The biochemical basis of arsenical-diamidine crossresistance in African trypanosomes

Parasitol Today. 1999 Apr;15(4):136-40. doi: 10.1016/s0169-4758(99)01414-3.

Abstract

Resistance to currently used drugs is a serious problem in most fields of antimicrobial chemotherapy. Crossresistance between two of the major classes of drug used in the treatment of African trypanosomiasis, the melaminophenyl arsenicals and diamidines is easily selected in the laboratory. Here, Mike Barrett and Alan Fairlamb outline the mechanism underlying this crossresistance, which appears to arise as a result of alterations in an unusual adenosine transporter involved in the uptake of these drugs.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Arsenicals / pharmacology*
  • Arsenicals / therapeutic use
  • Cattle
  • Drug Resistance
  • Humans
  • Pentamidine / pharmacology*
  • Pentamidine / therapeutic use
  • Trypanocidal Agents / pharmacology*
  • Trypanocidal Agents / therapeutic use
  • Trypanosoma brucei brucei / drug effects*
  • Trypanosomiasis, African / drug therapy*
  • Trypanosomiasis, Bovine / drug therapy*

Substances

  • Arsenicals
  • Trypanocidal Agents
  • Pentamidine