Challenges in Chagas Disease Drug Development

The protozoan parasite <i>Trypanosoma cruzi</i> causes Chagas disease, an important public health problem throughout Latin America. Current therapeutic options are characterised by limited efficacy, long treatment regimens and frequent toxic side-effects. Advances in this area have been...

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Main Authors: Amanda F. Francisco, Shiromani Jayawardhana, Francisco Olmo, Michael D. Lewis, Shane R. Wilkinson, Martin C. Taylor, John M. Kelly
Format: Article
Language:English
Published: MDPI AG 2020-06-01
Series:Molecules
Subjects:
Online Access:https://www.mdpi.com/1420-3049/25/12/2799
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author Amanda F. Francisco
Shiromani Jayawardhana
Francisco Olmo
Michael D. Lewis
Shane R. Wilkinson
Martin C. Taylor
John M. Kelly
author_facet Amanda F. Francisco
Shiromani Jayawardhana
Francisco Olmo
Michael D. Lewis
Shane R. Wilkinson
Martin C. Taylor
John M. Kelly
author_sort Amanda F. Francisco
collection DOAJ
description The protozoan parasite <i>Trypanosoma cruzi</i> causes Chagas disease, an important public health problem throughout Latin America. Current therapeutic options are characterised by limited efficacy, long treatment regimens and frequent toxic side-effects. Advances in this area have been compromised by gaps in our knowledge of disease pathogenesis, parasite biology and drug activity. Nevertheless, several factors have come together to create a more optimistic scenario. Drug-based research has become more systematic, with increased collaborations between the academic and commercial sectors, often within the framework of not-for-profit consortia. High-throughput screening of compound libraries is being widely applied, and new technical advances are helping to streamline the drug development pipeline. In addition, drug repurposing and optimisation of current treatment regimens, informed by laboratory research, are providing a basis for new clinical trials. Here, we will provide an overview of the current status of Chagas disease drug development, highlight those areas where progress can be expected, and describe how fundamental research is helping to underpin the process.
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spelling doaj.art-e7667f57a2e840ffa5852cc9f76f786c2023-11-20T04:07:46ZengMDPI AGMolecules1420-30492020-06-012512279910.3390/molecules25122799Challenges in Chagas Disease Drug DevelopmentAmanda F. Francisco0Shiromani Jayawardhana1Francisco Olmo2Michael D. Lewis3Shane R. Wilkinson4Martin C. Taylor5John M. Kelly6Department of Infection Biology, London School of Hygiene and Tropical Medicine Keppel Street, London WC1E 7HT, UKDepartment of Infection Biology, London School of Hygiene and Tropical Medicine Keppel Street, London WC1E 7HT, UKDepartment of Infection Biology, London School of Hygiene and Tropical Medicine Keppel Street, London WC1E 7HT, UKDepartment of Infection Biology, London School of Hygiene and Tropical Medicine Keppel Street, London WC1E 7HT, UKSchool of Biological and Chemical Sciences, Queen Mary University of London Mile End Road, London E1 4NS, UKDepartment of Infection Biology, London School of Hygiene and Tropical Medicine Keppel Street, London WC1E 7HT, UKDepartment of Infection Biology, London School of Hygiene and Tropical Medicine Keppel Street, London WC1E 7HT, UKThe protozoan parasite <i>Trypanosoma cruzi</i> causes Chagas disease, an important public health problem throughout Latin America. Current therapeutic options are characterised by limited efficacy, long treatment regimens and frequent toxic side-effects. Advances in this area have been compromised by gaps in our knowledge of disease pathogenesis, parasite biology and drug activity. Nevertheless, several factors have come together to create a more optimistic scenario. Drug-based research has become more systematic, with increased collaborations between the academic and commercial sectors, often within the framework of not-for-profit consortia. High-throughput screening of compound libraries is being widely applied, and new technical advances are helping to streamline the drug development pipeline. In addition, drug repurposing and optimisation of current treatment regimens, informed by laboratory research, are providing a basis for new clinical trials. Here, we will provide an overview of the current status of Chagas disease drug development, highlight those areas where progress can be expected, and describe how fundamental research is helping to underpin the process.https://www.mdpi.com/1420-3049/25/12/2799<i>Trypanosoma cruzi</i>Chagas diseasedrug development
spellingShingle Amanda F. Francisco
Shiromani Jayawardhana
Francisco Olmo
Michael D. Lewis
Shane R. Wilkinson
Martin C. Taylor
John M. Kelly
Challenges in Chagas Disease Drug Development
Molecules
<i>Trypanosoma cruzi</i>
Chagas disease
drug development
title Challenges in Chagas Disease Drug Development
title_full Challenges in Chagas Disease Drug Development
title_fullStr Challenges in Chagas Disease Drug Development
title_full_unstemmed Challenges in Chagas Disease Drug Development
title_short Challenges in Chagas Disease Drug Development
title_sort challenges in chagas disease drug development
topic <i>Trypanosoma cruzi</i>
Chagas disease
drug development
url https://www.mdpi.com/1420-3049/25/12/2799
work_keys_str_mv AT amandaffrancisco challengesinchagasdiseasedrugdevelopment
AT shiromanijayawardhana challengesinchagasdiseasedrugdevelopment
AT franciscoolmo challengesinchagasdiseasedrugdevelopment
AT michaeldlewis challengesinchagasdiseasedrugdevelopment
AT shanerwilkinson challengesinchagasdiseasedrugdevelopment
AT martinctaylor challengesinchagasdiseasedrugdevelopment
AT johnmkelly challengesinchagasdiseasedrugdevelopment