2018
DOI: 10.1002/cmdc.201800500
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Folates in Trypanosoma brucei: Achievements and Opportunities

Abstract: Trypanosoma brucei is the agent of human African trypanosomiasis (HAT), a neglected disease that threatens the lives of 65 million people in sub-Saharan Africa every year. Unfortunately, available therapies are unsatisfactory, due primarily to safety issues and development of drug resistance. Over the last decades significant effort has been made in the discovery of new potential anti-HAT agents, with help from the World Health Organization (WHO) and private-public partnerships such as the Drugs for Neglected … Show more

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Cited by 13 publications
(16 citation statements)
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References 57 publications
(70 reference statements)
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“…Furthermore, structural variation in the core ring structures of antifolates is common, where pteridine, pyrimidine, pyridopyramidines, quinazoline and pyridopyrimidine rings have all featured on active compounds . T. brucei express a fused DHFR‐thymidylate synthase (DHFR‐TS) in addition to pteridine reductase 1 (PTR1) …”
Section: Kinetoplastids (Trypanosomiasis and Leishmaniasis)mentioning
confidence: 99%
“…Furthermore, structural variation in the core ring structures of antifolates is common, where pteridine, pyrimidine, pyridopyramidines, quinazoline and pyridopyrimidine rings have all featured on active compounds . T. brucei express a fused DHFR‐thymidylate synthase (DHFR‐TS) in addition to pteridine reductase 1 (PTR1) …”
Section: Kinetoplastids (Trypanosomiasis and Leishmaniasis)mentioning
confidence: 99%
“…Despite the extensive design and development efforts to obtain potent and selective inhibitors of PTR1 and DHFR, there is often limited transferability of on-target-based activity to an in vitro or even in vivo activity against T. brucei or T. cruzi. For a more detailed overview on the efforts made, possible reasons for this limitation and other potential targets to be considered in the future, the reader is referred to the recent review by Cullia et al (2018).…”
Section: Folate Metabolismmentioning
confidence: 99%
“…[13][14][15][16] It provides reduced folates, which are crucial to biological processes like DNA, protein and amino acid synthesis or one-carbon transfer. 14,17,18 . In Trypanosomatids, DHFR inhibition was found to be ineffective due to a metabolic bypass via the biopterin-reducing pteridine reductase 1 (PTR1, Figure 1): When DHFR is inhibited, PTR1, which can also reduce folates, is overexpressed and sustains sufficient metabolite levels to ensure parasite survival.…”
Section: Introductionmentioning
confidence: 99%