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Introduction: Leishmaniasis – The Biology of a Parasite

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Drug Resistance in Leishmania Parasites

Summary

One of the main problems of therapeutic tools for the treatment of parasitic diseases, including leishmaniasis, is that some field parasites are naturally resistant to classical drugs; additionally, current therapies may induce drug resistance. Treatment failure in leishmaniasis therefore has diverse causes. Some are related to drugs, such as pharmacokinetic properties, toxicity, use of suboptimal doses or high cost of treatment. Parasite-related grounds include chemo-resistance and tolerance. Finally, reasons attributable to the host may be related to the patient’s immune status and to reinfection. All these features are at least partially responsible for the disappointing persistence of leishmaniasis and its death and disability-adjusted life year toll worldwide. A better understanding of the disease itself and of drug resistance, its molecular basis, its consequences and possible avenues for better treatments may help improve this depressing picture. Experts in the field cover current knowledge and future trends of these and many other aspects of drug resistance in Leishmania in the present volume. This part offers a general introduction to the biology of Leishmania, a piece of knowledge fundamental to the various topics included in this book and for the comprehension of challenges we face currently for leishmaniasis.

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References

  • Akopyants NS et al (2009) Demonstration of genetic exchange during cyclical development of Leishmania in the sand fly vector. Science 324:265–268

    Article  PubMed  CAS  Google Scholar 

  • Alten B et al (2003) Evaluation of protective efficacy of K-OTAB impregnated bednets for cutaneous leishmaniasis control in Southeast Anatolia, Turkey. J Vect Ecol 28:53–64

    CAS  Google Scholar 

  • Alvar J et al (2008) The relationship between leishmaniasis and AIDS: the second 10 years. Clin Microbiol Rev 21:334–359

    Article  PubMed  CAS  Google Scholar 

  • Ameen M (2010) Cutaneous and mucocutaneous leishmaniasis: emerging therapies and progress in disease management. Expert Opin Pharmacother 11:557–569

    Article  PubMed  CAS  Google Scholar 

  • Bañuls AL, Hide M, Tibayrenc M (2002) Evolutionary genetics and molecular diagnosis of Leishmania species. Trans R Soc Trop Med Hyg 96:S9–S13

    Article  PubMed  Google Scholar 

  • Bates PA, Rogers ME (2004) New insights into the developmental biology and transmission mechanisms of Leishmania. Curr Mol Med 4:601–609

    Article  PubMed  CAS  Google Scholar 

  • Belkaid Y et al (1998) Development of a natural model of cutaneous leishmaniasis: powerful effects of vector saliva and saliva pre-exposure on the long term outcome of Leishmania major infection in the mouse ear dermis. J Exp Med 188:1941–1953

    Article  PubMed  CAS  Google Scholar 

  • Berman J (2005) Clinical status of agents being developed for leishmaniasis. Expert Opin Investig Drugs 14:1337–1346

    Article  PubMed  CAS  Google Scholar 

  • Bogdan C et al (1996) Invasion, control and persistence of Leishmania parasites. Curr Opin Inmunol 8:517–525

    Article  CAS  Google Scholar 

  • Buates S, Matlashewski G (1999) Treatment of experimental leishmaniasis with the inmunomodulators imiquimod. J Infect Dis 179:1485–1494

    Article  PubMed  CAS  Google Scholar 

  • Castro-Sousa F et al (2001) Dissociation between vasodilation and Leishmania infection-enhancing effects of sand fly saliva and maxadilan. Mem Inst Oswaldo Cruz 96:997–999

    Article  PubMed  CAS  Google Scholar 

  • Cattand P et al (2006) Tropical diseases lacking adequate control measures: dengue, leishmaniasis, and African trypanosomiasis. In: Jamison DT et al (eds) Disease control priorities in developing countries, 2nd edn. Oxford University Press, New York, pp 451–466. doi:10.1596/978-0-821-36179-5/Chpt-23

    Google Scholar 

  • Chang KP et al (2003) Leishmania model for microbial virulence: the relevance of parasite multiplication and pathoantigenicity. Acta Trop 85:375–390

    Article  PubMed  Google Scholar 

  • Croft SL (2008) Kinetoplastida: new therapeutic strategies. Parasite 15:522–527

    PubMed  CAS  Google Scholar 

  • Croft SL, Coombs GH (2003) Leishmaniasis: current chemotherapy and recent advances in the search for novel drugs. Trends Parasitol 19:502–508

    Article  PubMed  CAS  Google Scholar 

  • Croft SL et al (1987) The activity of alkyl phosphorylcholines and related derivatives against Leishmania donovani. Biochem Pharmacol 36:2633–2636

    Article  PubMed  CAS  Google Scholar 

  • Croft SL, Sundar S, Fairlamb AH (2006) Drug resistance in leishmaniasis. Clin Microbiol Rev 19:111–126

    Article  PubMed  CAS  Google Scholar 

  • Curtis CF (1992) Personal protection methods against vectors of disease. Rev Med Vet 80:543–553

    Google Scholar 

  • Davies CR et al (2000) The epidemiology and control of leishmaniasis in Andean countries. Cad Saude Publica 16:925–950

    Article  PubMed  CAS  Google Scholar 

  • de Toledo JS et al (2010) Using genomic information to understand Leishmania biology. Open Parasitol J 4:156–166

    Article  Google Scholar 

  • Delgado O et al (1996) Follow up of human accidental infection by Leishmania braziliensis using conventional inmunologic techniques and polymerase chain reaction. Am J Trop Med Hyg 51:267–272

    Google Scholar 

  • Desjeux P (2004) Leishmaniasis: current situation and new perspectives. Comp Immunol Microbiol Infect Dis 27:305–318

    Article  PubMed  CAS  Google Scholar 

  • Eibl H, Unger C (1990) Hexadecylphosphocholine: a new and selective antitumor drug. Cancer Treat Rev 17:233–242

    Article  PubMed  CAS  Google Scholar 

  • Feliciangeli MD, Rabinovich J (1998) Abundance of Lutzomyia ovallesi but not Lu. gomezi (Diptera: Psychodidae) correlated with cutaneous leishmaniasis incidence in north-central Venezuela. Med Vet Entomol 12:121–131

    Article  PubMed  CAS  Google Scholar 

  • Higgins CF (1992) ABC transporters: from microorganisms to man. Annu Rev Cell Biol 8:67–113

    Article  PubMed  CAS  Google Scholar 

  • Kassi M et al (2008) Vector control in cutaneous leishmaniasis of the old world: a review of literature. Dermatol Online J 14:1

    PubMed  Google Scholar 

  • Kedzierski L et al (2009) Leishmaniasis: current treatment and prospects for new drugs and vaccines. Curr Med Chem 16:599–614

    Article  PubMed  CAS  Google Scholar 

  • Lerner EA et al (1991) Isolation of maxadilan, a potent vasodilatadory peptide from the salivary glands of the sandfly Lutzomyia losgipalpis. J Biol Chem 261:11234–11236

    Google Scholar 

  • Lessa MM et al (2007) Mucosal leishmaniasis: epidemiological and clinical aspects. Braz J Otorhinolaryngol 73:843–847

    PubMed  Google Scholar 

  • Loiseau PM, Cojean S, Schrével J (2011) Sitamaquine as a putative antileishmanial drug candidate: from the mechanism of action to the risk of drug resistance. Parasite 18:115–119

    PubMed  CAS  Google Scholar 

  • Malafaia G (2009) Protein-energy malnutrition as a risk factor for visceral leishmaniasis: a review. Parasite Immunol 31:587–596

    Article  PubMed  CAS  Google Scholar 

  • Melby P (2002) Recent developments in leishmaniasis. Curr Opin Infect Dis 15:485–490

    Article  PubMed  CAS  Google Scholar 

  • Molineux W, Killick-Kendrick R (1987) Leishmaniasis in biology and medicine. In: Peters W, Killick-Kendrick R (eds) Leishmaniasis in biology and medicine. Academic, New York, pp 794–845

    Google Scholar 

  • Murray H (2001) Clinical and experimental advances in treatment of visceral leishmaniasis. Antimicrob Agents Chemother 45:2185–2197

    Article  PubMed  CAS  Google Scholar 

  • Natera S et al (2007) Proficiency of drug-resistant parasites. Int J Antimicrob Agents 29:637–642

    Article  PubMed  CAS  Google Scholar 

  • Palumbo E (2009) Current treatment for cutaneous leishmaniasis: a review. Am J Ther 16:178–182

    Article  PubMed  Google Scholar 

  • Peacock CS et al (2007) Comparative genomic analysis of three Leishmania species that cause diverse human disease. Nat Genet 39:839–847

    Article  PubMed  CAS  Google Scholar 

  • Peters NC et al (2008) In vivo imaging reveals an essential role for neutrophils in leishmaniasis transmitted by sand flies. Science 321:970–974

    Article  PubMed  CAS  Google Scholar 

  • Ponte-Sucre A (2003) Physiological consequences of drug resistance in Leishmania and their relevance for chemotherapy. Kinetoplastid Biol Dis 2:14

    Article  PubMed  Google Scholar 

  • Quinnell RJ, Courtenay O (2009) Transmission, reservoir hosts and control of zoonotic visceral leishmaniasis. Parasitology 136:1915–1934

    Article  PubMed  CAS  Google Scholar 

  • Ready PD (2010) Leishmaniasis emergence in Europe. Euro Surveill 15:19505

    PubMed  CAS  Google Scholar 

  • Ridley D (1999) The pathogenesis of cutaneous leishmaniasis. Trans R Soc Trop Med Hyg 73:156–160

    Google Scholar 

  • Ritter U, Frischknecht F, van Zandbergen G (2009) Are neutrophils important host cells for Leishmania parasites? Trends Parasitol 25:505–510

    Article  PubMed  CAS  Google Scholar 

  • Romero GA, Boelaert M (2010) Control of visceral leishmaniasis in Latin America a systematic review. PLoS Negl Trop Dis 4:e584

    Article  PubMed  Google Scholar 

  • Rotureau B (2006) Are New World leishmaniases becoming anthroponoses? Med Hypotheses 67:1235–1241

    Article  PubMed  Google Scholar 

  • Rougeron V et al (2009) Extreme inbreeding in Leishmania braziliensis. Proc Natl Acad Sci U S A 106:10224–10229

    Article  PubMed  CAS  Google Scholar 

  • Salotra P, Singh R (2006) Challenges in the diagnosis of post kala-azar dermal leishmaniasis. Indian J Med Res 123:295–310

    PubMed  Google Scholar 

  • Schönian G et al (2008) Leishmaniases in the Mediterranean in the era of molecular epidemiology. Trends Parasitol 24:135–142

    Article  PubMed  Google Scholar 

  • Sharma U, Singh S (2009) Immunobiology of leishmaniasis. Indian J Exp Biol 47:412–423

    PubMed  CAS  Google Scholar 

  • Smith DF, Peacock CS, Cruz AK (2007) Comparative genomics: from genotype to disease phenotype in the leishmaniases. Int J Parasitol 37:1173–1186

    Article  PubMed  CAS  Google Scholar 

  • Soto J, Berman J (2006) Treatment of New World cutaneous leishmaniasis with miltefosine. Trans R Soc Trop Med Hyg 100:S34–S40

    Article  PubMed  CAS  Google Scholar 

  • Sundar S et al (2005) Detection of Leishmanial antigen in the urine of patients with visceral leishmaniasis by a latex agglutination test. Am J Trop Med Hyg 73:269–271

    PubMed  Google Scholar 

  • t’Kindt R et al (2010) Metabolomics to unveil and understand phenotypic diversity between pathogen populations. PLoS Negl Trop Dis 4:e904

    Article  PubMed  Google Scholar 

  • Tavares CA, Fernandes AP, Melo MN (2003) Molecular diagnosis of leishmaniasis. Expert Rev Mol Diagn 3:657–667

    Article  PubMed  CAS  Google Scholar 

  • Thakur CP (2006) Leishmaniasis research – the challenges ahead. Indian J Med Res 123:193–194

    PubMed  CAS  Google Scholar 

  • WHO (2010) Leishmaniasis, back ground information (http://www.who.int/leishmaniasis/en/)

  • Zerpa O et al (2007) Diffuse cutaneous leishmaniasis responds to miltefosine but then relapses. Br J Dermatol 156:1328–1335

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgements

The author is grateful for the financing support received from the Coordination for Research, Faculty of Medicine, UCV, and the Council for Scientific and Humanistic Research (CDCH), Universidad Central de Venezuela. Likewise she is grateful for the support conferred by the Alexander von Humboldt Foundation, Germany, to Alicia Ponte-Sucre.

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Ponte-Sucre, A. (2013). Introduction: Leishmaniasis – The Biology of a Parasite. In: Ponte-Sucre, A., Diaz, E., Padrón-Nieves, M. (eds) Drug Resistance in Leishmania Parasites. Springer, Vienna. https://doi.org/10.1007/978-3-7091-1125-3_1

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  • DOI: https://doi.org/10.1007/978-3-7091-1125-3_1

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