{"id":805,"date":"2023-10-29T20:31:33","date_gmt":"2023-10-29T20:31:33","guid":{"rendered":"https:\/\/todaysainews.com\/index.php\/2023\/10\/29\/the-race-to-cure-a-billion-people-from-a-deadly-parasitic-disease\/"},"modified":"2025-04-27T07:32:16","modified_gmt":"2025-04-27T07:32:16","slug":"the-race-to-cure-a-billion-people-from-a-deadly-parasitic-disease","status":"publish","type":"post","link":"https:\/\/todaysainews.com\/index.php\/2023\/10\/29\/the-race-to-cure-a-billion-people-from-a-deadly-parasitic-disease\/","title":{"rendered":"The race to cure a billion people from a deadly parasitic disease"},"content":{"rendered":"<p> [ad_1]<br \/>\n<\/p>\n<div>\n<div class=\"article-cover article-cover--centered\">\n<div class=\"article-cover__header\">\n<p class=\"article-cover__eyebrow glue-label\">Impact<\/p>\n<dl class=\"article-cover__meta\">\n<dt class=\"glue-visually-hidden\">Published<\/dt>\n<dd class=\"article-cover__date glue-label\">\n              <time datetime=\"2022-07-28\"><br \/>\n                28 July 2022<br \/>\n              <\/time>\n            <\/dd>\n<\/dl>\n<section class=\"glue-social glue-social--zippy share share--centered article-cover__share\" data-glue-expansion-panel-expand-tooltip=\"Share: Expand to see social channels\" data-glue-expansion-panel-collapse-tooltip=\"Share: Hide social channels\" id=\"share-590f3bf4-63b3-4f16-bdeb-c598e3c8a915\">\n<\/section><\/div>\n<picture class=\"article-cover__image\"><source media=\"(min-width: 1024px)\" type=\"image\/webp\" width=\"1072\" height=\"603\" srcset=\"https:\/\/lh3.googleusercontent.com\/_xXezOcjFe-9UzxiMSXuV-Gkdqwp28MyQHMvJCVmAq5gLtenuARst0cr9NSV33HS75G0h127xXEcCen45fB32Xek8Abp6rNVMV5A2uf6hhK-dqYyxyI=w1072-h603-n-nu-rw 1x, https:\/\/lh3.googleusercontent.com\/_xXezOcjFe-9UzxiMSXuV-Gkdqwp28MyQHMvJCVmAq5gLtenuARst0cr9NSV33HS75G0h127xXEcCen45fB32Xek8Abp6rNVMV5A2uf6hhK-dqYyxyI=w2144-h1206-n-nu-rw 2x\"\/><source media=\"(min-width: 600px)\" type=\"image\/webp\" width=\"928\" height=\"522\" srcset=\"https:\/\/lh3.googleusercontent.com\/_xXezOcjFe-9UzxiMSXuV-Gkdqwp28MyQHMvJCVmAq5gLtenuARst0cr9NSV33HS75G0h127xXEcCen45fB32Xek8Abp6rNVMV5A2uf6hhK-dqYyxyI=w928-h522-n-nu-rw 1x, https:\/\/lh3.googleusercontent.com\/_xXezOcjFe-9UzxiMSXuV-Gkdqwp28MyQHMvJCVmAq5gLtenuARst0cr9NSV33HS75G0h127xXEcCen45fB32Xek8Abp6rNVMV5A2uf6hhK-dqYyxyI=w1856-h1044-n-nu-rw 2x\"\/><source type=\"image\/webp\" width=\"528\" height=\"297\" srcset=\"https:\/\/lh3.googleusercontent.com\/_xXezOcjFe-9UzxiMSXuV-Gkdqwp28MyQHMvJCVmAq5gLtenuARst0cr9NSV33HS75G0h127xXEcCen45fB32Xek8Abp6rNVMV5A2uf6hhK-dqYyxyI=w528-h297-n-nu-rw 1x, https:\/\/lh3.googleusercontent.com\/_xXezOcjFe-9UzxiMSXuV-Gkdqwp28MyQHMvJCVmAq5gLtenuARst0cr9NSV33HS75G0h127xXEcCen45fB32Xek8Abp6rNVMV5A2uf6hhK-dqYyxyI=w1056-h594-n-nu-rw 2x\"\/><img loading=\"lazy\" decoding=\"async\" alt=\"\" height=\"603\" src=\"https:\/\/lh3.googleusercontent.com\/_xXezOcjFe-9UzxiMSXuV-Gkdqwp28MyQHMvJCVmAq5gLtenuARst0cr9NSV33HS75G0h127xXEcCen45fB32Xek8Abp6rNVMV5A2uf6hhK-dqYyxyI=w1072-h603-n-nu\" width=\"1072\"\/>\n    <\/picture>\n<\/p><\/div>\n<div class=\"gdm-rich-text rich-text\">\n<p data-block-key=\"8v71j\"><b>Researchers accelerate their search of life-saving treatments for leishmaniasis<\/b><\/p>\n<p data-block-key=\"2o3o1\">\u201cWe were about to give up,\u201d says Dr Benjamin Perry, a medicinal chemist at the <a href=\"https:\/\/dndi.org\/\" rel=\"noopener\" target=\"_blank\">Drugs for Neglected Diseases initiative (DNDi)<\/a>. When Perry joined the organization seven years ago, based in Geneva, Switzerland, his goal was to speed up the discovery of new treatments for two potentially fatal parasitic illnesses, <a href=\"https:\/\/dndi.org\/diseases\/chagas\/\" rel=\"noopener\" target=\"_blank\">Chagas disease<\/a> and <a href=\"https:\/\/dndi.org\/diseases\/visceral-leishmaniasis\/\" rel=\"noopener\" target=\"_blank\">leishmaniasis<\/a>. By and large, they achieved a lot of success. For one potential leishmaniasis drug in DNDi\u2019s diverse portfolio, however, progress had slowed almost to a halt.<\/p>\n<p data-block-key=\"f1n4g\">\u201cWe couldn\u2019t find ways of making changes that improved the drug molecule,\u201d says Perry. \u201cIt either lost all its potency as an anti-parasitic or it kind of stayed the same.\u201d<\/p>\n<p data-block-key=\"a9f63\">However, things changed when Perry and his collaborators heard about DeepMind\u2019s AI system, AlphaFold. Now, using a combination of scientific detective work and AI, the researchers have cleared a path towards turning the molecule into a real treatment for a devastating disease.<\/p>\n<p data-block-key=\"5i7i9\">New treatments for leishmaniasis can\u2019t come soon enough. The disease is caused by parasites of the genus Leishmania and spreads through sandfly bites in countries across <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5464238\/\" rel=\"noopener\" target=\"_blank\">Asia, Africa, the Americas, and the Mediterranean<\/a>.<\/p>\n<p data-block-key=\"4t894\">Visceral leishmaniasis, the most severe form, causes fever, weight loss, anemia, and enlargement of the spleen and liver. \u201cIf it\u2019s not treated, it is fatal,\u201d says Dr Gina Muthoni Ouattara, senior medical manager at DNDi in Nairobi, Kenya. Cutaneous leishmaniasis, the most common form, causes skin lesions and leaves lasting scars.<\/p>\n<\/div>\n<figure class=\"single-media single-media--large\"><figcaption class=\"single-media__caption\">\n<p data-block-key=\"9bmyi\">A patient with visceral leishmaniasis and an HIV co-infection. Credit: University of Gondar<\/p>\n<\/figcaption><\/figure>\n<div class=\"gdm-rich-text rich-text\">\n<p data-block-key=\"8v71j\">Globally, about <a href=\"https:\/\/www.who.int\/health-topics\/leishmaniasis#tab=tab_1\" rel=\"noopener\" target=\"_blank\">a billion people are at risk of leishmaniasis<\/a> and each year there are <a href=\"https:\/\/dndi.org\/diseases\/visceral-leishmaniasis\/facts\/\" rel=\"noopener\" target=\"_blank\">50-90,000 new cases of visceral leishmaniasis<\/a>, the majority in children. While medical treatments vary by region, most are lengthy and come with significant side effects.<\/p>\n<p data-block-key=\"ak0pm\">In Eastern Africa, the first-line treatment for visceral leishmaniasis involves a 17-day course of two injections each day, of two separate drugs, <a href=\"https:\/\/dndi.org\/research-development\/portfolio\/ssg-pm\/\" rel=\"noopener\" target=\"_blank\">sodium stibogluconate and paromomycin<\/a>, given in hospital. &#8220;Even for an adult, these injections are very painful, so you can imagine having to give these two injections to a child every day for 17 days,\u201d says Ouattara. Before DNDi\u2019s crucial work to develop a shorter and more effective combination therapy, this treatment lasted for 30 days.<\/p>\n<p data-block-key=\"8kuil\">An alternative treatment requires an intravenous infusion that needs to be kept refrigerated and administered under sterile conditions. \u201cThe most limiting thing is that all of these treatments have to be given in hospital,\u201d says Ouattara. That adds to the costs, and means patients and their caregivers miss out on income, school, and time with their family. \u201cIt really affects communities.\u201d<\/p>\n<\/div>\n<figure class=\"quote quote--large\">\n<blockquote class=\"quote__text\">\n<p data-block-key=\"x3wx8\">People always ask themselves, \u2018Have we looked at the AlphaFold structure?\u2019 It\u2019s become common parlance.<\/p>\n<\/blockquote><figcaption class=\"quote__author\">\n<p data-block-key=\"v5zhm\">Michael Barrett, biochemist and parasitologist<\/p>\n<\/figcaption><\/figure>\n<div class=\"gdm-rich-text rich-text\">\n<p data-block-key=\"8v71j\">DNDi\u2019s previous efforts have already cut the amount of time visceral leishmaniasis patients spend in hospital. But the organization\u2019s ultimate goal is to come up with an oral treatment that could be administered at a local health facility, or even at home.<\/p>\n<p data-block-key=\"14l8m\">That kind of radical improvement might require entirely new drugs. If you\u2019re looking for completely new compounds to turn into treatments, where do you start?<\/p>\n<p data-block-key=\"fb6d9\">DNDi\u2019s approach to drug discovery in this area of research could be called \u201cold school\u201d, says Perry, though he maintains there\u2019s a reason for that \u2013 it\u2019s often the best way to discover drugs. First, researchers screen thousands of molecules to find those that show promise in attacking the disease-causing organism as a whole. Then, they tweak those molecules to try to make them more effective. \u201cIt\u2019s a bit more \u2018brute force\u2019,\u201d he says. \u201cWe don\u2019t usually know how it\u2019s doing it.\u201d<\/p>\n<\/div>\n<figure class=\"single-media single-media--inline\"><figcaption class=\"single-media__caption\">\n<p data-block-key=\"9bmyi\">Benjamin Perry and Gina Muthoni Ouattara. Credit: DNDi<\/p>\n<\/figcaption><\/figure>\n<div class=\"gdm-rich-text rich-text\">\n<p data-block-key=\"8v71j\">This trial-and-error approach is the best way to find new treatments for patients, says Perry. But the optimisation stage can feel a bit like stumbling around in the dark. \u201cYou&#8217;re going \u2018Okay, well, I&#8217;ve got this chemical, just make some random changes to it\u2019 which works sometimes,\u201d says Perry. But with their promising leishmaniasis molecule, they\u2019d hit a brick wall. \u201cWe\u2019d tried that and it hadn&#8217;t worked.\u201d<\/p>\n<p data-block-key=\"eh0lk\">With hope dwindling, DNDi sent the molecule to <a href=\"https:\/\/www.gla.ac.uk\/researchinstitutes\/iii\/staff\/michaelbarrett\/\" rel=\"noopener\" target=\"_blank\">Michael Barrett<\/a>, a professor at the University of Glasgow, UK, who for the last decade has been using a technique called <a href=\"https:\/\/en.wikipedia.org\/wiki\/Metabolomics\" rel=\"noopener\" target=\"_blank\">metabolomics<\/a> to unravel how drugs work.<\/p>\n<p data-block-key=\"9irlh\">\u201cThere are all sorts of chemical processes occurring in our body where we chop molecules down into their component building blocks and then rebuild them,\u201d says Barrett. \u201cThat&#8217;s the basis of life, really.\u201d Collectively, these chemical reactions make up our metabolism. Parasites, like the one that causes leishmaniasis, have a metabolism too.<\/p>\n<p data-block-key=\"7h9n9\">Metabolic reactions are regulated by biological catalysts known as enzymes. Many drugs work by interfering with those enzymes, so Barrett and his group look for changes in the molecules that are made during metabolic reactions to figure out what a drug is doing.<\/p>\n<p data-block-key=\"co8c9\">He put DNDi\u2019s molecule on to a Leishmania parasite. \u201cSure enough, the metabolism changed,\u201d he says. Barrett and his colleagues saw a big increase in one molecule whose job is to turn into phospholipids, a type of fat molecule that makes up cell membranes. Yet at the same time, the number of phospholipids actually being made was decreasing.<\/p>\n<p data-block-key=\"b5vat\">Barrett figured out that the enzyme that would have turned the first molecule into phospholipids was the one that was being affected by the drug. Interrupting this reaction was how the molecule was killing the parasite.<\/p>\n<\/div>\n<figure class=\"single-media single-media--inline\"><figcaption class=\"single-media__caption\">\n<p data-block-key=\"9bmyi\">Stella Akiror and John Oseluo taking down details after checking on a patient. Credit: Lameck Ododo &#8211; DNDi<\/p>\n<\/figcaption><\/figure>\n<div class=\"gdm-rich-text rich-text\">\n<p data-block-key=\"8v71j\">But having hurdled one obstacle, Barrett\u2019s group hit another. They wanted to know what their target enzyme looked like, but finding its structure experimentally would be near impossible because it was a type of protein that is notoriously hard to work with in the lab. \u201cIt embeds itself in the membrane, and that makes it really difficult to fiddle with,\u201d says Barrett.<\/p>\n<p data-block-key=\"2m882\">That could have been the end of the story. But instead Perry put Barrett in touch with researchers at DeepMind who were working on <a href=\"https:\/\/www.deepmind.com\/research\/highlighted-research\/alphafold\" rel=\"noopener\" target=\"_blank\">AlphaFold<\/a>, an AI system that predicts a protein\u2019s 3D structure from its amino acid sequence. The AlphaFold team took the target protein\u2019s amino acid sequence and came back with exactly what Barrett and his colleagues needed: a prediction for its 3D structure.<\/p>\n<p data-block-key=\"fi8c0\">Barrett\u2019s group took that structure, and the structure of DNDi\u2019s molecule, and were able to figure out how they fit together \u2013 pinning down, virtually at least, how the drug binds to the protein.<\/p>\n<\/div>\n<figure class=\"quote quote--large\">\n<blockquote class=\"quote__text\">\n<p data-block-key=\"x3wx8\">Most of the diseases we work with are endemic in countries where the [scientific] infrastructure is not necessarily that great.<\/p>\n<\/blockquote><figcaption class=\"quote__author\">\n<p data-block-key=\"v5zhm\">Benjamin Perry, medicinal chemist<\/p>\n<\/figcaption><\/figure>\n<div class=\"gdm-rich-text rich-text\">\n<p data-block-key=\"8v71j\">Since then, DeepMind, in partnership with EMBL\u2019s European Bioinformatics Institute, has made <a href=\"https:\/\/alphafold.ebi.ac.uk\/\" rel=\"noopener\" target=\"_blank\">a database of millions of protein structures<\/a> available to researchers. An open source implementation of the AlphaFold system is <a href=\"https:\/\/github.com\/deepmind\/alphafold\" rel=\"noopener\" target=\"_blank\">also available<\/a>. \u201cAnybody can now just take their protein amino acid sequence, plug it into AlphaFold and get a structure out,\u201d says Barrett. \u201cIt\u2019s revolutionary.\u201d<\/p>\n<p data-block-key=\"7elg7\">\u201cThis, for me, is the biggest change that AlphaFold has made to the scientific environment,\u201d says Perry. \u201cPeople always ask themselves, \u2018Have we looked at the AlphaFold structure?\u2019 It\u2019s become common parlance.&#8221;<\/p>\n<p data-block-key=\"1l5io\">Having access to protein structure predictions is proving useful for drug-discovery researchers in many ways.<\/p>\n<p data-block-key=\"1l7gi\">There are more than 20 different species of the Leishmania parasite that cause disease in humans, but Barrett\u2019s group works with a single species, Leishmania mexicana. While much of what they find translates to others, it\u2019s not a given \u2013 so they need to cross-check any findings. \u201cWe can get the Leishmania donovani version of that target gene, we can put that through the AlphaFold algorithm very quickly and see, does the donovani version fold in the same way as the mexicana version?\u201d<\/p>\n<p data-block-key=\"4lpn8\">There is also a human version of the target enzyme Barrett identified in the Leishmania parasite. Researchers will need to make sure that only the parasite\u2019s version of the enzyme comes under attack from a new drug, to avoid potential side effects for patients \u2013 something that will be easier if they know what the human version looks like. \u201cWe got that structure from AlphaFold as well,\u201d says Perry.<\/p>\n<p data-block-key=\"bhhhl\">Of course, AlphaFold can\u2019t accurately fold every possible protein. And for those it can, the structure alone doesn\u2019t provide everything drug discovery researchers need. The next step-change would be to develop an AI system able to predict docking \u2013 taking the structure, and the drug, and figuring out where they fit together.<\/p>\n<p data-block-key=\"74vvp\">While there is still a long way to go before the molecule Barrett unraveled becomes a real treatment against leishmaniasis \u2013 if it ever gets there \u2013 it has demonstrated that AlphaFold can lower a barrier when it comes to investigating new drugs. For researchers hunting down new treatments for neglected diseases, where funding is often tight, this could make all the difference.<\/p>\n<p data-block-key=\"ej8c8\">When drug discovery researchers are in the dark about how to optimize a promising molecule, moving beyond quick-and-easy tweaks means investing a lot more time and money. When funding is scarce, that\u2019s a harder sell. \u201cWe can\u2019t throw kitchen sinks at issues in neglected tropical diseases because the money\u2019s not there,\u201d says Barrett.<\/p>\n<p data-block-key=\"7veel\">But a tool like AlphaFold could be accessible to researchers who can\u2019t use expensive equipment to pin down the chemistry of their compounds. \u201cMost of the diseases we work with are endemic in countries where the infrastructure is not necessarily that great,\u201d says Perry.<\/p>\n<p data-block-key=\"622q3\">If AlphaFold can help unravel how a molecule acts against a disease by making visible the structure the drug is targeting \u2013 as it has done with DNDi\u2019s potential new leishmaniasis drug \u2013 it could also illuminate a path for medicinal chemists like Perry to turn a dead-end molecule into a real treatment. \u201cWe couldn\u2019t look at this fancy way that our molecule interacts with the structure and say, we just need another carbon here, or get rid of that nitrogen, move this around \u2013 that sort of stuff was off-limits for us,\u201d he says. \u201cExcept, now, it isn&#8217;t.\u201d<\/p>\n<\/div>\n<aside class=\"related-posts\">\n<\/aside><\/div>\n<p>[ad_2]<br \/>\n<br \/><a href=\"https:\/\/deepmind.google\/discover\/blog\/the-race-to-cure-a-billion-people-from-a-deadly-parasitic-disease\/\">Source link <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>[ad_1] Impact Published 28 July 2022 Researchers accelerate their search of life-saving treatments for leishmaniasis \u201cWe were about<\/p>\n","protected":false},"author":2,"featured_media":806,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[21],"tags":[],"class_list":["post-805","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-deepmind-ai"],"_links":{"self":[{"href":"https:\/\/todaysainews.com\/index.php\/wp-json\/wp\/v2\/posts\/805","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/todaysainews.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/todaysainews.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/todaysainews.com\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/todaysainews.com\/index.php\/wp-json\/wp\/v2\/comments?post=805"}],"version-history":[{"count":1,"href":"https:\/\/todaysainews.com\/index.php\/wp-json\/wp\/v2\/posts\/805\/revisions"}],"predecessor-version":[{"id":2667,"href":"https:\/\/todaysainews.com\/index.php\/wp-json\/wp\/v2\/posts\/805\/revisions\/2667"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/todaysainews.com\/index.php\/wp-json\/wp\/v2\/media\/806"}],"wp:attachment":[{"href":"https:\/\/todaysainews.com\/index.php\/wp-json\/wp\/v2\/media?parent=805"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/todaysainews.com\/index.php\/wp-json\/wp\/v2\/categories?post=805"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/todaysainews.com\/index.php\/wp-json\/wp\/v2\/tags?post=805"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}