Publications by authors named "Makedonka Mitreva"

is the agent of onchocerciasis (river blindness) and targeted by WHO for elimination though mass drug administration with ivermectin. A small percentage of adult worms develop pleomorphic neoplasms (PN) that are positively associated with the frequency of ivermectin treatment. Worms with PN have a lower life expectancy and a better understanding about the proteins expressed in PN, and how PN affect protein expression in different tissues could help to elucidate the mechanisms of macrofilaricidal activity of ivermectin.

View Article and Find Full Text PDF
Article Synopsis
  • Loiasis is a disease caused by the Loa loa nematode, which can lead to serious side effects in people with high levels of the parasite after treatment with ivermectin, complicating elimination efforts for lymphatic filariasis and onchocerciasis in Central Africa.
  • Researchers developed a new antigen capture ELISA test to detect a specific protein, Ll-Bhp-1, in loiasis patients, finding it present in 63.8% of samples and strongly correlated with high parasite counts.
  • This Ll-Bhp-1 antigen test is both specific to loiasis and effective at identifying patients at high risk for adverse reactions to ivermectin, thereby aiding in disease mapping and elimination programs in the affected regions.
View Article and Find Full Text PDF

Background: The Global Program to Eliminate Lymphatic Filariasis (GPELF) is the largest public health program based on mass drug administration (MDA). Despite decades of MDA, ongoing transmission in some countries remains a challenge. To optimise interventions, it is critical to differentiate between recrudescence and new infections.

View Article and Find Full Text PDF

Background: Parasitic nematodes, significant pathogens for humans, animals, and plants, depend on diverse organ systems for intra-host survival. Understanding the cellular diversity and molecular variations underlying these functions holds promise for developing novel therapeutics, with specific emphasis on the neuromuscular system's functional diversity. The nematode intestine, crucial for anthelmintic therapies, exhibits diverse cellular phenotypes, and unraveling this diversity at the single-cell level is essential for advancing knowledge in anthelmintic research across various organ systems.

View Article and Find Full Text PDF

Gastrointestinal nematode (GIN) infections are a major concern for the ruminant industry worldwide and result in significant production losses. Naturally occurring polyparasitism and increasing drug resistance that potentiate disease outcomes are observed among the most prevalent GINs of veterinary importance. Within the five major taxonomic clades, clade Va represents a group of GINs that predominantly affect the abomasum or small intestine of ruminants.

View Article and Find Full Text PDF

The search for new anti-infectives based on metal complexes is gaining momentum. Among the different options taken by researchers, the one involving the use of organometallic complexes is probably the most successful one with a compound, namely, ferroquine, already in clinical trials against malaria. In this study, we describe the preparation and in-depth characterization of 10 new (organometallic) derivatives of the approved antifungal drug fluconazole.

View Article and Find Full Text PDF
Article Synopsis
  • Early innate immune responses are crucial in determining how the body responds to Mycobacterium tuberculosis (Mtb) infections.
  • Research using conditional knockout mice showed that disabling NF-κB signaling in all myeloid cells made them more susceptible to Mtb, while selectively disabling it in CD11c+ myeloid cells led to stronger immune responses.
  • The findings highlight that NF-κB signaling has different roles depending on the type of myeloid cell, providing early resistance in CD11c-expressing cells and contributing to protection later in LysM-expressing cells during Mtb infection.
View Article and Find Full Text PDF

Parasitic gastrointestinal nematodes pose significant health risks to humans, livestock, and companion animals, and their control relies heavily on the use of anthelmintic drugs. Overuse of these drugs has led to the emergence of resistant nematode populations. Herein, a naturally occurring isolate (referred to as BCR) of the dog hookworm, , that is resistant to 3 major classes of anthelmintics is characterized.

View Article and Find Full Text PDF
Article Synopsis
  • The emergence of drug resistance in anti-infectives highlights the urgent need for new broad-spectrum treatments for neglected tropical diseases (NTDs) caused by eukaryotic parasites, such as fungal infections.* -
  • Researchers modified the well-known antifungal drug fluconazole with organometallic groups, resulting in new compounds that not only enhance the drug's effectiveness but also broaden its application against various pathogens.* -
  • These new compounds demonstrated strong effectiveness against pathogenic fungal infections and parasitic worms, with mechanisms of action that differ from the original drug, making them promising candidates in the fight against drug-resistant infections and efforts to eliminate NTDs by 2030.*
View Article and Find Full Text PDF

Background: The Global Program to Eliminate Lymphatic Filariasis is the largest public health program based on mass drug administration (MDA). Despite decades of MDA, ongoing transmission in some countries remains a challenge. To optimize interventions, it is essential to differentiate between recrudescence (poor drug response and persistent infection) and new infections (ongoing transmission).

View Article and Find Full Text PDF

WHO and endemic countries target elimination of transmission of , the parasite causing onchocerciasis. Population genetic analysis of may provide data to improve the evidence base for decisions on when, where, and for how long to deploy which interventions and post-intervention surveillance to achieve elimination. Development of necessary methods and tools requires parasites suitable for genetic analysis.

View Article and Find Full Text PDF

Health disparities are driven by underlying social disadvantage and psychosocial stressors. However, how social disadvantage and psychosocial stressors lead to adverse health outcomes is unclear, particularly when exposure begins prenatally. Variations in the gut microbiome and circulating proinflammatory cytokines offer potential mechanistic pathways.

View Article and Find Full Text PDF

Paragonimiasis is a zoonotic, food-borne trematode infection that affects 21 million people globally. Trematodes interact with their hosts via extracellular vesicles (EV) that carry protein and RNA cargo. We analyzed EV in excretory-secretory products (ESP) released by Paragonimus kellicotti adult worms cultured in vitro (EV ESP) and EV isolated from lung cyst fluid (EV CFP) recovered from infected gerbils.

View Article and Find Full Text PDF

Onchocerciasis is a neglected tropical disease targeted for elimination using ivermectin mass administration. Ivermectin kills the microfilariae and temporarily arrests microfilariae production by the macrofilariae. We genotyped 436 microfilariae from 10 people each in Ituri, Democratic Republic of the Congo (DRC), and Maridi County, South Sudan, collected before and 4-5 months after ivermectin treatment.

View Article and Find Full Text PDF

Unlabelled: Drug resistance observed with many anti-infectives clearly highlights the need for new broad-spectrum agents to treat especially neglected tropical diseases (NTDs) caused by eukaryotic parasitic pathogens including fungal infections. Since these diseases target the most vulnerable communities who are disadvantaged by health and socio-economic factors, new agents should be, if possible, easy-to-prepare to allow for commercialization based on their low cost. In this study, we show that simple modification of one of the most well-known antifungal drugs, fluconazole, with organometallic moieties not only improves the activity of the parent drug but also broadens the scope of application of the new derivatives.

View Article and Find Full Text PDF

The ADP ribosyltransferases (PARPs 1-17) regulate diverse cellular processes, including DNA damage repair. PARPs are classified on the basis of their ability to catalyze poly-ADP-ribosylation (PARylation) or mono-ADP-ribosylation (MARylation). Although PARP9 mRNA expression is significantly increased in progressive tuberculosis (TB) in humans, its participation in host immunity to TB is unknown.

View Article and Find Full Text PDF

Tuberculosis (TB), caused by Mycobacterium tuberculosis (Mtb), is a global cause of death. Granuloma-associated lymphoid tissue (GrALT) correlates with protection during TB, but the mechanisms of protection are not understood. During TB, the transcription factor IRF4 in T cells but not B cells is required for the generation of the T1 and T17 subsets of helper T cells and follicular helper T (T)-like cellular responses.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates how hookworms establish and maintain infections in mammalian hosts, focusing on their excretory/secretory products (ESPs).
  • Using advanced mass spectrometry, researchers improved hookworm genome annotations and identified significantly more ESPs than previously reported, revealing differences between male and female ESPs.
  • The findings enhance our understanding of hookworm biology, which could lead to new vaccine targets, diagnostic tools, and potential anti-inflammatory treatments.
View Article and Find Full Text PDF
Article Synopsis
  • Onchocerca volvulus causes onchocerciasis, affecting over 20 million people and leading to severe skin and eye issues, including blindness, with a need for better diagnostic tests since current treatments fail to kill adult worms.
  • Researchers analyzed plasma samples from infected and uninfected individuals using MS/MS spectrometry to identify specific O. volvulus proteins, discovering 19 biomarker candidates unique to infected samples.
  • A major protein candidate, OVOC11613, showed great promise with multiple identifiable peptides, and along with other candidates like OVOC1523 and OVOC247, may aid in developing assays for diagnosing infections and monitoring treatment effectiveness.*
View Article and Find Full Text PDF

Enterotoxigenic E. coli (ETEC) produce heat-labile (LT) and/or heat-stable (ST) enterotoxins, and commonly cause diarrhea in resource-poor regions. ETEC have been linked repeatedly to sequelae in children including enteropathy, malnutrition, and growth impairment.

View Article and Find Full Text PDF

RNA sequencing (RNA-Seq) and mass-spectrometry-based proteomics data are often integrated in proteogenomic studies to assist in the prediction of eukaryote genome features, such as genes, splicing, single-nucleotide (SNVs), and single-amino-acid variants (SAAVs). Most genomes of parasite nematodes are draft versions that lack transcript- and protein-level information and whose gene annotations rely only on computational predictions. is a roundworm species that causes an intestinal inflammatory disease, known as abdominal angiostrongyliasis (AA).

View Article and Find Full Text PDF

Increasing evidence shows that the host gut microbiota might be involved in the immunological cascade that culminates with the formation of tissue granulomas underlying the pathophysiology of hepato-intestinal schistosomiasis. In this study, we investigated the impact of Schistosoma mansoni infection on the gut microbial composition and functional potential of both wild type and microbiome-humanized mice. In spite of substantial differences in microbiome composition at baseline, selected pathways were consistently affected by parasite infection.

View Article and Find Full Text PDF
Article Synopsis
  • Researchers explored using the immunomodulatory properties of helminth proteins, specifically by creating a library of recombinant proteins from hookworms.
  • They identified 20 proteins that showed significant anti-inflammatory effects in a mouse model, which could lead to novel treatments for IBD and other inflammatory diseases.
View Article and Find Full Text PDF

The current treatments for lymphatic filariasis and onchocerciasis do not effectively kill the adult parasitic nematodes, allowing these chronic and debilitating diseases to persist in millions of people. Thus, the discovery of new drugs with macrofilaricidal potential to treat these filarial diseases is critical. To facilitate this need, we first investigated the effects of three aspartyl protease inhibitors (APIs) that are FDA-approved as HIV antiretroviral drugs on the adult filarial nematode, and the endosymbiotic bacteria, .

View Article and Find Full Text PDF