Gao Haijun, Bianba Zhuoma, Mo Xiaojin, Hu Wei, Feng Zheng, Zhou Fangye, Zhang Ting
Chengdu Fifth People's Hospital (Affiliated Fifth People's Hospital of Chengdu University of Traditional Chinese Medicine; The Second Clinical Medical College), Chengdu 611130, China.
National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research); National Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases; National Health Commission Key Laboratory of Parasite and Vector Biology; WHO Collaborating Center for Tropical Diseases; National Center for International Research on Tropical Diseases, Shanghai 200025, China.
Trop Med Infect Dis. 2024 Aug 7;9(8):175. doi: 10.3390/tropicalmed9080175.
Echinococcosis, one of the most serious and life-threatening parasitic forms of zoonosis worldwide, is caused by the larvae of () and (). Various drugs are being applied clinically to treat zoonosis; however, their therapeutic efficacy remains a great challenge, especially with albendazole as the preferred drug of choice. Receptor tyrosine kinase (RTK) signaling controls normal cellular proliferation, differentiation, and metabolism in humans and mammals, which are intermediate hosts of and . Disruption of RTK signaling can cause various forms of carcinogenesis and exacerbate the progression of certain forms of parasitic disease. As a result, a significant number of studies on tyrosine kinase inhibitors (TKIs) have been conducted for the treatment of cancer and parasitic infection, with some TKIs already approved for clinical use for cancer. Notably, RTK signaling has been identified in the parasites and ; however, the mechanisms of RTK signaling response in -host intercommunication are not fully understood. Thus, understanding the RTK signaling response in -host intercommunication and the potential effect of RTK signaling is crucial for identifying new drug targets for echinococcosis. The present review illustrates that RTK signaling in the host is over-activated following infection by or and can further facilitate the development of metacestodes in vitro. In addition, some TKIs exert strong parasitostatic effects on or both in vitro and/or in vivo, through downregulation of RTK signaling molecules. The summarized findings suggest that RTK signaling may be a promising drug target and that TKIs could be potential anti- drugs warranting further research.
棘球蚴病是全球最严重且危及生命的人兽共患寄生虫病之一,由()和()的幼虫引起。临床上正在应用多种药物治疗人兽共患病;然而,它们的治疗效果仍然是一个巨大的挑战,尤其是以阿苯达唑作为首选药物时。受体酪氨酸激酶(RTK)信号传导控制着人类和哺乳动物正常的细胞增殖、分化和代谢,而人类和哺乳动物是()和()的中间宿主。RTK信号传导的破坏可导致各种形式的癌症发生,并加剧某些形式寄生虫病的进展。因此,已经开展了大量关于酪氨酸激酶抑制剂(TKIs)治疗癌症和寄生虫感染的研究,一些TKIs已被批准用于癌症的临床治疗。值得注意的是,在()和()寄生虫中已发现RTK信号传导;然而,RTK信号传导在宿主与寄生虫相互作用中的反应机制尚未完全了解。因此,了解RTK信号传导在宿主与寄生虫相互作用中的反应以及RTK信号传导的潜在作用,对于确定棘球蚴病的新药物靶点至关重要。本综述表明,宿主中的RTK信号在受到()或()感染后会过度激活,并可在体外进一步促进中绦期幼虫的发育。此外,一些TKIs通过下调RTK信号分子,在体外和/或体内对()或()发挥强大的抗寄生虫作用。总结的研究结果表明,RTK信号传导可能是一个有前景的药物靶点,TKIs可能是潜在的抗()药物,值得进一步研究。