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Updated: Jun 13, 2026

Purification of Extracellular Trypanosomes, Including African, from Blood by Anion-Exchangers (Diethylaminoethyl-cellulose Columns)
Published on: April 6, 2019
Diverse effects on mitochondrial and nuclear functions elicited by drugs and genetic knockdowns in bloodstream stage
Christal Worthen1, Bryan C Jensen, Marilyn Parsons
1Seattle Biomedical Research Institute, Seattle, Washington, USA.
Background:
The options for treating the fatal disease human African trypanosomiasis are limited to a few drugs that are toxic or facing increasing resistance. New drugs that kill the causative agents, subspecies of Trypanosoma brucei, are therefore urgently needed. Little is known about the cellular mechanisms that lead to death of the pathogenic bloodstream stage.
Methodology/Principal Findings:
We therefore conducted the first side by side comparison of the cellular effects of multiple death inducers that target different systems in bloodstream form parasites, including six drugs (pentamidine, prostaglandin D(2), quercetin, etoposide, camptothecin, and a tetrahydroquinoline) and six RNAi knockdowns that target distinct cellular functions. All compounds tested were static at low concentrations and killed at high concentrations. Dead parasites were rapidly quantified by forward and side scatter during flow cytometry, as confirmed by ethidium homodimer and esterase staining, making these assays convenient for quantitating parasite death. The various treatments yielded different combinations of defects in mitochondrial potential, reactive oxygen species, cell cycle, and genome segregation. No evidence was seen for phosphatidylserine exposure, a marker of apoptosis. Reduction in ATP levels lagged behind decreases in live cell number. Even when the impact on growth was similar at 24 hours, drug-treated cells showed dramatic differences in their ability to further proliferate, demonstrating differences in the reversibility of effects induced by the diverse compounds.
Conclusions/Significance:
Parasites showed different phenotypes depending on the treatment, but none of them were clear predictors of whether apparently live cells could go on to proliferate after drugs were removed. We therefore suggest that clonal proliferation assays may be a useful step in selecting anti-trypanosomal compounds for further development. Elucidating the genetic or biochemical events initiated by the compounds with the most profound effects on subsequent proliferation may identify new means to activate death pathways.
Insights
New drugs are needed to treat human African trypanosomiasis as current treatments face resistance. This study compared how different drugs kill Trypanosoma brucei parasites, revealing varied cellular effects and suggesting proliferation assays for drug development.
Area of Science:
- Parasitology
- Drug Discovery
- Cell Biology
Background:
- Human African trypanosomiasis treatment options are limited due to drug toxicity and resistance.
- New drugs targeting Trypanosoma brucei subspecies are urgently needed.
- Cellular mechanisms of parasite death in the bloodstream stage are poorly understood.
Purpose of the Study:
- To compare the cellular effects of various death-inducing agents on Trypanosoma brucei bloodstream forms.
- To identify distinct cellular defects caused by different drug targets.
- To evaluate the reversibility of drug effects and inform anti-parasitic drug development.
Main Methods:
- Conducted a side-by-side comparison of six drugs and six RNAi knockdowns targeting different cellular functions.
- Quantified parasite death using flow cytometry, ethidium homodimer, and esterase staining.
- Assessed cellular defects including mitochondrial potential, reactive oxygen species, cell cycle, and genome segregation.
Main Results:
- All tested compounds exhibited static effects at low concentrations and lethal effects at high concentrations.
- Diverse treatments induced varied cellular phenotypes, including disruptions in mitochondrial function, increased reactive oxygen species, and cell cycle arrest.
- No evidence of phosphatidylserine exposure (apoptosis marker) was observed; ATP reduction lagged behind cell number decrease.
- Drug-treated cells displayed significant differences in proliferation capacity post-treatment, indicating varying reversibility.
Conclusions:
- Parasite responses varied significantly based on the treatment, with no single phenotype reliably predicting post-treatment proliferation.
- Clonal proliferation assays are recommended for selecting promising anti-trypanosomal compounds for further development.
- Further research into the genetic/biochemical events triggered by effective compounds may reveal novel death pathways.
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