平特五不中

New results may lead to targeted, less toxic treatment for dreaded Leishmania parasite

Eating a meal in a restaurant is one of those trivial, everyday activities we take for granted in the developed world. For Canadian aid worker Louisette Pouliot, however, the simple act of grabbing a quick bite at an outdoor eatery in Ouagadougou, the capital of the African nation of Burkina Faso, had profound implications for her life and health.

鈥淚 was in Ouagadougou in the fall of 2006 and ate outdoors at restaurants without having any insecticide with me,鈥� she recalled. 鈥淎nd I remember at least once sitting near a swimming pool, which was probably full of contaminated water.鈥�

When Pouliot returned home to Montreal, Quebec in 2007, she discovered she had contracted leishmaniasis, a devastating, disfiguring, and potentially fatal parasitic disease spread by insects. In her case, four three-centimetre-long scars formed on her legs which would not heal, even after an initial round of oral medication prescribed at 平特五不中鈥檚 Centre for Tropical Diseases. Eventually, she needed regular injections of a powerful chemotherapy drug every day for 30 days to finally beat the infection.

鈥淭he side-effects of the drug were awful,鈥� Pouliot said. 鈥淢y whole body became so stiff that I was walking like a very old woman.

Leishmania is rampant in Africa and other parts of the developing world, and like so many other neglected tropical diseases, it is difficult to treat. There are only a handful of effective drugs available, according to Dr. Armando Jardim of 平特五不中鈥檚 Institute of Parasitology, and they are burdened with serious side-effects and concerns about their future effectiveness.

鈥淭he drugs themselves are extremely toxic,鈥� Jardim explained. 鈥淎nd in some parts of the world, drug resistance is developing. So there鈥檚 a crying need for a new classes of molecules to treat Leishmania.鈥�

Jardim and a group of colleagues at 平特五不中 and the University of Victoria in British Columbia are hot on the trail of a totally new approach to treating Leishmania and related diseases like African Sleeping Sickness and Chagas鈥� Disease, according to a study published in the Journal of Biological Chemistry. In particular, they are targeting a small microbody 鈥� or organelle 鈥� inside the parasite called a glycosome, which Jardim described as 鈥渁 little bag that contains proteins and enzymes that are absolutely essential for the survival of the parasite.

鈥淲e believe there鈥檚 some molecular machinery involved in recognizing the proteins that specifically must get into that organelle.鈥� he continued. 鈥淭here must be a gateway that opens the membrane to allow the selective entry of protein into the glycosome. In the long term we predict that, if we can block the movement of proteins into this organelle, this will be lethal to the parasite. Right now we鈥檙e trying to understand what the gateway looks like, how it opens and closes, and if there鈥檚 a way we can block entry of proteins using small molecules or drug-like compounds.鈥�

Jardim cautions that this research is still in its infancy and candidate drugs for testing have not yet been selected. Nevertheless, he is optimistic that if and when new treatments are forthcoming, they will have far fewer side-effects than current drugs.

鈥淏ecause the organelle we鈥檙e targeting is not found in mammalian cells, we believe that development of drug that selectively target the assembly of the glycosome, will have have low toxicity to the host.鈥�

For Pouliot, new treatments can鈥檛 come soon enough. 鈥淚 saw Leishmania scars on the legs of schoolchildren in Burkina Faso,鈥� she said. 鈥淚t also affected a number of the adults I encountered. Our driver had the disease, for one, and another aid worker like me caught it. It鈥檚 everywhere there.鈥�

ABOUT McGILL UNIVERSITY

平特五不中, founded in Montreal, Que., in 1821, is Canada鈥檚 leading post-secondary institution. It has two campuses, 11 faculties, 10 professional schools, 300 programs of study and more than 33,000 students. 平特五不中 attracts students from more than 160 countries around the world. Almost half of 平特五不中 students claim a first language other than English 鈥� including 6,000 francophones 鈥� with more than 6,200 international students making up almost 20 per cent of the student body .