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Updated: Jun 29, 2026

Ultrastructural Expansion Microscopy in Three In Vitro Life Cycle Stages of Trypanosoma cruzi
Published on: May 12, 2023
Different cell death pathways induced by drugs in Trypanosoma cruzi: an ultrastructural study
Rubem F S Menna-Barreto1, Kelly Salomão, Andréia P Dantas
1Laboratório de Biologia Celular, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, RJ 21040-900, Brazil.
Abstract:
Electron microscopy has proven to be a reliable and essential tool to determine morphological alterations and target organelles in the investigation of new drugs for Chagas disease. In this review, we focused on evaluating different agents that induce death of Trypanosoma cruzi, i.e. lysophospholipids analogues, naphthoquinones and derivatives, cytoskeletal inhibitors and natural products. Apoptosis-like presents as morphological characteristics DNA fragmentation, membrane blebbing and apoptotic body formation. Autophagy involves autophagosome formation, with the appearance of membranes surrounding organelles and cytosolic structures. Necrosis causes the loss of osmotic balance, an increase of cytoplasmic vacuolization and plasma membrane disruption. Mitochondrion appears as a central checkpoint in both apoptosis and necrosis. Our evidences of ultrastructural changes to T. cruzi treated with the different classes of compounds point to dramatic mitochondrial alterations and similar autophagic phenotypes. Lysophospholipid analogues interfere in the lipid biosynthesis in epimastigotes, altering the amount of both phospholipids and sterols, and consequently the physical properties of the membrane. Naphthoquinone derivatives led to a strong DNA fragmentation in trypomastigotes and to the release of cysteine proteases from reservosomes to cytosol in epimastigotes, starting a proteolytic process which results in parasite death. The susceptibility of reservosomes was also observed in parasites treated with propolis, suggesting impairment of lipid metabolism, compromising membrane fluidity and leading to lysis. The cytoskeletal agents blocked mitosis of epimastigotes, arresting cell cycle and impairing the parasite proliferation. The variety of drug stimuli converge to the same pathway of death suggests an intense cross-talking between the three types of PCD in the protozoa.
Insights
Investigating new Chagas disease drugs, this review explores agents inducing cell death in Trypanosoma cruzi. Diverse compounds trigger similar ultrastructural changes, particularly mitochondrial damage and autophagy, suggesting cross-talk between cell death pathways.
Area of Science:
- Parasitology
- Cell Biology
- Drug Discovery
Background:
- Chagas disease remains a significant health concern, necessitating novel therapeutic strategies.
- Electron microscopy is crucial for identifying morphological changes in Trypanosoma cruzi induced by potential drugs.
- Understanding parasite cell death mechanisms is key to developing effective treatments.
Purpose of the Study:
- To review and evaluate various agents that induce programmed cell death (PCD) in Trypanosoma cruzi.
- To analyze the ultrastructural alterations and cellular pathways involved in parasite death.
- To identify commonalities and cross-talk between different PCD pathways.
Main Methods:
- Review of scientific literature on agents targeting Trypanosoma cruzi.
- Analysis of electron microscopy data detailing morphological changes.
- Categorization of cell death mechanisms: apoptosis-like, autophagy, and necrosis.
Main Results:
- Lysophospholipid analogues disrupt lipid biosynthesis and membrane properties.
- Naphthoquinone derivatives cause DNA fragmentation and protease release, leading to cell death.
- Cytoskeletal inhibitors block mitosis, arresting parasite proliferation.
- Mitochondrial alterations and autophagic phenotypes are common across different drug treatments.
- Evidence suggests cross-talk between apoptosis, autophagy, and necrosis in Trypanosoma cruzi.
Conclusions:
- Diverse therapeutic agents converge on similar cell death pathways in Trypanosoma cruzi.
- Mitochondrial integrity and autophagy are critical in parasite response to drug treatment.
- Targeting these pathways offers potential for novel Chagas disease drug development.
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