Metabolite Biomarkers of <i>Leishmania</i> Antimony Resistance

<i>Leishmania</i> parasites cause leishmaniasis, one of the most epidemiologically important neglected tropical diseases. <i>Leishmania</i> exhibits a high ability of developing drug resistance, and drug resistance is one of the main threats to public health, as it is associa...

Full description

Bibliographic Details
Main Authors: Sneider Alexander Gutierrez Guarnizo, Zemfira N. Karamysheva, Elkin Galeano, Carlos E. Muskus
Format: Article
Language:English
Published: MDPI AG 2021-04-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/10/5/1063
_version_ 1797535730576130048
author Sneider Alexander Gutierrez Guarnizo
Zemfira N. Karamysheva
Elkin Galeano
Carlos E. Muskus
author_facet Sneider Alexander Gutierrez Guarnizo
Zemfira N. Karamysheva
Elkin Galeano
Carlos E. Muskus
author_sort Sneider Alexander Gutierrez Guarnizo
collection DOAJ
description <i>Leishmania</i> parasites cause leishmaniasis, one of the most epidemiologically important neglected tropical diseases. <i>Leishmania</i> exhibits a high ability of developing drug resistance, and drug resistance is one of the main threats to public health, as it is associated with increased incidence, mortality, and healthcare costs. The antimonial drug is the main historically implemented drug for leishmaniasis. Nevertheless, even though antimony resistance has been widely documented, the mechanisms involved are not completely understood. In this study, we aimed to identify potential metabolite biomarkers of antimony resistance that could improve leishmaniasis treatment. Here, using <i>L. tropica</i> promastigotes as the biological model, we showed that the level of response to antimony can be potentially predicted using <sup>1</sup>H-NMR-based metabolomic profiling. Antimony-resistant parasites exhibited differences in metabolite composition at the intracellular and extracellular levels, suggesting that a metabolic remodeling is required to combat the drug. Simple and time-saving exometabolomic analysis can be efficiently used for the differentiation of sensitive and resistant parasites. Our findings suggest that changes in metabolite composition are associated with an optimized response to the osmotic/oxidative stress and a rearrangement of carbon-energy metabolism. The activation of energy metabolism can be linked to the high energy requirement during the antioxidant stress response. We also found that metabolites such as proline and lactate change linearly with the level of resistance to antimony, showing a close relationship with the parasite’s efficiency of drug resistance. A list of potential metabolite biomarkers is described and discussed.
first_indexed 2024-03-10T11:49:33Z
format Article
id doaj.art-c72f5c7d2c874d7e9356de1f61782fc6
institution Directory Open Access Journal
issn 2073-4409
language English
last_indexed 2024-03-10T11:49:33Z
publishDate 2021-04-01
publisher MDPI AG
record_format Article
series Cells
spelling doaj.art-c72f5c7d2c874d7e9356de1f61782fc62023-11-21T17:52:31ZengMDPI AGCells2073-44092021-04-01105106310.3390/cells10051063Metabolite Biomarkers of <i>Leishmania</i> Antimony ResistanceSneider Alexander Gutierrez Guarnizo0Zemfira N. Karamysheva1Elkin Galeano2Carlos E. Muskus3Programa de Estudio y Control de Enfermedades Tropicales, Facultad de Medicina, Universidad de Antioquia, Medellín 050010, ColombiaDepartment of Biological Sciences, Texas Tech University, Lubbock, TX 79409, USAGrupo de Investigación en Sustancias Bioactivas-GISB, Universidad de Antioquia, Medellín 050010, ColombiaPrograma de Estudio y Control de Enfermedades Tropicales, Facultad de Medicina, Universidad de Antioquia, Medellín 050010, Colombia<i>Leishmania</i> parasites cause leishmaniasis, one of the most epidemiologically important neglected tropical diseases. <i>Leishmania</i> exhibits a high ability of developing drug resistance, and drug resistance is one of the main threats to public health, as it is associated with increased incidence, mortality, and healthcare costs. The antimonial drug is the main historically implemented drug for leishmaniasis. Nevertheless, even though antimony resistance has been widely documented, the mechanisms involved are not completely understood. In this study, we aimed to identify potential metabolite biomarkers of antimony resistance that could improve leishmaniasis treatment. Here, using <i>L. tropica</i> promastigotes as the biological model, we showed that the level of response to antimony can be potentially predicted using <sup>1</sup>H-NMR-based metabolomic profiling. Antimony-resistant parasites exhibited differences in metabolite composition at the intracellular and extracellular levels, suggesting that a metabolic remodeling is required to combat the drug. Simple and time-saving exometabolomic analysis can be efficiently used for the differentiation of sensitive and resistant parasites. Our findings suggest that changes in metabolite composition are associated with an optimized response to the osmotic/oxidative stress and a rearrangement of carbon-energy metabolism. The activation of energy metabolism can be linked to the high energy requirement during the antioxidant stress response. We also found that metabolites such as proline and lactate change linearly with the level of resistance to antimony, showing a close relationship with the parasite’s efficiency of drug resistance. A list of potential metabolite biomarkers is described and discussed.https://www.mdpi.com/2073-4409/10/5/1063leishmaniasismetabolomeproton nuclear magnetic resonance spectroscopy (<sup>1</sup>H-NMR)antimonybiomarkers of resistance leveloxidative stress balance
spellingShingle Sneider Alexander Gutierrez Guarnizo
Zemfira N. Karamysheva
Elkin Galeano
Carlos E. Muskus
Metabolite Biomarkers of <i>Leishmania</i> Antimony Resistance
Cells
leishmaniasis
metabolome
proton nuclear magnetic resonance spectroscopy (<sup>1</sup>H-NMR)
antimony
biomarkers of resistance level
oxidative stress balance
title Metabolite Biomarkers of <i>Leishmania</i> Antimony Resistance
title_full Metabolite Biomarkers of <i>Leishmania</i> Antimony Resistance
title_fullStr Metabolite Biomarkers of <i>Leishmania</i> Antimony Resistance
title_full_unstemmed Metabolite Biomarkers of <i>Leishmania</i> Antimony Resistance
title_short Metabolite Biomarkers of <i>Leishmania</i> Antimony Resistance
title_sort metabolite biomarkers of i leishmania i antimony resistance
topic leishmaniasis
metabolome
proton nuclear magnetic resonance spectroscopy (<sup>1</sup>H-NMR)
antimony
biomarkers of resistance level
oxidative stress balance
url https://www.mdpi.com/2073-4409/10/5/1063
work_keys_str_mv AT sneideralexandergutierrezguarnizo metabolitebiomarkersofileishmaniaiantimonyresistance
AT zemfirankaramysheva metabolitebiomarkersofileishmaniaiantimonyresistance
AT elkingaleano metabolitebiomarkersofileishmaniaiantimonyresistance
AT carlosemuskus metabolitebiomarkersofileishmaniaiantimonyresistance