TY - JOUR
T1 - Exploiting knowledge on Leishmania drug resistance to support the quest for new drugs
AU - Hefnawy, Aya
AU - Berg, Maya
AU - Dujardin, Jean-Claude
AU - De Muylder, Geraldine
N1 - NPP
PY - 2017
Y1 - 2017
N2 - New drugs are needed to control leishmaniasis and efforts are currently ongoing to counter the neglect of this disease. We discuss here the utility and the impact of associating drug resistance (DR) studies to drug discovery pipelines. We use as paradigm currently used drugs, antimonials and miltefosine, and complement our reflection by interviewing three experts in the field. We suggest DR studies to be involved at two different stages of drug development: (i) the efficiency of novel compounds should be confirmed on sets of strains including recent clinical isolates with DR; (ii) experimental DR should be generated to promising compounds at an early stage of their development, to further optimize them and monitor clinical trials.
AB - New drugs are needed to control leishmaniasis and efforts are currently ongoing to counter the neglect of this disease. We discuss here the utility and the impact of associating drug resistance (DR) studies to drug discovery pipelines. We use as paradigm currently used drugs, antimonials and miltefosine, and complement our reflection by interviewing three experts in the field. We suggest DR studies to be involved at two different stages of drug development: (i) the efficiency of novel compounds should be confirmed on sets of strains including recent clinical isolates with DR; (ii) experimental DR should be generated to promising compounds at an early stage of their development, to further optimize them and monitor clinical trials.
KW - AQUAGLYCEROPORIN AQP1 GENE
KW - ABC-TRANSPORTER MRPA
KW - VISCERAL LEISHMANIASIS
KW - ANTIMONY-RESISTANT
KW - INTRACELLULAR AMASTIGOTES
KW - DONOVANI PROMASTIGOTES
KW - GLUCANTIME-RESISTANT
KW - TREATMENT FAILURE
KW - L. DONOVANI
KW - MILTEFOSINE
U2 - 10.1016/j.pt.2016.11.003
DO - 10.1016/j.pt.2016.11.003
M3 - A1: Web of Science-article
C2 - 27993477
VL - 33
SP - 162
EP - 174
JO - Trends In Parasitology
JF - Trends In Parasitology
SN - 1471-4922
IS - 3
ER -