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利什曼原虫属:参与宿主-病原体相互作用的表面蛋白及其结构方面的综述

Leishmania species: A narrative review on surface proteins with structural aspects involved in host-pathogen interaction.

机构信息

Department of Biotechnology, Parul Institute of Applied Sciences and Centre of Research for Development, Parul University, Vadodara, 391760, Gujarat, India.

Department of Microbiology, Parul Institute of Applied Sciences, Parul University, Vadodara, 391760, Gujarat, India.

出版信息

Chem Biol Drug Des. 2023 Aug;102(2):332-356. doi: 10.1111/cbdd.14227. Epub 2023 Apr 28.

Abstract

In tropical and subtropical regions of the world, leishmaniasis is endemic and causes a range of clinical symptoms in people, from severe tegumentary forms (such as cutaneous, mucocutaneous, and diffuse leishmaniasis) to lethal visceral forms. The protozoan parasite of the genus Leishmania causes leishmaniasis, which is still a significant public health issue, according to the World Health Organization 2022. The public's worry about the neglected tropical disease is growing as new foci of the illness arise, which are exacerbated by alterations in behavior, changes in the environment, and an enlarged range of sand fly vectors. Leishmania research has advanced significantly during the past three decades in a few different avenues. Despite several studies on Leishmania, many issues, such as illness control, parasite resistance, parasite clearance, etc., remain unresolved. The key virulence variables that play a role in the pathogenicity-host-pathogen relationship of the parasite are comprehensively discussed in this paper. The important Leishmania virulence factors, such as Kinetoplastid Membrane Protein-11 (KMP-11), Leishmanolysin (GP63), Proteophosphoglycan (PPG), Lipophosphoglycan (LPG), Glycosylinositol Phospholipids (GIPL), and others, have an impact on the pathophysiology of the disease and enable the parasite to spread the infection. Leishmania infection may arise from virulence factors; they are treatable with medications or vaccinations more promptly and might greatly shorten the duration of treatment. Additionally, our research sought to present a modeled structure of a few putative virulence factors that might aid in the development of new chemotherapeutic approaches for the treatment of leishmaniasis. The predicted virulence protein's structure is utilized to design novel drugs, therapeutic targets, and immunizations for considerable advantage from a higher understanding of the host immune response.

摘要

在世界的热带和亚热带地区,利什曼病流行,并导致人类出现一系列临床症状,从严重的皮肤形式(如皮肤利什曼病、粘膜皮肤利什曼病和弥漫性利什曼病)到致命的内脏形式。根据世界卫生组织 2022 年的报告,属于利什曼原虫属的原生动物寄生虫引起利什曼病,这仍然是一个重大的公共卫生问题。随着疾病新病灶的出现,以及行为的改变、环境的变化和沙蝇传播媒介范围的扩大,公众对被忽视的热带病的担忧日益增加。在过去的三十年中,利什曼病的研究在几个不同的方面取得了显著进展。尽管对利什曼病进行了多项研究,但仍有许多问题尚未解决,如疾病控制、寄生虫耐药性、寄生虫清除等。本文全面讨论了在寄生虫的致病性-宿主-病原体关系中起作用的关键毒力变量。重要的利什曼虫毒力因子,如 Kinetoplastid Membrane Protein-11 (KMP-11)、利什曼溶血素 (GP63)、糖基磷脂酰肌醇磷酸聚糖 (GIPL) 等,对疾病的病理生理学有影响,并使寄生虫能够传播感染。利什曼虫感染可能源于毒力因子;它们可以用药物或疫苗更迅速地治疗,可能大大缩短治疗时间。此外,我们的研究旨在提出一些假定的毒力因子的建模结构,这可能有助于开发新的抗利什曼病化学治疗方法。预测的毒力蛋白结构用于设计新的药物、治疗靶点和免疫接种,以从宿主免疫反应的更高理解中获得巨大优势。

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