Apolipoprotein L1 Variant Associated with Increased Susceptibility to Trypanosome Infection

ABSTRACT African trypanosomes, except Trypanosoma brucei gambiense and Trypanosoma brucei rhodesiense, which cause human African trypanosomiasis, are lysed by the human serum protein apolipoprotein L1 (ApoL1). These two subspecies can resist human ApoL1 because they express the serum resistance prot...

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Autores principales: Bart Cuypers, Laurence Lecordier, Conor J. Meehan, Frederik Van den Broeck, Hideo Imamura, Philippe Büscher, Jean-Claude Dujardin, Kris Laukens, Achim Schnaufer, Caroline Dewar, Michael Lewis, Oliver Balmer, Thomas Azurago, Sardick Kyei-Faried, Sally-Ann Ohene, Boateng Duah, Prince Homiah, Ebenezer Kofi Mensah, Francis Anleah, Jose Ramon Franco, Etienne Pays, Stijn Deborggraeve
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Publicado: American Society for Microbiology 2016
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spelling oai:doaj.org-article:16ed32b2f6534b7296f6ac0683f6f5da2021-11-15T15:41:41ZApolipoprotein L1 Variant Associated with Increased Susceptibility to Trypanosome Infection10.1128/mBio.02198-152150-7511https://doaj.org/article/16ed32b2f6534b7296f6ac0683f6f5da2016-05-01T00:00:00Zhttps://journals.asm.org/doi/10.1128/mBio.02198-15https://doaj.org/toc/2150-7511ABSTRACT African trypanosomes, except Trypanosoma brucei gambiense and Trypanosoma brucei rhodesiense, which cause human African trypanosomiasis, are lysed by the human serum protein apolipoprotein L1 (ApoL1). These two subspecies can resist human ApoL1 because they express the serum resistance proteins T. b. gambiense glycoprotein (TgsGP) and serum resistance-associated protein (SRA), respectively. Whereas in T. b. rhodesiense, SRA is necessary and sufficient to inhibit ApoL1, in T. b. gambiense, TgsGP cannot protect against high ApoL1 uptake, so different additional mechanisms contribute to limit this uptake. Here we report a complex interplay between trypanosomes and an ApoL1 variant, revealing important insights into innate human immunity against these parasites. Using whole-genome sequencing, we characterized an atypical T. b. gambiense infection in a patient in Ghana. We show that the infecting trypanosome has diverged from the classical T. b. gambiense strains and lacks the TgsGP defense mechanism against human serum. By sequencing the ApoL1 gene of the patient and subsequent in vitro mutagenesis experiments, we demonstrate that a homozygous missense substitution (N264K) in the membrane-addressing domain of this ApoL1 variant knocks down the trypanolytic activity, allowing the trypanosome to avoid ApoL1-mediated immunity. IMPORTANCE Most African trypanosomes are lysed by the ApoL1 protein in human serum. Only the subspecies Trypanosoma b. gambiense and T. b. rhodesiense can resist lysis by ApoL1 because they express specific serum resistance proteins. We here report a complex interplay between trypanosomes and an ApoL1 variant characterized by a homozygous missense substitution (N264K) in the domain that we hypothesize interacts with the endolysosomal membranes of trypanosomes. The N264K substitution knocks down the lytic activity of ApoL1 against T. b. gambiense strains lacking the TgsGP defense mechanism and against T. b. rhodesiense if N264K is accompanied by additional substitutions in the SRA-interacting domain. Our data suggest that populations with high frequencies of the homozygous N264K ApoL1 variant may be at increased risk of contracting human African trypanosomiasis.Bart CuypersLaurence LecordierConor J. MeehanFrederik Van den BroeckHideo ImamuraPhilippe BüscherJean-Claude DujardinKris LaukensAchim SchnauferCaroline DewarMichael LewisOliver BalmerThomas AzuragoSardick Kyei-FariedSally-Ann OheneBoateng DuahPrince HomiahEbenezer Kofi MensahFrancis AnleahJose Ramon FrancoEtienne PaysStijn DeborggraeveAmerican Society for MicrobiologyarticleMicrobiologyQR1-502ENmBio, Vol 7, Iss 2 (2016)
institution DOAJ
collection DOAJ
language EN
topic Microbiology
QR1-502
spellingShingle Microbiology
QR1-502
Bart Cuypers
Laurence Lecordier
Conor J. Meehan
Frederik Van den Broeck
Hideo Imamura
Philippe Büscher
Jean-Claude Dujardin
Kris Laukens
Achim Schnaufer
Caroline Dewar
Michael Lewis
Oliver Balmer
Thomas Azurago
Sardick Kyei-Faried
Sally-Ann Ohene
Boateng Duah
Prince Homiah
Ebenezer Kofi Mensah
Francis Anleah
Jose Ramon Franco
Etienne Pays
Stijn Deborggraeve
Apolipoprotein L1 Variant Associated with Increased Susceptibility to Trypanosome Infection
description ABSTRACT African trypanosomes, except Trypanosoma brucei gambiense and Trypanosoma brucei rhodesiense, which cause human African trypanosomiasis, are lysed by the human serum protein apolipoprotein L1 (ApoL1). These two subspecies can resist human ApoL1 because they express the serum resistance proteins T. b. gambiense glycoprotein (TgsGP) and serum resistance-associated protein (SRA), respectively. Whereas in T. b. rhodesiense, SRA is necessary and sufficient to inhibit ApoL1, in T. b. gambiense, TgsGP cannot protect against high ApoL1 uptake, so different additional mechanisms contribute to limit this uptake. Here we report a complex interplay between trypanosomes and an ApoL1 variant, revealing important insights into innate human immunity against these parasites. Using whole-genome sequencing, we characterized an atypical T. b. gambiense infection in a patient in Ghana. We show that the infecting trypanosome has diverged from the classical T. b. gambiense strains and lacks the TgsGP defense mechanism against human serum. By sequencing the ApoL1 gene of the patient and subsequent in vitro mutagenesis experiments, we demonstrate that a homozygous missense substitution (N264K) in the membrane-addressing domain of this ApoL1 variant knocks down the trypanolytic activity, allowing the trypanosome to avoid ApoL1-mediated immunity. IMPORTANCE Most African trypanosomes are lysed by the ApoL1 protein in human serum. Only the subspecies Trypanosoma b. gambiense and T. b. rhodesiense can resist lysis by ApoL1 because they express specific serum resistance proteins. We here report a complex interplay between trypanosomes and an ApoL1 variant characterized by a homozygous missense substitution (N264K) in the domain that we hypothesize interacts with the endolysosomal membranes of trypanosomes. The N264K substitution knocks down the lytic activity of ApoL1 against T. b. gambiense strains lacking the TgsGP defense mechanism and against T. b. rhodesiense if N264K is accompanied by additional substitutions in the SRA-interacting domain. Our data suggest that populations with high frequencies of the homozygous N264K ApoL1 variant may be at increased risk of contracting human African trypanosomiasis.
format article
author Bart Cuypers
Laurence Lecordier
Conor J. Meehan
Frederik Van den Broeck
Hideo Imamura
Philippe Büscher
Jean-Claude Dujardin
Kris Laukens
Achim Schnaufer
Caroline Dewar
Michael Lewis
Oliver Balmer
Thomas Azurago
Sardick Kyei-Faried
Sally-Ann Ohene
Boateng Duah
Prince Homiah
Ebenezer Kofi Mensah
Francis Anleah
Jose Ramon Franco
Etienne Pays
Stijn Deborggraeve
author_facet Bart Cuypers
Laurence Lecordier
Conor J. Meehan
Frederik Van den Broeck
Hideo Imamura
Philippe Büscher
Jean-Claude Dujardin
Kris Laukens
Achim Schnaufer
Caroline Dewar
Michael Lewis
Oliver Balmer
Thomas Azurago
Sardick Kyei-Faried
Sally-Ann Ohene
Boateng Duah
Prince Homiah
Ebenezer Kofi Mensah
Francis Anleah
Jose Ramon Franco
Etienne Pays
Stijn Deborggraeve
author_sort Bart Cuypers
title Apolipoprotein L1 Variant Associated with Increased Susceptibility to Trypanosome Infection
title_short Apolipoprotein L1 Variant Associated with Increased Susceptibility to Trypanosome Infection
title_full Apolipoprotein L1 Variant Associated with Increased Susceptibility to Trypanosome Infection
title_fullStr Apolipoprotein L1 Variant Associated with Increased Susceptibility to Trypanosome Infection
title_full_unstemmed Apolipoprotein L1 Variant Associated with Increased Susceptibility to Trypanosome Infection
title_sort apolipoprotein l1 variant associated with increased susceptibility to trypanosome infection
publisher American Society for Microbiology
publishDate 2016
url https://doaj.org/article/16ed32b2f6534b7296f6ac0683f6f5da
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