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182 PROTEIN METABOLISM<br />

in vivo, in infected mice. The activity of cysteine<br />

proteinase inhibitors against T. cruzi,<br />

and also against other parasitic protozoa,<br />

observed in cultured systems or in animal<br />

models of infection, correlates with the direct<br />

inhibition of the proposed targets. Most of the<br />

inhibitors are also able to inhibit the mammalian<br />

cathepsins, yet mammalian cells are<br />

not adversely affected by concentrations<br />

which effectively kill the parasite. This selective<br />

effect may be due to the redundancy of<br />

proteolytic activities in higher eukaryotic cells<br />

compared with parasitic protozoa. In T. cruzi,<br />

cruzipain inhibitor-resistant parasites were<br />

not also resistant to the established drugs,<br />

nifurtimox and benznidazole, used for treatment<br />

of Chagas disease, indicating that their<br />

mechanisms of action are different. These<br />

studies point to parasite proteinases as valid<br />

targets for the development of much needed<br />

alternative drugs against tropical diseases.<br />

AMINO ACID METABOLISM<br />

The disposal of amino nitrogen:<br />

amino<strong>trans</strong>ferases and glutamate<br />

dehydrogenase<br />

Amino<strong>trans</strong>ferases and glutamate dehydrogenases<br />

have a central role in amino acid<br />

metabolism, both in catabolic and biosynthetic<br />

processes. Amino<strong>trans</strong>ferases catalyze<br />

the exchange of the amino and keto groups<br />

between amino acids and -ketoacids, and<br />

act frequently as a first step in amino acid<br />

degradation, by <strong>trans</strong>ferring the amino group<br />

to -ketoglutarate to yield L-glutamate.<br />

L-glutamate is the substrate of the glutamate<br />

dehydrogenases, which deaminate glutamate<br />

to -ketoglutarate and ammonia, with<br />

the concomitant reduction of NAD or NADP<br />

(Figure 8.1). Mammals have a glutamate<br />

dehydrogenase that can use both coenzymes,<br />

whereas protozoa, like plants, fungi and bacteria,<br />

have usually one or two coenzymespecific<br />

enzymes. Amino<strong>trans</strong>ferases have<br />

been reported in all protozoa, and frequently<br />

several enzymes, with different specificities,<br />

are present. For example, T. vaginalis contains<br />

at least four amino<strong>trans</strong>ferases: one specific<br />

for ornithine and lysine; a second for<br />

the branched amino acids; a third for aspartate<br />

and aromatic amino acids; and a fourth<br />

for alanine. The most frequently identified<br />

enzymes are alanine amino<strong>trans</strong>ferase and<br />

aspartate amino<strong>trans</strong>ferase; the presence and<br />

usually high levels of the former enzyme are<br />

associated with the production of L-alanine,<br />

which is a frequent final product of glucose<br />

catabolism in protozoa (see below).<br />

Glutamate dehydrogenases also are found in<br />

most parasitic protozoa. T. cruzi has two<br />

enzymes, one NADP-linked and the other NADlinked.<br />

The NADP-linked enzyme is strictly<br />

cytosolic, and has been proposed to have a<br />

biosynthetic role. However, enzyme levels are<br />

developmentally regulated, and are higher in<br />

the gut stages present in the insect, where<br />

amino acids can be expected to be the main<br />

source of energy. NADP-linked glutamate dehydrogenases<br />

have also been characterized from<br />

T. vaginalis, Plasmodium chabaudi, G. lamblia,<br />

and P. falciparum. The T. cruzi NAD-linked<br />

glutamate dehydrogenase is mitochondrial,<br />

although there seems to be also a cytosolic isoform,<br />

and it probably has a catabolic function.<br />

The functions of the glutamate dehydrogenases<br />

are probably different in different protozoa. The<br />

NADP-linked enzyme appears to function in<br />

NADPH generation in P. falciparum, whereas in<br />

T. cruzi and G. lamblia it appears to be involved<br />

in NADPH reoxidation and is essential, together<br />

with alanine amino<strong>trans</strong>ferase, for the production<br />

and excretion of alanine. The NADP-linked<br />

glutamate dehydrogenase from P. falciparum<br />

BIOCHEMISTRY AND CELL BIOLOGY: PROTOZOA

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