Current and future perspectives on the chemotherapy of the parasitic protozoa Trichomonas vaginalis and Entamoeba histolytica

Future Med Chem. 2009 Jul;1(4):619-43. doi: 10.4155/fmc.09.59.

Abstract

Trichomonas vaginalis and Entamoeba histolytica are clinically important protozoa that affect humans. T. vaginalis produces sexually transmitted infections and E. histolytica is the causative agent of amebic dysentery. Metronidazole, a compound first used to treat T. vaginalis in 1959, is still the main drug used worldwide to treat these pathogens. It is essential to find new biochemical differences in these organisms that could be exploited to develop new antiprotozoal chemotherapeutics. Recent findings associated with T. vaginalis and E. histolytica biochemistry and host-pathogen interactions are surveyed. Knowledge concerning the biochemistry of these parasites is serving to form the foundation for the development of new approaches to control these important human pathogens.

Publication types

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

MeSH terms

  • Antiprotozoal Agents / chemistry
  • Antiprotozoal Agents / therapeutic use*
  • Dysentery, Amebic / drug therapy*
  • Entamoeba histolytica / enzymology
  • Entamoeba histolytica / metabolism*
  • Glyceraldehyde-3-Phosphate Dehydrogenases / antagonists & inhibitors
  • Glyceraldehyde-3-Phosphate Dehydrogenases / metabolism
  • Host-Pathogen Interactions
  • Humans
  • Metronidazole / chemistry
  • Metronidazole / therapeutic use
  • Pyruvate, Orthophosphate Dikinase / antagonists & inhibitors
  • Pyruvate, Orthophosphate Dikinase / metabolism
  • Sexually Transmitted Diseases / drug therapy*
  • Signal Transduction
  • Sulfur / metabolism
  • Trichomonas Infections / drug therapy*
  • Trichomonas vaginalis / enzymology
  • Trichomonas vaginalis / metabolism*

Substances

  • Antiprotozoal Agents
  • Metronidazole
  • Sulfur
  • Glyceraldehyde-3-Phosphate Dehydrogenases
  • Pyruvate, Orthophosphate Dikinase