Drug discovery for Chagas disease should consider Trypanosoma cruzi strain diversity

Mem Inst Oswaldo Cruz. 2014 Sep;109(6):828-33. doi: 10.1590/0074-0276140156. Epub 2014 Aug 22.

Abstract

This opinion piece presents an approach to standardisation of an important aspect of Chagas disease drug discovery and development: selecting Trypanosoma cruzi strains for in vitro screening. We discuss the rationale for strain selection representing T. cruzi diversity and provide recommendations on the preferred parasite stage for drug discovery, T. cruzi discrete typing units to include in the panel of strains and the number of strains/clones for primary screens and lead compounds. We also consider experimental approaches for in vitro drug assays. The Figure illustrates the current Chagas disease drug-discovery and development landscape.

Publication types

  • Guideline

MeSH terms

  • Biodiversity
  • Chagas Disease / drug therapy*
  • Chagas Disease / parasitology
  • Clinical Trials as Topic
  • Drug Discovery*
  • Life Cycle Stages / drug effects
  • Neglected Diseases / drug therapy
  • Neglected Diseases / parasitology
  • Species Specificity
  • Trypanocidal Agents / therapeutic use*
  • Trypanosoma cruzi / classification*
  • Trypanosoma cruzi / drug effects
  • Trypanosoma cruzi / genetics
  • Trypanosoma cruzi / growth & development

Substances

  • Trypanocidal Agents