Phosphatidylinositol 4-kinase is a viable target for the radical cure of Babesia microti infection in immunocompromised hosts

Human babesiosis is a global emerging tick-borne disease caused by infection with intra-erythrocytic parasites of the genus Babesia. With the rise in human babesiosis cases, the discovery and development of new anti-Babesia drugs are essential. Phosphatidylinositol 4-kinase (PI4K) is a widely presen...

Full description

Bibliographic Details
Main Authors: Shengwei Ji, Eloiza May Galon, Moaz M. Amer, Iqra Zafar, Masashi Yanagawa, Masahito Asada, Jinlin Zhou, Mingming Liu, Xuenan Xuan
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Cellular and Infection Microbiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcimb.2022.1048962/full
_version_ 1811224999521943552
author Shengwei Ji
Eloiza May Galon
Moaz M. Amer
Moaz M. Amer
Iqra Zafar
Masashi Yanagawa
Masahito Asada
Jinlin Zhou
Mingming Liu
Xuenan Xuan
author_facet Shengwei Ji
Eloiza May Galon
Moaz M. Amer
Moaz M. Amer
Iqra Zafar
Masashi Yanagawa
Masahito Asada
Jinlin Zhou
Mingming Liu
Xuenan Xuan
author_sort Shengwei Ji
collection DOAJ
description Human babesiosis is a global emerging tick-borne disease caused by infection with intra-erythrocytic parasites of the genus Babesia. With the rise in human babesiosis cases, the discovery and development of new anti-Babesia drugs are essential. Phosphatidylinositol 4-kinase (PI4K) is a widely present eukaryotic enzyme that phosphorylates lipids to regulate intracellular signaling and trafficking. Previously, we have shown that MMV390048, an inhibitor of PI4K, showed potent inhibition against Babesia species, revealing PI4K as a druggable target for babesiosis. However, twice-administered, 7-day regimens failed to clear Babesia microti parasites from the immunocompromised host. Hence, in this study, we wanted to clarify whether targeting PI4K has the potential for the radical cure of babesiosis. In a B. microti-infected SCID mouse model, a 64-day-consecutive treatment with MMV390048 resulted in the clearance of parasites. Meanwhile, an atovaquone (ATO) resistant parasite line was isolated from the group treated with ATO plus azithromycin. A nonsynonymous variant in the Y272C of the cytochrome b gene was confirmed by sequencing. Likewise, MMV390048 showed potent inhibition against ATO-resistant parasites. These results provide evidence of PI4K as a viable drug target for the radical cure of babesiosis, which will contribute to designing new compounds that can eradicate parasites.
first_indexed 2024-04-12T08:58:32Z
format Article
id doaj.art-9f94b51005684632b21312dc3b9c29c8
institution Directory Open Access Journal
issn 2235-2988
language English
last_indexed 2024-04-12T08:58:32Z
publishDate 2022-11-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Cellular and Infection Microbiology
spelling doaj.art-9f94b51005684632b21312dc3b9c29c82022-12-22T03:39:19ZengFrontiers Media S.A.Frontiers in Cellular and Infection Microbiology2235-29882022-11-011210.3389/fcimb.2022.10489621048962Phosphatidylinositol 4-kinase is a viable target for the radical cure of Babesia microti infection in immunocompromised hostsShengwei Ji0Eloiza May Galon1Moaz M. Amer2Moaz M. Amer3Iqra Zafar4Masashi Yanagawa5Masahito Asada6Jinlin Zhou7Mingming Liu8Xuenan Xuan9National Research Center for Protozoan Diseases, Obihiro University of Agriculture and Veterinary Medicine, Obihiro, Hokkaido, JapanNational Research Center for Protozoan Diseases, Obihiro University of Agriculture and Veterinary Medicine, Obihiro, Hokkaido, JapanNational Research Center for Protozoan Diseases, Obihiro University of Agriculture and Veterinary Medicine, Obihiro, Hokkaido, JapanBiotechnology Department, Animal Health Research Institute, Dokki, EgyptNational Research Center for Protozoan Diseases, Obihiro University of Agriculture and Veterinary Medicine, Obihiro, Hokkaido, JapanDepartment of Veterinary Medicine, Obihiro University of Agriculture and Veterinary Medicine, Obihiro, Hokkaido, JapanNational Research Center for Protozoan Diseases, Obihiro University of Agriculture and Veterinary Medicine, Obihiro, Hokkaido, JapanShanghai Veterinary Research Institute, Chinese Academy of Agricultural Sciences, Shanghai, ChinaSchool of Basic Medicine, Hubei University of Arts and Science, Xiangyang, ChinaNational Research Center for Protozoan Diseases, Obihiro University of Agriculture and Veterinary Medicine, Obihiro, Hokkaido, JapanHuman babesiosis is a global emerging tick-borne disease caused by infection with intra-erythrocytic parasites of the genus Babesia. With the rise in human babesiosis cases, the discovery and development of new anti-Babesia drugs are essential. Phosphatidylinositol 4-kinase (PI4K) is a widely present eukaryotic enzyme that phosphorylates lipids to regulate intracellular signaling and trafficking. Previously, we have shown that MMV390048, an inhibitor of PI4K, showed potent inhibition against Babesia species, revealing PI4K as a druggable target for babesiosis. However, twice-administered, 7-day regimens failed to clear Babesia microti parasites from the immunocompromised host. Hence, in this study, we wanted to clarify whether targeting PI4K has the potential for the radical cure of babesiosis. In a B. microti-infected SCID mouse model, a 64-day-consecutive treatment with MMV390048 resulted in the clearance of parasites. Meanwhile, an atovaquone (ATO) resistant parasite line was isolated from the group treated with ATO plus azithromycin. A nonsynonymous variant in the Y272C of the cytochrome b gene was confirmed by sequencing. Likewise, MMV390048 showed potent inhibition against ATO-resistant parasites. These results provide evidence of PI4K as a viable drug target for the radical cure of babesiosis, which will contribute to designing new compounds that can eradicate parasites.https://www.frontiersin.org/articles/10.3389/fcimb.2022.1048962/fullBabesia microtibabesiosisphosphatidylinositol 4-kinasetreatmentMMV390048
spellingShingle Shengwei Ji
Eloiza May Galon
Moaz M. Amer
Moaz M. Amer
Iqra Zafar
Masashi Yanagawa
Masahito Asada
Jinlin Zhou
Mingming Liu
Xuenan Xuan
Phosphatidylinositol 4-kinase is a viable target for the radical cure of Babesia microti infection in immunocompromised hosts
Frontiers in Cellular and Infection Microbiology
Babesia microti
babesiosis
phosphatidylinositol 4-kinase
treatment
MMV390048
title Phosphatidylinositol 4-kinase is a viable target for the radical cure of Babesia microti infection in immunocompromised hosts
title_full Phosphatidylinositol 4-kinase is a viable target for the radical cure of Babesia microti infection in immunocompromised hosts
title_fullStr Phosphatidylinositol 4-kinase is a viable target for the radical cure of Babesia microti infection in immunocompromised hosts
title_full_unstemmed Phosphatidylinositol 4-kinase is a viable target for the radical cure of Babesia microti infection in immunocompromised hosts
title_short Phosphatidylinositol 4-kinase is a viable target for the radical cure of Babesia microti infection in immunocompromised hosts
title_sort phosphatidylinositol 4 kinase is a viable target for the radical cure of babesia microti infection in immunocompromised hosts
topic Babesia microti
babesiosis
phosphatidylinositol 4-kinase
treatment
MMV390048
url https://www.frontiersin.org/articles/10.3389/fcimb.2022.1048962/full
work_keys_str_mv AT shengweiji phosphatidylinositol4kinaseisaviabletargetfortheradicalcureofbabesiamicrotiinfectioninimmunocompromisedhosts
AT eloizamaygalon phosphatidylinositol4kinaseisaviabletargetfortheradicalcureofbabesiamicrotiinfectioninimmunocompromisedhosts
AT moazmamer phosphatidylinositol4kinaseisaviabletargetfortheradicalcureofbabesiamicrotiinfectioninimmunocompromisedhosts
AT moazmamer phosphatidylinositol4kinaseisaviabletargetfortheradicalcureofbabesiamicrotiinfectioninimmunocompromisedhosts
AT iqrazafar phosphatidylinositol4kinaseisaviabletargetfortheradicalcureofbabesiamicrotiinfectioninimmunocompromisedhosts
AT masashiyanagawa phosphatidylinositol4kinaseisaviabletargetfortheradicalcureofbabesiamicrotiinfectioninimmunocompromisedhosts
AT masahitoasada phosphatidylinositol4kinaseisaviabletargetfortheradicalcureofbabesiamicrotiinfectioninimmunocompromisedhosts
AT jinlinzhou phosphatidylinositol4kinaseisaviabletargetfortheradicalcureofbabesiamicrotiinfectioninimmunocompromisedhosts
AT mingmingliu phosphatidylinositol4kinaseisaviabletargetfortheradicalcureofbabesiamicrotiinfectioninimmunocompromisedhosts
AT xuenanxuan phosphatidylinositol4kinaseisaviabletargetfortheradicalcureofbabesiamicrotiinfectioninimmunocompromisedhosts