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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