CYP5122A1 encodes an essential sterol C4-methyl oxidase in Leishmania donovani and determines the antileishmanial activity of antifungal azoles


Summary

CYP5122A1 is a sterol C4-methyl oxidase essential for Leishmania donovani survival, and its inhibition, along with CYP51, is crucial for antileishmanial activity.

Highlights

  • CYP5122A1 is a vital enzyme in Leishmania donovani's sterol biosynthesis pathway.
  • It acts as a sterol C4-methyl oxidase, distinct from CYP51's function.
  • Genetic manipulation of CYP5122A1 affects parasite growth and sterol composition.
  • Dual inhibition of CYP5122A1 and CYP51 is necessary for potent antileishmanial activity.
  • Antifungal azoles exhibit varying degrees of antileishmanial activity based on their ability to inhibit CYP5122A1 and CYP51.
  • CYP5122A1 overexpression leads to changes in parasite differentiation, stress response, and surface glycoconjugate expression.
  • CYP5122A1 is essential for both promastigote and amastigote stages of Leishmania donovani.

Key Insights

  • The study identifies CYP5122A1 as a critical enzyme in Leishmania donovani's sterol biosynthesis pathway, specifically acting as a sterol C4-methyl oxidase, which distinguishes it from the function of CYP51. This discovery highlights the complexity of sterol biosynthesis in Leishmania parasites and underscores the importance of targeting this pathway for antileishmanial therapy.
  • The finding that dual inhibition of CYP5122A1 and CYP51 is necessary for potent antileishmanial activity has significant implications for the development of effective treatments against Leishmania donovani. It suggests that targeting a single enzyme in the sterol biosynthesis pathway may not be sufficient and that a combination therapy approach may be more effective.
  • The observation that antifungal azoles exhibit varying degrees of antileishmanial activity based on their ability to inhibit CYP5122A1 and CYP51 highlights the potential for repurposing existing antifungal drugs as antileishmanial agents. However, it also underscores the need for careful evaluation of these drugs' activity against both CYP5122A1 and CYP51 to ensure optimal efficacy.
  • The study's finding that CYP5122A1 overexpression leads to changes in parasite differentiation, stress response, and surface glycoconjugate expression suggests that this enzyme plays a broader role in Leishmania donovani's biology beyond sterol biosynthesis. Further investigation into these aspects could reveal additional targets for antileishmanial therapy.
  • The essentiality of CYP5122A1 for both promastigote and amastigote stages of Leishmania donovani highlights the critical nature of this enzyme throughout the parasite's lifecycle. This knowledge is crucial for the development of effective treatments that can target the parasite at various stages of its lifecycle.
  • The use of a combination of biochemical, genetic, and pharmacological approaches in this study provides a comprehensive understanding of CYP5122A1's role in Leishmania donovani. This multidisciplinary approach serves as a model for investigating other potential targets in the sterol biosynthesis pathway and underscores the importance of collaborative research in addressing complex biological questions.
  • The study's findings have significant implications for the treatment of visceral leishmaniasis, a disease caused by Leishmania donovani. The identification of CYP5122A1 as a critical target and the importance of dual inhibition of CYP5122A1 and CYP51 for antileishmanial activity could lead to the development of more effective treatments against this devastating disease.



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Citation

Jin, Y., Basu, S., Feng, M., Ning, Y., Munasinghe, I., Joachim, A. M., Li, J., Qin, L., Madden, R., Burks, H., Gao, P., Wu, J. Q., Sheikh, S. W., Joice, A. C., Perera, C., Werbovetz, K. A., Zhang, K., & Wang, M. Z. (2024). CYP5122A1 encodes an essential sterol C4-methyl oxidase in Leishmania donovani and determines the antileishmanial activity of antifungal azoles. In Nature Communications (Vol. 15, Issue 1). Springer Science and Business Media LLC. https://doi.org/10.1038/s41467-024-53790-5

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