French Parasitology Alliance For Health Care

Coordinators : Stéphanie Blandin, Cyrille Botté, Elisabeth Davioud-Charvet
Participants : Bastien, Bringaud, Delauw, Davioud-Charvet, Hakimi, Langsley, Lebrun, Mazier, Scherf

This WP will pave the way for the development of novel therapeutic weapons to treat important human and animal infections such as Malaria, Toxoplasmosis, Tropical Theileriosis, Schistosomiasis, African sleeping sickness, Leishmaniasis and Chagas disease. It has strong translational components with industry partners.

1- Target validation as an 'upstream' approach to drug development

Description of work :

The goal is to focus on specific targets (with a preference for regulatory/limiting steps) and to bring together structural biologists/biochemists with chemists from academia and the pharmaceutical industry.

Deliverables :

D1. Characterisation of a new pathway called "acetate shuttle" and of NADPH-producing enzymes that are crucial to detoxify free radicals in human trypanosomatids; expression of key enzymes for HTS to develop inhibitors of T. brucei development (Bringaud).

D2. Characterization of further regulatory critical key steps of phospholipid synthesis pathways in Plasmodium and 3D structures of enzymes-substrates for rational design or in silico screening to identify new scaffolds by computer-aided molecular design (Vial); Use of photoaffinity labelling for identification of the reduction site of antimalarial naphthoquinones in glutathione reductase (Davioud-Charvet).

D3. Characterization of the 'prokaryotic-type' proteasome of trypanosomatids and development of molecules mimicking the C-terminus of one subunit as selective inhibitors (Bastien)

2- Development of versatile chemistry for new antiparasitic drugs

The goal is to bring new drug candidates at the development stage that can be further enlarged on clinical trials in association with pharmaceutical groups (licence transfer).

Description of work :

The description of pharmacological strategies against validated targets described in deliverables is self- explanatory. The therapeutic profile of compounds will be evaluated in vitro and in vivo and will also be worked out by techniques of high prognostic value in respect to drug safety. The most promising compounds will be tested in established infection models and in the most predictive models for preclinical and clinical development.

Deliverables :

D1. Dedicated synthetic strategies applied to lead inhibitors and HTS against histone deacetylases and methyl transferase enzymes that play crucial roles in cell chromatin structure and epigenetic gene expression, whose inhibition opens new perspectives for curing malaria at all stages and for curing both the latent and resistant stages of toxoplasmosis and likely other apicomplexan parasites (Scherf, Mazier, Hakimi, Davioud-Charvet).

D2. Engineering of compounds (by HTS of chemical libraries) interfering with AMA1-RON2 complex that forms the core machinery of the moving junction driving invasion of apicomplexa parasites (Lebrun).

D3. The challenge for successful drug development includes capacity to assess their therapeutic utility against all malaria species and stages. A discovery programme for novel compounds against liver stages of malaria parasites including hypnozoites in under way (Mazier).

D4. Development of specific protease inhibitors counteracting the principal pathogenic effect of the kinetoplastids useable for treatment of Animal African Trypanosomosis (AAT); in vivo validation using natural West African cattle (Cuny)

D5. Total synthesis and optimization of antiparasitic 1, 4-naphthoquinones and discovery of novel redox- active series depleting NADPH flux to extend the concept and 1,4-naphthoquinones in malaria and trypanosomatidae parasites (Davioud-Charvet, Bringaud).

D6. Production of selected recombinant parasite DYRKs/CLKs kinases, identification and selection of orthologues parasite-selective protein kinases inhibitors and human versus parasite structure-based inhibitor design (Meijer, Scherf, Vial).

3- New vaccine strategies and design of sensitive diagnostic tools

Description of work :

Vaccine approaches are the most challenging approaches to control parasitic diseases. ParaFrap's strengths in this field as well as in biomarkers are particularly promising against leishmaniasis, animal trypanosomiasis and tropical theileriosis, which are important neglected and uncontrolled parasitic diseases.

Deliverables :

D1. Based on the minimum peptide sequences bearing immunodominant epitope, Lemesre's team will design and develop a human-compatible vaccine candidate targeting most, if not all, Leishmania species that cause the most severe forms of leishmaniasis. Establishment of procedures and methods for the subsequent clinical trials (Lemesre/Cuny).

D2. Based on the use of sialidases and trans-sialidases (validated in T. congolense, as "anti-disease" antigens), Baltz team will design a multicomponent vaccine for the development of a Trypanosomosis andidate vaccine and penside diagnostic tests for AAT that is the most important animal disease on the African continent (Baltz, CEVA).

D3. Langsley's team proposes to develop the first attenuated vaccine to tropical theileriosis via engineered functional inactivation of a host cell transcription factor (AP-1) that they have shown to mediate Theileria-dependent host cell metastasis." The protective potential of this engineered vaccine will be tested by experimental infection of calves by Prof Mohamed Darghouth, Director of the National VetSchool in Tunisia (Langsley/Darghouth).

D4. Based on cathepsin B validated as an excellent biomarker tool for AAT, development of molecular markers to get a decision-making aid for the diagnosis of AAT infections (Baltz). The Cuny lab should deliver molecular markers to get a decision-making aid for the diagnosis of T. brucei gambiense infections and for staging of sleeping sickness. Another strength in this field comes from the Delauw team that has developed a recombinant GRA antigens-based ELISA test reliable to diagnose acute toxoplasmosis. Another project aims at establishing a test based on the GRA circulating antigens in the prognosis of toxoplasmosis (Cuny, Delauw).

4- Translational research & development and marketing

  1. General Policies :
    All the approaches described here are supported by patents, dedicated financial support, particularly from ANR, EU and a number of ParaFrap members have established contact with Small & Medium Enterprises (SME) or industrial partners. ParaFrap will organize workshops because a high degree of standardization in the documentation of chemical entities irrespective of their source is required by medicinal chemists with therapeutic profiles as complete as possible. Furthermore, the developments of measures to evaluate optimal regimens for therapy and to devise optimal strategies to bring interventions to those who need it are of prime importance. Results deserving intellectual property protection will be handled in connection with the partner's Institution (IP, CNRS, INSERM, IRD and CIRAD) and University subsidiaries (FIST, INSERM transfer and/or the local SATT) responsible for the exploitation of results.

  2. Involvements of Enterprises and SME for translational research In the past years, there have been significant efforts from ParaFrap members to involve SME and pharmaceutical/veterinarian industry early in the identification and development of new drugs for these diseases. The ParaFrap partners already have strong records in Technology Transfer and this valuable experience will help us to develop new relationships with industrial partners for the further development of the validated clinical candidates. To promote transfer to the economic world, ParaFrap will reinforce its connection with industrial partners. A number of biotech companies are already dedicated to the development of our therapeutic approach and diagnostic tools, including Sanofi, Novartis, Virbac, CEVA Santé Animale, and a number of SMEs. These companies provide a letter of interest and will be informed of our projects, with the idea to favor exchange in the area of parasitic diseases, a strategy that fits one of the main objectives of the ParaFrap to identify new possible therapeutic weapons or markers. This will be amplified through new actions aiming at novel anti-parasitic treatment from discoveries to development.

  3. Transfer strategy within the national context and link with competitive clusters for healthcare - Two projects based on close connections with pharmaceutical and veterinarian companies have been labeled by the "pôle de compétivité" Eurobiomed ( (bringing together over 150 companies, mostly SME in the biotech area in the South of France)and supported by the Fond Unique Inter-ministériel                                                                                                                                                                                                                                          

i) Vaxileish lead by Virbac has provided Canileish®, an efficient vaccine in dogs against leishmaniasis (European registration March 2011)                                                                  

ii) InnoMad lead by Sanofi- aventis and Horiba-Medical (2009-2012- Innovative anti Malaria therapies and Diagnostic), is providing promising results for both treatment and diagnostic of malaria. The Biotech ManRos Therapeutics, "from Sea to Pharmacy", generating new pharmacological inhibitors of key disease-relevant kinases, created by L. Meijer and H. Galons, is partner of the ParaFrap LabEx (co- labeled by Pole Mer Bretagne and EuroBioMed) (already employing 4 to 5 chemists). It is supported by another FUI program. - Specific actions will be conducted to increase the connections of the ParaFrap with the Health-related "pôle de compétivité" (especially Eurobiomed, Lyon BioPole, Alsace Biovalley Innovations, Medicen) and the local/national structures supporting the creation of new innovative start-ups (OSEO).