Differential virulence of Trypanosoma brucei rhodesiense isolates does not influence the outcome of treatment with anti-trypanosomal drugs in the mouse model

PLoS One. 2020 Nov 5;15(11):e0229060. doi: 10.1371/journal.pone.0229060. eCollection 2020.

Abstract

We assessed the virulence and anti-trypanosomal drug sensitivity patterns of Trypanosoma brucei rhodesiense (Tbr) isolates in the Kenya Agricultural and Livestock Research Organization-Biotechnology Research Institute (KALRO-BioRI) cryobank. Specifically, the study focused on Tbr clones originally isolated from the western Kenya/eastern Uganda focus of human African Trypanosomiasis (HAT). Twelve (12) Tbr clones were assessed for virulence using groups(n = 10) of Swiss White Mice monitored for 60 days post infection (dpi). Based on survival time, four classes of virulence were identified: (a) very-acute: 0-15, (b) acute: 16-30, (c) sub-acute: 31-45 and (d) chronic: 46-60 dpi. Other virulence biomarkers identified included: pre-patent period (pp), parasitaemia progression, packed cell volume (PCV) and body weight changes. The test Tbr clones together with KALRO-BioRi reference drug-resistant and drug sensitive isolates were then tested for sensitivity to melarsoprol (mel B), pentamidine, diminazene aceturate and suramin, using mice groups (n = 5) treated with single doses of each drug at 24 hours post infection. Our results showed that the clones were distributed among four classes of virulence as follows: 3/12 (very-acute), 3/12 (acute), 2/12 (sub-acute) and 4/12 (chronic) isolates. Differences in survivorship, parasitaemia progression and PCV were significant (P<0.001) and correlated. The isolate considered to be drug resistant at KALRO-BioRI, KETRI 2538, was confirmed to be resistant to melarsoprol, pentamidine and diminazene aceturate but it was not resistant to suramin. A cure rate of at least 80% was achieved for all test isolates with melarsoprol (1mg/Kg and 20 mg/kg), pentamidine (5 and 20 mg/kg), diminazene aceturate (5 mg/kg) and suramin (5 mg/kg) indicating that the isolates were not resistant to any of the drugs despite the differences in virulence. This study provides evidence of variations in virulence of Tbr clones from a single HAT focus and confirms that this variations is not a significant determinant of isolate sensitivity to anti-trypanosomal drugs.

MeSH terms

  • Animals
  • Diminazene / analogs & derivatives
  • Diminazene / pharmacology
  • Disease Models, Animal
  • Drug Resistance / drug effects
  • Kenya
  • Male
  • Melarsoprol / pharmacology
  • Mice
  • Pentamidine / pharmacology
  • Suramin / pharmacology
  • Treatment Outcome
  • Trypanocidal Agents / pharmacology*
  • Trypanosoma brucei rhodesiense / drug effects*
  • Trypanosomiasis, African / drug therapy*
  • Trypanosomiasis, African / parasitology
  • Uganda
  • Virulence / drug effects*

Substances

  • Trypanocidal Agents
  • Suramin
  • Pentamidine
  • diminazene aceturate
  • Diminazene
  • Melarsoprol

Grants and funding

Materials were provided by the Kenya Government. The funder had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.