Laboratório de Parasitologia Celular e Molecular, Centro de Pesquisas René Rachou-CPqRR/Fiocruz, Av. Augusto de Lima 1715, Caixa Postal 1743, CEP 30190-002, Belo Horizonte, MG, Brazil.
Parasitol Res. 2010 Jun;107(1):205-12. doi: 10.1007/s00436-010-1852-8. Epub 2010 Apr 7.
In the present study, we selected in vitro populations of Leishmania Viannia guyanensis, L.V. braziliensis, L. Leishmania amazonensis and L.L. infantum chagasi that were resistant to potassium antimony tartrate (SbIII). The resistance index of these populations varied from 4- to 20-fold higher than that of their wild-type counterparts. To evaluate the stability of the resistance phenotype, these four resistant populations were passaged 37 to 47 times in a culture medium without SbIII. No change was observed in the resistance indexes of L.V. guyanensis (19-fold) and L.L. infantum chagasi (4-fold). In contrast, a decrease in the resistance index was observed for L.V. braziliensis (from 20- to 10-fold) and L.L. amazonensis (from 6- to 3-fold). None of the antimony-resistant populations exhibited cross-resistance to amphotericin B and miltefosine. However, the resistant populations of L.V. braziliensis, L.L. amazonensis and L.L. infantum chagasi were also resistant to paromomycin. A drastic reduction was observed in the infectivity in mice for the resistant L.V. guyanensis, L.L. amazonensis and L.V. braziliensis populations. The SbIII-resistant phenotype of L.V. braziliensis was stable after one passage in mice. Although the protocol of induction was the same, the SbIII-resistant populations showed different degrees of tolerance, stability, infectivity in mice and cross-resistance to antileishmanial drugs, depending on the Leishmania species.
在本研究中,我们选择了对酒石酸锑钾(SbIII)具有抗性的体外培养的莱姆曼原虫 Viannia 种、L.V. braziliensis、L. Leishmania amazonensis 和 L.L. infantum chagasi 种群。这些种群的抗性指数比其野生型对照高出 4 到 20 倍。为了评估抗性表型的稳定性,我们将这四个抗性种群在没有 SbIII 的培养基中传代 37 到 47 次。莱姆曼原虫 Viannia 种(19 倍)和 L.L. infantum chagasi(4 倍)的抗性指数没有变化。相比之下,L.V. braziliensis(从 20 倍降至 10 倍)和 L.L. amazonensis(从 6 倍降至 3 倍)的抗性指数下降。没有一个抗锑种群对两性霉素 B 和米替福新表现出交叉耐药性。然而,L.V. braziliensis、L.L. amazonensis 和 L.L. infantum chagasi 的抗性种群也对巴龙霉素具有抗性。抗 L.V. guyanensis、L.L. amazonensis 和 L.V. braziliensis 种群的感染性在小鼠体内急剧降低。L.V. braziliensis 的 SbIII 抗性表型在小鼠体内传代一次后仍然稳定。尽管诱导方案相同,但根据莱姆曼原虫的种类,SbIII 抗性种群表现出不同程度的耐受性、稳定性、在小鼠体内的感染性和对抗利什曼原虫药物的交叉耐药性。