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What determines the success or failure of intracellular cutaneous parasites? Lessons learned from leishmaniasis.
Department of Dermatology and Allergy, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Most parasitic skin infections are averted by very efficient strategies of preventing pathogen invasion. Innate immune cells such as mast cells, macrophages and dendritic cells are responsible for detecting parasites and for recruiting proinflammatory cells that help to contain and control the pathogen at sites of infection. This induces efficient adaptive immunity, which is crucially important for parasite control. Using the example of cutaneous leishmaniasis, we highlight how the skin utilizes different strategies to prevent skin infection and how containment of the infection to the skin site may reduce the harm that otherwise may result for the entire organism.
PMID: 19396461 [PubMed - as supplied by publisher]
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Related articles
- ReviewImmunology of cutaneous leishmaniasis: the role of mast cells, phagocytes and dendritic cells for protective immunity.
Eur J Dermatol. 2007 Mar-Apr; 17(2):115-22. Epub 2007 Mar 2.
[Eur J Dermatol. 2007]
- Skin mast cells control T cell-dependent host defense in Leishmania major infections.
FASEB J. 2006 Dec; 20(14):2460-7.
[FASEB J. 2006]
- Resistance to macrophage-mediated killing as a factor influencing the pathogenesis of chronic cutaneous leishmaniasis.
J Immunol. 1983 Aug; 131(2):966-71.
[J Immunol. 1983]
- ReviewVaccination against cutaneous leishmaniasis: current status.
Am J Clin Dermatol. 2002; 3(8):557-70.
[Am J Clin Dermatol. 2002]
- ReviewThe innate immune response against Leishmania parasites.
Immunobiology. 2008; 213(3-4):377-87. Epub 2008 Mar 4.
[Immunobiology. 2008]
- » See reviews... | » See all...
- ReviewImmunology of cutaneous leishmaniasis: the role of mast cells, phagocytes and dendritic cells for protective immunity.
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PTR1-dependent synthesis of tetrahydrobiopterin contributes to oxidant susceptibility in the trypanosomatid protozoan parasite Leishmania major.
Department of Biological Chemistry and Molecular Pharmacology, Harvard Medical School, 240 Longwood Avenue, Boston, MA, 02115, USA.
Leishmania must survive oxidative stress, but lack many classical antioxidant enzymes and rely heavily on trypanothione-dependent pathways. We used forward genetic screens to recover loci mediating oxidant resistance via overexpression in Leishmania major, which identified pteridine reductase 1 (PTR1). Comparisons of isogenic lines showed ptr1 (-) null mutants were 18-fold more sensitive to H(2)O(2) than PTR1-overproducing lines, and significant three- to fivefold differences were seen with a broad panel of oxidant-inducing agents. The toxicities of simple nitric oxide generators and other drug classes (except antifolates) were unaffected by PTR1 levels. H(2)O(2) susceptibility could be modulated by exogenous biopterin but not folate, in a PTR1- but not dihydrofolate reductase-dependent manner, implicating H(4)B metabolism specifically. Neither H(2)O(2) consumption nor the level of intracellular oxidative stress was affected by PTR1 levels. Coupled with the fact that reduced pteridines are at least 100-fold less abundant than cellular thiols, these data argue strongly that reduced pteridines act through a mechanism other than scavenging. The ability of unconjugated pteridines to counter oxidative stress has implications to infectivity and response to chemotherapy. Since the intracellular pteridine levels of Leishmania can be readily manipulated, these organisms offer a powerful setting for the dissection of pteridine-dependent oxidant susceptibility in higher eukaryotes.
PMID: 19396443 [PubMed - as supplied by publisher]
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Related articles
- PTR1: a reductase mediating salvage of oxidized pteridines and methotrexate resistance in the protozoan parasite Leishmania major.
Proc Natl Acad Sci U S A. 1994 Nov 22; 91(24):11442-6.
[Proc Natl Acad Sci U S A. 1994]
- The roles of pteridine reductase 1 and dihydrofolate reductase-thymidylate synthase in pteridine metabolism in the protozoan parasite Leishmania major.
J Biol Chem. 1997 May 23; 272(21):13883-91.
[J Biol Chem. 1997]
- ReviewNew approaches to Leishmania chemotherapy: pteridine reductase 1 (PTR1) as a target and modulator of antifolate sensitivity.
Parasitology. 1997; 114 Suppl:S101-10.
[Parasitology. 1997]
- Biochemical and genetic tests for inhibitors of Leishmania pteridine pathways.
Exp Parasitol. 1997 Nov; 87(3):157-69.
[Exp Parasitol. 1997]
- ReviewAntiparasitic chemotherapy: tinkering with the purine salvage pathway.
Adv Exp Med Biol. 2008; 625:116-32.
[Adv Exp Med Biol. 2008]
- » See reviews... | » See all...
- PTR1: a reductase mediating salvage of oxidized pteridines and methotrexate resistance in the protozoan parasite Leishmania major.
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Antiplasmodial and antitrypanosomal activity of bicyclic amides and esters of dialkylamino acids.
Institute of Pharmaceutical Sciences, Pharmaceutical Chemistry, University of Graz, Universitätsplatz 1, A-8010 Graz, Austria.
Several bicyclic amides and esters of dialkylamino acids were prepared. Their activities against a multiresistant strain of Plasmodium falciparum and against Trypanosoma brucei rhodesiense (STIB 900) were examined. Structure-activity relationships were discussed. Particularly the ester compounds showed good antiplasmodial and antitrypanosomal activity and a single compound was tested in vivo against Plasmodium berghei.
PMID: 19395265 [PubMed - as supplied by publisher]
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Related articles
- Antiplasmodial and antitrypanosomal activities of aminobicyclo[2.2.2]octyl omega-aminoalkanoates.
Eur J Med Chem. 2009 Feb; 44(2):736-44. Epub 2008 May 10.
[Eur J Med Chem. 2009]
- Bicyclo[2.2.2]octyl esters of dialkylamino acids as antiprotozoals.
Bioorg Med Chem. 2007 Aug 15; 15(16):5543-50. Epub 2007 May 23.
[Bioorg Med Chem. 2007]
- Synthesis of new esters and oximes with 4-aminobicyclo[2.2.2]octane structure and evaluation of their antitrypanosomal and antiplasmodial activities.
Eur J Med Chem. 2006 Aug; 41(8):970-7. Epub 2006 May 26.
[Eur J Med Chem. 2006]
- Synthesis and evaluation of the antitrypanosomal and antiplasmodial activities of new 4-aminobicyclo[2.2.2]octane derivatives.
Eur J Med Chem. 2005 Sep; 40(9):888-96.
[Eur J Med Chem. 2005]
- Antiplasmodial and antitrypanosomal activity of new esters and ethers of 4-dialkylaminobicyclo[2.2.2]octan-2-ols.
Eur J Pharm Sci. 2006 Aug; 28(5):361-8. Epub 2006 Apr 18.
[Eur J Pharm Sci. 2006]
- » See reviews... | » See all...
- Antiplasmodial and antitrypanosomal activities of aminobicyclo[2.2.2]octyl omega-aminoalkanoates.
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[Update on visceral Mediterranean leishmaniasis.]
[Article in French]Service de médecine interne, hôpital de l'Archet, centre hospitalier universitaire de Nice, 151, route de Saint-Antoine de Ginestière, 06202 Nice cedex 3, France.
PMID: 19394722 [PubMed - as supplied by publisher]
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Related articles
- [Mediterranean leishmaniasis caused by Leishmania infantum. Update on the utility of the IT-Leish and ID-Pagia leishmaniasis tests]
Med Trop (Mars). 2007 Feb; 67(1):79-85.
[Med Trop (Mars). 2007]
- Identification of an immunodominant 32-kilodalton membrane protein of Leishmania donovani infantum promastigotes suitable for specific diagnosis of Mediterranean visceral leishmaniasis.
J Clin Microbiol. 1994 Oct; 32(10):2474-80.
[J Clin Microbiol. 1994]
- Leishmaniasis as an opportunistic infection in HIV-infected patients: determinants of relapse and mortality in a collaborative study of 228 episodes in a Mediterreanean region.
Eur J Clin Microbiol Infect Dis. 2005 Jun; 24(6):411-8.
[Eur J Clin Microbiol Infect Dis. 2005]
- Review[Treatment of visceral leishmaniasis in children]
Med Trop (Mars). 2007 Feb; 67(1):73-8.
[Med Trop (Mars). 2007]
- ReviewLeishmaniasis in Malta and the Mediterranean basin.
Ann Trop Med Parasitol. 1997 Oct; 91(7):747-53.
[Ann Trop Med Parasitol. 1997]
- » See reviews... | » See all...
- [Mediterranean leishmaniasis caused by Leishmania infantum. Update on the utility of the IT-Leish and ID-Pagia leishmaniasis tests]
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Flow cytometric determination of intracellular non-protein thiols in Leishmania promastigotes using 5-chloromethyl fluorescein diacetate.
Department of Pharmacology, Institute of Post Graduate Medical Education and Research, Kolkata, 244B Acharya JC Bose Road, Kolkata-700 020, India.
Leishmania parasites lack catalase and therefore, their anti-oxidant system hinges primarily upon non protein thiols; accordingly, depletion of thiols could potentially serve as an effective drug target. We have developed a flow cytometry based assay using 5-chloromethyl fluorescein diacetate based upon its selective staining of non protein thiols. Its specificity was confirmed using buthionine sulphoximine (a gamma glutamyl cysteine synthetase inhibitor), diamide (an oxidizing agent of intracellular thiols) and N-ethylmaleimide (a covalent modifier of cysteine residues) as evidenced by reduction in fluorescence; furthermore, restoration of fluorescence by N-acetyl cysteine corroborated specificity of 5-chloromethyl fluorescein diacetate to measure non protein thiols. Differences in basal level of thiols in antimony sensitive and antimony resistant Leishmania field isolates were detected. The depletion of non protein thiols by conventional antileishmanial drugs e.g. antimony and miltefosine was demonstrated. Furthermore, fluorescence was unaffected by depletion of ATP in majority of the strains studied, indicating that 5-chloromethyl fluorescein diacetate is not a substrate for the pump operative in most Leishmania donovani strains. Taken together, measurement of 5-chloromethyl fluorescein diacetate fluorescence is an effective method for monitoring non protein thiols in Leishmania promastigotes.
PMID: 19393240 [PubMed - as supplied by publisher]
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Related articles
- Increased levels of thiols protect antimony unresponsive Leishmania donovani field isolates against reactive oxygen species generated by trivalent antimony.
Parasitology. 2007 Nov; 134(Pt 12):1679-87. Epub 2007 Jul 5.
[Parasitology. 2007]
- Characterization of natural antimony resistance in Leishmania donovani isolates.
Am J Trop Med Hyg. 2007 Apr; 76(4):681-8.
[Am J Trop Med Hyg. 2007]
- Leishmania infantum promastigotes: flow cytometry as a possible tool for assessing the effects of drugs on cellular functions.
Exp Parasitol. 1997 Sep; 87(1):1-7.
[Exp Parasitol. 1997]
- ReviewRegulation of redox-sensitive exofacial protein thiols in CHO cells.
Biol Chem. 2006 Oct-Nov; 387(10-11):1371-6.
[Biol Chem. 2006]
- ReviewDrug resistance mechanisms in clinical isolates of Leishmania donovani.
Indian J Med Res. 2006 Mar; 123(3):411-22.
[Indian J Med Res. 2006]
- » See reviews... | » See all...
- Increased levels of thiols protect antimony unresponsive Leishmania donovani field isolates against reactive oxygen species generated by trivalent antimony.
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Mutational studies reveal lysine 352 on the large subunit is indispensable for catalytic activity of bi-subunit topoisomerase I from Leishmania donovani.
Molecular Parasitology Laboratory, Indian Institute of Chemical Biology, 4, Raja S.C. Mullick Road, Jadavpur, Kolkata, 700032, India.
From the vanadate complex crystal structure of Leishmania donovani topoisomerase I, several amino acid residues have been implicated to be involved in the catalytic reaction. Although several predictions and propositions have been made, the exact role of these amino acids has not yet been clearly demonstrated in vitro. Among these residues, lysine 352 and arginine 314 stand as potential candidates for playing the role of a general acid during the cleavage step. In this study, we have characterized the role of lysine 352 on the large subunit, by site-directed mutagenesis and have tried to identify the general acid that can protonate the 5?-O atom of the leaving strand. Studies with the mutant enzymes reveal that, relaxation activity was severely affected when Lys352 was mutated to arginine or alanine (K352R or K352A). Mutation of Arg314 to Lys (R314K) has very little effect on the relaxation activity. Detailed study reveals that, both cleavage and religation steps are severely affected in case of K352R and K352A and the cleavage religation equilibrium is shifted towards the cleavage. On the contrary, the R314K mutant exhibits only a slightly slower rate of cleavage compared to wild-type enzyme. Cleavage assays with an oligonucleotide containing 5?-bridging phosphorothiolate indicate that Lys352 acts as a general acid in the cleavage step. Altogether, this study establishes the indispensable role of lysine 352 in the catalytic reaction of L. donovani topoisomerase I.
PMID: 19393162 [PubMed - in process]
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Related articles
- The role of lysine 532 in the catalytic mechanism of human topoisomerase I.
J Biol Chem. 2004 Jan 23; 279(4):2984-92. Epub 2003 Oct 31.
[J Biol Chem. 2004]
- Mutational analysis of 39 residues of vaccinia DNA topoisomerase identifies Lys-220, Arg-223, and Asn-228 as important for covalent catalysis.
J Biol Chem. 1997 Mar 28; 272(13):8263-9.
[J Biol Chem. 1997]
- Differential induction of Leishmania donovani bi-subunit topoisomerase I-DNA cleavage complex by selected flavones and camptothecin: activity of flavones against camptothecin-resistant topoisomerase I.
Nucleic Acids Res. 2006; 34(4):1121-32. Epub 2006 Feb 18.
[Nucleic Acids Res. 2006]
- N-terminal region of the large subunit of Leishmania donovani bisubunit topoisomerase I is involved in DNA relaxation and interaction with the smaller subunit.
J Biol Chem. 2005 Apr 22; 280(16):16335-44. Epub 2005 Feb 12.
[J Biol Chem. 2005]
- An insight into the mechanism of inhibition of unusual bi-subunit topoisomerase I from Leishmania donovani by 3,3'-di-indolylmethane, a novel DNA topoisomerase I poison with a strong binding affinity to the enzyme.
Biochem J. 2008 Jan 15; 409(2):611-22.
[Biochem J. 2008]
- » See reviews... | » See all...
- The role of lysine 532 in the catalytic mechanism of human topoisomerase I.
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Leishmania major lacking arginase (ARG) are auxotrophic for polyamines but retain infectivity to susceptible BALB/c mice.
Departamento de Ciencias Biomédicas (INTOXCAL), Facultad de Veterinaria, Universidad de León. Campus de Vegazana s/n 24071-León, Spain.
Polyamines are essential metabolites in eukaryotes participating in a variety of proliferative processes, and in trypanosomatid protozoa play an additional role in the synthesis of the critical thiol trypanothione. Whereas the polyamine biosynthesis arising from l-ornithine has been well studied in protozoa, the metabolic origin(s) of l-ornithine have received less attention. Arginase (EC 3.5.3.1) catalyzes the enzymatic hydrolysis of l-arginine to l-ornithine and urea, and we tested the role of arginase in polyamine synthesis by the generation of an arg(?) knockout in Leishmania major by double targeted gene replacement. This mutant lacked arginase activity and required the nutritional provision of polyamines or l-ornithine for growth. A complemented line (arg(?)/+ARG) expressing arginase from a multi-copy expression vector showed 30-fold elevation of arginase activity, similar polyamine and ornithine levels as the wild-type, and resistance to the inhibitors ?-difluoromethylornithine (DFMO) and N(?)-hydroxy-l-arginine (NOHA). This established that arginase is the major route of polyamine synthesis in promastigotes cultured in vitro. The arg(?) parasites retained the ability to differentiate normally to the infective metacyclic stage, and were able to induce progressive disease following inoculation into susceptible BALB/c mice, albeit less efficiently than WT parasites. These data suggest that the infective amastigote form of Leishmania, which normally resides within an acidified parasitophorous vacuole, can survive in vivo through salvage of host polyamines and/or other molecules, aided by the tendency of acidic compartments to concentrate basic metabolites. This may thus contribute to the relative resistance of Leishmania to ornithine decarboxylase (ODC) inhibitors. The availability of infective, viable, arginase-deficient parasites should prove useful in dissecting the role of l-arginine metabolism in both pro- and anti-parasitic responses involving host nitric oxide synthase, which requires l-arginine to generate NO.
PMID: 19393161 [PubMed - in process]
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Related articles
- Arginase plays a pivotal role in polyamine precursor metabolism in Leishmania. Characterization of gene deletion mutants.
J Biol Chem. 2004 May 28; 279(22):23668-78. Epub 2004 Mar 15.
[J Biol Chem. 2004]
- The inhibition of arginase by N(omega)-hydroxy-l-arginine controls the growth of Leishmania inside macrophages.
J Exp Med. 2001 Mar 19; 193(6):777-84.
[J Exp Med. 2001]
- Albumin stimulates cell growth, l-arginine transport, and metabolism to polyamines in human proximal tubular cells.
Kidney Int. 2005 May; 67(5):1878-89.
[Kidney Int. 2005]
- Review[New insights into arginase. Part II. Role in physiology and pathology]
Postepy Hig Med Dosw (Online). 2008 May 14; 62:214-21. Epub 2008 May 14.
[Postepy Hig Med Dosw (Online). 2008]
- ReviewI. Arginine.
Biomed Pharmacother. 2002 Nov; 56(9):439-45.
[Biomed Pharmacother. 2002]
- » See reviews... | » See all...
- Arginase plays a pivotal role in polyamine precursor metabolism in Leishmania. Characterization of gene deletion mutants.
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Whole-genome comparative RNA expression profiling of axenic and intracellular amastigote forms of Leishmania infantum.
Research Centre in Infectious Disease, CHUL Research Centre, CHUQ, 2705 Laurier Blvd., Quebec, Canada G1V 4G2; Department of Medical Biology, Faculty of Medicine, Laval University, Quebec, Canada.
Leishmania parasites cycle between the alimentary tract of a sandfly vector as free-living promastigotes and the acidified phagolysosomes of the vertebrate host macrophage as aflagellated amastigotes. The differentiation process can be mimicked in host-free culture by switching promastigotes (e.g. 25 degrees C, neutral pH) to a phagolysosomal-like environment (e.g. 37 degrees C, acidic pH and 5% CO(2)) for certain, but not all Leishmania species. Axenically grown amastigotes have been shown to share several morphological and biochemical characteristics with macrophage-derived intracellular amastigotes. In this study, we used a DNA oligonucleotide full-genome array to compare global RNA expression profiling of Leishmania infantum axenic amastigotes to intracellular amastigotes derived from infected macrophages. In general, 40% more genes (518 genes vs. 309 genes) were found upregulated in axenic amastigotes compared to intracellular amastigotes. Comparisons in expression profiling between axenic amastigotes and intracellular amastigotes revealed substantial differences in regulated mRNA abundance. Remarkably, among the differentially upregulated transcripts only 12% were common to both amastigote preparations. The major differences between axenic and intracellular amastigotes were observed in metabolic process, especially in fatty acid metabolism, in intracellular transport and membrane vesicular fusion, in proteolysis, in the number and type of protein kinases and RNA binding proteins and in the response to oxidative stress. These findings highlight the importance of the host macrophage in driving the parasite to specific adaptations, which consequently result in highly regulated changes in gene expression.
PMID: 19393160 [PubMed - in process]
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Related articles
- Expression profiling by whole-genome interspecies microarray hybridization reveals differential gene expression in procyclic promastigotes, lesion-derived amastigotes, and axenic amastigotes in Leishmania mexicana.
Mol Biochem Parasitol. 2006 Apr; 146(2):198-218. Epub 2006 Jan 6.
[Mol Biochem Parasitol. 2006]
- Fast high yield of pure Leishmania (Leishmania) infantum axenic amastigotes and their infectivity to mouse macrophages.
Parasitol Res. 2009 Mar 18; . Epub 2009 Mar 18.
[Parasitol Res. 2009]
- Characterization of developmentally-regulated activities in axenic amastigotes of Leishmania donovani.
Mol Biochem Parasitol. 1998 Sep 1; 95(1):9-20.
[Mol Biochem Parasitol. 1998]
- ReviewLife in vacuoles--nutrient acquisition by Leishmania amastigotes.
Int J Parasitol. 2001 Oct; 31(12):1311-20.
[Int J Parasitol. 2001]
- ReviewDevelopmental life cycle of Leishmania--cultivation and characterization of cultured extracellular amastigotes.
J Eukaryot Microbiol. 1993 Mar-Apr; 40(2):213-23.
[J Eukaryot Microbiol. 1993]
- » See reviews... | » See all...
- Expression profiling by whole-genome interspecies microarray hybridization reveals differential gene expression in procyclic promastigotes, lesion-derived amastigotes, and axenic amastigotes in Leishmania mexicana.
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Epidemiology and diagnostics of visceral leishmaniasis in Serbia.
Parasitological Laboratory, Institute for Infectious and Tropical Diseases, Bulevar oslobodjenja, Belgrade, Serbia.
Clin Microbiol InfectAbstract A retrospective epidemiological and diagnostic study of visceral leishmaniasis (VL) was carried out during the period 2001-2007 and included patients suspected of VL who had been diagnosed at the Parasitological Laboratory at the Institute for Infectious and Tropical Diseases, Belgrade. Diagnosis of VL was confirmed by microscopic examination of Giemsa-stained bone marrow (BM) smears. BM smears from 134 patients were examined; 22 cases of VL were diagnosed, the majority of which involved individuals who had been on holiday at the Montenegrian sea coast. The sensitivity of the initial BM smears was inadequate; this required the application of a serological test, adapted for routine use, for the diagnosis of VL.
PMID: 19392902 [PubMed - as supplied by publisher]
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Related articles
- Visceral leishmaniasis in HIV-1-infected individuals: a common opportunistic infection in Spain?
AIDS. 1992 Dec; 6(12):1499-503.
[AIDS. 1992]
- Leishmaniasis in Sudan. Visceral leishmaniasis.
Trans R Soc Trop Med Hyg. 2001 Apr; 95 Suppl 1:S27-58.
[Trans R Soc Trop Med Hyg. 2001]
- Evaluation of PCR for diagnosis of visceral leishmaniasis.
J Clin Microbiol. 1997 Oct; 35(10):2454-7.
[J Clin Microbiol. 1997]
- Review[Infantile visceral leishmaniasis in the Campania region, Italy: experience from a Paediatric Referral Centre]
Parassitologia. 2004 Jun; 46(1-2):221-3.
[Parassitologia. 2004]
- Review[Visceral leishmaniasis in Italy. Its epidemiology, clinical picture and therapy]
Recenti Prog Med. 1994 Jun; 85(6):340-7.
[Recenti Prog Med. 1994]
- » See reviews... | » See all...
- Visceral leishmaniasis in HIV-1-infected individuals: a common opportunistic infection in Spain?
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The poorest of the poor: a poverty appraisal of households affected by visceral leishmaniasis in Bihar, India.
Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium.
Summary Objective To provide data about wealth distribution in visceral leishmanisis (VL)-affected communities compared to that of the general population of Bihar State, India. Methods After extensive disease risk mapping, 16 clusters with high VL transmission were selected in Bihar. An exhaustive census of all households in the clusters was conducted and socio-economic household characteristics were documented by questionnaire. Data on the general Bihar population taken from the National Family Health Survey of India were used for comparison. An asset index was developed based on Principal Components Analysis and the distribution of this asset index for the VL communities was compared with that of the general population of Bihar. Results 83% of households in communities with high VL attack rates belonged to the two lowest quintiles of the Bihar wealth distribution. All socio-economic indicators showed significantly lower wealth for those households. Conclusion Visceral leishmanisis clearly affects the poorest of the poor in India. They are most vulnerable, as this vector-born disease is linked to poor housing and unhealthy habitats. The disease leads the affected households to more destitution because of its impact on household income and wealth. Support for the present VL elimination initiative is important in the fight against poverty.
PMID: 19392741 [PubMed - as supplied by publisher]
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Related articles
- Visceral leishmaniasis elimination programme in India, bangladesh, and Nepal: reshaping the case finding/case management strategy.
PLoS Negl Trop Dis. 2009; 3(1):e355. Epub 2009 Jan 13.
[PLoS Negl Trop Dis. 2009]
- Economic inequality and undernutrition in women: multilevel analysis of individual, household, and community levels in Cambodia.
Food Nutr Bull. 2007 Mar; 28(1):59-66.
[Food Nutr Bull. 2007]
- The economic burden of visceral leishmaniasis for households in Nepal.
Trans R Soc Trop Med Hyg. 2006 Sep; 100(9):838-41. Epub 2006 Jan 10.
[Trans R Soc Trop Med Hyg. 2006]
- ReviewCan visceral leishmaniasis be eliminated from Asia?
J Vector Borne Dis. 2008 Jun; 45(2):105-11.
[J Vector Borne Dis. 2008]
- ReviewTreatment options for visceral leishmaniasis: a systematic review of clinical studies done in India, 1980-2004.
Lancet Infect Dis. 2005 Dec; 5(12):763-74.
[Lancet Infect Dis. 2005]
- » See reviews... | » See all...
- Visceral leishmaniasis elimination programme in India, bangladesh, and Nepal: reshaping the case finding/case management strategy.
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