15 July, 2005  06:18 GMT
 An estimated 500 million people worldwide are at risk from at least one of the three tropical diseases linked to the parasite gene discovery. And the limited number of drugs available to fight the illnesses either have toxic side effects or lack efficiency in some stages of infection.
An international team of scientists has found that three species of parasites responsible for diseases that kill or cripple millions of people each year in the tropics have a substantial number of genes in common. The discoveries, reported in several papers Friday in the journal Science, could significantly impact world
health by pointing to drugs or vaccines that could be used against common weak
points in the protozoa that cause Chagas disease, African sleeping sickness and
leishmaniasis.
"This common core of genes is extremely important, because it may provide
targets for a new generation of drugs that might fight all three parasites,"
said Najib El-Sayed, first author of two of the studies and senior author of a
third paper. He is a molecular biologist at The Institute for Genomic Research
in Rockville, Md., one of four institutions involved in the sequencing and
analysis.
Shared Genes
The parasites examined were Trypanosoma brucei, which causes the sleeping
sickness; Trypanosoma cruzei, which causes Chagas, a devastating disease in the
tropics of Latin America; and Leishmania major, which has been found in nearly
90 countries.
All three are carried by different insect hosts to reach humans, and cause
very different diseases, but share a core of about 6,200 genes. Among the key
findings are shared genes involved in the host-parasite relationship.
All of the parasites are particularly adept at evading hosts' immune systems,
and the gene sequences offer the chance to get around those traits.
"Originally, we believed that the gene organization among all the parasites
would be very different, but 70 percent of the genes occur in the same order,"
said Peter Myler of the Seattle Biomedical Research Institute, another one of
the sequencing centers.
"So if we focus on the genes that are the same in all three, but different
from humans, we have the potential to develop a class of drugs that can target
all three diseases," Myler added.
500 Million People at Risk
An estimated 500 million people worldwide are at risk from at least one of
the diseases. And the limited number of drugs available to fight the illnesses
"either have toxic side effects or lack efficiency in some stages of infection,
such as chronic Chagas disease," said Alberto Frasch, director of the Institute
for Research in Biotechnology in Buenos Aires, Argentina, and a co-author for
two of the papers.
In addition, he said, "drug resistance in diseases caused by trypanosomatids
complicates their treatment. The information obtained from the new genome
analysis might help us understand the resistance mechanisms to those drugs."
African sleeping sickness, which is spread in sub-Saharan Africa by tsetse
flies, is marked by an early fever and progresses to heart and kidney failure,
neurological destruction and eventual death.
Chagas, spread by blood-sucking insects called "kissing bugs," also causes a
fever and impairs the heart, liver and brain, and reflex movements such as
swallowing. Death from the disease most commonly is the result of heart failure.
Leishmaniasis, which can also be caused by several related parasites, is
marked by a skin infection initially and is spread by sand flies. It causes
fevers and liver disorders, and can result in internal infections.
Latest Technologies, Brightest Minds
Collectively, the Science reports have nearly 250 authors from 46
organizations in 21 countries on six continents. The US National Institute of
Allergy and Infectious Diseases and The Wellcome Trust in Britain provided money
for the sequencing projects. All the researchers posted details on a common Web
site as their gene mapping progressed.
"The collaborative nature of this project shows what can be done when we
combine the latest technologies with the brightest minds from around the world,"
said Ken Stuart, president and founder of the Seattle institute.

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