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Treatment target identified for public health risk parasite

Date:
November 26, 2013
Source:
McGill University Health Centre
Summary:
In the developing world, Cryptosporidium parvum has long been the scourge of freshwater. Its rapid ability to spread, combined with an incredible resilience to water decontamination techniques, such as chlorination, led the National Institutes of Health in the United Sates to add C. parvum to its list of public bioterrorism agents. Currently, there are no reliable treatments for cryptosporidiosis, but that may be about to change with the identification of a target molecule.

Dr. Momar Ndao in his lab.
Credit: McGill University Health Centre

In the developing world, Cryptosporidium parvum has long been the scourge of freshwater. A decade ago, it announced its presence in the United States, infecting over 400,000 people -- the largest waterborne-disease outbreak in the county's history. Its rapid ability to spread, combined with an incredible resilience to water decontamination techniques, such as chlorination, led the National Institutes of Health (NIH) in the United Sates to add C. parvum to its list of public bioterrorism agents. Currently, there are no reliable treatments for cryptosporidiosis, the disease caused by C. parvum, but that may be about to change with the identification of a target molecule by investigators at the Research Institute of the McGill University Health Centre (RI-MUHC).

"In the young, the elderly and immunocompromised people such as people infected with HIV/Aids, C. parvum is a very dangerous pathogen. Cryptosporidiosis is potentially life-threatening and can result in diarrhea, malnutrition and muscle loss and body mass wasting," says first author of this new study, Dr. Momar Ndao who is Director of the National Reference Centre of Parasitology (NRCP) at the MUHC and an Assistant Professor of the Departments of Medicine, Immunology and Parasitology at McGill University.

The oocysts of C. parvum, which are shed during the infectious stage, are protected from a thick wall that allows them to survive for long periods outside the body as they spread to a new host. C. parvum is a microscopic parasite that lives in the intestinal tract of humans and many other mammals. It is transmitted through the fecal-oral contact with an infected person or animal, or from the ingestion of contaminated water or food. Since the parasite is resistant to chlorine and difficult to filter, cryptosporidiosis epidemics are hard to prevent.

"Most protozoan (single-celled) parasites like C. parvum use enzymes called proteases to escape the body's immune defenses," explained Dr. Ndao, who is also a researcher in the Infection and Immunity Axis of the RI-MUHC. "In this study, we were able to identify a protease inhibitor that can block the parasite's ability to circumvent the immune system, and hide in intestinal cells called enterocytes, in order to multiply and destroy the intestinal flora."

The discovery, which was made in collaboration with US researchers, is the first time a molecular target has been found for the control of C. parvum. "The next step will be to conduct human clinical trials to develop an effective treatment for this parasite, which affects millions of people around the world," concludes Dr. Ndao.


Story Source:

The above story is based on materials provided by McGill University Health Centre. Note: Materials may be edited for content and length.


Journal Reference:

  1. M. Ndao, M. Nath-Chowdhury, M. Sajid, V. Marcus, S. T. Mashiyama, J. Sakanari, E. Chow, Z. Mackey, K. M. Land, M. P. Jacobson, C. Kalyanaraman, J. H. McKerrow, M. J. Arrowood, C. R. Caffrey. A Cysteine Protease Inhibitor Rescues Mice from a Lethal Cryptosporidium parvum Infection. Antimicrobial Agents and Chemotherapy, 2013; 57 (12): 6063 DOI: 10.1128/AAC.00734-13

Cite This Page:

McGill University Health Centre. "Treatment target identified for public health risk parasite." ScienceDaily. ScienceDaily, 26 November 2013. <www.sciencedaily.com/releases/2013/11/131126134719.htm>.
McGill University Health Centre. (2013, November 26). Treatment target identified for public health risk parasite. ScienceDaily. Retrieved April 17, 2014 from www.sciencedaily.com/releases/2013/11/131126134719.htm
McGill University Health Centre. "Treatment target identified for public health risk parasite." ScienceDaily. www.sciencedaily.com/releases/2013/11/131126134719.htm (accessed April 17, 2014).

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