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Review
. 2020 Jan 19;5(1):14.
doi: 10.3390/tropicalmed5010014.

The Drugs of Sleeping Sickness: Their Mechanisms of Action and Resistance, and a Brief History

Affiliations
Review

The Drugs of Sleeping Sickness: Their Mechanisms of Action and Resistance, and a Brief History

Harry P De Koning. Trop Med Infect Dis. .

Abstract

With the incidence of sleeping sickness in decline and genuine progress being made towards the WHO goal of eliminating sleeping sickness as a major public health concern, this is a good moment to evaluate the drugs that 'got the job done': their development, their limitations and the resistance that the parasites developed against them. This retrospective looks back on the remarkable story of chemotherapy against trypanosomiasis, a story that goes back to the very origins and conception of chemotherapy in the first years of the 20 century and is still not finished today.

Keywords: drug resistance; drugs; history; human African trypanosomiasis; sleeping sickness; trypanosoma brucei.

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Conflict of interest statement

The author declares no conflict of interest.

Figures

Figure 1
Figure 1
Structural formulas of trypanocides.
Figure 1
Figure 1
Structural formulas of trypanocides.
Figure 1
Figure 1
Structural formulas of trypanocides.
Figure 2
Figure 2
Schematic representation of a T. brucei trypomastigote, indicating some of the structures and proteins involved in the uptake or mechanism of action of trypanocides.

References

    1. Fairlamb A.H. Fexinidazole for the treatment of human African trypanosomiasis. Drugs Today. 2019;55:705–712. doi: 10.1358/dot.2019.55.11.3068795. - DOI - PubMed
    1. Eperon G., Balasegaram M., Potet J., Mowbray C., Valverde O., Chappuis F. Treatment options for second-stage gambiense human African trypanosomiasis. Expert Rev. Anti-Infect. Ther. 2014;12:1407–1417. doi: 10.1586/14787210.2014.959496. - DOI - PMC - PubMed
    1. R&D Portfolio Update February 2019: DNDi Sleeping Sickness Programme. [(accessed on 15 December 2019)]; Available online: www.dndi.org/2019/media-centre/news-views-stories/news/sleepingsickness_...
    1. Jacobs R.T., Nare B., Wring S.A., Orr M.D., Chen D., Sligar J.M., Jenks M.X., Noe R.A., Bowling T.S., Mercer L.T., et al. SCYX-7158, an orally-active benzoxaborole for the treatment of stage 2 human African trypanosomiasis. PLoS Negl. Trop. Dis. 2011;5:e1151. doi: 10.1371/journal.pntd.0001151. - DOI - PMC - PubMed
    1. Dubois A. Mort par hypoglycémie dans les trypanosomiases aiguës. CR Soc. Biol. 1928;99:656–657.

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