (2017) Decreased cruzipain and gp85/trans-sialidase family protein expression contributes to loss of Trypanosoma cruzi trypomastigote virulence. Microbes Infect 19:55–61
Saúde-Guimarães DA, Perry KS, Raslan DS et al (2007) Complete assignments of 1H and 13C NMR data for trypanocidal eremantholide C oxide derivatives. Magn Reson Chem 45:1084–1087
Sbaraglini ML, Bellera CL, Fraccaroli L et al (2016) Novel cruzipain inhibitors for the chemotherapy of chronic Chagas disease. Int J Antimicrob Agents 48:91–95
Schmidt TJ, Brun R, Willuhn G et al (2002) Anti-trypanosomal activity of helenalin and some structurally related sesquiterpene lactones. Planta Med 68:750–751
Schmidt TJ, Khalid SA, Romanha AJ et al (2012) The potential of secondary metabolites from plants as drugs or leads against protozoan neglected diseases - part I. Curr Med Chem 19:2128–2175
Scory S, Stierhof YD, Caffrey CR et al (2007) The cysteine proteinase inhibitor Z-Phe-Ala-CHN2 alters cell morphology and cell division activity of Trypanosoma brucei bloodstream forms in vivo. Kinetoplastid Biol Dis 6:2. https://doi.org/10.1186/1475-9292-6-2
Serrano-Martín X, García-Marchan Y, Fernandez A et al (2009) Amiodarone destabilizes intracellular Ca2+ homeostasis and biosynthesis of sterols in Leishmania mexicana. Antimicrob Agents Chemother 53:1403–1410
Shang N, Li Q, Ko TP et al (2014) Squalene synthase as target for Chagas disease therapeutics. PLoS Pathog 10:e1004114
Silva-Jardim I, Thiemann OH, Anibal F de F (2014) Leishmaniasis and Chagas disease chemotherapy: a critical review. J Braz Chem Soc 25:1810–1823
Smirlis D, Duszenko M, Ruiz AJ (2010) Targeting essential pathways in trypanosomatids gives insights into protozoan mechanisms of cell death. Parasit Vectors 3:107. Review
Steenkamp DJ (2002) Thiol metabolism of the trypanosomatids as potential drug targets. IUBMB Life 53:243–248
Sueth-Santiago V, Moraes JB, Sobral Alves ES et al (2016) The effectiveness of natural diarylheptanoids against Trypanosoma cruzi: cytotoxicity, ultrastructural alterations and molecular modeling studies. PLoS One 11:e0162926
Sueth-Santiago V, Decote-Ricardo D, Morrot A et al (2017) Challenges in the chemotherapy of Chagas disease: looking for possibilities related to the differences and similarities between the parasite and host. World J Biol Chem 8:57–80
Sülsen VP, Frank FM, Cazorla SI et al (2008) Trypanocidal and leishmanicidal activities of sesquiterpene lactones from Ambrosia tenuifolia Sprengel (Asteraceae). Antimicrob Agents Chemother 52:2415–2419
Sülsen VP, Frank FM, Cazorla SI et al (2011) Psilostachyin C: a natural compound with trypanocidal activity. Int J Antimicrob Agents 37:536–543
Sülsen VP, Cazorla SI, Frank FM et al (2013) Natural terpenoids from Ambrosia species are active in vitro and in vivo against human pathogenic trypanosomatids. PLoS Negl Trop Dis 7:e2494
Sülsen VP, Puente V, Papademetrio D et al (2016) Mode of action of the sesquiterpene lactones psilostachyin and psilostachyin C on Trypanosoma cruzi. PLoS One 11:e0150526
Tripodi KE, Menendez Bravo SM, Cricco JA (2011) Role of heme and heme-proteins in trypanosomatid essential metabolic pathways. Enzyme Res 201:873230. https://doi.org/10.4061/2011/87323
Turrens JF (2004) Oxidative stress and antioxidant defences: a target for the treatment of diseases caused by parasitic protozoa. Mol Asp Med 25:211–220
Urbina JA (2001) Specific treatment of Chagas disease: current status and new developments. Curr Opin Infect Dis 14:733–741
Urbina JA (2010) Specific chemotherapy of Chagas disease: relevance, current limitations and new approaches. Acta Trop 115:55–68
Urbina JA, Concepcion JL, Caldera A et al (2004) In vitro and in vivo activities of E5700 and ER-119884, two novel orally active squalene synthase inhibitors, against Trypanosoma cruzi. Antimicrob Agents Chemother 48:2379–2387
Vannier-Santos MA, Urbina JA, Martiny A et al (1995) Alterations induced by the antifungal compounds ketoconazole and terbinafine in Leishmania. J Eukaryot Microbiol 42:337–346
Veiga-Santos P, Barrias ES, Santos JF et al (2012) Effects of amiodarone and posaconazole on the growth and ultrastructure of Trypanosoma cruzi. Int J Antimicrob Agents 40:61–71
Vieira PM, Francisco AF, Machado EM et al (2012) Different infective forms trigger distinct immune response in experimental Chagas disease. PLoS One 7:e32912
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Lombardo, M.E., Batlle, A. (2018). Mode of Action on Trypanosoma and Leishmania spp.. In: Sülsen, V., Martino, V. (eds) Sesquiterpene Lactones. Springer, Cham. https://doi.org/10.1007/978-3-319-78274-4_10
Download citation
DOI: https://doi.org/10.1007/978-3-319-78274-4_10
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-78273-7
Online ISBN: 978-3-319-78274-4
eBook Packages: Chemistry and Materials ScienceChemistry and Material Science (R0)