Vítor Ennes-Vidal1, Bianca da Silva Vitório1, Rubem Figueiredo Sadok Menna-Barreto2, André Nóbrega Pitaluga3, Silvia Amaral Gonçalves-da-Silva4, Marta Helena Branquinha5, André Luis Souza Santos5, Claudia Masini d'Avila-Levy1. 1. Fundação Oswaldo Cruz-Fiocruz, Instituto Oswaldo Cruz, Laboratório de Estudos Integrados em Protozoologia, Rio de Janeiro, RJ, Brasil. 2. Fundação Oswaldo Cruz-Fiocruz, Instituto Oswaldo Cruz, Laboratório de Biologia Celular, Rio de Janeiro, RJ, Brasil. 3. Fundação Oswaldo Cruz-Fiocruz, Instituto Oswaldo Cruz, Laboratório de Biologia Molecular de Parasitas e Vetores, Rio de Janeiro, RJ, Brasil. 4. Universidade do Estado do Rio de Janeiro, Laboratório de Imunofarmacologia Parasitária, Rio de Janeiro, RJ, Brasil. 5. Universidade Federal do Rio de Janeiro, Laboratório de Estudos Avançados de Microrganismos Emergentes e Resistentes, Rio de Janeiro, RJ, Brasil.
Abstract
BACKGROUND: Calpains are proteins belonging to the multi-gene family of calcium-dependent cysteine peptidases that undergo tight on/off regulation, and uncontrolled proteolysis of calpains is associated with severe human pathologies. Calpain orthologues are expanded and diversified in the trypanosomatids genome. OBJECTIVES: Here, we characterised calpains in Leishmania braziliensis, the main causative agent of cutaneous leishmaniasis in Brazil. METHODS/ FINDINGS: In total, 34 predicted calpain-like genes were identified. After domain structure evaluation, reverse transcription-quantitative polymerase chain reaction (RT-qPCR) during in vitro metacyclogenesis revealed (i) five genes with enhanced expression in the procyclic stage, (ii) one augmented gene in the metacyclic stage, and (iii) one procyclic-exclusive transcript. Western blot analysis revealed that an antibody against a consensus-conserved peptide reacted with multiple calpain-like proteins, which is consistent with the multi-gene family characteristic. Flow cytometry and immunocytochemistry analyses revealed the presence of calpain-like molecules mainly in the cytoplasm, to a lesser extent in the plasma membrane, and negligible levels in the nucleus, which are all consistent with calpain localisation. Eventually, the calpain inhibitor MDL28170 was used for functional studies revealing (i) a leishmaniostatic effect, (ii) a reduction in the association index in mouse macrophages, (iii) ultra-structural alterations conceivable with autophagy, and (iv) an enhanced expression of the virulence factor GP63. CONCLUSION: This report adds novel insights into the domain structure, expression, and localisation of L. braziliensis calpain-like molecules.
BACKGROUND:Calpains are proteins belonging to the multi-gene family of calcium-dependent cysteine peptidases that undergo tight on/off regulation, and uncontrolled proteolysis of calpains is associated with severe human pathologies. Calpain orthologues are expanded and diversified in the trypanosomatids genome. OBJECTIVES: Here, we characterised calpains in Leishmania braziliensis, the main causative agent of cutaneous leishmaniasis in Brazil. METHODS/ FINDINGS: In total, 34 predicted calpain-like genes were identified. After domain structure evaluation, reverse transcription-quantitative polymerase chain reaction (RT-qPCR) during in vitro metacyclogenesis revealed (i) five genes with enhanced expression in the procyclic stage, (ii) one augmented gene in the metacyclic stage, and (iii) one procyclic-exclusive transcript. Western blot analysis revealed that an antibody against a consensus-conserved peptide reacted with multiple calpain-like proteins, which is consistent with the multi-gene family characteristic. Flow cytometry and immunocytochemistry analyses revealed the presence of calpain-like molecules mainly in the cytoplasm, to a lesser extent in the plasma membrane, and negligible levels in the nucleus, which are all consistent with calpain localisation. Eventually, the calpain inhibitor MDL28170 was used for functional studies revealing (i) a leishmaniostatic effect, (ii) a reduction in the association index in mouse macrophages, (iii) ultra-structural alterations conceivable with autophagy, and (iv) an enhanced expression of the virulence factor GP63. CONCLUSION: This report adds novel insights into the domain structure, expression, and localisation of L. braziliensiscalpain-like molecules.
The various species of Leishmania include parasites of considerable
medical and economic importance. Each year, there are 1.5-2 million new estimated cases
of leishmaniasis with around 70,000 deaths, and 350 million people are at risk of
infection and disease. This disease is characterised by a spectrum of clinical
manifestations ranging from cutaneous ulcers to deadly visceral lesions. The present
therapy for leishmaniasis is limited to few drugs that are associated with disadvantages
such as unacceptable toxicity, difficulties during administration, and treatment
failure.
,Leishmania parasites are transmitted to human and animals by the bite
of a phlebotominae insect. In the mammalian host, the parasite has an obligate
intracellular form, namely amastigotes, whereas, in the invertebrate host, in a process
known as metacyclogensis, the promastigotes differentiate from a replicating procyclic
to a non-replicating infective metacyclic stage.
Leishmania peptidases, a class of hydrolytic enzymes responsible for
breaking peptide bonds, contribute to essential steps of the parasite life cycle, such
as the simple digestion of proteins for nutrition, proliferation and growth,
differentiation, signalling, death pathways, and mediating and sustaining the infectious
disease process.Calpains (EC 3.4.22.17, Clan CA, family C02) belong to a family of intracellular
Ca2+-dependent cysteine peptidases, initially described and characterised
in humans. These peptidases are more likely to act in limited proteolysis to slightly
modify their substrates and modulate several cellular processes than in full protein
digestion; hence, they are designated as intracellular ‘modulator peptidases’,
participating in cytoskeletal rearrangement, signal transduction pathways, and
apoptosis. Calpain deregulation is associated to several pathologies such as muscular
dystrophies, diabetes and tumorigenesis in humans, embryonic lethality in mouse and
incomplete sex determination in nematodes. These aspects led to the development of a
broad range of selective calpain inhibitors, which can be assayed under a re-purpose
strategy in trypanosomatids.Calpain homologues are identified based on the primary sequence characteristics of the
cysteine peptidase core (CysPc), which have been increasingly found in other organisms
including insects, nematodes, protozoa, plants, fungi and even in some bacteria, thus
constituting a super-family with versatile functions.
,
In trypanosomatids, this gene family is expanded and a high diversity is
observed in the domain arrangements, ranging from proteins with only one small domain,
known as small kinetoplastid calpain-related proteins (SKCRPs), to large proteins
comprising four domains, including the classical CysPC.
,
,
In Trypanosoma brucei, the role of this gene family in
cytoskeleton rearrangement, with impact on parasite growth, morphology and flagellum
assembly, has been proved.
In Leishmania spp., an increased expression of this gene family
members was associated to drug-resistance, post-kala-azar dermal leishmaniasis and
metacyclogenesis.
,
,
,
The calpain inhibitor, MDL28170 (inhibitor III, Z-Val-Phe-CHO), induces
apoptotic marker expression in Leishmania amazonensis
and impairs promastigote proliferation and amastigote intracellular
development.
,
,Although Leishmania species form a monophyletic clade, differences in
these species can account for distinct disease outcomes and vector specificity.
L. braziliensis is associated with mucosal and
disseminated leishmaniasis to a greater extent than other New World
Leishmania, and is the most widely distributed causative agent of
cutaneous leishmaniasis in Brazil.
,
Therefore, owing to the severity and public health importance of L.
braziliensis, the Drugs for Neglected Diseases initiative
(DNDi) decided to focus on the development of novel treatment
options for cutaneous leishmaniasis, predominantly caused by this species.
Thus, the study of calpain molecules and the in vitro
evaluation of an alternative treatment, not assayed yet, against this
Leishmania species are extremely relevant. Moreover, as the
up-regulation of several members of the calpain family leads to a diverse range of
biological processes and human diseases, this peptidase family proves to be an important
therapeutic target, and it has been immensely explored for the development of a means of
identifying selective calpain inhibitors.
,
Further studies about trypanosomatid calpains may employ calpain inhibitors
developed to treat human pathologies, and selectivity may not be essential for
anti-protozoan drugs due to the inherent biological selectivity in the function and
location of the protozoan peptidases.
In addition, the inhibitor concentration necessary to chemically knock-out a
parasitic enzyme is presumably much lower than that predicted for the homologous host
enzymes.
,
Collectively, the knowledge of structural and functional relationships and
substrate specificity of these proteins in trypanosomatids should make them ideal
candidates for computation-assisted drug design for specific inhibitors. In the present
study, we screened L. braziliensis whole genome to identify and
classify the calpain genes and their domain arrangements; thereafter, we evaluated the
gene expression pattern between procyclic and metacyclic promastigotes during in
vitro metacyclogenesis. The protein profile and cellular localisation was
assessed by means of a polyclonal antibody raised against a consensus-conserved region
of the CysPC domain. Eventually, MDL28170 was employed to address its effect on the
parasite growth, ultra-structure, and interaction with mouse peritoneal macrophages, as
well as its effects on the abundance of calpain-like proteins and two well-known
leishmania virulence factors, cpb and GP63.
MATERIALS AND METHODS
Calpain search in L. braziliensis genome, conserved domain analysis, gene
selection and primer design - Protein sequences of L.
braziliensis MHOM/BR/75/M2904 strain annotated as calpains were
retrieved from the Tritryp Database. These proteins were locally analysed by Simple
Modular Architecture Research Tool (SMART) for the presence of calpain domains in
InterPro and Pfam databases. In addition, an HMM model was created with a wide range
of annotated calpains and an HMM search was done in L. braziliensis
genome (GeneBank ID 718). Sequences containing less than 100 amino acid residues and
domains with e-value higher than 10-3 were removed from the analysis.
Gene-specific primers of sequences harbouring the calpain proteolytic core (CysPc)
were designed using Primer3Plus to amplify a 90-120 bp fragment in quantitative
polymerase chain reaction (qPCR) analysis [Supplementary
data (Table)]. The predicted molecular mass of
calpain sequences was calculated using Bioinformatics.org
(http://www.bioinformatics.org/sms/prot_mw.htm).Parasite cultivation and procyclic and metacyclic isolation -
L. braziliensis promastigotes (strain Thor, MCAN/BR/1998/619)
were routinely inoculated in hamster and re-isolated from their lesions and were
subsequently maintained (up to 4 passages - recently isolated strain - RI) in
Schneider’s medium at 26ºC. Culture adapted strains (CAS) had at least 30
sub-cultures in vitro. To separate the procyclics from metacyclic
promastigotes, the stationary phase culture was subjected to differential
centrifugation in Ficoll® 20%.
Next, each population was analysed via flow cytometry through the forward
scatter. Experiments were carried out in accordance with the protocols approved by
the Institutional Animal Care and Use Committee at Instituto de Biologia Roberto
Alcântara Gomes of the Universidade Estadual do Rio de Janeiro (UERJ)
(CEUA/051/2017).Gene expression comparison between procyclic and metacyclic L.
braziliensis - Total RNA from the procyclic and metacyclic stages was
extracted using TRIzol reagent, according to the manufacturer’s instructions. RNA
samples were treated with DNAse I to remove any contaminating DNA and were then
analysed for purity and were quantified in a spectrophotometer. The cDNA synthesis
was performed with SuperScriptIII kit (Applied Biosystems) using oligo-dT primers.
The specificity of each designed primer was confirmed by sequencing the amplified
products by Sanger sequencing in an ABI 3730 Sequencing Platform. The DNA sequences
were evaluated against NCBI nr database using BLASTn. For qPCR, cDNA was diluted 10
times and was used in 20 µL reaction including Go-Taq PCR Master Mix and primers in
ABI Prism 7500 FAST (Applied Biosystem). The relative gene expression was determined
using comparative CT values. ΔCT of the target gene was obtained as a difference in
the CT value from the endogenous control actin. The constitutive 8S gene was
additionally analysed to improve data confidence. The ΔΔCT value of each gene was
calculated pair-to-pair between the procyclic and metacyclic stages, and the one
with higher reduction in the expression level was regarded as the reference. The
relative expression was then reported as 2-ΔΔCT.Anti-calpain polyclonal antibody production - L.
braziliensis calpains alignment through MUSCLE v3.8.31 allowed the
identification of a consensus conserved unique polypeptide, LEKAYAKLHGSY, among the
34 calpain sequences. This peptide was synthesised and used to immunise rabbits to
obtain a polyclonal serum by Rhea Biotech Enterprise (Campinas, São Paulo, Brazil).
The antibody was purified by affinity chromatography. The antibody
‘anti-tritryp-calpain’ presented a final concentration of 0.1 mg/mL.Flow cytometry analysis - The total promastigotes (1.0 ×
106 cells) of either RI or CASlog-phase cultures were processed and
analysed for flow cytometry, as previously described.
Briefly fixed parasites in paraformaldehyde (0.4%), permeabilised or not
with Triton X-100 (0.01%), were incubated at room temperature for 1 h with
anti-tritryp-calpain polyclonal antibody (1:250 dilution). Alternatively, the RI
cultures were incubated with MDL28170 at 3.3, 6.6, and 13.2 μM for 48 h and were
then fixed and processed as described above, and were additionally labelled with
anti-cpb (kindly provided by Dr Mary Wilson, Department of Internal Medicine,
Biochemistry, Microbiology and Epidemiology, Program in Molecular Biology,
University of Iowa, USA) (1:500 dilution) or anti-GP63 (kindly provided by Dr Peter
Overath, Max-Planck-Institutfür Biologie, Abteilung Membranbiochemie, Germany)
(1:1000 dilution). Under all conditions, the cells maintained their morphological
integrity, as verified by the optical microscopic observation. After incubation with
the primary antibodies, the cells were treated with Alexa 488-labelled goat
anti-rabbit IgG (1:750 dilution) for 1 h at room temperature, and data acquisition
and analysis were performed on a flow cytometer equipped with a 15 mW argon laser
emitting 488 nm wavelength (FACS Calibur, BD Bioscience, USA). The omission of the
primary antibody was used as a control. Each experimental population was then mapped
by using a two-parameter histogram of forward-angle light scatter versus side
scatter. The mapped population (n = 10,000) was then analysed for log green
fluorescence by using a single parameter histogram, and the mean fluorescence
intensity (MFI) of each experimental system was divided by MFI from the
auto-fluorescence controls to obtain the variation index.Identification of calpains by Western blotting - The total
promastigotes (1.0 × 108 cells) of either RI or CAS log-phase cultures
were processed for immunoblotting analysis, as previously described.
The nitrocellulose membranes comprising the transferred proteins were
blocked in 10% low-fat dried milk dissolved in PBS containing 2% Tween 20
(TBS/Tween) overnight at 4ºC, and were then washed with the blocking solution and
subsequently incubated for 2 h with anti-tritryp-calpain (1:500 dilution). To
analyse the antibody specificity, the anti-tritryp-calpain was incubated for 2 h in
an ELISA plate coated with LEKAYAKLHGSY or an unrelated polypeptide
(FGFVEEGAEERKAVAELKK). The supernatant of these reactions was collected and
incubated in an additional blotting membrane with L. braziliensis
proteins. The secondary peroxidase-conjugated goat anti-rabbit immunoglobulin G
(1:1500 dilution) was used followed by chemiluminescence immunodetection. An
anti-β-actin polyclonal antibody produced in rabbit (Rhea Biotech) (1:5000 dilution)
was used as a loading control. The relative molecular masses of the reactive
polypeptides were calculated by comparing with the mobility of sodium dodecyl
sulfate polyacrylamide gel electrophoresis (SDS-PAGE) standards, and the
densitometric analysis was performed using the ImageJ program.Multiplication inhibition assay - The effects of MDL28170
(Calbiochem, San Diego, CA, USA) on L. braziliensis promastigotes
were assessed as previously described with slight modifications.
Briefly, total promastigotes of either RI or CAS log-phase cultures were
enumerated using a Neubauer chamber and were re-suspended in a fresh medium to a
final concentration of 1.0 × 106 viable promastigotes/mL. The inhibitor
compound was added to the culture at final concentrations of 1.25, 2.5, 5, 10, and
20 µM (starting from a 500 mM solution in dimethyl sulphoxide (DMSO) that was
serially diluted in the culture medium). Dilutions of DMSO corresponding to those
used to prepare the drug solutions were assessed in parallel. After incubation
(24-96 h) at 26ºC, the number of viable motile promastigotes was quantified in a
Neubauer chamber. Alternatively, protozoa grown for 48 h in the absence or presence
of the calpain inhibitor were washed thrice in PBS prior to re-suspension in a
drug-free fresh medium and were allowed to grow for another 96 h to evaluate the
leishmanicidal or leishmanistatic effect. The live motile promastigote count was
evaluated under optical microscopy at 24 h intervals. The 50% inhibitory
concentration (IC50), that is, the drug concentration that caused a 50%
reduction in survival in comparison to that in identical cultures without the
compound, was calculated daily.Interaction betweenmurine macrophages and L. braziliensis -
Peritoneal macrophages were extracted from BALB/c mice and adhered in coverslips (3
× 105 cells) with RPMI 1640 medium in a 4% CO2 atmosphere at
37ºC for 24 h, and were then washed thrice with PBS. The RI parasites from the
stationary growth phase were harvested via centrifugation, washed twice with PBS,
and then washed once with RPMI 1640 medium. Thereafter, the parasites were
pre-incubated for 1 h in Schneider’s insect medium in the absence or presence of
MDL28170 at final concentrations of 3.3, 6.6 and 13.2 μM. Parasite viability
remained unaffected in this condition, as presented by trypan blue dye exclusion and
cellular motility. DMSO (at the highest concentration used as a drug diluent) was
assessed in parallel. Parasites fixed in 4% paraformaldehyde were included as an
additional control and were allowed to interact with macrophages for 1 h (10
parasites per host cell). Thereafter, the unbound parasites were removed by washing
with PBS, and the coverslips were fixed and stained with Panotico kit (Laborclin,
Paraná, Brazil). Cells were observed by light microscopy, and the percentage of
infected macrophages was determined by randomly counting at least 200 cells in each
biological sample. The association index was obtained by multiplying the percentage
of infected macrophages by the number of amastigotes per infected macrophage.
Experiments were carried out in accordance with the protocols approved by the
Institutional Animal Care and Use Committee at FIOCRUZ (CEUA LW 16/13).Transmission electron microscopy analyses - Briefly, L.
braziliensis RI promastigotes (1.0 × 106 cells/mL) were
treated or untreated at final concentration of 3.3 µM MDL28170 in Schneider’s insect
medium at 26ºC. Thereafter, the parasites were fixed with 2.5% glutaraldehyde in 0.1
M Na-cacodylate buffer (pH 7.2) at room temperature for 40 min and were post-fixed
with a solution of 1% OsO4, 0.8% potassium ferricyanide and 2.5 mM
CaCl2 in the same buffer for 20 min at room temperature.
Parasites were dehydrated in an ascending acetone series and were embedded
in PolyBed 812 resin. Ultra-thin sections were stained with uranyl acetate and lead
citrate and were examined in Jeol JEM1011 transmission electron microscope at
Plataforma de Microscopia Eletrônica, IOC, FIOCRUZ. Alternatively, the untreated
parasites were subjected to pre-embedding protocol, in which the parasites were
fixed, permeabilised (Triton X-100 0.1%) and incubated with a 1:20 dilution of
polyclonal rabbit anti-tritryp-calpain, followed by labelling with a 1:40 dilution
of the secondary anti-rabbit-gold (10 nm) antibody.Statistical analysis - All experiments were repeated at least
thrice and were performed in triplicate and the results represent the media and
standard deviation. When appropriate, the representative images of the experiments
are depicted. The data were analysed statistically by Student’s t
test using GraphPad Prism Version 5.00 software. P values of 0.05
or less were considered as statistically significant.
RESULTS AND DISCUSSION
A large diversity of domain arrangement revealed in L. braziliensiscalpain
family - To date, the diversity of the calpain gene family has been
mainly scrutinised in multi-cellular complex eukaryotes, such as animals and plants.
Nevertheless, the calpain-related genes have also been reported in microorganisms,
including trypanosomatids. Interestingly, a great difference in the gene number and
domain diversity is observed among microorganisms and mammals, and the divergent
evolutionary histories may account for this diversity.
Here, we evaluated the presence of calpain-related genes in L.
braziliensis genome. Using two distinct search approaches, 34
calpain-related genes distributed in 13 different chromosomes were retrieved,
revealing a wide range of domain arrangements (Table). Combinations between the proteolytic core domain (CysPc) and
several other domains, such as small kinetoplastid calpain-related proteins
(SKCRPs), microtubule interacting domain (MIT), regular structure consisting of
similar repeats (RNI-like), and repetitive-rich regions, revealed the wide variation
in calpain-like member domain architecture, as previously observed by Zhao et
al.
in unicellular eukaryotes.
TABLE
List of calpain sequences retrieved from Leishmania
braziliensis genome
Gene ID
Chromosome
Domain architecture
Consensus peptide sequence (LEKAYAKLHGSY)
Predicted Molecular mass (kDa)
LbrM.04.0490
4
SKCRP, CysPc
LEKAFAKMHGSY
94
LbrM.14.0820
14
SKCRP
----------
13
LbrM.14.0830
14
SKCRP
----------
13
LbrM.17.1220
17
KISC, 3xARM, CBSW
----------
158
LbrM.18.1160
18
CysPc
Low similarity
84
LbrM.20.0290
20
CysPc
Low similarity
174
LbrM.20.5340
20
SKCRP
----------
38
LbrM.20.5380
20
SKCRP, CysPc
LEKAYAKLHGSY
91
LbrM.20.5390
20
Fragmented CysPc
Low similarity
23
LbrM.20.5400
20
SKCRP, CysPc
LEKAYAKIFGGY
78
LbrM.20.5410
20
SKCRP, CysPc
Low similarity
83
LbrM.20.5430
20
CysPc
LEKAYAKVRGGY
60
LbrM.20.5440
20
SKCRP
----------
17
LbrM.20.5450
20
SKCRP
----------
17
LbrM.20.5500
20
SKCRP
----------
17
LbrM.20.5520
20
SKCRP
----------
15
LbrM.20.5530
20
SKCRP
----------
15
LbrM.21.0160
21
RNI-like, 2xCBSW, CysPc, 3xCBSW
Low similarity
178
LbrM.25.1350
25
SKCRP, CysPc
AEKAYAKAFGSY
80
LbrM.27.0600
27
CysPc, CBSW, CysPc, 2xRPT1, CysPc, CBSW
Low similarity
561
LbrM.27.0610
27
CysPc, CBSW, CysPc, RPT1, RPT2, CysPc, CBSW
Low similarity
701
LbrM.27.0620
27
CysPc, CBSW
Low similarity
60
LbrM.27.2140
27
CBSW, CysPc, 2xRPT1
LEKAYAKFYTLY
623
LbrM.28.2100
28
fragmented CysPC
----------
19
LbrM.30.1980
30
RNI-like, CysPc, CBSW
LEKAYAKSL-GSY
149
LbrM.31.0510
31
SKCRP, CysPc
LEKAYAKLHGSY
98
LbrM.31.0520
31
SKCRP, CysPc
Low similarity
162
LbrM.31.0580
31
SKCRP, CysPc
LEKACAKVLGSY
97
LbrM.31.0590
31
SKCRP, CysPc
Low similarity
102
LbrM.31.0600
31
CysPc
LQKAYAKVHGSY
53
LbrM.31.0620
31
SKCRP, CysPc
LEKAYAKIHGSY
81
LbrM.32.1060
32
CysPc
LEKAYAKFVGGY
200
LbrM.33.2290
33
MIT, CysPc, CBSW
LEKMLAKLHGGY
123
LbrM.35.0900
35
CysPc
Low similarity
122
The ID sequences of the calpain orthologues were retrieved from
L. braziliensis genome (Genebank ID 718). The
identity and similarity of the conserved immunogenic consensus
sequence in the cysteine peptidase core (CysPc) domain are
presented: bold letters indicate conserved amino acid, residues with
strongly similar properties are in italics and underlined and
residues with weakly similar properties are in grey. Calpain
sequences that contained the CysPc domain but an overall identity
lower than 75% with the consensus peptide were designed as ‘low
similarity’, and ‘----------’ indicates the absence of the sequence.
Genes ID in bold indicate the selection for differential gene
expression analyses. ARM: armadillo/beta-catenin-like repeats; CBSW:
calpain-type beta-sandwich domain; KISC: kinesin domain; MIT:
microtubule interacting and transport domain; RNI-like: regular
structure comprising similar repeats; RPT: repeated domain found in
de-ubiquitinating proteins; SKCRP: small kinetoplastid
calpain-related proteins. 1×, 2× and 3× indicate the number of times
that a domain appears in the sequence. Fragmented CysPC stands for
short amino acid sequences from the catalytic domain.
The ID sequences of the calpain orthologues were retrieved from
L. braziliensis genome (Genebank ID 718). The
identity and similarity of the conserved immunogenic consensus
sequence in the cysteine peptidase core (CysPc) domain are
presented: bold letters indicate conserved amino acid, residues with
strongly similar properties are in italics and underlined and
residues with weakly similar properties are in grey. Calpain
sequences that contained the CysPc domain but an overall identity
lower than 75% with the consensus peptide were designed as ‘low
similarity’, and ‘----------’ indicates the absence of the sequence.
Genes ID in bold indicate the selection for differential gene
expression analyses. ARM: armadillo/beta-catenin-like repeats; CBSW:
calpain-type beta-sandwich domain; KISC: kinesin domain; MIT:
microtubule interacting and transport domain; RNI-like: regular
structure comprising similar repeats; RPT: repeated domain found in
de-ubiquitinating proteins; SKCRP: small kinetoplastid
calpain-related proteins. 1×, 2× and 3× indicate the number of times
that a domain appears in the sequence. Fragmented CysPC stands for
short amino acid sequences from the catalytic domain.Among the 34 predicted calpain-related genes identified in L.
braziliensis genome, only 23 have the classical CysPc domain (Table). Short amino acid sequences, which
correspond to a fragmented proteolytic domain, are present in two putative gene
sequences assigned as calpains in the database (LbrM.20.5390 and LbrM.28.2100).
Another common and exclusive domain among trypanosomatids is the SKCRPs,
which was identified in 18 predicted genes and stands as the unique domain
in eight predicted genes. This domain was found in a diacylated membrane protein,
described as small myristoylated protein-1 (SMP-1), which was extensively
characterised in L. major presenting a specific flagellar
localisation.Besides the calpain CysPc domain found in almost all eukaryotes and few bacteria,
calpain-type beta-sandwich domain (CBSW, formerly called ‘C2-domain-like-C2L‘) and
penta-EF-hand (PEF) domains are intrinsically associated with classical
calpains.
Trypanosomatid calpains, similar to any other single-celled eukaryotes and
bacteria, lack the PEF domain, but may contain the CBSW.
Eight predicted genes were found with this domain, out of which only two
comprised the core consensus peptide of the CysPc domain, and one of them
(LbrM.17.1220) has a kinesin domain (KISC) and three armadillo/beta-catenin-like
repeats (ARM) before the CBSW. An orthologous of LbrM.17.1220, which is an orphan
kinesin (KIN-E) in T. brucei, is reported to play a regulatory role
in trypanosome morphology transitions. The kinesin enrichment at the flagellar tip
depends on the CBSW domain (also known as m-calpain domain III-like), and the KIN-E
depletion in the trypomastigote form causes major morphology changes generating
epimastigote-like cells.
Accordingly, the depletion of other T. bruceicalpain-like
gene, such as the repeat-rich CalpGM6, impaired the cellular division and also
induced epimastigote-like forms.
Noteworthily, the repeated domains, RPT1 and RPT2, were exclusively found in
chromosome 27, which suggests gene duplication events in this chromosome (Table).Based on the domain distribution across the eukaryote tree and the similarity of
domain components in various genes, four calpain architectures CysPc, CysPc-CBSW,
MIT-CysPc-CBSW and large transmembrane (TML)-CysPc-CBSW were proposed to be
originated early in the evolutionary history of eukaryotes.
The gene expression analysis was focused on genes that presented a conserved
CysPc core. We excluded genes with repetitive regions and those related to SKCRP,
and included genes with determined functions in related organisms, for instance, the
kinesin-like gene, which presents the CBSW domain.
Moreover, L. braziliensiscalpain-like predicted gene
alignment revealed a consensus polypeptide, LEKAYAKLHGSY, in the CysPc domain that
shares homology with 13 predicted genes, which prompted us to produce a polyclonal
antibody able to recognise all these isoforms [Supplementary
data (Fig. 1)].Differential expression of calpain-like genes between procyclic and
metacyclicpromastigotes - Gene expression regulation is an interesting
and intriguing phenomenon in trypanosomatids. Constitutive polycistronic
transcription of protein-coding genes and trans-splicing are known
to occur in trypanosomatids. Consequently, trypanosomatid gene expression control
mainly occurs at the post-transcriptional level, through untranslated regions (UTR)
that impact the mRNA maturation and decay.
Although the analysis of mRNA levels in these organisms sounds
controversial, reports reveal a link between the differential expression levels of
calpain transcripts and protein expression during trypanosomatid
differentiation.
As the biochemical and morphological changes in Leishmania
from one life cycle to another are presumably the result of programmed changes in
gene expression, we compared the mRNA levels of the 19 selected predicted
calpain-like genes and the kinesin-like gene (Table) between two Leishmania life cycle stages: the
proliferative procyclic and the infective non-replicating metacyclic promastigote
(Fig. 1). These two life cycle forms were
separated by differential centrifugation after attaining the stationary growth
phase, as confirmed by flow cytometry [Supplementary
data (Fig. 2)]. Primer specificity was confirmed
by conventional PCR and sequencing of the amplified product
[Supplementary
data (Table)], which revealed, for the first
time, that the 20 predicted genes are transcribed in L.
braziliensis.
Fig. 1:
differential gene expression levels of calpain genes between the
procyclic and metacyclic stages of Leishmania
braziliensis. The transcript levels of 20 calpain genes
were validated by quantitative reverse transcription polymerase chain
reaction (qRT-PCR), and the resulting ratios between procyclics (black
fill) and metacyclics (black line) are presented. Actin and protein 8S
were used as endogenous controls. The ΔΔCT value of each gene was
calculated pair-to-pair between the procyclic and metacyclic stages, and
the one with reduced expression was regarded as the reference. The
dashed line indicates mRNA ratios with more than 4-fold difference. The
symbols + and - indicate a gene with exclusive expression in one of the
forms (+). The graph presents the mean of at least four independent
experiments performed in triplicate.
For the gene expression profile analysis, mRNA ratios equal to or above 4 were
considered as differentially expressed in the qPCR assays,
and from the 20 analysed genes, 13 exhibited a constitutive expression
profile between the procyclic and metacyclic promastigotes (including the
kinesin-like gene), whereas 5 calpain-like genes were highly expressed in procyclics
(LbrM.20.5380, LbrM.31.0510, LbrM.31.0520, LbrM.31.0590 and LbrM.33.2290), 1 gene
(LbrM.20.5410) was more expressed in metacyclics and only 1 was expressed
exclusively in the procyclic forms (LbrM.35.0900; Fig.
1).Life cycle-specific expression may reveal the calpain orthologue functions in
L. braziliensis. This study is the first to screen the whole
genome of this parasite for calpain identification, and a quantitative PCR was
employed to compare the calpain-like gene expression levels between L.
braziliensis procyclic and metacyclic promastigotes. Previously, an
SKCRP expression modulation in Leishmania spp. by transcriptomics,
proteomics or microarray approaches has been reported.
,
,
,
A microarray analysis of L. major promastigotes reported an
up-regulation of one calpain-like transcript in procyclic and two in metacyclic
stages during the metacyclogenesis;
however, no Leishmania genome was available then, and the
gene sequence shotgun (GSS) number from the up-regulated sequences of the metacyclic
forms presently do not correspond to the calpains, apart from the procyclic
up-regulated one (lm73c12), which is an orthologue of LbrM.20.5380, highly expressed
in the procyclic stage.In 2006, Salotra et al.
identified a 2-fold up-regulation of SKCRP (LmjF20.1230) in L.
donovani parasites isolated from post-kala-azar dermal leishmaniasispatients. This protein corresponds to the aLbrM.20.5450 orthologue. In another
approach, a comparative proteomics screen between the anti-monial-resistant and
anti-monial-sensitive L. donovani strains revealed that SKCRP14·1
(LmjF14.0850) is down-regulated in the resistant strain, and it modulates
susceptibility to anti-monials and miltefosine by interfering with drug-induced
programmed cell death (PCD) pathways.
Although two L. braziliensiscalpains (LbrM.14.0820 and
LbrM.14.0830) are reported as orthologous sequences of L. donovani
SKCRP14·1, they were not included in the gene expression analysis because they
lacked the CysPc domain, as well as other SKCRPs.Protein identification and localisation of promastigote calpain-like
molecules - Aiming to produce a polyclonal antibody to recognise the
proteins comprising the conserved CysPC domain to be used as a tool for assessing
the global shifts in CysPc-containing proteins in L. braziliensis,
we selected a consensus polypeptide for peptide synthesis and rabbit immunisation
(Table). This antibody was employed in
Western blotting analysis, which strongly recognized in L.
braziliensis mid-log phase promastigote extracts three polypeptides
migrating at approximately 70, 45 and 40 kDa. In addition, faint bands were
recognised either in the high molecular mass range (~150 and 225 kDa), or low
molecular mass range (47 and 31 kDa) (Fig. 2A).
This complex pattern was expected since the antibody was raised against a consensus
polypeptide found in 13 calpain-like genes with predicted molecular masses ranging
from 53 to 623 kDa (Table). Although it is not
possible to directly correlate the genes with the reactive polypeptides, the
predicted molecular mass is in accordance with the Western blotting data,
particularly in the view that certain bands can correspond to a degradation product
of the main reactive polypeptides. It is well known that calpains undergo an
autolytic conversion in the presence of calcium,
and trypanosomatid calpain orthologues may undergo post-transcriptional
changes.
To assay the anti-tritryp-calpain antibody specificity, the antibodies were
saturated in a peptide solution (LEKAYAKLHGSY), and were then incubated with the
nitrocellulose membranes comprising the transferred L. braziliensis
proteins, revealing slight reactivity. When the antibodies were pre-incubated with
an unrelated polypeptide, no change in the recognition pattern was observed
[Supplementary
data (Fig. 3)].
Fig. 2:
detection of calpain-like molecules in recently isolated or
culture-adapted strains of Leishmania braziliensis by
Western blotting and flow cytometry analyses. (A) Immunoblotting of
total cellular extracts of mid-log phase promastigotes of L.
braziliensis either recently isolated from hamster (RI) or
culture-adapted strain (CAS). The membrane was incubated with
anti-tritryp-calpain. The relative molecular mass of sodium dodecyl
sulfate polyacrylamide gel electrophoresis (SDS-PAGE) protein standards
is presented at the left. An anti-actin antibody was used as a control
for sample loading in the blots. (B) Flow cytometry analysis of RI
parasites (grey fill) or CAS parasites (black line) labelled by
anti-tritryp-calpain antibody, autofluorescence control (black fill).
Cells treated only with the secondary-Alexa 488 antibody generated
similar curves to that observed in the autofluorescence control (data
not shown). Representative data of the analysis of 10,000 cells from one
out of three experiments are presented. The results are representative
of three independent experiments.
Considering that the antibody can only detect global shifts in calpain expression, we
considered that it could not improve the quantitative reverse transcription
polymerase chain reaction (qRT-PCR) data on the metacyclogenesis process, as the
antibody cannot differentiate among the calpain orthologues. Therefore, we compared
the overall protein content by western blotting and FACS between RI and CAS
parasites, which surprisingly revealed no statistically significant difference
(Fig. 2). In previous studies from our
group, we reported the recognition of L. amazonensis and T.
cruzi molecules with an antibody raised against Drosophila
melanogaster calpain-like molecules.
The maintenance of T. cruzi in the axenic culture for a
long time led to a decreased expression of calpain-like molecules, which suggests a
direct relationship between the expression and parasite virulence.
It has been extensively described that peptidases detected by zymography in
L. braziliensis show decreased expression after long-term
cultivation in vitro.
Therefore, it is puzzling that the proteins recognised by the
anti-tritryp-calpain presented an unaltered expression pattern between the recently
isolated parasites from hamster lesions and a culture-adapted strain. Although it
does not rule out their involvement in virulence events, this family of proteins
might as well be involved in the basic cellular functions, such as cytoskeleton
remodelling, a well described function of calpain-like molecules in T.
brucei.To determine the cellular localisation of CysPc-containing calpain orthologues in
L. braziliensis promastigotes, we performed ultra-structural
immunolabelling with the anti-tritryp-calpain antibody. Our results revealed the
presence of CysPc-containing calpain-like proteins mainly at L.
braziliensis cytoplasm (Fig.
3C-F), to a lesser extent at the parasite membrane (Fig. 3D), and a faint labelling in the nucleus (Fig. 3C, E). Promastigotes incubated with rabbit
pre-immune serum (control) pointed to the presence of rare unspecific labelling in
the cytoplasm (Fig. 3A). A similar localisation
was reported in T. cruzi epimastigotes, where the calpain
orthologues were detected mainly in the cytoplasm, with faint labelling in the
parasite membrane.
In T. brucei, the calpains are distributed in the flagellum
and in the cell body, particularly in the cell periphery.
Some of these T. brucei orthologues contain N-terminal
fatty acid acylation motifs, indicating the association of these proteins with
cellular membranes. This N-terminal domain has been also detected in a family of
SMPs that are present in Leishmania spp., T.
brucei and T. cruzi, being required for the
localisation of proteins on the parasite surface or in intracellular membranes, and
it is unique to kinetoplastids.
In addition, this is the first study to describe calpain-like molecule
association to the nucleus in trypanosomatids. Humancalpain 5 has a nuclear
localisation, whose functions are yet to be discovered.
Fig. 3:
ultra-structural immunocytochemistry of calpains in
Leishmania braziliensis promastigotes. The
labelling was performed in ultra-thin sections incubated with
anti-tritryp-calpain antibody, and subsequent incubation with secondary
antibody conjugated to a gold particle. (A, B) The omission of the
primary antibody indicated the presence of rare unspecific labelling in
the cytoplasm (black arrowheads). (C, D, E, F) Promastigotes incubated
with anti-tritryp-calpain antibody revealed labelling in the plasma
membrane (black arrows), in the whole cytoplasm (black arrowheads), and
rare labelling in the nucleus (white arrowheads). The images depicted
are representative of three independent experiments. K: kinetoplast; N:
nucleus; f: flagellum; Bars = 0.2 μm.
MDL28170 interferes in parasite proliferation with a long-lasting effect on
parasite physiology - The putative effects of the calpain inhibitor
MDL28170 were evaluated on the parasite proliferation, in the early stages of
macrophage interaction and during expression of calpain-like molecules and two
well-known virulence factors, cpb and gp63.
Moreover, also known as calpain inhibitor III or Z-Val-Phe-CHO, MDL28170 is
a potent cell-permeable calpain inhibitor that exhibits neuroprotective effects in
numerous rodent neurotrauma models, including spinal cord injury, neonatal
hypoxia-ischemia and focal cerebral ischemia.
Here, MDL28170 was added to RI L. braziliensis promastigote
forms in concentrations ranging from 1.25 to 20 µM, and the cellular growth was
compared daily to the control without treatment for 96 h. In parallel, DMSO at the
same concentration of MDL28170 highest dilution was added to an alternative control
and no effect on the parasite growth behaviour was observed. Our results revealed
that MDL28170 arrested the growth in a dose-dependent manner (Fig. 4A). The IC50 from each day was calculated and
the IC50/48 h, which was 6.6 ± 0.4 μM, was chosen for further
investigations (Fig. 4A). The anti-leishmanial
activity was reversible, since protozoa treated for 48 h with the calpain inhibitor
at IC50/48h and 2 × IC50/48 h (13.2 μM) values resumed growth
when cultured in a drug-free fresh medium (Fig.
4B). No significant difference was observed in the growth inhibition
between RI and CAS (data not shown). Noteworthily, the parasites treated with
MDL28170 at both concentrations presented a longer lag phase than the control cells,
lasting up to 48 h (Fig. 4B). The growth rate
was comparable to the control cells only from 48 to 72 h, whereas cells treated with
2 × IC50/48 h entered prematurely in a stationary phase after 72 h (Fig. 4B). These data clearly indicate that
MDL28170 affects the cellular growth and presents a long-lasting effect on the
parasite proliferation.
Fig. 4:
functional studies in Leishmania braziliensis by
means of the calpain inhibitor MDL28170. (A) The growth pattern of RI
promastigotes was followed at 26ºC for 96 h in the absence (control) or
in the presence of MDL28170 concentrations ranging from 1.25 to 20 µM.
Concentrations as low as 10 µM significantly inhibited the parasite
growth from 24 h on in relation to the control (p values < 0.05). (B)
Parasites grown for 48 h in the absence or presence of the calpain
inhibitor (IC50 or 2 × IC50/48 h) were washed
prior to re-suspension in a drug-free fresh medium and the growth
pattern was analysed. (C) Effect of the pre-treatment of L.
braziliensis RI promastigotes with MDL28170 (½ ×
IC50, IC50 and 2 × IC50/48 h)
during interaction with mouse peritoneal macrophages. Fixed cells were
included as an additional control. Results are expressed as the
association index of three independent experiments performed in
triplicate. (D) Effect of MDL28170 calpain inhibitor on the expression
pattern of the calpain, cpb and GP63 in L. braziliensis
via flow cytometry. RI parasites fixed and permeabilised were treated or
untreated with MDL28170 in the concentrations of IC50 and 2 ×
IC50/48 h. Cells were then incubated with
anti-tritryp-calpain, anti-cpb and anti-GP63 antibodies, and analysed
via flow cytometry. The data represent the variation index of the mean
fluorescence intensity of the experimental systems in comparison to the
auto-fluorescence levels. Data presented are the mean of three
independent experiments performed in triplicate; the bars indicate the
standard deviation of the mean. * indicates statistically significant
difference in relation to control. p < 0.05.
After evidencing the effects of the calpain inhibitor MDL28170 on the promastigote
growth pattern, we then treated the parasites with MDL28170 for 1 h prior to the
in vitro interaction with mouse peritoneal macrophages. RI
promastigotes were used in this set of experiments due to the reduced infectivity of
CAS parasites (data not shown). Under this experimental condition, the parasites
maintained their viability, as judged by their morphology and motility, in which
> 95% of the parasites were viable (data not shown). MDL28170 significantly
reduced the Leishmania intake by macrophages in a dose-dependent
manner. DMSO at a dose equivalent to the highest concentration used to dissolve the
drug did not promote any significant effect (Fig.
4C), whereas fixed parasites were quickly internalised and destroyed by
the macrophages (Fig. 4C). These data indicate
that MDL28170 interfered in the early stages of mammalian macrophage infection by
L. braziliensis. It has been previously reported that MDL28170
can also reduce the infection rate of macrophages by the pre-treatment of T.
cruzi bloodstream trypomastigotes with MDL28170.
,
Moreover, this inhibitor can substantially reduce the intracellular
multiplication of several Leishmania spp. inside the macrophages,
presenting IC50 as low as 2.8 μM for L. braziliensis,
and a toxicity to macrophages of 111.5 μM.Eventually, we assayed the effects of MDL28170 on the expression pattern of few
peptidases (Fig 4D). No significant effect was
observed in the calpain and cpb protein levels when the parasites were treated for
48 h with MDL28170 (Fig. 4D); however, GP63
levels increased significantly in the promastigotes treated with 2 ×
IC50/48 h (Fig. 4D). This molecule
is a highly abundant zinc metallopeptidase, mainly
glycosylphosphatidylinositol-anchored to the parasite surface, which contributes to
a myriad of well-established functions for Leishmania in the
interaction with the mammalian and insect hosts.
We envisage two possible explanations for GP63-like molecules increased
levels: MDL28170 could be directly affecting the calpain orthologue functions, and
as a physiological compensation, other parasite peptidases are overexpressed;
,
or the calpain orthologue inhibition could be producing other non-specific
effects on the treated promastigotes, leading to changes in the gene expression of
the parasite. A similar compensatory mechanism was reported in L.
amazonensis, in which both GP63 and cpb were up-regulated after
treatment with aspartic peptidase inhibitors.
Nevertheless, the unaltered expression of calpain orthologues by MDL28170
treatment was unexpected, since the treatment of T. cruzi and
Phytomonas serpens with MDL28170 resulted reduced exposition of
these molecules.
,
In addition, the sub-expression of the target molecules of a drug has been
reported in different trypanosomatids that have developed resistance. For instance,
Yong et al.
reported that T. cruzi epimastigotes from clone Dm28c that
were resistant to Z-(SBz)Cys-Phe-CHN2, an irreversible cysteine peptidase inhibitor,
presented significantly lower cysteine peptidase activity than that observed in the
parental cells, and this fact was accompanied by the reduced expression of cruzipain
molecules, the major epimastigote cysteine peptidase. Therefore, the biological
significance of the unaltered expression of calpain orthologues in MDL28170-treated
L. braziliensis needs to be further explored.Ultra-structural effects of MDL28170 in L. braziliensis -
Considering that the calpain inhibition by MDL28170 can affect several cellular
processes of L. braziliensis promastigotes, we analysed the
ultra-structure of MDL28170 treated parasites. For this purpose, the morphology of
non-treated cells (Fig. 5A) and treated
parasites (Fig. 5B-F) was compared. The
inhibitor led to the appearance of concentric membrane structures diffused in the
cytoplasm (Fig. 5B) and multi-vesicular bodies
(Fig. 5B-D). Another organelle affected by
the treatment was the Golgi complex, which presented a network disruption in the
trans region (Fig. 5B). It
is possible to observe a concentric distribution of the Golgi cisternae, surrounding
portions of cytoplasm (Fig. 5B, inset). The
calpain inhibitor also induced a frequent formation of blebbing in the plasma and
flagellar membrane (Fig. 5E-F). These effects
are indicative of membrane shedding, an usual damage described in trypanosomatids
treated with drugs.
Fig. 5:
ultra-structural effects of the calpain inhibitor, MDL28170, in
Leishmania braziliensis promastigotes. (A)
Untreated parasite presenting typical morphology. (B-F) Promastigotes
treated with 3.5 μM calpain inhibitor for 48 h. (B-D) MDL28170-treated
promastigotes revealed concentric membrane structures in the cytosol
(white arrows), multi-vesicular bodies (MB), as well as Golgi disruption
(black star) and concentric formation of this organelle (white star).
(E, F) The treatment with the inhibitor also induced the blebbing of
plasma and flagellar membranes (black arrows). ER: endoplasmic
reticulum; f: flagellum; G: Golgi; K: kinetoplast; M: mitochondrion; MB:
multi-vesicular body; N: nucleus; Bars = 0.5 µm.
In a previous study, our research group demonstrated that L.
amazonensis promastigotes treated with MDL28170 presented an altered
chromatin condensation pattern with apparent loss of nuclear integrity,
vacuolisation of the cytoplasm, and disorganisation of the endocytic pathway and a
reduced electron density as well as an accumulation of small vesicles.
Here, the ultra-structural alterations observed in treated promastigotes
suggest an autophagic process induced by MDL28170 in L.
braziliensis. Briefly, autophagy comprises a physiological
self-degradative pathway that is crucial to maintain the metabolic balance and the
recycling of cellular structures during normal cell growth, and its deregulation
leads to cell death.
Although poorly understood in trypanosomatids, autophagic phenotype has been
described under various stress conditions (drugs, starvation, among others)
suggesting that this process is involved in the turnover of damaged structures in
the protozoa and is not a cell death pathway.
. For instance, when L. amazonensis was treated with the
aspartic peptidase inhibitors, the ultra-structural alterations compatible with
autophagy and membrane shedding were also observed.
Nevertheless, further studies are necessary to better understand the
molecular mechanisms of death implicated in MDL28170-induced calpain inhibition in
L. braziliensis.In conclusion - Over the past few years, the presence of
calpain-related proteins in trypanosomatids, responsible for human diseases, has
been extensively described. Initially, a classical study employing whole genome
analyses reported the presence of a large and diverse family of calpain-related
proteins in T. brucei, L. major, and T.
cruzi.
Our research group provided the first evidence on the effects of the calpain
inhibitor MDL28170 against the aetiological agents of Chagas disease, leishmaniasis,
and in classically non-pathogenic trypanosomatids.
,
,
Here, we identified a wide range of calpain-related domain architectures,
and further explored their expression pattern in metacyclogenesis. The functional
studies with the calpain inhibitor on L. braziliensis added new
in vitro insights into the study of calpain-related molecule
inhibition as an attractive anti-trypanosomatid approach. As up-regulation of
several members of the calpain family is involved in a diverse range of biological
processes and human diseases, massive efforts have been made to identify selective
and potent calpain inhibitors.
Therefore, further studies on trypanosomatid calpain orthologues employing
existing drugs developed for the inhibition of humancalpains should be carried out,
as extreme biochemical selectivity may not be necessary for anti-protozoan drugs due
to the inherent biological selectivity in the function and localisation of protozoan
peptidases.
Moreover, although more studies are necessary for better understanding the
functional role of calpain orthologues in trypanosomatids, our study adds novel data
about the genomic context and expression of these molecules, highlighting genes that
can be further screened for roles in L. braziliensis
differentiation process.
Authors: Pollyanna Stephanie Gomes; Monique Pacheco Duarte Carneiro; Patrícia de Almeida Machado; Valter Viana de Andrade-Neto; Alessandra Marcia da Fonseca-Martins; Amy Goundry; João Vitor Marques Pereira da Silva; Daniel Claudio Oliveira Gomes; Ana Paula Cabral de Araujo Lima; Vítor Ennes-Vidal; Ana Carolina Rennó Sodero; Salvatore Giovanni De-Simone; Herbert L de Matos Guedes Journal: Curr Issues Mol Biol Date: 2022-05-09 Impact factor: 2.976
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Authors: Vítor Ennes-Vidal; Marta Helena Branquinha; André Luis Souza Dos Santos; Claudia Masini d'Avila-Levy Journal: Cells Date: 2021-02-01 Impact factor: 6.600
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