Sheet nº 234 February 2006 A Leishmania parasite protein revealed as a potential therapeutic target Leishmaniases are serious tropical diseases, endemic in 88 countries. No effective vaccine is available to date and the existing range of drugs is limited. After the discovery (1) of a Leishmania gene coding for a protein that is homologous to a specific protein family (silent information regulator 2, SIR2), the subject of much research effort, IRD researchers focused on its possible involvement in physiopathological effects induced by the parasite infection. SIR2 appears essential for the parasite’s survival. This makes it an attractive therapeutic target. a b c Photos of the same macrophage, infected with L. infantum amastigotes: under phase-contrast and after DNAstaining with propidium iodide ©IRD/Baptiste VERGNES eishmaniases are endemic tropical diseases that occur in more than 88 countries, all over the world except in Australasia. They concern over 350 million people. The pathogenic agents are protozoans of the Leishmania genus, transmitted by a single bite from an insect vector, the female of a bloodfeeding sandfly of the sub-family Phlebotominae, to human and other mammalian hosts where they live as intracellular parasites. Four types of leishmaniasis can affect humans. Clinical symptoms are highly varied, but they all have serious consequences and some are fatal. No effective vaccines are available and efforts to control the vectors are fraught with difficulties. The only current therapeutic approach is based on chemotherapy, but the medicines used at present have many limitations. Not only are they costly and rather toxic, but also they are hampe- L red by resistance developing among the parasites, mainly to antimony which after nearly 70 years still forms the basis of antileishmanial treatment. Any discovery of new therapeutic targets is therefore crucial for developing new medicines against these parasitic infections, which WHO has classified as priority diseases (category 1 : re-emerging or uncontrolled infections) (www.who.int/tdr/) Standard strategies for characterizing new antiparasitic compounds are based on empirical approaches that consist in sorting out in vitro which activities of natural or synthetic molecules can attack the viability of the parasite. The action mechanism would then be studied afterwards, if at all. Now the array of modern tools of molecular biological available can help identify candidate parasite genes from which specific compounds ../... might be synthesized that would inhibit the biological action of the products of those genes. The targets are usually genes or families of genes involved in a biochemical pathway that is indispensable for the parasite’s survival (especially in its intracellular form) and which is sufficiently different from those found in its host, or even absent. Some years ago, research investigations on the ageing processes discovered that severe calorific restriction – in other words, a drastic diet – extends the life expectancy of a great many animals. Recent data indicated SIR2 to be a universal regulator of longevity in eucaryote organisms. Proteins of the SIR2 family are under the scrutiny of intensive research, including studies on carcinogenesis. Amember of this family of proteins was identified for the first time in 1996 in Leishmania major (1). The growing interest for these proteins has led lRD researchers, working with teams from INSERM and the University of Porto in Portugal, to go further into the biological functions of SIR2 and study its possible involvement in pathological physiological effects of parasite infections. The team is therefore following up the concept of inactivating the SIR2 gene of Leishmania infantum, the pathogen of visceral leishmaniasis. Experiments involving SIR2 gene deletion demonstrate that it is essential for the parasites’ survival. This is the first demonstration to date that an SIR2 gene is indispensable for the survival of an organism. Redaction – IRD : Béatrice Le Brun Translation : Nicholas Flay Interestingly, when the parasite is obliged to express only a minimal level of SIR2 protein it is incapable of multiplying in the macrophage in vitro and during an experimental infection in mice is gradually eliminated. Working in a way far different from functions described in other organisms, this SIR2 parasite protein could now be considered as a potential new therapeutic target. Seeking to support this hypothesis, the research team tested the action of specific inhibitors of the SIR2 family proteins, such as sirtinol or nicotinamide. All these manifested an antileishmanial activity on the parasite stage that occurs in the vertebrate host. These results are prompting combined research with other institutes (2) to link efforts to exploit low-virulence parasite clones with validation of the SIR2 gene product as a therapeutic target in Leishmania and possibly other parasites of the Trypanosomatidae family (Trypanosoma cruzi and African trypanosomes). The parasites with attenuated virulence might well be killed rapidly in the host, which becomes a source of antigens capable of stimulating the immune response. Such an approach has the advantage of mimicking a natural infection, usually eliciting a more effective immune response than standard vaccines. By the same token, enzyme studies and molecular modelling of SIR2 can glean useful information for producing specific inhibitors. ________________________ (1) Research Laboratory on Trypanosomatidae, INSERM Unité 415, Institut Pasteur-Lille (2) Le Centre de Biologie Structurale, CNRS UMR 5048, INSERM U554, Montpellier and Faculty of Pharmacy and Institute of Molecular and Cellular Biology, University of Porto, Portugal. For futher information CONTACTS: Ali Ouaissi - UR 008 "Pathogénie des Trypanosomatidés", IRD, 911 avenue Agropolis, BP 5045, 34 032 Montpellier, France. Tel./Fax: +33 (0)4 67 41 63 31. Email : ali.ouaissi@montp.inserm.fr IRD Communication : Sophie Nunziati (press officer), Tel.: +33 (0)1 48 03 75 19, Email: presse@paris.ird.fr REFERENCES Yahiaoui, B., Taibi, A. and Ouaissi A. A Leishmania major protein with extensive homology to silent information regulator 2 of Saccharomyces cerevisiae. Gene, 1996, 169: 115-8. Vergnes B, Sereno D, Cordeiro-da-Silva A,Vanhille L,Tavares J, Madjidian-Sereno N, Depoix D, Monte-alegre A and Ouaissi A. Targeted disruption of cytosolic SIR2 deacetylase discloses its essential role in Leishmania survival and proliferation. Gene, 2005, 363C:85-96. Sereno D, Monte Allegre A, Sylvestre R, Vergnes B and Ouaissi A. In vitro antileishmanial activity of Nicotinamide. Antimicrob Agents Chemother., 2005, 49: 8008-812. ILLUSTRATIONS Contact Indigo Base, IRD picture library, Claire Lissalde or Danièle Cavanna, Tel.: +33 (0)1 48 03 78 99, Email : indigo@paris.ird.fr The illustrations can be viewed on: www.ird.fr/us/actualites/fiches/2004/fiche234.htm