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Updated: May 17, 2026

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Purification of Extracellular Trypanosomes, Including African, from Blood by Anion-Exchangers (Diethylaminoethyl-cellulose Columns)
Published on: April 6, 2019
[Molecular dialogue between African trypanosomes and humans]
1Laboratoire de Parasitologie moléculaire, IBMM, ULB.
Summary
Human serum contains apolipoprotein L1 (apoL1), which kills African trypanosomes. Natural apoL1 mutations offer protection against sleeping sickness but can cause kidney disease.
Area of Science:
- Human evolutionary biology
- Parasitology
- Immunology
Background:
- Human serum possesses innate immunity against African trypanosomes, the cause of sleeping sickness.
- Two pathogenic clones, T. b. rhodesiense and T. b. gambiense, evade this immunity.
- Apolipoprotein L1 (apoL1) bound to HDL particles is identified as the trypanolytic factor.
Discussion:
- ApoL1, along with haptoglobin-related protein (Hpr), is taken up by trypanosomes via the Hp-Hb complex receptor.
- Inside the parasite, apoL1 forms pores in the lysosomal membrane, leading to cell death.
- Engineered apoL1 mutants resist parasite neutralization and kill T. b. rhodesiense.
Key Insights:
- Naturally occurring apoL1 mutants exist in populations of African origin.
- A single apoL1 mutant allele provides protection against T. b. rhodesiense infection.
- Dual alleles of these mutants increase the risk of end-stage renal disease.
Outlook:
- The study highlights natural selection favoring trypanosome resistance despite kidney risks.
- Mechanisms linking mutant apoL1 to kidney disease are under investigation.
- Understanding apoL1's role is crucial for human evolution and disease research.

