Summary
The ATP-binding cassette (ABC) transporters belong to the largest family of transmembrane proteins found in living organisms. These proteins are present in prokaryotes and eukaryotes and are mainly involved in the transport of a variety of molecules across cellular membranes, whereas others are involved in biological processes unrelated to transport. The recent sequencing of the Leishmania species genome confirmed the presence of representatives, also called as members, for all eight different subfamilies (ABCA to ABCH), according to their specific functional and molecular characteristics. These proteins have recently been characterized in Leishmania; some of them associated with drug resistance. This is a significant field in leishmaniasis chemotherapy, a disease still lacking effective treatment and with increasing daily reports of therapeutic failure. In this chapter, we focus our discussion on the association of these proteins with drug resistance in leishmaniasis and its fundamental role in the pathology and pharmacology of this medically important protozoan parasite that currently infects around 12 million people in the world.
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
Akopyants NS et al. (2009) Demonstration of genetic exchange during cyclical development of Leishmania in the sand fly vector. Science 324:265–268
Albrecht C, Viturro E (2007) The ABCA subfamily – gene and protein structures, functions and associated hereditary diseases. Pflugers Arch 453:581–589
Allikmets R et al. (1996) Characterization of the human ABC superfamily: isolation and mapping of 21 new genes using the expressed sequence tags database. Hum Mol Genet 5:1649–1655
Arana FE et al. (1998) Involvement of thiol metabolism in resistance to Glucantime in Leishmania tropica. Biochem Pharmacol 56:1201–1208
Araujo-Santos JM et al. (2005) The overexpression of an intracellular ABCA-like transporter alters phospholipid trafficking in Leishmania. Biochem Biophys Res Commun 330:349–355
Basselin M et al. (2002) Resistance to pentamidine in Leishmania mexicana involves exclusion of the drug from the mitochondrion. Antimicrob Agents Chemother 46:3731–3738
Beverley SM (1991) Gene amplification in Leishmania. Annu Rev Microbiol 45:417–444
Beverley SM (2003) Protozomics: trypanosomatid parasite genetics comes of age. Nat Rev Genet 4:11–19
Bitonti AJ et al. (1988) Reversal of chloroquine resistance in malaria parasite Plasmodium falciparum by desipramine. Science 242:1301–1303
Bories C et al. (2008) Selection and phenotype characterisation of sitamaquine-resistant promastigotes of Leishmania donovani. Biomed Pharmacother 62:164–167
Borst P, Ouellette M (1995) New mechanisms of drug resistance in parasitic protozoa. Annu Rev Microbiol 49:427–460
Borst P et al. (2000) A family of drug transporters: the multidrug resistance-associated proteins. J Natl Cancer Inst 92:1295–1302
BoseDasgupta S et al. (2008) A novel ATP-binding cassette transporter, ABCG6 is involved in chemoresistance of Leishmania. Mol Biochem Parasitol 158:176–188
Callahan HL, Beverley SM (1991) Heavy metal resistance: a new role for P-glycoproteins in Leishmania. J Biol Chem 266:18427–18430
Callahan HL, Beverley SM (1992) A member of the aldoketo reductase family confers methotrexate resistance in Leishmania. J Biol Chem 267:24165–24168
Castanys-Munoz E et al. (2007) A novel ATP-binding cassette transporter from Leishmania is involved in transport of phosphatidylcholine analogues and resistance to alkyl-phospholipids. Mol Microbiol 64:1141–1153
Castanys-Munoz E et al. (2008) Characterization of an ABCG-like transporter from the protozoan parasite Leishmania with a role in drug resistance and transbilayer lipid movement. Antimicrob Agents Chemother 52:3573–3579
Chen ZQ et al. (2006) The essential vertebrate ABCE1 protein interacts with eukaryotic initiation factors. J Biol Chem 281:7452–7457
Chiquero MJ et al. (1998) Altered drug membrane permeability in a multidrug-resistant Leishmania tropica line. Biochem Pharmacol 55:131–139
Chow LM et al. (1993) Cloning and functional analysis of an extrachromosomally amplified multidrug resistance-like gene in Leishmania enriettii. Mol Biochem Parasitol 60(2):195–208
Clayton CE (1999) Genetic manipulation of kinetoplastida. Parasitol Today 15:372–378
Clayton C, Shapira M (2007) Post-transcriptional regulation of gene expression in trypanosomes and leishmanias. Mol Biochem Parasitol 156:93–101
Coelho AC, Beverley SM, Cotrim PC (2003) Functional genetic identification of PRP1, an ABC transporter superfamily member conferring pentamidine resistance in Leishmania major. Mol Biochem Parasitol 130:83–90
Coelho AC et al. (2006) Intracellular location of the ABC transporter PRP1 related to pentamidine resistance in Leishmania major. Mol Biochem Parasitol 150:378–383
Coelho AC et al. (2007) Role of the ABC transporter PRP1 (ABCC7) in pentamidine resistance in Leishmania amastigotes. Antimicrob Agents Chemother 51:3030–3032
Coelho AC et al. (2008) Characterization of Leishmania (Leishmania) amazonensis promastigotes resistant to pentamidine. Exp Parasitol 120:98–102
Croft SL, Sundar S, Fairlamb AH (2006) Drug resistance in leishmaniasis. Clin Microbiol Rev 19:111–126
Dallagiovanna B, Gamarro F, Castanys S (1996) Molecular characterization of a P-glycoprotein-related tcpgp2 gene in Trypanosoma cruzi. Mol Biochem Parasitol 75:145–157
Dean M, Annilo T (2005) Evolution of the ATP-binding cassette (ABC) transporter superfamily in vertebrates. Annu Rev Genomics Hum Genet 6:123–142
Dean M, Rzhetsky A, Allikmets R (2001) The human ATP-binding cassette (ABC) transporter superfamily. Genome Res 11:1156–1166
Decuypere S et al. (2005) Gene expression analysis of the mechanism of natural SbV resistance in Leishmania donovani isolates from Nepal. Antimicrob Agents Chemother 49:4616–4621
Deeley RG, Westlake C, Cole SP (2006) Transmembrane transport of endo- and xenobiotics by mammalian ATP-binding cassette multidrug resistance proteins. Physiol Rev 86:849–899
Dey S et al. (1996) An ATP-dependent As(III)-glutathione transport system in membrane vesicles of Leishmania tarentolae. Proc Natl Acad Sci USA 93:2192–2197
Dias FC et al. (2007) Organization of H locus conserved repeats in Leishmania (Viannia) braziliensis correlates with lack of gene amplification and drug resistance. Parasitol Res 101:667–676
Dodge MA et al. (2004) Localization and activity of multidrug resistance protein 1 in the secretory pathway of Leishmania parasites. Mol Microbiol 51:1563–1575
Ejendal KF, Hrycyna CA (2002) Multidrug resistance and cancer: the role of the human ABC transporter ABCG2. Curr Protein Pept Sci 3:503–511
El Fadili K et al. (2005) Role of the ABC transporter MRPA (PGPA) in antimony resistance in Leishmania infantum axenic and intracellular amastigotes. Antimicrob Agents Chemother 49:1988–1993
Ellenberger TE, Beverley SM (1989) Multiple drug resistance and conservative amplification of the H region in Leishmania major. J Biol Chem 264:15094–15103
Endicott JA, Ling V (1989) The biochemistry of P-glycoprotein-mediated multidrug resistance. Annu Rev Biochem 58:137–171
Estevez AM et al. (2004) Effects of depletion and overexpression of the Trypanosoma brucei ribonuclease L inhibitor homologue. Mol Biochem Parasitol 133:137–141
Fairlamb AH, Cerami A (1992) Metabolism and functions of trypanothione in the kinetoplastida. Annu Rev Microbiol 46:695–729
Ghedin E et al. (2001) Secretory and endocytic pathways converge in a dynamic endosomal system in a primitive protozoan. Traffic 2:175–188
Gottesman MM, Pastan I (1993) Biochemistry of multidrug resistance mediated by the multidrug transporter. Annu Rev Biochem 62:385–427
Gottesman MM, Fojo T, Bates SE (2002) Multidrug resistance in cancer: role of ATP-dependent transporters. Nat Rev Cancer 2:48–58
Grondin K, Papadopoulou B, Ouellette M (1993) Homologous recombination between direct repeat sequences yields P-glycoprotein containing amplicons in arsenite resistant Leishmania. Nucleic Acids Res 21:1895–1901
Grondin K et al. (1997) Co-amplification of the gamma-glutamylcysteine synthetase gene gsh1 and of the ABC transporter gene pgpA in arsenite-resistant Leishmania tarentolae. EMBO J 16:3057–3065
Gueiros-Filho FJ et al. (1995) Leishmania amazonensis: multidrug resistance in vinblastine-resistant promastigotes is associated with rhodamine 123 efflux, DNA amplification, and RNA overexpression of a Leishmania mdr1 gene. Exp Parasitol 81:480–490
Haimeur A et al. (1999) Elevated levels of polyamines and trypanothione resulting from overexpression of the ornithine decarboxylase gene in arsenite-resistant Leishmania. Mol Microbiol 34:726–735
Haimeur A et al. (2000) Amplification of the ABC transporter gene PGPA and increased trypanothione levels in potassium antimonyl tartrate SbIII resistant Leishmania tarentolae. Mol Biochem Parasitol 108:131–135
Henderson DM et al. (1992) Multidrug resistance in Leishmania donovani is conferred by amplification of a gene homologous to the mammalian mdr1 gene. Mol Cell Biol 12:2855–2865
Hendrickson N et al. (1993) Molecular characterization of the ldmdr1 multidrug resistance gene from Leishmania donovani. Mol Biochem Parasitol 60:53–64
Herget M, Tampe R (2007) Intracellular peptide transporters in human – compartmentalization of the “peptidome”. Pflugers Arch 453:591–600
Hettema EH et al (1996) The ABC transporter proteins Pat1 and Pat2 are required for import of long-chain fatty acids into peroxisomes of Saccharomyces cerevisiae. EMBO J 15:3813–3822
Higgins CF (1992) ABC transporters: from microorganisms to man. Annu Rev Cell Biol 8:67–113
Ivens AC et al. (1998) A physical map of the Leishmania major Friedlin genome. Genome Res 8:135–145
Ivens AC et al. (2005) The genome of the kinetoplastid parasite, Leishmania major. Science 309:436–442
Jha TK et al. (1999) Miltefosine, an oral agent, for the treatment of Indian visceral leishmaniasis. N Engl J Med 341:1795–1800
Kapler GM, Beverley SM (1989) Transcriptional mapping of the amplified region encoding the dihydrofolate reductase-thymidylate synthase of Leishmania major reveals a high density of transcripts, including overlapping and antisense RNAs. Mol Cell Biol 9:3959–3972
Katakura K et al. (1999) Structural and functional analysis of the LaMDR1 multidrug resistance gene in Leishmania amazonensis. Biochem Biophys Res Commun 255:289–294
Katakura K et al. (2004) Overexpression of LaMDR2, a novel multidrug resistance ATP-binding cassette transporter, causes 5-fluorouracil resistance in Leishmania amazonensis. FEBS Lett 561:207–212
Kerr ID (2004) Sequence analysis of twin ATP binding cassette proteins involved in translational control, antibiotic resistance, and ribonuclease L inhibition. Biochem Biophys Res Commun 315:166–173
Kispal G et al. (1999) The mitochondrial proteins Atm1p and Nfs1p are essential for biogenesis of cytosolic Fe/S proteins. EMBO J 18:3981–3989
Klokouzas A et al. (2003) ABC transporters and drug resistance in parasitic protozoa. Int J Antimicrob Agents 22:301–317
Lee JS et al. (1994) Rhodamine efflux patterns predict P-glycoprotein substrates in the National Cancer Institute drug screen. Mol Pharmacol 46:627–638
Legare D, Hettema E, Ouellette M (1994) The P-glycoprotein-related gene family in Leishmania. Mol Biochem Parasitol 68:81–91
Legare D et al. (1997) Efflux systems and increased trypanothione levels in arsenite-resistant Leishmania. Exp Parasitol 87:275–282
Legare D et al. (2001) The Leishmania ATP-binding cassette protein PGPA is an intracellular metal-thiol transporter ATPase. J Biol Chem 276:26301–26307
Leprohon P et al. (2006) Modulation of Leishmania ABC protein gene expression through life stages and among drug-resistant parasites. Eukaryot Cell 5:1713–1725
Leprohon P, Legare D, Ouellette M (2009a) Intracellular localization of the ABCC proteins of Leishmania and their role in resistance to antimonials. Antimicrob Agents Chemother 53:2646–2649
Leprohon P et al. (2009b) Gene expression modulation is associated with gene amplification, supernumerary chromosomes and chromosome loss in antimony-resistant Leishmania infantum. Nucleic Acids Res 37:1387–1399
Leslie EM, Deeley RG, Cole SP (2005) Multidrug resistance proteins: role of P-glycoprotein, MRP1, MRP2, and BCRP (ABCG2) in tissue defense. Toxicol Appl Pharmacol 204:216–237
Lux H et al (2000) Ether–lipid (alkyl-phospholipid) metabolism and the mechanism of action of ether–lipid analogues in Leishmania. Mol Biochem Parasitol 111:1–14
Lye LF et al. (2010) Retention and loss of RNA interference pathways in trypanosomatid protozoans. PLoS Pathog 6:e1001161
Marton MJ et al. (1997) Evidence that GCN1 and GCN20, translational regulators of GCN4, function on elongating ribosomes in activation of eIF2alpha kinase GCN2. Mol Cell Biol 17:4474–4489
Mary C et al. (2010) Frequency of drug resistance gene amplification in clinical Leishmania strains. Int J Microbiol 2010:819060. doi:10.1155/2010/819060
McConville MJ et al. (2002) Secretory pathway of trypanosomatid parasites. Microbiol Mol Biol Rev 66:122–154
Michels PA et al. (2006) Metabolic functions of glycosomes in trypanosomatids. Biochim Biophys Acta 1763:1463–1477
Mitsuhashi N et al. (2000) MTABC3, a novel mitochondrial ATP-binding cassette protein involved in iron homeostasis. J Biol Chem 275:17536–17540
Mittal MK et al. (2007) Characterization of natural antimony resistance in Leishmania donovani isolates. Am J Trop Med Hyg 76:681–688
Momen H (2001) Some current problems in the systematics of Trypanosomatids. Int J Parasitol 31:640–642
Mookerjee Basu J et al. (2008) Inhibition of ABC transporters abolishes antimony resistance in Leishmania infection. Antimicrob Agents Chemother 52:1080–1093
Mukherjee A et al. (2006) Roles for mitochondria in pentamidine susceptibility and resistance in Leishmania donovani. Mol Biochem Parasitol 145:1–10
Mukherjee A et al. (2007) Role of ABC transporter MRPA, gamma-glutamylcysteine synthetase and ornithine decarboxylase in natural antimony-resistant isolates of Leishmania donovani. J Antimicrob Chemother 59:204–211
Mukhopadhyay R et al. (1996) Trypanothione overproduction and resistance to antimonials and arsenicals in Leishmania. Proc Natl Acad Sci USA 93:10383–10387
Mullin KA et al. (2001) Regulated degradation of an endoplasmic reticulum membrane protein in a tubular lysosome in Leishmania mexicana. Mol Biol Cell 12:2364–2377
Murta SM et al. (2001) Drug resistance in Trypanosoma cruzi is not associated with amplification or overexpression of P-glycoprotein (PGP) genes. Mol Biochem Parasitol 117:223–228
Ouellette M, Fase-Fowler F, Borst P (1990) The amplified H circle of methotrexate-resistant Leishmania tarentolae contains a novel P-glycoprotein gene. EMBO J 9:1027–1033
Ouellette M et al. (1991) Direct and inverted DNA repeats associated with P-glycoprotein gene amplification in drug resistant Leishmania. EMBO J 10:1009–1016
Ouellette M et al. (1998) ABC transporters in Leishmania and their role in drug resistance. Drug Resist Updat 1:43–48
Padron-Nieves M et al. (2009) Glibenclamide modulates Glucantime activity and disposition in Leishmania major. Exp Parasitol 121:331–337
Papadopoulou B, Roy G, Ouellette M (1992) A novel antifolate resistance gene on the amplified H circle of Leishmania. EMBO J 11:3601–3608
Papadopoulou B et al. (1994) Contribution of the Leishmania P-glycoprotein-related gene ltpgpA to oxyanion resistance. J Biol Chem 269:11980–11986
Papadopoulou B et al. (1996) Gene disruption of the P-glycoprotein related gene pgpa of Leishmania tarentolae. Biochem Biophys Res Commun 224:772–778
Parodi-Talice A et al. (2003) The overexpression of a new ABC transporter in Leishmania is related to phospholipid trafficking and reduced infectivity. Biochim Biophys Acta 1612:195–207
Peacock CS et al. (2007) Comparative genomic analysis of three Leishmania species that cause diverse human disease. Nat Genet 39:839–847
Perez-Victoria JM et al. (2001a) ABC transporters in the protozoan parasite Leishmania. Int Microbiol 4:159–166
Perez-Victoria JM et al. (2001b) Alkyl-lysophospholipid resistance in multidrug-resistant Leishmania tropica and chemosensitization by a novel P-glycoprotein-like transporter modulator. Antimicrob Agents Chemother 45:2468–2474
Perez-Victoria FJ et al. (2003) Functional cloning of the Miltefosine transporter. A novel P-type phospholipid translocase from Leishmania involved in drug resistance. J Biol Chem 278:49965–49971
Perez-Victoria FJ et al. (2006) Phospholipid translocation and Miltefosine potency require both L. donovani Miltefosine transporter and the new protein LdRos3 in Leishmania parasites. J Biol Chem 281:23766–23775
Petriv OI et al (2002) RNA interference of peroxisome-related genes in C. elegans: a new model for human peroxisomal disorders. Physiol Genomics 10:79–91
Pompella A et al. (2003) The changing faces of glutathione, a cellular protagonist. Biochem Pharmacol 66:1499–1503
Ponte-Sucre A (2007) Availability and applications of ATP-binding cassette (ABC) transporter blockers. Appl Microbiol Biotechnol 76:279–286
Rougeron V et al. (2009) Extreme inbreeding in Leishmania braziliensis. Proc Natl Acad Sci USA 106:10224–10229
Sanchez-Canete MP et al. (2009) Low plasma membrane expression of the Miltefosine transport complex renders Leishmania braziliensis refractory to the drug. Antimicrob Agents Chemother 53:1305–1313
Saurin W, Hofnung M, Dassa E (1999) Getting in or out: early segregation between importers and exporters in the evolution of ATP-binding cassette (ABC) transporters. J Mol Evol 48:22–41
Sauvage V et al. (2009) The role of ATP-binding cassette (ABC) proteins in protozoan parasites. Mol Biochem Parasitol 167:81–94
Seifert K et al. (2003) Characterisation of Leishmania donovani promastigotes resistant to hexadecylphosphocholine (Miltefosine). Int J Antimicrob Agents 22:380–387
Serrano-Martin X, Payares G, Mendoza-Leon A (2006) Glibenclamide, a blocker of K + (ATP) channels, shows antileishmanial activity in experimental murine cutaneous leishmaniasis. Antimicrob Agents Chemother 50:4214–4216
Shahi SK, Krauth-Siegel RL, Clayton CE (2002) Overexpression of the putative thiol conjugate transporter TbMRPA causes melarsoprol resistance in Trypanosoma brucei. Mol Microbiol 43:1129–1138
Shani N, Valle D (1998) Peroxisomal ABC transporters. Methods Enzymol 292:753–776
Silva N et al. (2004) Cell differentiation and infectivity of Leishmania mexicana are inhibited in a strain resistant to an ABC-transporter blocker. Parasitology 128:629–634
Singh N, Singh RT, Sundar S (2003) Novel mechanism of drug resistance in kala azar field isolates. J Infect Dis 188:600–607
Soto J et al. (2001) Treatment of American cutaneous leishmaniasis with Miltefosine, an oral agent. Clin Infect Dis 33:E57–E61
Stevens JR et al. (2001) The molecular evolution of Trypanosomatidae. Adv Parasitol 48:1–56
Sundaram P et al. (2006) ATP-binding cassette transporters are required for efficient RNA interference in Caenorhabditis elegans. Mol Biol Cell 17:3678–3688
Theodoulou FL, Holdsworth M, Baker A (2006) Peroxisomal ABC transporters. FEBS Lett 580:1139–1155
Torres C et al. (1999) Characterization of a new ATP-binding cassette transporter in Trypanosoma cruzi associated to a L1Tc retrotransposon. Biochim Biophys Acta 1489:428–432
Torres C et al. (2004) Characterization of an ABCA-like transporter involved in vesicular trafficking in the protozoan parasite Trypanosoma cruzi. Mol Microbiol 54:632–646
Tyzack JK et al. (2000) ABC50 interacts with eukaryotic initiation factor 2 and associates with the ribosome in an ATP-dependent manner. J Biol Chem 275:34131–34139
Ubeda JM et al. (2008) Modulation of gene expression in drug resistant Leishmania is associated with gene amplification, gene deletion and chromosome aneuploidy. Genome Biol 9:R115
van Helvoort A et al. (1996) MDR1 P-glycoprotein is a lipid translocase of broad specificity, while MDR3 P-glycoprotein specifically translocates phosphatidylcholine. Cell 87:507–517
Velamakanni S et al. (2007) ABCG transporters: structure, substrate specificities and physiological roles: a brief overview. J Bioenerg Biomembr 39:465–471
Vergnes B et al. (2007) A proteomics screen implicates HSP83 and a small kinetoplastid calpain-related protein in drug resistance in Leishmania donovani clinical field isolates by modulating drug-induced programmed cell death. Mol Cell Proteomics 6:88–101
Walker JE et al. (1982) Distantly related sequences in the alpha- and beta-subunits of ATP synthase, myosin, kinases and other ATP-requiring enzymes and a common nucleotide binding fold. EMBO J 1:945–951
Wong IL, Chow LM (2006) The role of Leishmania enriettii multidrug resistance protein 1 (LeMDR1) in mediating drug resistance is iron-dependent. Mol Biochem Parasitol 150:278–287
Zhou A, Hassel BA, Silverman RH (1993) Expression cloning of 2-5A-dependent RNAase: a uniquely regulated mediator of interferon action. Cell 72:753–765
Zhou SF et al. (2008) Substrates and inhibitors of human multidrug resistance associated proteins and the implications in drug development. Curr Med Chem 15:1981–2039
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer-Verlag Wien
About this chapter
Cite this chapter
Coelho, A.C., Cotrim, P.C. (2013). The Role of ABC Transporters in Drug-Resistant Leishmania . 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_12
Download citation
DOI: https://doi.org/10.1007/978-3-7091-1125-3_12
Published:
Publisher Name: Springer, Vienna
Print ISBN: 978-3-7091-0238-1
Online ISBN: 978-3-7091-1125-3
eBook Packages: MedicineMedicine (R0)