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Lecture notes – The therapies of effective treatment
Module: Biology (C100)
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University: University of Salford
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Lecture notes – The therapies of effective treatment
A semisynthetic artemisinin derivative used in combination therapies is an effective treatment of
malaria and a truly cost-effective treatment. The mechanism of artemisinin action is not well
understood; it appears to form reactive oxygen intermediates inside Plasmodium-infected red blood
cells, leading to altered hemoglobin catabolism and plasmodium electron transport chain damage.
Diseases caused by protozoa
There are many other diseases caused by protozoa, such as: Amoebic dysentery is usually treated
with metronidazole. Anaerobic organisms, such as the causative agent Entamoeba, readily reduce it
to the active metabolite within the cytoplasm. A number of antibiotics that inhibit bacterial protein
synthesis are also used to treat protozoan infection. These include the aminoglycosides clindamycin
and paromomycin.
Types of Diseases caused by protozoaAlthough aminoglycosides do not bind to eukaryotic ribosomes,
these polycationic molecules have a high affinity for nucleic acids and RNA in particular. Different
aminoglycoside antibiotics bind to different sites on RNAs. RNA binding interferes with the normal
expression and function of the RNA, resulting in cell death.
The antifungal atovaquone (p.201) is used to treat toxoplasmosis, caused by Toxoplasma gondii.
Toxoplasmosis is a lifethreatening infection in immuno compromised individuals and can cause
severe birth defects in human fetuses. Atovaquone interferes with eukaryotic electron transport to
kill the protozoan parasite.
Pyrimethamine and dapsone are also used to treat Toxoplasma infections and are thought to act in
the same way as trimethoprim-interfering with folic acid synthesis by inhibition of dihydrofolate
reductase. Another drug that interferes with electron transport is nitazoxanide, which is used to treat
cryptosporidiosis, a food and waterborne disease .
Transplants between genetically different individuals within a species are termed allografts (Greek
allos, other). Some transplanted tissues do not stimulate an immune response. For example, a
transplanted cornea is rarely rejected because lymphocytes do not circulate into the anterior
chamber of the eye. This site is considered an immunologically privileged site. Another example of a
privileged tissue is the heart valve, which in fact can be transplanted from a pig to a human without
stimulating an immune response. This type of grafts between different species is termed a xenograft.