Abstract

Schistosomiasis, one of the most prevalent neglected parasitic diseases affecting humans and animals, is caused by the Platyhelminthes of the genus Schistosoma. Schistosomes are the only trematodes to have evolved sexual dimorphism and the constant pairing with a male is essential for the sexual maturation of the female. Pairing is required for the full development of the two major female organs, ovary and vitellarium that are involved in the production of different cell types such as oocytes and vitellocytes, which represent the core elements of the whole egg machinery. Sexually mature females can produce a large number of eggs each day. Due to the importance of egg production for both life cycle and pathogenesis, there is significant interest in the search for new strategies and compounds not only affecting parasite viability but also egg production. Here we use a recently developed high-throughput organism-based approach, based on ATP quantitation in the schistosomula larval stage of Schistosoma mansoni for the screening of a large compound library, and describe a pharmacophore-based drug selection approach and phenotypic analyses to identify novel multi-stage schistosomicidal compounds. Interestingly, worm pairs treated with seven of the eight compounds identified show a phenotype characterized by defects in eggshell assemblage within the ootype and egg formation with degenerated oocytes and vitelline cells engulfment in the uterus and/or oviduct. We describe promising new molecules that not only impair the schistosomula larval stage but also impact juvenile and adult worm viability and egg formation and production in vitro.

Highlights

  • Parasitic trematodes of the genus Schistosoma cause schistosomiasis, a life-threatening infectious disease affecting both humans and animals

  • Part of the eggs can be trapped in host tissues inducing immunologically mediated granulomatous inflammation and fibrosis leading eventually to severe sequelae such as hepatosplenomegaly and even death

  • Despite its high tolerability and efficacy against adult parasites it has an incomplete efficacy across all stages of the S. mansoni life cycle and it does not prevent reinfection

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Summary

Introduction

Parasitic trematodes of the genus Schistosoma cause schistosomiasis, a life-threatening infectious disease affecting both humans and animals. Schistosomes have a complex life cycle consisting of both free-living and parasitic forms with several developmental stages [3]. To date praziquantel (PZQ) is the only drug recommended for the treatment of schistosomiasis being very effective against adult worms of all the medically important Schistosoma species (S. mansoni, S. haematobium and S. japonicum) [8,9]; PZQ is relatively ineffective against the juvenile and schistosomula larval stages both in vivo and in vitro [10,11,12,13] and it does not prevent re-infection [14,15]. Its increasingly widespread use in mass chemotherapy campaigns and the identification of field [16,17,18,19] and laboratory isolates that exhibit significantly reduced susceptibility to PZQ [20,21,22,23,24] represents a serious concern for the

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