Evidence map›Paper›PMID 34454601›Full record

ArticleParasites & vectors2021

Three different mutations in the DNA topoisomerase 1B in Leishmania infantum contribute to resistance to antitumor drug topotecan.

Chloé Rosa-Teijeiro, Victoria Wagner, Audrey Corbeil, Ilda d'Annessa, Philippe Leprohon, Rubens L do Monte-Neto, Christopher Fernandez-Prada

Open access · goldAbstract read
In one paragraph

Article in Parasites & vectors, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 13 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 3 countries.

Chloé Rosa-TeijeiroDépartement de Pathologie et Microbiologie, Faculté de Médecine Vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada.
Victoria WagnerDépartement de Pathologie et Microbiologie, Faculté de Médecine Vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada.
Audrey CorbeilDépartement de Pathologie et Microbiologie, Faculté de Médecine Vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada.
Ilda d'AnnessaMedtronic EMEA, Study and Scientific Solutions, Milan, Italy.
Philippe LeprohonCentre de Recherche en Infectiologie du Centre de Recherche du Centre Hospitalier Universitaire de Québec, Université Laval, Quebec City, Canada.
Rubens L do Monte-NetoInstituto René Rachou-Fundação Oswaldo Cruz/Fiocruz Minas, Belo Horizonte, Brazil.
Christopher Fernandez-PradaDépartement de Pathologie et Microbiologie, Faculté de Médecine Vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada. christopher.fernandez.prada@umontreal.ca.ORCID http://orcid.org/0000-0003-4834-4956
Université de Montréal · CACegep de Saint Hyacinthe · CACentre hospitalier universitaire de Québec · CAFundação Oswaldo Cruz · BRMedtronic (Italy) · IT

Funding

Canada Foundation for Innovation 37324Conselho Nacional de Desenvolvimento Científico e Tecnológico 310640/2017-2Fonds de Recherche du Québec - Nature et Technologies NC-253631Natural Sciences and Engineering Research Council of Canada RGPIN-2017-04480
6 · The paper itself

Abstract

backgroundThe evolution of drug resistance is one of the biggest challenges in leishmaniasis and has prompted the need for new antileishmanial drugs. Repurposing of approved drugs is a faster and very attractive strategy that is gaining supporters worldwide. Different anticancer topoisomerase 1B (TOP1B) inhibitors have shown strong antileishmanial activity and promising selective indices, supporting the potential repurposing of these drugs. However, cancer cells and Leishmania share the ability to become rapidly resistant. The aim of this study was to complete a whole-genome exploration of the effects caused by exposure to topotecan in order to highlight the potential mechanisms deployed by Leishmania to favor its survival in the presence of a TOP1B inhibitor.

methodsWe used a combination of stepwise drug resistance selection, whole-genome sequencing, functional validation, and theoretical approaches to explore the propensity of and potential mechanisms deployed by three independent clones of L. infantum to resist the action of TOP1B inhibitor topotecan.

resultsWe demonstrated that L. infantum is capable of becoming resistant to high concentrations of topotecan without impaired growth ability. No gene deletions or amplifications were identified from the next-generation sequencing data in any of the three resistant lines, ruling out the overexpression of efflux pumps as the preferred mechanism of topotecan resistance. We identified three different mutations in the large subunit of the leishmanial TOP1B (Top1B

conclusionsThis work helps elucidate the previously unclear potential mechanisms of topotecan resistance in Leishmania by mutations in the large subunit of TOP1B and provides a valuable clue for the design of improved inhibitors to combat resistance in both leishmaniasis and cancer. Our data highlights the importance of including drug resistance evaluation in drug discovery cascades.

Indexed as

Drug ResistanceMutationAntineoplastic AgentsAntiprotozoal AgentsDNA Topoisomerases, Type IDrug RepositioningLeishmania infantumLeishmaniasisMolecular Dynamics SimulationTopoisomerase I InhibitorsTopotecanWhole Genome SequencingAntineoplastic AgentsAntiprotozoal AgentsDNA Topoisomerases, Type ITopoisomerase I InhibitorsTopotecanDNA topoisomerasesDrug resistanceLeishmaniaProtozoan parasitesSNPsTopotecan

Identifiers

PMID34454601
PMCPMC8399852
OpenAlexW3167932369

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.