Leishmania spp., transmitted to humans by the bite of the sandfly vector, are responsible for the three major forms of leishmaniasis, cutaneous, diffuse mucocutaneous and visceral. Leishmania spp. interact with membrane receptors of neutrophils and macrophages. In macrophages, the parasite is internalized within a parasitophorous vacuole and engages in a particular intracellular lifestyle in which the flagellated, motile Leishmania promastigote metacyclic form differentiates into non-motile, metacyclic amastigote form. This phenomenon is induced by Leishmania-triggered events leading to the fusion of the parasitophorous vacuole with vesicular members of the host cell endocytic pathway including recycling endosomes, late endosomes and the endoplasmic reticulum. Maturation of the parasitophorous vacuole leads to the intracellular proliferation of the Leishmania amastigote forms by acquisition of host cell nutrients while escaping host defense responses.
IntroductionAbout 12 million people are affected by the most significant of the neglected tropical diseases, leishmaniasis, and 350 million people are at risk in 98 countries worldwide [1]. According to the World Health Organization, it is estimated that 1.3 million new cases of leishmaniasis occur annually leading to 20 000-30 000 deaths [2]. Leishmania parasites are transmitted by a variety of species of sandfly in the genera Phlebotomus and Lutzomyia [3]. Six major Leishmania species, namely L. major, L. mexicana, L. amazonensis, L. braziliensis, L. donovani and L. infantum, cause three major forms of leishmaniasis [4]. Depending on the Leishmania species and region of the world, the main disease manifestations are cutaneous leishmaniasis characterized by the development of ulcerative lesions of the skin, diffuse mucocutaneous leishmaniasis, a variant form of cutaneous leishmaniasis causing the destruction of the oronasopharyngeal tissues, and visceral leishmaniasis, a chronic infection affecting internal organs such as the liver, spleen and bone marrow [4].Leishmania spp. are transmitted to humans by the bite of the sandfly vector [3,5]. In the lumen of the digestive tract of the female sandfly, Leishmania undergoes an extracellular development process, forming a flagellated, procyclic promastigote. After a metacyclogenesis Abbreviations DC, dendritic cell; ER, endoplasmic reticulum; LAMP, lysosome-associated membrane protein; LPG, lipophosphoglycan; TGN, trans-Golgi network.
598FEBS Journal 283 (2016) 598-607 ª 2015 FEBS differentiation process, this forms mammal-infective, flagellated, non-replicating metacyclic promastigotes that accumulate in the anterior parts of the sandfly's digestive tract. From here they can be inoculated through regurgitation into the dermis of mammals during a blood meal.Intracellular parasitism within host cells is a strategy used by some pathogenic bacteria, viruses and protozoan parasites for escaping host defenses and allowing development. Invasive pathogenic bacteria and protozoan parasites generally reside and replicate within ...