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THE EMBDEN–MEYERHOF–PARNAS (EMP) PATHWAY OF GLYCOLYSIS 143<br />

been developed, and of which ascofuranone<br />

was the most potent, none has been developed<br />

into an effective anti-trypanosome drug.<br />

Once glycerol accumulates above several<br />

millimolar in the presence of a TOA inhibitor,<br />

this metabolite becomes highly toxic to the<br />

trypanosome. Due to mass action the reversal<br />

of the glycerol-kinase reaction comes to a halt<br />

and glycolysis stops. Since trypanosomes lack<br />

energy stores, cellular ATP levels rapidly drop to<br />

zero, leading to their complete immobilization.<br />

Under these conditions trypanosomes are rapidly<br />

cleared from the blood of infected animals.<br />

Based on the above observations, there is<br />

little doubt that the enzymes of glycolysis in<br />

the bloodstream form of T. brucei constitute<br />

excellent chemotherapeutic targets, but few of<br />

these have been validated by gene knockout<br />

experiments. Moreover, there is much discussion<br />

as to which of the enzymes constitute the<br />

better targets within the pathway. Mathematical<br />

modeling experiments, using all the available<br />

information on the individual enzymes<br />

of this pathway, were able to predict successfully<br />

the experimentally determined fluxes and<br />

metabolite concentrations in trypanosomes.<br />

This has allowed us to get information about<br />

the degree of control each of the enzymes<br />

exerts on the overall carbon flux through the<br />

pathway. The glucose <strong>trans</strong>porter protein that<br />

is present in the parasite’s plasma membrane<br />

may confer 50% or more of the control over<br />

the pathway. However, the enzymes aldolase,<br />

glyceraldehyde-3-phosphate dehydrogenase<br />

(GAPDH), glycerol-3-phosphate dehydrogenase<br />

(G3PDH) and phosphoglycerate kinase<br />

(PGK) exert a considerable amount of control,<br />

especially under conditions where the blood<br />

levels of glucose are not limiting. Tight-binding<br />

inhibitors of enzymes that confer control over<br />

the pathway, with affinities in the nanomolar<br />

range, as well as irreversible inhibitors of<br />

enzymes that do not confer any control, may<br />

be effective in killing the organism, provided<br />

they succeed in inhibiting the flux to a large<br />

extent. That this approach is feasible has<br />

been illustrated by the use of conditional<br />

knockouts of T. brucei cell lines. When the<br />

activity of triosephosphate isomerase (TIM)<br />

was decreased to 15%, the rate of cell division<br />

was halved. Lower TIM levels were lethal. This<br />

result was surprising since TIM was considered<br />

a non-essential enzyme for trypanosome glycolysis.<br />

Its inhibition (or removal) would force<br />

the trypanosome into the formation of equimolar<br />

amounts of pyruvate and glycerol with a<br />

net production of only one ATP per molecule<br />

of glucose consumed, rather than the two molecules<br />

of ATP produced under normal conditions.<br />

Yet the removal of TIM leads to arrest of<br />

growth. Apparently the reduced amount of ATP<br />

produced under these conditions may not be<br />

sufficient to sustain cell division, but other<br />

explanations, such as the accumulation of certain<br />

toxic metabolites, cannot be excluded.<br />

Similarly, in vitro growth in the presence of<br />

low concentrations of SHAM, which imposes<br />

an anaerobic type of glycolysis upon the organism,<br />

turned out to be impossible over extended<br />

periods as well. Upon lowering the level of TAO<br />

expression by a conditional gene knockout, the<br />

oxygen consumption was reduced fourfold and<br />

the rate of trypanosome growth was halved. This<br />

indicates that any glycolytic inhibitor that could<br />

exert a considerable reduction of the overall glycolytic<br />

flux, and/or a reduction of the ATP yield<br />

of glycolysis, would arrest growth completely<br />

and thus could be a promising drug candidate.<br />

Bearing this in mind, each of the individual<br />

steps of the glycolytic pathway will be discussed.<br />

Metabolite <strong>trans</strong>porters<br />

Glycolysis proceeds at very high rates (up to<br />

100 nM of glucose consumed per min and<br />

per mg of protein) in the bloodstream form of<br />

BIOCHEMISTRY AND CELL BIOLOGY: PROTOZOA

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