Antimony Resistance in Leishmania, Focusing on Experimental Research

Leishmaniases are parasitic diseases that spread in many countries with a prevalence of 12 million cases. There are few available treatments and antimonials are still of major importance in the therapeutic strategies used in most endemic regions. However, resistance toward these compounds has recent...

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Main Authors: Fakhri Jeddi, Renaud Piarroux, Charles Mary
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Journal of Tropical Medicine
Online Access:http://dx.doi.org/10.1155/2011/695382
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author Fakhri Jeddi
Renaud Piarroux
Charles Mary
author_facet Fakhri Jeddi
Renaud Piarroux
Charles Mary
author_sort Fakhri Jeddi
collection DOAJ
description Leishmaniases are parasitic diseases that spread in many countries with a prevalence of 12 million cases. There are few available treatments and antimonials are still of major importance in the therapeutic strategies used in most endemic regions. However, resistance toward these compounds has recently emerged in areas where the replacement of these drugs is mainly limited by the cost of alternative molecules. In this paper, we reviewed the studies carried out on antimonial resistance in Leishmania. Several common limitations of these works are presented before prevalent approaches to evidence antimonial resistance are related. Afterwards, phenotypic determination of resistance is described, then confronted to clinical outcome. Finally, we detail molecular mechanisms and targets involved in resistance and already identified in vitro within selected mutant strains or in clinical isolates.
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institution Kabale University
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spelling doaj-art-05479db4540843b5bddd9c4740ed27d12025-02-03T05:53:57ZengWileyJournal of Tropical Medicine1687-96861687-96942011-01-01201110.1155/2011/695382695382Antimony Resistance in Leishmania, Focusing on Experimental ResearchFakhri Jeddi0Renaud Piarroux1Charles Mary2Laboratoire de Parasitologie, Hôpital de la Timone, 264 rue Saint-Pierre, 13385 Marseille Cedex 05, FranceLaboratoire de Parasitologie, Hôpital de la Timone, 264 rue Saint-Pierre, 13385 Marseille Cedex 05, FranceLaboratoire de Parasitologie, Hôpital de la Timone, 264 rue Saint-Pierre, 13385 Marseille Cedex 05, FranceLeishmaniases are parasitic diseases that spread in many countries with a prevalence of 12 million cases. There are few available treatments and antimonials are still of major importance in the therapeutic strategies used in most endemic regions. However, resistance toward these compounds has recently emerged in areas where the replacement of these drugs is mainly limited by the cost of alternative molecules. In this paper, we reviewed the studies carried out on antimonial resistance in Leishmania. Several common limitations of these works are presented before prevalent approaches to evidence antimonial resistance are related. Afterwards, phenotypic determination of resistance is described, then confronted to clinical outcome. Finally, we detail molecular mechanisms and targets involved in resistance and already identified in vitro within selected mutant strains or in clinical isolates.http://dx.doi.org/10.1155/2011/695382
spellingShingle Fakhri Jeddi
Renaud Piarroux
Charles Mary
Antimony Resistance in Leishmania, Focusing on Experimental Research
Journal of Tropical Medicine
title Antimony Resistance in Leishmania, Focusing on Experimental Research
title_full Antimony Resistance in Leishmania, Focusing on Experimental Research
title_fullStr Antimony Resistance in Leishmania, Focusing on Experimental Research
title_full_unstemmed Antimony Resistance in Leishmania, Focusing on Experimental Research
title_short Antimony Resistance in Leishmania, Focusing on Experimental Research
title_sort antimony resistance in leishmania focusing on experimental research
url http://dx.doi.org/10.1155/2011/695382
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AT renaudpiarroux antimonyresistanceinleishmaniafocusingonexperimentalresearch
AT charlesmary antimonyresistanceinleishmaniafocusingonexperimentalresearch