AI Article Synopsis

  • Suramin, developed by Bayer in 1916, is still the preferred treatment for the hemolymphatic stage of African sleeping sickness caused by Trypanosoma brucei rhodesiense.
  • The study found that resistance to suramin in T. brucei can occur quickly and is linked to changes in the variant surface glycoprotein (VSG) that trypanosomes use to evade the immune system.
  • Reintroducing the original VSG gene in resistant trypanosomes restored their sensitivity to suramin, marking the first evidence of a connection between antigenic variation and drug resistance in these parasites.

Article Abstract

Suramin is one of the first drugs developed in a medicinal chemistry program (Bayer, 1916), and it is still the treatment of choice for the hemolymphatic stage of African sleeping sickness caused by Trypanosoma brucei rhodesiense. Cellular uptake of suramin occurs by endocytosis, and reverse genetic studies with T. b. brucei have linked downregulation of the endocytic pathway to suramin resistance. Here we show that forward selection for suramin resistance in T. brucei spp. cultures is fast, highly reproducible and linked to antigenic variation. Bloodstream-form trypanosomes are covered by a dense coat of variant surface glycoprotein (VSG), which protects them from their mammalian hosts' immune defenses. Each T. brucei genome contains over 2000 different VSG genes, but only one is expressed at a time. An expression switch to one particular VSG, termed VSG , correlated with suramin resistance. Reintroduction of the originally expressed VSG gene in resistant T. brucei restored suramin susceptibility. This is the first report of a link between antigenic variation and drug resistance in African trypanosomes.

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http://dx.doi.org/10.1111/mmi.13854DOI Listing

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