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IMMUNE RESPONSES TO TRYPANOSOME INFECTION 103<br />

of ‘genome survey sequences’. With only one<br />

exception reported so far, the genes of T. brucei<br />

do not contain introns, so genomic sequences<br />

are easy to interpret and utilize.<br />

The number of ESs probably varies between<br />

trypanosome isolates. In one clone, the number<br />

was determined to be around 20, based on<br />

DNA hybridization with an ES promoter probe<br />

and the assumption that promoter duplications<br />

occur in about half the ESs. The number<br />

of metacyclic ESs has been estimated to be<br />

20–30, based on a different criterion. The metacyclic<br />

form is non-dividing and represents a<br />

terminal differentiation stage in the tsetse salivary<br />

gland, where the VSG repertoire was enumerated<br />

using a library of monoclonal anti-VSG<br />

antibodies. At present, it seems likely that the<br />

total number of bloodstream and metacyclic<br />

ESs will vary from strain to strain, owing to the<br />

intrinsic instability of their telomeric location.<br />

The fitness and virulence of individual strains<br />

may depend partly upon the diversity of their<br />

ESs, either at the metacyclic stage or in the<br />

bloodstream, as discussed above in the context<br />

of the <strong>trans</strong>ferrin receptor.<br />

VSG evolution almost certainly occurs by<br />

conventional processes of gene duplication<br />

and mutation, although this has not been<br />

specifically studied. The only way in which the<br />

utility of mutations can be evaluated is for<br />

the VSG to be expressed and exposed to the<br />

immune system. Because expression involves<br />

either ES switching, telomere exchange, or <strong>trans</strong>position<br />

of a ‘chromosome-internal’ VSG to the<br />

telomeric ES, which appears to be a unidirectional<br />

event, this raises the question of how the<br />

trypanosome retains a new VSG after ‘testing’<br />

its value. One obvious way would be to use<br />

reverse <strong>trans</strong>cription of the VSG mRNA, to<br />

recapture a copy of a useful new VSG into a<br />

safer chromosomal environment. It seems likely<br />

that trypanosomes did this in the past, even<br />

if they do not appear to do it today. The<br />

trypanosome genome contains hundreds of<br />

copies of apparently dead retro<strong>trans</strong>posable<br />

elements and probable reverse <strong>trans</strong>criptase<br />

pseudogenes. Many copies of these elements<br />

appear to be interspersed with VSG genes and<br />

pseudogenes, often in the long and essentially<br />

haploid regions that lie upstream of ESs, in the<br />

regions that appear to account for a great deal<br />

of the length variation between sister chromosomes<br />

that is a feature of T. brucei. Some reports<br />

have suggested that diversity could be generated<br />

concomitantly with VSG duplication and <strong>trans</strong>position<br />

to the ES, possibly by an error-prone<br />

repair or replication mechanism, or perhaps<br />

because mutations were introduced when<br />

replicating silent ES-located VSGs that were<br />

lightly modified by J. An alternative explanation<br />

of these controversial data, which has<br />

not been tested, is that these mutations were<br />

not generated concomitantly with the overt<br />

VSG expression event that was studied, but<br />

that this VSG had been expressed at subliminal<br />

levels during the infection and subjected<br />

to mutation and immune selection over a<br />

period of time. Simple calculations and computer<br />

modeling suggest that undetectable<br />

(by the usual techniques) low-level expression<br />

of many variants will occur during the course<br />

of a trypanosome infection, although each<br />

peak of parasitemia contains only a few overt<br />

variants.<br />

IMMUNE RESPONSES TO<br />

TRYPANOSOME INFECTION<br />

There are several pathological manifestations<br />

in trypanosomiasis, such as anemia and<br />

hypocomplementemia, whose detailed discussion<br />

is beyond the scope of this review,<br />

save to mention in passing that some of the<br />

pathology may be attributable to the escalating<br />

antibody responses to the ever-changing<br />

MOLECULAR BIOLOGY

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