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168 ENERGY METABOLISM – APICOMPLEXA<br />

FIGURE 7.10 The mannitol cycle in Eimeria tenella. This cycle constitutes a major branching point from glycolysis<br />

in E. tenella. Copious amounts of mannitol are created within the avian host (body temperature 41°C) where<br />

it may function as an energy source during sporulation in the environment (25°C). Given its absence from the<br />

host, this cycle has been the subject of interest as a drug target, leading to the production of nitrophenide, a mannitol<br />

1-phosphate dehydrogenase inhibitor that prevents mannitol production and leads to defective E. tenella<br />

sporulation.<br />

function(s) of the mannitol cycle in E. tenella<br />

and other apicomplexans are not entirely clear<br />

(as is also the case for fungi). It is interesting to<br />

speculate that possible roles for mannitol production<br />

may include the production of NADH<br />

for electron <strong>trans</strong>port and oxidative phosphorylation.<br />

Alternatively, mannitol might act as<br />

an osmoregulator or as a protectant under<br />

conditions of oxidative or salt stress.<br />

MEDICAL SIGNIFICANCE<br />

Although virtually all of the activities involved<br />

in apicomplexan carbohydrate metabolism<br />

and electron <strong>trans</strong>port are well known from<br />

other systems, the pathways as a whole diverge<br />

significantly from host species, and have<br />

already proven useful as a target for chemotherapeutic<br />

intervention. Features that distinguish<br />

the Apicomplexa range from simple amino<br />

acid changes in enzyme cofactor- or substratebinding<br />

sites, to the presence of pathways<br />

known from other organisms that are missing<br />

in the human host. Malate:quinone oxidoreductase<br />

was previously known only in a subset<br />

of prokaryotes, floridean starch in red<br />

algae, and the mannitol cycle in bacteria and<br />

fungi.<br />

The selective interaction of atovaquone<br />

with the apicomplexan Complex III is already<br />

being exploited in the clinic, and has proven<br />

particularly useful in combination with the<br />

antifolate proguanil (Chapter 17). Synthetic<br />

peptides that mimic the homodimer interface<br />

BIOCHEMISTRY AND CELL BIOLOGY: PROTOZOA

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