Abstract

Paromomycin, an aminoglycoside antibiotic having low mammalian cell toxicity, is one of the drugs currently used in the chemotherapy of cutaneous and visceral leishmaniasis. In order to understand the mode of action of this antibiotic at the molecular level, we have investigated the effects of paromomycin on protein synthesis in Leishmania and its mammalian hosts. We were able to demonstrate that in vivo protein synthesis in the promastigote stage of the parasite and its proliferation rate are markedly inhibited by paromomycin while being only slightly affected by other aminoglycoside antibiotics, such as streptomycin and neomycin B. Furthermore, both in vitro polypeptide synthesis induced by poly(U) as mRNA and accuracy of translation are significantly decreased by paromomycin in cell-free systems containing ribosomal particles of Leishmania promastigotes. Conversely, when ribosomes from mammalian cells are used instead of the protozoan particles, polyphenylalanine synthesis is only barely reduced by the antibiotic and the translation misreading remains almost unaltered. Surface plasmon resonance analysis of the interaction between paromomycin and protozoan or mammalian cell ribosomal RNAs shows a strong binding of antibiotic to the parasite ribosomal decoding site and practically no interaction with the mammalian cell counterpart. Our results indicating differential effects of paromomycin on the translation processes of the Leishmania parasite and its mammalian hosts can explain the therapeutic efficiency of this antibiotic as an antileishmaniasis agent.

Highlights

  • Leishmaniasis, a parasitic disease caused by protozoa of the genus Leishmania, affects millions of people in different regions of the world, mainly in tropical and subtropical areas

  • In order to understand the mode of action of this antibiotic at the molecular level, we have investigated the effects of paromomycin on protein synthesis in Leishmania and its mammalian hosts

  • In order to investigate the selective effects of paromomycin on parasites of Leishmania spp., we followed the proliferation of Leishmania mexicana in SDM-79 medium

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Summary

Introduction

Leishmaniasis, a parasitic disease caused by protozoa of the genus Leishmania, affects millions of people in different regions of the world, mainly in tropical and subtropical areas. Pentavalent antimonial compounds, pentamidine and amphotericin B, are very well known among the chemicals currently used in leishmaniasis therapy [20]. Their corresponding modes of action have not been completely elucidated yet, some possible mechanisms have. Allopurinol and various purine analogs are effective because they inhibit the enzyme adenylosuccinate synthetase, which mediates the conversion of inosinic acid into AMP [19] Several natural products, such as quinones and terpene derivatives, have shown antileishmanial activity [29, 30, 31, 35]

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