In Vivo Imaging of Trypanosome-Brain Interactions and Development of a Rapid Screening Test for Drugs against CNS Stage Trypanosomiasis

Autor: Martin C. Taylor, Michael P. Barrett, Jonathan A. Coles, James M. Brewer, Jeremy C. Mottram, Ryan Ritchie, Alex P. McLatchie, Jean Rodgers, Elmarie Myburgh, Peter G. E. Kennedy
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Drug Evaluation
Preclinical

Pathogenesis
Parasitemia
Melarsoprol
Protozoology
Mice
Diminazene
0302 clinical medicine
Infectious Diseases of the Nervous System
Drug Discovery
Image Processing
Computer-Assisted

African trypanosomiasis
Luciferases
0303 health sciences
biology
lcsh:Public aspects of medicine
Brain
3. Good health
Host-Pathogen Interaction
Infectious Diseases
Host-Pathogen Interactions
Medicine
Female
Research Article
Neglected Tropical Diseases
medicine.drug
Trypanosoma
Drugs and Devices
lcsh:Arctic medicine. Tropical medicine
Drug Research and Development
Infectious Disease Control
lcsh:RC955-962
Trypanosoma brucei brucei
030231 tropical medicine
Antiprotozoal Agents
Trypanosoma brucei
Microbiology
African Trypanosomiasis
03 medical and health sciences
Trypanosomiasis
Parasitic Diseases
medicine
Animals
Bioluminescence imaging
Biology
030304 developmental biology
Staining and Labeling
Public Health
Environmental and Occupational Health

lcsh:RA1-1270
biology.organism_classification
medicine.disease
Virology
Disease Models
Animal

Microscopy
Fluorescence
Multiphoton

Immunology
Parastic Protozoans
Parasitology
Infectious Disease Modeling
Zdroj: PLoS Neglected Tropical Diseases
PLoS Neglected Tropical Diseases, Vol 7, Iss 8, p e2384 (2013)
ISSN: 1935-2727
1935-2735
Popis: Human African trypanosomiasis (HAT) manifests in two stages of disease: firstly, haemolymphatic, and secondly, an encephalitic phase involving the central nervous system (CNS). New drugs to treat the second-stage disease are urgently needed, yet testing of novel drug candidates is a slow process because the established animal model relies on detecting parasitemia in the blood as late as 180 days after treatment. To expedite compound screening, we have modified the GVR35 strain of Trypanosoma brucei brucei to express luciferase, and have monitored parasite distribution in infected mice following treatment with trypanocidal compounds using serial, non-invasive, bioluminescence imaging. Parasites were detected in the brains of infected mice following treatment with diminazene, a drug which cures stage 1 but not stage 2 disease. Intravital multi-photon microscopy revealed that trypanosomes enter the brain meninges as early as day 5 post-infection but can be killed by diminazene, whereas those that cross the blood-brain barrier and enter the parenchyma by day 21 survived treatment and later caused bloodstream recrudescence. In contrast, all bioluminescent parasites were permanently eliminated by treatment with melarsoprol and DB829, compounds known to cure stage 2 disease. We show that this use of imaging reduces by two thirds the time taken to assess drug efficacy and provides a dual-modal imaging platform for monitoring trypanosome infection in different areas of the brain.
Author Summary Trypanosoma brucei, a parasite transmitted by the bite of tsetse fly, is responsible for the disease human African trypanosomiasis (HAT). In advanced stages of HAT, trypanosomes invade the central nervous system (CNS), resulting in an array of neurological symptoms, and eventually death. Existing drugs for treatment of HAT are highly unsatisfactory and new safe drugs are urgently needed. Currently, potential drugs for HAT are screened in a mouse model that relies on the emergence of trypanosomes from tissues and their detection in blood. This can take up to 200 days, making selection and further development of new drugs slow and costly. Here, we employ in vivo imaging and genetically modified trypanosomes to monitor parasite distribution throughout the body in live infected mice. Our bioluminescence imaging approach provides sensitive detection of trypanosomes at sites of infection, allowing more rapid and more effective in vivo screening of candidate HAT drugs. Higher resolution intra-vital microscopy was used to investigate trypanosome dynamics in the brain and their accessibility to drugs during infection. These approaches allow more sensitive real time tracking of trypanosomes during chronic infections and will provide new insights about trypanosome pathogenesis in future experiments.
Databáze: OpenAIRE