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A structural biology study of schistosomiasis<br />

P a r t i c i p a n t s :<br />

Adriana Erica Miele, professor; Francesco Angelucci, postdoc<br />

fellow; Daniela Dimastrogiovanni, PhD student;<br />

Giovanna Boumis, technician.<br />

C o l l a b o r a t i o n s :<br />

<strong>Istituto</strong> di Biologia Cellulare, CNR, Monterotondo, Roma (Prof.<br />

Donato Cioli, Prof. Piero Liberti, Dr. Livia Pica Mattoccia).<br />

Schistosomiasis is a widespread human parasitic disease<br />

caused by helminth parasites of the genus<br />

Schistosoma. The life cycle of the parasite depends<br />

on an intermediate and a definitive host, a freshwater<br />

mollusc and a mammal respectively. Because of<br />

the requirements of the intermediate host, the infection<br />

is restricted to tropical and subtropical climates<br />

and to the proximity of freshwater sources; it has<br />

nevertheless a major impact on human health and<br />

development since it may frustrate the attempts to<br />

develop agriculture. Efforts directed to the control<br />

of the intermediate host and to develop a vaccine for<br />

humans have been scarcely successful, and therefore<br />

therapy of conclamate cases remains the strategy of<br />

choice.<br />

The therapy of schistosomiasis relies mainly on one<br />

chemotherapeutic agent, praziquantel, although<br />

several other compounds exert anti-parasitic<br />

effects. Thus, development of drug resistance is an<br />

impending danger, with serious implications for the<br />

health protection of an estimated 200 millions people.<br />

This rational and legitimate concern might<br />

now begin to be relieved thanks to the increased<br />

knowledge of the genome and the molecular biology<br />

of the schistosome, which has lead to the recent<br />

proposal of new classes of compounds that could<br />

represent novel sources of drugs against schistosomiasis.<br />

We focussed our studies on two main potential<br />

drug targets (Cioli et al., Trends Parasitol. 2008,<br />

24:379-82), namely the proteins thioredoxin glutathione<br />

reductase (TGR) and cyclophylin (Cyp)<br />

Pathogenetic mechanisms of microbially associated diseases - AREA 2<br />

Principal investigator: Andrea Bellelli<br />

Professor of Biochemistry<br />

Dipartimento di Scienze Biochimiche “A. Rossi Fanelli”<br />

Tel: (+39) 06 49910955; Fax: (+39) 06 4440062<br />

Andrea.bellelli@uniroma1.it<br />

15<br />

both from S. mansoni; other potential targets are<br />

also being considered.<br />

TGR is a key flavoenzyme expressed by schistosomes<br />

that bridges the two detoxification pathways<br />

of thioredoxin and of glutathione. The enzyme is<br />

crucial for the parasite survival in the definitive<br />

host's organism (Kuntz et al., PLoS Med. 2007, 4,<br />

e206).We solved the crystal structure of TGR from<br />

S. mansoni (SmTGR), deleted in the last two<br />

residues at 2.2 Å resolution (Angelucci et al.,<br />

Proteins 2008, 72:936-45). The structure reveals the<br />

peculiar architecture of this chimeric enzyme: the<br />

small Glutaredoxin (Grx) domain at the N-terminus<br />

is joined to the large thioredoxin reductase<br />

(TR) one via an extended complementary surface,<br />

involving residues not conserved in the Grx superfamily;<br />

the TR domain interacts with an identical<br />

partner via its C-terminal domain, forming a dimer<br />

with a twisted "W" shape. Although lacking the<br />

penultimate Selenocysteine residue (Sec), the<br />

enzyme is still able to reduce oxidized glutathione.<br />

These data update the interpretation of the interdomain<br />

communication in TGR enzymes. SmTGR<br />

is the target of two classical antischistosomal<br />

drugs, emetic tartrate and oltipraz, that are not any<br />

more employed in therapy because of their severe<br />

side effects. Moreover it has been demonstrated that<br />

SmTGR is the target of auranofin, a gold compound<br />

used for the treatment of rheumatoid arthritis<br />

but capable of killing the schistosomes in vitro<br />

and in vivo. Finally, some new compounds have<br />

been discovered that inhibit SmTGR, e.g. the derivatives<br />

of furoxane (Sayed et al., Nat Med. 2008,<br />

14:407-12). Our structure may provide the information<br />

necessary for improving any of these lead compounds,<br />

yielding substantial improvements in specificity<br />

and activity.<br />

The immunosuppressant cyclosporin A has been<br />

shown to significantly diminish worm burden in mice<br />

infected with S. mansoni (Khattab et al., Exp Parasitol.<br />

1998, 90:103). Given the well established interaction

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