Development and characterization of paromomycin-resistant Leishmania donovani promastigotes
M Maarouf1, M T Adeline, M Solignac
1University of Damascus, Faculty of Pharmacy, Dept of Biochemistry & Microbiology, Syria.
Abstract:
Paromomycin is an antileishmanial chemotherapeutic agent. Leishmania donovani promastigotes resistant to 800 microM of paromomycin were selected by increasing drug pressure and cloned. These promastigotes did not acquire multidrug resistance. Paromomycin resistance was stable in the absence of the drug in the culture. It remained stable also in amastigotes isolated after a passage in mice. Furthermore the resistant parasites were still infective to macrophages in vitro and for mice in vivo. A sensitive method to detect and to quantify intracellular paromomycin by HPLC was developed and allowed to show that the main mechanism of resistance seems to be due to decreased drug uptake probably as a consequence of altered membrane composition.
Insights
Researchers developed paromomycin-resistant Leishmania donovani. This resistance was stable and did not affect parasite infectivity, suggesting altered drug uptake as the primary resistance mechanism.
Area of Science:
- Parasitology
- Molecular Biology
- Drug Resistance
Background:
- Paromomycin is a key chemotherapeutic agent against leishmaniasis.
- Understanding drug resistance mechanisms is crucial for effective treatment.
Purpose of the Study:
- To investigate the characteristics and mechanisms of paromomycin resistance in Leishmania donovani.
Main Methods:
- Selection of resistant promastigotes through incremental drug pressure.
- Cloning and characterization of resistant parasites.
- Assessment of drug resistance stability in vitro and in vivo.
- Development of HPLC method for intracellular drug quantification.
Main Results:
- Stable paromomycin resistance (up to 800 microM) was achieved in Leishmania donovani promastigotes.
- Resistant parasites did not exhibit multidrug resistance.
- Resistance remained stable in the absence of paromomycin and in amastigotes after mouse passage.
- Resistant parasites maintained infectivity for macrophages and mice.
- Decreased intracellular paromomycin uptake, likely due to altered membrane composition, was identified as the primary resistance mechanism.
Conclusions:
- Paromomycin resistance in Leishmania donovani is stable and does not compromise parasite infectivity.
- Altered membrane composition leading to reduced drug uptake is the principal mechanism of resistance.
- These findings have implications for managing leishmaniasis treatment strategies.
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