Frequency of MDR1-related p-gp overexpression in Greek Leishmania isolates

Johannes Austrup1, Pantelis Ntais, Vasiliki Christodoulou

  • 1Center of Anatomy, Institute II, Laboratory for Medical and Molecular Parasitology, Medical School, University of Cologne, Cologne, Germany, johannesaustrup@gmail.com.

Parasitology Research
|February 8, 2014
PubMed

Insights

High levels of the drug-efflux pump P-glycoprotein (P-gp) were found in 5.71% of Greek Leishmania isolates. Verapamil hydrochloride effectively reversed P-gp activity, suggesting potential therapeutic strategies.

Area of Science:

  • Parasitology
  • Molecular Biology
  • Pharmacology

Background:

  • Leishmania parasites are a significant global health concern.
  • Drug resistance, particularly P-glycoprotein (P-gp) mediated efflux, is a major challenge in treating leishmaniasis.
  • Understanding P-gp expression in Leishmania isolates is crucial for developing effective therapies.

Purpose of the Study:

  • To investigate the expression levels of MDR1-gene-related P-gp in Greek Leishmania isolates.
  • To evaluate the efficacy of verapamil hydrochloride as a P-gp reversal agent.
  • To assess the impact of Sb(V) on Leishmania promastigotes.

Main Methods:

  • Flow cytometric analysis of Rhodamine 123 extrusion kinetics to measure P-gp activity.
  • Statistical analysis (t-test) to confirm verapamil hydrochloride's potency.
  • Experimental assessment of Sb(V) effects on Leishmania promastigotes.

Main Results:

  • 5.71% of Greek Leishmania isolates exhibited high P-gp expression, distributed nationwide.
  • Leishmania isolates from Crete showed no significantly elevated P-gp activity.
  • Verapamil hydrochloride was confirmed as a potent P-gp reversal agent (p < 0.0001), reducing Rhodamine 123 uptake.
  • Sb(V) did not affect the promastigote form of Leishmania.

Conclusions:

  • A subset of Greek Leishmania isolates possesses high P-gp expression, potentially contributing to drug resistance.
  • Verapamil hydrochloride shows promise as an adjunct therapy to overcome P-gp-mediated drug efflux.
  • Further research is needed to explore the therapeutic implications of these findings.