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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Pharmacol.</journal-id>
<journal-title>Frontiers in Pharmacology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Pharmacol.</abbrev-journal-title>
<issn pub-type="epub">1663-9812</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">1136321</article-id>
<article-id pub-id-type="doi">10.3389/fphar.2023.1136321</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Pharmacology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Omics data integration facilitates target selection for new antiparasitic drugs against TriTryp infections</article-title>
<alt-title alt-title-type="left-running-head">Rivara-Espasand&#xed;n et al.</alt-title>
<alt-title alt-title-type="right-running-head">
<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fphar.2023.1136321">10.3389/fphar.2023.1136321</ext-link>
</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Rivara-Espasand&#xed;n</surname>
<given-names>Martin</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2253593/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Palumbo</surname>
<given-names>Miranda Clara</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1336915/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sosa</surname>
<given-names>Ezequiel J.</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<xref ref-type="aff" rid="aff5">
<sup>5</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/720055/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Rad&#xed;o</surname>
<given-names>Santiago</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/653196/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Turjanski</surname>
<given-names>Adri&#x00E1;n G.</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<xref ref-type="aff" rid="aff5">
<sup>5</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/222314/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sotelo-Silveira</surname>
<given-names>Jos&#xe9;</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff6">
<sup>6</sup>
</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Fernandez Do Porto</surname>
<given-names>Dario</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/555487/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Smircich</surname>
<given-names>Pablo</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff6">
<sup>6</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/158512/overview"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Departamento de Gen&#xf3;mica</institution>, <institution>Instituto de Investigaciones Biol&#xf3;gicas Clemente Estable</institution>, <addr-line>Montevideo</addr-line>, <country>Uruguay</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Departamento de Gen&#xe9;tica</institution>, <institution>Facultad de Medicina</institution>, <institution>Universidad de la Rep&#xfa;blica</institution>, <addr-line>Montevideo</addr-line>, <country>Uruguay</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Instituto de C&#xe1;lculo</institution>, <institution>Facultad de Ciencias Exactas y Naturales</institution>, <institution>Universidad de Buenos Aires</institution>, <addr-line>Buenos Aires</addr-line>, <country>Argentina</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Departamento de Qu&#xed;mica Biol&#xf3;gica</institution>, <institution>Facultad de Ciencias Exactas y Naturales</institution>, <institution>Universidad de Buenos Aires</institution>, <addr-line>Buenos Aires</addr-line>, <country>Argentina</country>
</aff>
<aff id="aff5">
<sup>5</sup>
<institution>Instituto de Qu&#xed;mica Biol&#xf3;gica de la Facultad de Ciencias Exactas y Naturales (IQUIBICEN) CONICET</institution>, <institution>Ciudad Universitaria</institution>, <addr-line>Buenos Aires</addr-line>, <country>Argentina</country>
</aff>
<aff id="aff6">
<sup>6</sup>
<institution>Facultad de Ciencias</institution>, <institution>Universidad de la Rep&#xfa;blica</institution>, <addr-line>Montevideo</addr-line>, <country>Uruguay</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/763957/overview">Matias F. Martinez</ext-link>, University of Chile, Chile</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/545308/overview">Martin Craig Taylor</ext-link>, University of London, United Kingdom</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/986536/overview">Arijit Bhattacharya</ext-link>, Adamas University, India</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Dario Fernandez Do Porto, <email>dariofd@gmail.com</email>; Pablo Smircich, <email>psmircich@fcien.edu.uy</email>
</corresp>
<fn fn-type="other">
<p>This article was submitted to Pharmacogenetics and Pharmacogenomics, a section of the journal Frontiers in Pharmacology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>06</day>
<month>04</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="collection">
<year>2023</year>
</pub-date>
<volume>14</volume>
<elocation-id>1136321</elocation-id>
<history>
<date date-type="received">
<day>02</day>
<month>01</month>
<year>2023</year>
</date>
<date date-type="accepted">
<day>28</day>
<month>03</month>
<year>2023</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2023 Rivara-Espasand&#xed;n, Palumbo, Sosa, Rad&#xed;o, Turjanski, Sotelo-Silveira, Fernandez Do Porto and Smircich.</copyright-statement>
<copyright-year>2023</copyright-year>
<copyright-holder>Rivara-Espasand&#xed;n, Palumbo, Sosa, Rad&#xed;o, Turjanski, Sotelo-Silveira, Fernandez Do Porto and Smircich</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>
<bold>Introduction:</bold> <italic>Trypanosoma cruzi</italic>, <italic>Trypanosoma brucei</italic>, and <italic>Leishmania spp.</italic>, commonly referred to as TriTryps, are a group of protozoan parasites that cause important human diseases affecting millions of people belonging to the most vulnerable populations worldwide. Current treatments have limited efficiencies and can cause serious side effects, so there is an urgent need to develop new control strategies. Presently, the identification and prioritization of appropriate targets can be aided by integrative genomic and computational approaches.</p>
<p>
<bold>Methods:</bold> In this work, we conducted a genome-wide multidimensional data integration strategy to prioritize drug targets. We included genomic, transcriptomic, metabolic, and protein structural data sources, to delineate candidate proteins with relevant features for target selection in drug development.</p>
<p>
<bold>Results and Discussion:</bold> Our final ranked list includes proteins shared by TriTryps and covers a range of biological functions including essential proteins for parasite survival or growth, oxidative stress-related enzymes, virulence factors, and proteins that are exclusive to these parasites. Our strategy found previously described candidates, which validates our approach as well as new proteins that can be attractive targets to consider during the initial steps of drug discovery.</p>
</abstract>
<kwd-group>
<kwd>trypanosomatids</kwd>
<kwd>drug discovery</kwd>
<kwd>genomics</kwd>
<kwd>neglected disease</kwd>
<kwd>target selection</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec id="s1">
<title>1 Introduction</title>
<p>Kinetoplastids (Kinetoplastea) are a class of flagellate protists, belonging to the Euglenozoa phylum, characterized by the presence of a structure composed of mitochondrial DNA called kinetoplast. This class consists of many parasites with an extensive host range (<xref ref-type="bibr" rid="B52">Luke&#x161; et al., 2014</xref>), divided into 4 orders, one of them being the Trypanosomatida order. Some trypanosomatids constitute an important challenge for human health systems, causing highly prevalent diseases in tropical and subtropical regions, as well as huge economic losses. The main diseases caused by trypanosomatids are Chagas disease (<italic>T. cruzi</italic>) (<italic>Trypanosoma cruzi</italic>), Sleeping sickness (<italic>T. brucei</italic>) (<italic>Trypanosoma brucei</italic>), and Leishmaniasis (<italic>Leishmania</italic> spp.), which are considered neglected diseases, mainly affecting underdeveloped countries&#x2060; (<xref ref-type="bibr" rid="B41">Hotez et al., 2007</xref>).</p>
<p>Having a close phylogenetic relationship (<xref ref-type="bibr" rid="B105">Yazaki et al., 2017</xref>), the genome of these three parasites (also known as TriTryps) display high levels of synteny and share a conserved set of genes, most of them arranged in syntenic directional gene clusters (<xref ref-type="bibr" rid="B32">El-Sayed et al., 2005</xref>). This fact makes TriTryps share several biological characteristics. Specifically, their life cycle involves replicative and infective stages both in the vector (arthropod) and in the host (mammal) and are extensively described elsewhere (<xref ref-type="bibr" rid="B91">Souza, 2002</xref>; <xref ref-type="bibr" rid="B59">Matthews, 2005</xref>; <xref ref-type="bibr" rid="B97">Teixeira et al., 2013</xref>; <xref ref-type="bibr" rid="B73">P&#xe9;rez-Molina and Molina, 2018</xref>). One of the main differences in their life cycle is the vector species, being triatomine bugs for <italic>T. cruzi</italic>, tse-tse flies for <italic>T. brucei</italic>, and sandflies for <italic>L. major</italic> (<italic>Leishmania major</italic>). Another important difference is the lack of an intracellular replicative stage in the mammal host for <italic>T. brucei</italic> (<xref ref-type="bibr" rid="B59">Matthews, 2005</xref>).</p>
<p>Current TriTryps treatments lead to high toxicity and carry significant contraindications, limiting their use. Moreover, used drugs have limited efficiency, and diverse types of drug resistance have been described. Despite this critical situation, drug development projects have been inadequate for reasons ranging from reduced drug discovery efforts by pharmaceutical companies to bad target selection.</p>
<p>Chagas disease is currently treated with chemotherapies based mainly on the use of Nifurtimox and Benznidazole<xref ref-type="fn" rid="fn1">
<sup>1</sup>
</xref>. Both drugs have significant side effects (<xref ref-type="bibr" rid="B79">Rodriques Coura and de Castro, 2002</xref>), and are only effective in the early stages of the disease (<xref ref-type="bibr" rid="B69">Nozaki et al., 1996</xref>; <xref ref-type="bibr" rid="B99">Wilkinson et al., 2008</xref>).</p>
<p>Four drugs are currently used during Sleeping sickness treatment: pentamidine, suramin, melarsoprol, and eflornithine<xref ref-type="fn" rid="fn2">
<sup>2</sup>
</xref>. All of them have shown dose-dependent side effects, with varying toxicity levels (<xref ref-type="bibr" rid="B4">Babokhov et al., 2013</xref>). The oral drug Fexinidazole was recently approved to combat both the early and late stages of the disease (<xref ref-type="bibr" rid="B61">Mesu et al., 2018</xref>).</p>
<p>Regarding leishmaniasis, amphotericin B, miltefosine, and pentamidine, are the most used drugs<xref ref-type="fn" rid="fn3">
<sup>3</sup>
</xref> and have significant side effects (<xref ref-type="bibr" rid="B71">Oliveira et al., 2011</xref>). Its most severe form, visceral leishmaniasis, is treated by pentavalent antimonials (<xref ref-type="bibr" rid="B2">Aronson et al., 2017</xref>), which can be cardiotoxic and cause arrhythmias (<xref ref-type="bibr" rid="B94">Sundar and Chakravarty, 2010</xref>).</p>
<p>All these issues regarding current treatments highlight the importance of investing time and resources in the research and development of new drugs and treatments.</p>
<p>The search and development of new drugs is a long and expensive process (<xref ref-type="bibr" rid="B26">DiMasi et al., 2016</xref>). Reasons behind unsuccessful new antimicrobial development projects range from inadequate selection of the molecular targets to a lack of innovation. In this context, increasingly available omics data for multiple pathogens has created new drug discovery and development opportunities to fight infectious diseases (<xref ref-type="bibr" rid="B88">Serral et al., 2021</xref>; <xref ref-type="bibr" rid="B87">Schottlender et al., 2022</xref>).</p>
<p>A widely used approach in computational screening is target-based drug discovery, a strategy focused on seeking compounds that can fit a specific target, and are not based on general characteristics (<xref ref-type="bibr" rid="B22">Croston, 2017</xref>). In this way, compounds that can bind and modify the activity of a specific target are sought, saving time and resources.</p>
<p>Here, we report on the application of a multidimensional data integration strategy to prioritize drug targets in TriTryps. By combining different layers of omic-scale information, which include genomic, transcriptomic, metabolic, and protein structural data sources, we were able to delineate candidate proteins with relevant features for target selection in the development of new drugs capable of combating different groups of clinical relevance within the order of trypanosomatids. We expect our results to be particularly useful in accelerating the initial steps of drug discovery through the identification of attractive targets.</p>
</sec>
<sec sec-type="materials|methods" id="s2">
<title>2 Materials and methods</title>
<p>All the performed analyses are based either on the <italic>in silico</italic> calculation of selected features for each protein within the trypanosomatid proteome or on the integration of available data. Below, we briefly describe the applied protocols to compute the desired properties. Further details on the data sources and methods can be found in the corresponding references.</p>
<sec id="s2-1">
<title>2.1 Trypanosomatids genomes</title>
<p>All the analyses were performed using genomes available on TriTrypDB (release 46). <italic>Trypanosoma cruzi</italic>: CL Brener Esmeraldo-like, <italic>T. brucei</italic>: DAL972, and <italic>L. major</italic>: Friedlin.</p>
</sec>
<sec id="s2-2">
<title>2.2 Structural assessment of druggability</title>
<p>Experimental structures for TriTryps were obtained from the Protein Data Bank (PDB). For all the remaining proteins, we attempted to predict their structure by homology modeling as described in (<xref ref-type="bibr" rid="B90">Sosa et al., 2018</xref>). Structural models, template information and validation of the models are available on Target Pathogen<xref ref-type="fn" rid="fn4">
<sup>4</sup>
</xref> database.</p>
<p>The structural druggability of <italic>T. cruzi</italic>, <italic>T. brucei</italic> and <italic>L. major</italic> proteins was assessed using the fpocket program (<xref ref-type="bibr" rid="B84">Schmidtke et al., 2010</xref>) and Druggability Score (<italic>DS</italic>) index (<xref ref-type="bibr" rid="B83">Schmidtke and Barril, 2010</xref>; <xref ref-type="bibr" rid="B84">Schmidtke et al., 2010</xref>) as defined in (<xref ref-type="bibr" rid="B90">Sosa et al., 2018</xref>). This assessment was performed both on crystals and on homology-based models.</p>
</sec>
<sec id="s2-3">
<title>2.3 Evaluation of potential off-target effects</title>
<p>All the proteins of TriTryps were blasted against the human proteome (NCBI assembly access GCF_000001405.36) to identify close human homologous. Hits with an identity greater than 40% and E-value less than 10<sup>&#x2013;5</sup> were ruled out, as they may share a high degree of structural preservation that could produce side effects if the parasite protein is used as target of a putative drug.</p>
</sec>
<sec id="s2-4">
<title>2.4 Metabolic network analysis</title>
<p>The PathoLogic module within Pathway Tools v. 20.0 (<xref ref-type="bibr" rid="B46">Karp et al., 2002</xref>) environment was used to build each metabolic network using the respective annotated genome as input. The metabolic reconstruction included the determination of reaction-protein-gene associations, which are primarily based on the corresponding enzyme commission (EC) number. EC number annotations were previously added to the genomic annotation. After manual curation of the metabolic networks, choke-point (CP) analysis was conducted within Pathway Tools. Choke-point reactions (CPs) are those that either uniquely produce or consume a given product or substrate, respectively (<xref ref-type="bibr" rid="B106">Yeh et al., 2004</xref>). In this sense, it is assumed that CP blockade may lead to the lack of an essential compound or the accumulation of a toxic metabolite in the cell; thus, these types of reactions have great significance in drug targeting.</p>
</sec>
<sec id="s2-5">
<title>2.5 Target prioritization pipeline</title>
<p>All previously calculated data was integrated in Target Pathogen. Target Pathogen is our own web server developed for drug target prioritization. This webserver was previously used to obtain attractive targets for drug development projects in other relevant pathogens (<xref ref-type="bibr" rid="B24">Defelipe et al., 2016</xref>; <xref ref-type="bibr" rid="B78">Ramos et al., 2018</xref>; <xref ref-type="bibr" rid="B34">Farf&#xe1;n-L&#xf3;pez et al., 2020</xref>; <xref ref-type="bibr" rid="B72">Palumbo et al., 2022</xref>; <xref ref-type="bibr" rid="B89">Serral et al., 2022</xref>). The integrated data was used to obtain a list of drug target candidates. In this sense, proteins of the studied TriTryps were filtered and ranked using the Target-Pathogen database. At first, proteins with <italic>DS</italic> &#x3c; 0.5 (non-druggable or poorly druggable proteins) and proteins with cross-reaction potential with the human host were filtered out. We then defined a scoring function as follows to assign a score to each protein. This equation assigns a score that defines a protein&#x2019;s potential as a drug target based on its druggability, human off-target, and metabolic context (CPs).</p>
<p>Scores are assigned using the following function:<disp-formula id="equ1">
<mml:math id="m1">
<mml:mrow>
<mml:mi mathvariant="bold-italic">S</mml:mi>
<mml:mo>&#x3d;</mml:mo>
<mml:mn mathvariant="bold">1</mml:mn>
<mml:mo>&#x2217;</mml:mo>
<mml:mi mathvariant="bold-italic">D</mml:mi>
<mml:mi mathvariant="bold-italic">S</mml:mi>
<mml:mo>&#x2b;</mml:mo>
<mml:mn mathvariant="bold">1</mml:mn>
<mml:mo>&#x2217;</mml:mo>
<mml:mi mathvariant="bold-italic">H</mml:mi>
<mml:mi mathvariant="bold-italic">O</mml:mi>
<mml:mi mathvariant="bold-italic">T</mml:mi>
<mml:mo>&#x2b;</mml:mo>
<mml:mn mathvariant="bold">5</mml:mn>
<mml:mo>&#x2217;</mml:mo>
<mml:mi mathvariant="bold-italic">C</mml:mi>
<mml:mi mathvariant="bold-italic">P</mml:mi>
</mml:mrow>
</mml:math>
</disp-formula>where <italic>DS</italic> is the Druggability Score, <italic>HOT</italic> is the Human Off-Target Score and <italic>CP</italic> defines whether the protein is associated with a CP reaction. <italic>HOT</italic> reflects the results of a blastp search of the pathogen protein in the human proteome database with the scale: 1-identity of the best hit of the queried protein and the human proteome. <italic>DS</italic> and <italic>HOT</italic> can take values between 0 and 1, while <italic>CP</italic> is equal to 1 if the protein is involved in a CP reaction, otherwise is set to zero. We have given the <italic>CP</italic> parameter a weight of 5, so that the proteins involved in CPs (usually essential proteins for the organism metabolism) lead the ranking.</p>
</sec>
<sec id="s2-6">
<title>2.6 Protein clustering</title>
<p>For clustering proteins among these 3 parasites, we used the MMSeqs2 software (<xref ref-type="bibr" rid="B92">Steinegger and S&#xf6;ding, 2017</xref>). A minimum coverage of 70%, a sequence identity greater than 50% and an E-value less than 0.001 were used as cut-off points to determine a significant hit. Alignment method number 3 was used, as it is described as the most accurate approach, and clustering mode 0 which uses the Greedy Set Cover algorithm was selected.</p>
</sec>
<sec id="s2-7">
<title>2.7 Cluster polishing</title>
<p>Once the clusters were obtained, it was observed that many of them contained more than one paralog gene per parasite. Common clusters were reduced to a single gene from each of the parasites, looking for candidates with similar <italic>DS</italic> and <italic>HOT</italic>. To carry out this cluster reduction, genes with <italic>DS</italic> &#x3c; 0.5 and <italic>HOT</italic> &#x3c; 0.7 were first removed. Then, <italic>DS</italic> standard deviation (<italic>stdDS</italic>) and <italic>HOT</italic> standard deviation (<italic>stdHOT</italic>) were calculated for all combinations involving a single gene from each of the parasites. Finally, the combinations with <italic>stdDS</italic> &#x3e; 0.1 and <italic>stdHOT</italic> &#x3e; 0.1 were filtered out, obtaining triplets with similar <italic>DS</italic> and <italic>HOT</italic> in each of the clusters. As result, each cluster is composed of similar proteins from each of the parasites with <italic>DS</italic> &#x2265; 0.5 and <italic>HOT</italic> &#x2265; 0.7. Finally, if a cluster has two or more combinations that pass these filters, the one with the highest average <italic>DS</italic> was kept.</p>
</sec>
<sec id="s2-8">
<title>2.8 Cluster prioritization pipeline</title>
<p>The defined clusters were ranked based on the <italic>S-score</italic> obtained for each gene in each of the parasites, that was calculated as described in the &#x201c;Target prioritization pipeline&#x201d; section. Using the <italic>S-score</italic> of each of the three genes belonging to a cluster, the mean and the standard deviation were calculated. With these values, a ranking of clusters was determined using the mean in descending order as first factor and the standard deviation in ascending order as a second factor.</p>
</sec>
<sec id="s2-9">
<title>2.9 Gene expression analysis</title>
<p>Drugs affect the parasites during stages in the mammalian host, therefore it is important to analyze candidates&#x2019; expression at these life cycle stages. For <italic>T. cruzi</italic>, they are the trypomastigote and amastigote stages, for <italic>T. brucei</italic> the blood trypomastigote stage, and for <italic>L. major</italic> the metacyclic promastigote and amastigote stages. The gene expression analysis was performed using data from Li et al. (<xref ref-type="bibr" rid="B49">Li et al., 2016</xref>) for <italic>T. cruzi</italic>, data from Naguleswaran et al. (<xref ref-type="bibr" rid="B67">Naguleswaran et al., 2018</xref>) for <italic>T. brucei</italic> and data from Inbar et al. (<xref ref-type="bibr" rid="B42">Inbar et al., 2017</xref>) for <italic>L.</italic> major. Candidate mRNA levels were evaluated at the trypomastigote and amastigote (48&#xa0;h post-infection) stages for <italic>T. cruzi</italic>, at the slender and stumpy forms of blood trypomastigote stage for <italic>T. brucei</italic> and at the metacyclic promastigote and amastigote stages for <italic>L. major</italic>. We compared the expression of our candidates with the total mRNAs for each stage of the life cycle.</p>
<p>For <italic>L. major</italic> raw reads were downloaded, trimmed and Kallisto version 0.46.1 (<xref ref-type="bibr" rid="B14">Bray et al., 2016</xref>) was used to obtain expression estimates for the reference transcriptome (TriTrypDB v.6.1&#xa0;<italic>L. major</italic> Friedlin) (<xref ref-type="bibr" rid="B3">Aslett et al., 2010</xref>). Read pseudo counts were normalized by sequencing depth for each replicate. For <italic>T. cruzi</italic> and <italic>T. brucei</italic> analysis counts tables were available and used in this work. Log2 transformation and quantile normalization were applied to all counts tables. We considered a gene to be expressed if this value is greater than 0.</p>
</sec>
<sec id="s2-10">
<title>2.10 Gene ontology terms enrichment analysis</title>
<p>Once the candidate list was obtained, functional analyses were performed to better understand the roles of these proteins in the parasite&#x2019;s biology. We first evaluated the Gene Ontology (GO) terms overrepresentation, using the trypanosomatid database TritrypDB (<xref ref-type="bibr" rid="B3">Aslett et al., 2010</xref>). The analysis was performed for Molecular Function, Biological Process and Cellular Component ontology terms with default parameters, reporting both curated and computed terms, and using an FDR cut-off of 0.05 to determine enrichment.</p>
</sec>
<sec id="s2-11">
<title>2.11 Text mining</title>
<p>To better understand the biological potential of the candidates as putative drug targets, a literature search was performed, aided by IdMiner<xref ref-type="fn" rid="fn5">
<sup>5</sup>
</xref> software. It allows linking candidate identifiers to published articles and search for overrepresented terms. The search term &#x201c;drug&#x201d; was used to find an association between our candidates and drug research and development articles.</p>
</sec>
</sec>
<sec sec-type="results|discussion" id="s3">
<title>3 Results and discussion</title>
<sec id="s3-1">
<title>3.1 Omic data integration allows the prioritization of putative drug targets in TriTryps</title>
<p>
<italic>DS</italic> of each protein pocket were calculated for all protein structures we were able to obtain for <italic>T. cruzi</italic>, <italic>T. brucei</italic>, and <italic>L. major</italic>. <italic>DS</italic> was then assigned to 4592, 4197, and 6656 proteins from <italic>T. cruzi</italic>, <italic>T. brucei</italic> and <italic>L. major</italic> respectively <bold>(</bold>
<xref ref-type="table" rid="T1">Table 1</xref>). The difference in the number of proteins assigned a <italic>DS</italic> for <italic>L. major</italic> is striking and possibly reflects that both trypanosomes are more phylogenetically related, but this observation will require further analysis. <xref ref-type="fig" rid="F1">Figure 1A</xref> shows the distribution of <italic>DS</italic> for the three parasites as well as for the RCSB Protein Data Bank (PDB), with a clear enrichment in highly druggable proteins for all the TriTryps.</p>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>Classification of <italic>Trypanosoma cruzi</italic>, <italic>Trypanosoma brucei</italic> and <italic>Leishmania major</italic> structures. Proteins were grouped based on their Druggability Score (<italic>DS</italic>) into four sets: non-druggable (0.0 &#x2264; <italic>DS</italic> &#x3c; 0.2), poorly druggable (0.2 &#x2264; <italic>DS</italic> &#x3c; 0.5), druggable (0.5 &#x2264; <italic>DS</italic> &#x3c; 0.7) and highly druggable (0.7 &#x2264; <italic>DS</italic> &#x2264; 1.0). Additionally, we classified all structures experimentally obtained in complex with a drug-like compound or an inhibitor (ED&#x2b;) or without a binding drug (ED-), and all models whose template was co-crystallized with a drug (MD&#x2b;) or not (MD-). Total values are shown in bold.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th rowspan="2" align="center"/>
<th colspan="5" align="center">
<italic>L. major</italic>
</th>
<th colspan="5" align="center">
<italic>T. cruzi</italic>
</th>
<th colspan="5" align="center">
<italic>T. brucei</italic>
</th>
</tr>
<tr>
<th align="center">ED&#x2b;</th>
<th align="center">ED-</th>
<th align="center">MD&#x2b;</th>
<th align="center">MD-</th>
<th align="center">Total</th>
<th align="center">ED&#x2b;</th>
<th align="center">ED-</th>
<th align="center">MD&#x2b;</th>
<th align="center">MD-</th>
<th align="center">Total</th>
<th align="center">ED&#x2b;</th>
<th align="center">ED-</th>
<th align="center">MD&#x2b;</th>
<th align="center">MD-</th>
<th align="center">Total</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="right">Non-druggable</td>
<td align="center">1</td>
<td align="center">3</td>
<td align="center">32</td>
<td align="center">153</td>
<td align="center">
<bold>189</bold>
</td>
<td align="center">0</td>
<td align="center">19</td>
<td align="center">20</td>
<td align="center">300</td>
<td align="center">
<bold>339</bold>
</td>
<td align="center">0</td>
<td align="center">3</td>
<td align="center">2</td>
<td align="center">68</td>
<td align="center">
<bold>73</bold>
</td>
</tr>
<tr>
<td align="right">Poorly druggable</td>
<td align="center">7</td>
<td align="center">11</td>
<td align="center">54</td>
<td align="center">133</td>
<td align="center">
<bold>205</bold>
</td>
<td align="center">0</td>
<td align="center">3</td>
<td align="center">57</td>
<td align="center">287</td>
<td align="center">
<bold>347</bold>
</td>
<td align="center">0</td>
<td align="center">4</td>
<td align="center">8</td>
<td align="center">104</td>
<td align="center">
<bold>116</bold>
</td>
</tr>
<tr>
<td align="right">Druggable</td>
<td align="center">23</td>
<td align="center">11</td>
<td align="center">270</td>
<td align="center">443</td>
<td align="center">
<bold>747</bold>
</td>
<td align="center">5</td>
<td align="center">6</td>
<td align="center">232</td>
<td align="center">790</td>
<td align="center">
<bold>1033</bold>
</td>
<td align="center">5</td>
<td align="center">12</td>
<td align="center">63</td>
<td align="center">446</td>
<td align="center">
<bold>526</bold>
</td>
</tr>
<tr>
<td align="right">Highly druggable</td>
<td align="center">35</td>
<td align="center">30</td>
<td align="center">2833</td>
<td align="center">2617</td>
<td align="center">
<bold>5515</bold>
</td>
<td align="center">20</td>
<td align="center">19</td>
<td align="center">638</td>
<td align="center">2196</td>
<td align="center">
<bold>2873</bold>
</td>
<td align="center">45</td>
<td align="center">44</td>
<td align="center">770</td>
<td align="center">2623</td>
<td align="center">
<bold>3482</bold>
</td>
</tr>
<tr>
<td align="right">Total</td>
<td align="center">
<bold>66</bold>
</td>
<td align="center">
<bold>55</bold>
</td>
<td align="center">
<bold>3189</bold>
</td>
<td align="center">
<bold>3346</bold>
</td>
<td align="center">
<bold>6656</bold>
</td>
<td align="center">
<bold>25</bold>
</td>
<td align="center">
<bold>47</bold>
</td>
<td align="center">
<bold>947</bold>
</td>
<td align="center">
<bold>3573</bold>
</td>
<td align="center">
<bold>4592</bold>
</td>
<td align="center">
<bold>50</bold>
</td>
<td align="center">
<bold>63</bold>
</td>
<td align="center">
<bold>843</bold>
</td>
<td align="center">
<bold>3241</bold>
</td>
<td align="center">
<bold>4197</bold>
</td>
</tr>
</tbody>
</table>
</table-wrap>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Distribution of protein Druggability Scores (<italic>DSs</italic>) and Human Off-Target Scores (<italic>HOT</italic>) in each of the parasites <bold>(A)</bold> Density plots showing the distribution of <italic>DSs</italic> &#x200b;&#x200b;for <italic>Trypanosoma cruzi</italic>, <italic>Trypanosoma brucei</italic>, <italic>Leishmania major</italic> proteins as well as the complete PDB database for comparison <bold>(B)</bold> Density plots showing the distribution of <italic>HOT</italic> for <italic>Trypanosoma cruzi</italic>, <italic>Trypanosoma brucei</italic> and <italic>Leishmania major</italic> proteins.</p>
</caption>
<graphic xlink:href="fphar-14-1136321-g001.tif"/>
</fig>
<p>Given that trypanosomatids are ancient eukaryotes, the observed similarity of their proteins to their human counterparts is low (<xref ref-type="fig" rid="F1">Figure 1B</xref>) (<xref ref-type="bibr" rid="B15">Burki et al., 2020</xref>). However, this analysis allowed us to exclude highly conserved proteins that are not suitable candidates for drug targeting candidates as they are more likely to exhibit off-target effects.</p>
<p>Metabolic network reconstruction was performed with Pathway Tools followed by manual curation. TriTryps networks were analyzed allowing the determination of CPs. For <italic>T. cruzi</italic> 575 proteins were assigned to reactions distributed across 98 metabolic pathways. A total of 466 proteins participated in CPs, of which 70 were associated with producing CPs, 374 with strictly consuming ones and 22 were mapped with both types. <italic>Trypanosoma brucei</italic> metabolic network is composed of 234 predicted pathways. From a total of 386 proteins involved in reactions, 156 were annotated as CPs. 57 were classified as production CPs, 58 as consuming ones and 41 on both producing and consuming sides.</p>
<p>Finally, <italic>L. major</italic> metabolic model resulted in 142 pathways, composed of 307 proteins assigned to reactions, with 135 classified as CPs. A total of 45 and 62 were annotated as producing and consuming CPs, respectively. Additionally, 28 proteins were classified as CPs on both types.</p>
<p>The shared biological characteristics of TriTryps give us the opportunity to search for common druggable proteins, enabling the design of drugs that might be effective against more than one species. Similarity clustering analysis resulted in 3,333 protein groups common to <italic>T. cruzi</italic>, <italic>T. brucei</italic> and <italic>L. major</italic> (<xref ref-type="fig" rid="F2">Figure 2A</xref>).</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Selection of common drug target candidates in TriTryps <bold>(A)</bold> Clusters obtained by using MMseqs2. Venn diagram representing the intersection of similar genes for the three parasites <bold>(B)</bold> Potential drug targets common to <italic>Trypanosoma cruzi</italic>, <italic>Trypanosoma brucei</italic> and <italic>Leishmania major</italic>. Each circle depicts the number of proteins obtained after applying the indicated filter. Orange: 3,333 common clusters for the three parasites. Gray: 907 common clusters where the three proteins have a <italic>DS</italic> &#x2265; 0.5. Yellow: 319 common clusters where the three proteins also have a <italic>HOT</italic> &#x2265; 0.7.</p>
</caption>
<graphic xlink:href="fphar-14-1136321-g002.tif"/>
</fig>
<p>By using the tools included in Target Pathogen database, we combined all the previous results and filtered the candidates with <italic>DS</italic> &#x2265; 0.5 and <italic>HOT</italic> &#x2265; 0.7, obtaining a list of 319 protein clusters with interesting features such as druggable pockets and low sequence similarity with human proteins (<xref ref-type="fig" rid="F2">Figure 2B</xref>). Of these, 82 are annotated as hypothetical proteins in all three TriTryps and 139 have this annotation in at least one of them. The rest of the clusters are functionally annotated for the three parasites.</p>
<p>Since drugs should be effective against the parasite forms present in the mammalian host, we analyzed the gene expression patterns of the candidate proteins at these stages. We observed that the mRNAs coding for these proteins are expressed in all analyzed forms for the three parasites (<xref ref-type="fig" rid="F3">Figure 3</xref>), excepting LmjF.01.0140 in both analyzed <italic>L. major</italic> stages, LmjF.34.0190 in <italic>L. major</italic> amastigote stage and Tbg.972.2.3880, Tbg972.8.3790 for both <italic>T. brucei</italic> stages. These expression values in the mammalian stages make them interesting drug target candidates.</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>Candidate genes expression in life cycle stages. Box plots showing the mRNA levels of the total genes (T) and of our drug target candidates (C) in <bold>(A)</bold> <italic>T. Cruzi</italic> trypomastigotes (T) and amastigotes (AMA) <bold>(B)</bold> <italic>Trypanosoma brucei</italic> slender (SL) and stumpy (ST) forms of blood trypomastigotes and <bold>(C)</bold> <italic>Leishmania major</italic> metacyclic promastigotes (MP) and amastigotes (AMA). Mann&#x2013;Whitney&#x2013;Wilcoxon test was performed to compare the different gene sets [<italic>p</italic>-value &#x3c;0.001 (&#x2a;&#x2a;&#x2a;); <italic>p</italic>-value &#x3c;0.05 (&#x2a;); no significance (NS.)]. Only expressed genes are plotted (see Materials and Methods).</p>
</caption>
<graphic xlink:href="fphar-14-1136321-g003.tif"/>
</fig>
</sec>
<sec id="s3-2">
<title>3.2 Protein candidates are involved in a wide variety of relevant biological processes</title>
<p>The GO analysis does not report any enrichment either for Molecular Function or for Biological Process terms. For the Cellular Components ontology, only mitochondrion (GO:0005739, FDR &#x3c;0.05) and kinetoplast (GO:0020023, FDR &#x3c;0.05) were reported as enriched in our list. This is an interesting observation as proteins involved in the mitochondrial oxidative stress response are considered putative drug targets (see discussion below). Proteins related to the kinetoplast are also reasonable candidates given the uniqueness and relevance of this structure in the biology of the TriTryps. Manual inspection of the list revealed two proteins with relevant features that are discussed in detail below (TcCLB.510,295.30, Tbg972.10.6190, LmjF.36.0700); (TcCLB.506,287.200, Tbg972.7.500, LmjF.26.1340).</p>
<p>No functional relationships are expected to be <italic>a priori</italic> in the list, so, as expected, no other evident functional relationship is observed among the candidates. This prompted us to manually inspect the functions of interesting candidates on our list and discuss their relevance as potential drug targets (<xref ref-type="sec" rid="s10">Supplementary Table S1</xref>
<bold>)</bold>. As can be observed, their functions are varied but they are involved in key biological aspects of parasite biology.</p>
<sec id="s3-2-1">
<title>3.2.1 Essential proteins for growth or survival</title>
<p>Some of the ranked proteins or the pathways in which they are involved have already been described as essential for the growth or survival of the parasite. This is the case of Pseudouridine tRNA synthases (TcCLB.507,639.50, Tbg972.10.7460, LmjF.36.1660), enzymes that carry out post-transcriptional modifications in tRNAs. They have not been extensively studied in trypanosomatids, except for CBF5 in <italic>T. brucei</italic> (<xref ref-type="bibr" rid="B11">Barth et al., 2005</xref>; <xref ref-type="bibr" rid="B19">Chikne et al., 2016</xref>; <xref ref-type="bibr" rid="B77">Rajan et al., 2019</xref>). However, Michaeli et al. (<xref ref-type="bibr" rid="B11">Barth et al., 2005</xref>) demonstrated that parasite growth is inhibited by silencing the expression of CBF5, evidencing the essentiality of this protein.</p>
<p>Farnesyl Transferases (PFT) (TcCLB.507,257.70, Tbg972.3.4930, LmjF.29.1950) are enzymes involved in protein prenylation, a post-translational modification relevant to bind proteins to cell membranes (<xref ref-type="bibr" rid="B108">Zhang and Casey, 1996</xref>). Many PFT inhibitors have been tested against trypanosomatids, showing a significant reduction in growth rate (<xref ref-type="bibr" rid="B107">Yokoyama et al., 1998</xref>; <xref ref-type="bibr" rid="B30">Eastman et al., 2006</xref>). Several PFT inhibitors have been developed as anticancer compounds (<xref ref-type="bibr" rid="B98">Wang et al., 2017</xref>), so a &#x201c;piggy-back&#x201d; approach has been used as a starting point to develop new antiparasitic drugs (<xref ref-type="bibr" rid="B70">Ohkanda et al., 2004</xref>; <xref ref-type="bibr" rid="B30">Eastman et al., 2006</xref>).</p>
<p>S-adenosylmethionine decarboxylase (AdoMetDC) is an important enzyme involved in the polyamines (spermidine) synthesis pathway (<xref ref-type="bibr" rid="B5">Bacchi, 1981</xref>). In trypanosomatids AdoMetDC is catalytically activated by the formation of a heterodimer with a proenzyme (TcCLB.509167.110, Tbg972.6.4250, LmjF.30.3120) that stimulates its activity (<xref ref-type="bibr" rid="B100">Willert et al., 2007</xref>; <xref ref-type="bibr" rid="B101">Willert and Phillips, 2009</xref>). This proenzyme is a catalytically dead paralog, required for an effective AdoMetDC&#xb4;s activity and apparently unique to the trypanosomatid group (<xref ref-type="bibr" rid="B100">Willert et al., 2007</xref>; <xref ref-type="bibr" rid="B102">Willert and Phillips, 2008</xref>). Both AdoMetDC and the proenzyme are essential for the growth and survival of <italic>T. brucei</italic> parasites (<xref ref-type="bibr" rid="B102">Willert and Phillips, 2008</xref>), and inhibitors of the reaction has been developed and tested (<xref ref-type="bibr" rid="B13">Bitonti et al., 1990</xref>; <xref ref-type="bibr" rid="B6">Bacchi et al., 1992</xref>; <xref ref-type="bibr" rid="B9">Barker et al., 2009</xref>) making this proenzyme an interesting drug target.</p>
<p>DNA ligase K&#x3b1; (TcCLB.506,287.200, Tbg972.7.500, LmjF.26.1340) is a protein involved in the kinetoplast DNA (kDNA) replication (<xref ref-type="bibr" rid="B43">Jensen and Englund, 2012</xref>). It has been shown to be essential for the normal growth of procyclic <italic>T. brucei</italic> parasites and its knockdown by RNAi leads to rapid loss of the kDNA from the cell (<xref ref-type="bibr" rid="B28">Downey et al., 2005</xref>). It is important to mention that some trypanosomatid lineages have lost their kDNA, giving rise to natural dyskinetoplastic parasites (<xref ref-type="bibr" rid="B85">Schnaufer et al., 2002</xref>), This is possible as bloodstream forms do not depend on the oxidative phosphorylation, however we do not have experimental data to know the effect of knocking this enzyme in <italic>T. cruzi</italic> or Leishmania where kDNA loss might be lethal or might affect cell growth (<xref ref-type="bibr" rid="B39">Girard et al., 2016</xref>; <xref ref-type="bibr" rid="B104">Yang et al., 2016</xref>). Moreover, <italic>T brucei</italic> stumpy bloodstreams lifespan is reduced when lacking kDNA (<xref ref-type="bibr" rid="B25">Dewar et al., 2018</xref>). Given that kDNA is exclusive to kinetoplastids, kinetoplast-related processes have already been discussed as potential drug targets (<xref ref-type="bibr" rid="B66">Motta, 2008</xref>).</p>
</sec>
<sec id="s3-2-2">
<title>3.2.2 Oxidative stress response</title>
<p>Enzymes that protect the parasite from host-generated oxidative stress are key players during trypanosomatid infections.</p>
<p>Superoxide dismutases (SOD) (TcCLB.511,735.60, Tbg972.6.3810, LmjF.30.2770) are antioxidant metalloenzymes that dismutate O<sub>2</sub>
<sup>&#x2212;</sup> into molecular oxygen and hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>), thereby scavenging superoxide radicals (<xref ref-type="bibr" rid="B60">McCord and Fridovich, 1969</xref>). Trypanosomatids have four Fe-SOD isoenzymes (<xref ref-type="bibr" rid="B29">Dufernez et al., 2006</xref>), a type that has been found only in prokaryotes, protozoans and chloroplasts. Antisense-mediated knockdown of Fe-SOD in Leishmania parasites showed increased susceptibility to oxidative stress agents and reduced growth and survival within macrophages (<xref ref-type="bibr" rid="B38">Ghosh et al., 2003</xref>). Fe-SOD are also involved in the virulence promotion in Leishmania and <italic>T. cruzi</italic> (<xref ref-type="bibr" rid="B62">Mittra et al., 2017</xref>; <xref ref-type="bibr" rid="B57">Mart&#xed;nez et al., 2019</xref>). Fe-SOD is also overexpressed in <italic>T. cruzi</italic> parasites resistant to Benznidazole (<xref ref-type="bibr" rid="B68">Nogueira et al., 2006</xref>). Moreover, inhibitors of this enzyme have been developed, showing a decrease in the infection rate and cell growth for <italic>T. cruzi</italic> (<xref ref-type="bibr" rid="B82">Sanz et al., 2008</xref>).</p>
<p>Glutathione S-transferases or glutaredoxins (TcCLB.508,265.10, Tbg972.7.3850, LmjF.14.1480) are oxidoreductases that belong to the thioredoxin family (<xref ref-type="bibr" rid="B76">Qi and Grishin, 2004</xref>). They are important for TriTryps redox homeostasis and iron metabolism (<xref ref-type="bibr" rid="B21">Comini et al., 2008</xref>; <xref ref-type="bibr" rid="B56">Marquez et al., 2010</xref>). Some of them have been shown to be essential for parasite growth (<xref ref-type="bibr" rid="B18">Ceylan et al., 2010</xref>; <xref ref-type="bibr" rid="B31">Ebersoll et al., 2018</xref>).</p>
<p>The dihydrolipoamide dehydrogenase enzyme (LipDH) (TcCLB.509,379.10, Tbg972.4.5230, LmjF.31.2650) catalyzes the reversible conversion of dihydrolipoamide and NAD<sup>&#x2b;</sup> into lipoamide and NADH and is part of three mitochondrial matrix complexes involved in the citric acid cycle (<xref ref-type="bibr" rid="B50">Lohrer and Krauth-Siegel, 1990</xref>; <xref ref-type="bibr" rid="B75">Portela and Stopopani, 1991</xref>; <xref ref-type="bibr" rid="B86">Sch&#xf6;neck et al., 1997</xref>). Given this reversible reaction, LipDH can generate free thiols (dihydrolipoate) that act as free radical quenchers (<xref ref-type="bibr" rid="B45">Kagan et al., 1992</xref>). Its essentiality has been shown in both stages of the life cycle in <italic>T. brucei</italic> (<xref ref-type="bibr" rid="B80">Rold&#xe1;n et al., 2011</xref>). In addition, LipDH protein has an increased activity and is overexpressed at the mRNA and protein level, when comparing Benznidazole resistant <italic>T. cruzi</italic> populations with susceptible populations (<xref ref-type="bibr" rid="B27">dos Santos et al., 2016</xref>). This and other properties make LipDH an interesting drug target candidate (<xref ref-type="bibr" rid="B47">Krauth-Siegel and Sch&#xf6;neck, 1995</xref>).</p>
</sec>
<sec id="s3-2-3">
<title>3.2.3 Virulence factors</title>
<p>Virulence and infectivity are key qualities when evaluating the relevance of different parasite strains.</p>
<p>Acid phosphatases (TcCLB.511,589.74, Tbg972.11.13180, LmjF.36.6480) are related to variations in virulence levels in <italic>L. major</italic> (<xref ref-type="bibr" rid="B8">Baghaei and Mesripour, 2015</xref>). In <italic>T. brucei</italic>, the membrane acid phosphatase MBAP-1 is reported to be essential for the parasite&#x2019;s survival (<xref ref-type="bibr" rid="B33">Engstler et al., 2005</xref>), while in <italic>Leishmania mexicana</italic> this enzyme is not essential at stages in the host (<xref ref-type="bibr" rid="B12">Benzel et al., 2000</xref>).</p>
<p>The ABCG1 membrane transporter (TcCLB.506,579.10, Tbg972.10.9440, LmjF.27.1700) belongs to the ABC transporters family, which are proteins involved in translocation of solutes across cell membranes and are present in all phyla (<xref ref-type="bibr" rid="B44">Jones and George, 2004</xref>). Using a double knock-out approach, ABCG1 has been shown to be a relevant protein in the infectivity and virulence of <italic>L. major</italic> (<xref ref-type="bibr" rid="B55">Manzano et al., 2017</xref>). In <italic>T. cruzi</italic> this protein is involved in the resistance to Benznidazole (<xref ref-type="bibr" rid="B109">Zingales et al., 2015</xref>).</p>
</sec>
<sec id="s3-2-4">
<title>3.2.4 Parasite specific proteins</title>
<p>When looking for potential drug targets, the absence of a similar protein in humans is a key quality, as off-target effects are potentially reduced.</p>
<p>RNA editing is a post-transcriptional RNA processing mechanism, unique to trypanosomatids that involves the insertion and removal of uridine nucleotides directed by a guide RNA (<xref ref-type="bibr" rid="B53">Madison-Antenucci et al., 2002</xref>; <xref ref-type="bibr" rid="B93">Stuart et al., 2005</xref>). Most mitochondrial mRNAs require editing, making it an essential process in TriTryps (<xref ref-type="bibr" rid="B53">Madison-Antenucci et al., 2002</xref>). Many components of the editing complex are essential for parasite survival and different inhibitors have been tested against them [reviewed in (<xref ref-type="bibr" rid="B81">Salavati et al., 2011</xref>)]. Our candidate MP18 (TcCLB.510,295.30, Tbg972.10.6190, LmjF.36.0700) is one of the proteins that make up the editing complex and is essential for <italic>T. brucei</italic> survival (<xref ref-type="bibr" rid="B48">Law et al., 2007</xref>; <xref ref-type="bibr" rid="B96">Tarun et al., 2008</xref>), making it a really interesting target.</p>
<p>Asparagine synthetases (AS) (TcCLB.503,899.90, Tbg972.7.1080, LmjF.26.0830) are responsible for the synthesis of Asparagine (Asn) from aspartate. There are two main types of AS, type B present in prokaryotes and eukaryotes, and type A present in prokaryotes and strikingly also in kinetoplastids and other protozoa (<xref ref-type="bibr" rid="B35">Faria et al., 2016</xref>). Our candidate protein is type A, which makes it very interesting given its absence in humans (<xref ref-type="bibr" rid="B54">Manhas et al., 2014</xref>). Regarding its essentiality, in <italic>T. brucei</italic> it was found that in presence of Asn parasites with an AS knockdown are fully functional and their survival, infectivity and virulence were not affected (<xref ref-type="bibr" rid="B51">Loureiro et al., 2013</xref>). The same was shown for <italic>Leishmania infantum</italic> in null mutants obtained by gene replacement (<xref ref-type="bibr" rid="B35">Faria et al., 2016</xref>). On the other hand, in <italic>Leishmania donovani</italic>, it was observed through gene replacement studies that this gene is essential for parasite viability (<xref ref-type="bibr" rid="B54">Manhas et al., 2014</xref>). These studies show that the essentiality of this potential target in trypanosomatids is unclear. Cordeiro da Silva et al. (<xref ref-type="bibr" rid="B51">Loureiro et al., 2013</xref>) suggest that the only possible combination would be a therapy that should involve an inhibitor of this enzyme as well as a depletion of extracellular Asn (e.g., L-asparaginase) or a blockade of Asn transporters. According to these researchers, this combination is very difficult, since it requires a lot of development and logistics resources, and the use of two different drugs can lead to the development of resistance. They also add that treatment with L-asparaginase has been seen to cause significant adverse effects in cancer, (<xref ref-type="bibr" rid="B1">Appel et al., 2008</xref>; <xref ref-type="bibr" rid="B20">Cohen et al., 2010</xref>).</p>
<p>Oligopeptidase B (OpB) (TcCLB.511557.10, Tbg972.11.14320, LmjF.06.0340) is a serine protease, present in prokaryotes (<xref ref-type="bibr" rid="B74">Polg&#xe1;r, 1997</xref>; <xref ref-type="bibr" rid="B36">Fenno et al., 2001</xref>; <xref ref-type="bibr" rid="B63">Morty et al., 2002</xref>; <xref ref-type="bibr" rid="B103">Yan et al., 2006</xref>), trypanosomatids (<xref ref-type="bibr" rid="B64">Morty et al., 2001</xref>; <xref ref-type="bibr" rid="B65">Morty et al. 2005</xref>; <xref ref-type="bibr" rid="B23">de Matos Guedes et al. 2007</xref>; <xref ref-type="bibr" rid="B95">Swenerton et al., 2011</xref>), some plants (<xref ref-type="bibr" rid="B58">Matheson et al., 1995</xref>; <xref ref-type="bibr" rid="B7">Bagarozzi et al., 1998</xref>; <xref ref-type="bibr" rid="B40">Guo et al., 1998</xref>) and is predicted in Fungi genomes. So far, they have not been described in mammals. In <italic>T. cruzi</italic> it is involved in the invasion of non-phagocytic cells <italic>via</italic> lysosomes (<xref ref-type="bibr" rid="B16">Burleigh et al., 1997</xref>), one of the different pathways that the parasite uses to infect cells (<xref ref-type="bibr" rid="B17">Caradonna and Burleigh, 2011</xref>; <xref ref-type="bibr" rid="B10">Barrias et al., 2013</xref>; <xref ref-type="bibr" rid="B37">Ferri and Edreira, 2021</xref>). This pathway involves a release of intracellular Ca<sup>2&#x2b;</sup> in the host cells, which determines an increase in the presence of lysosomes in the membrane, where <italic>T. cruzi</italic> enters to differentiate later to the amastigote stage. OpB generates an agonist that binds to a membrane receptor that determines Ca<sup>2&#x2b;</sup> signalling and subsequent invasion. In this study, it has been seen that treatment with anti-OpB antibodies significantly reduces the invasive capacity of <italic>T. cruzi</italic>, something that was later confirmed by <italic>in vivo</italic> experiments in mice.</p>
<p>In conclusion, we have evidence that many of the candidates are reasonable drug targets or have already been proposed as such, validating our bioinformatic approach. Interestingly our work provides an opportunity to explore many new proteins that, to our knowledge, have not yet been considered as potential targets.</p>
</sec>
</sec>
</sec>
<sec sec-type="conclusion" id="s4">
<title>4 Conclusion</title>
<p>Neglected diseases have been poorly studied for many years, the main consequence being ineffective treatments with serious side effects. Aiming to reverse this situation, an exhaustive search for potential drug candidates was recently initiated, within the framework of the non-profit organization DNDi<xref ref-type="fn" rid="fn6">
<sup>6</sup>
</xref>.</p>
<p>In this work we seek to have a first visualization of proteins common to <italic>T. cruzi</italic>, <italic>T. brucei</italic>, and <italic>L. major</italic>, which have interesting properties to be potential drug targets, in order to define certain candidates on which to focus future studies. For this, we used sequence clustering methodologies to search for shared orthologs among the three parasites, and we evaluated their druggability, human off-targeting, expression level, as well as their importance for the parasite&#x2019;s biology, using the Target Pathogen and bibliographic searches. The method depends on available data, so the analysis could be improved in new versions when more data becomes accessible. Thus, we present a ranked list of 319 common candidates for TriTryps, with interesting features as potential drug targets. Further studies would be needed to experimentally validate these candidates. We expect that this work will pave the process of drug discovery against TriTryps.</p>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="s5">
<title>Data availability statement</title>
<p>The datasets presented in this study can be found in online repositories. The names of the repository/repositories and accession number(s) can be found below: <ext-link ext-link-type="uri" xlink:href="http://target.sbg.qb.fcen.uba.ar/patho/">http://target.sbg.qb.fcen.uba.ar/patho/</ext-link>.</p>
</sec>
<sec id="s6">
<title>Author contributions</title>
<p>PS and DF designed the project and formulated aims and strategy. MR-E, MP, ES and SR performed the bioinformatic analysis. MR-E, PS, JS-S, AT and DF analysed the data. PS, MR-E and DF wrote the manuscript. All authors approved the submitted version.</p>
</sec>
<sec id="s7">
<title>Funding</title>
<p>Fellowship supported from CONICET to MP. DF, ES and AT are members of CONICET. This work was supported by Agencia Nacional de Promoci&#x00F3;n Cient&#x00ED;fica y Tecnol&#x00F3;gica (ANPCyT, PICT-2018-04663 to DF, ES and AT) and Universidad de Buenos Aires (20020190200275BA to DF). PS and JS-S received financial support from PEDECIBA and are members of ANII research career.</p>
</sec>
<sec sec-type="COI-statement" id="s8">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s9">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec id="s10">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fphar.2023.1136321/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fphar.2023.1136321/full&#x23;supplementary-material</ext-link>.</p>
<supplementary-material xlink:href="Table1.XLSX" id="SM1" mimetype="application/XLSX" xmlns:xlink="http://www.w3.org/1999/xlink"/>
</sec>
<fn-group>
<fn id="fn1">
<label>1</label>
<p>WHO (2022a). Chagas disease. Available at: <ext-link ext-link-type="uri" xlink:href="https://www.who.int/news-room/fact-sheets/detail/chagas-disease-(american-trypanosomiasis">https://www.who.int/news-room/fact-sheets/detail/chagas-disease-(american-trypanosomiasis</ext-link>) [Accessed 6 July 2022]</p>
</fn>
<fn id="fn2">
<label>2</label>
<p>WHO (2022b). Trypanosomiasis, human African (sleeping sickness). Available at: <ext-link ext-link-type="uri" xlink:href="https://www.who.int/news-room/fact-sheets/detail/trypanosomiasis-human-african-(sleeping-sickness">https://www.who.int/news-room/fact-sheets/detail/trypanosomiasis-human-african-(sleeping-sickness</ext-link>) [Accessed 6 July 2022]</p>
</fn>
<fn id="fn3">
<label>3</label>
<p>WHO Expert Committee on the Control of the Leishmaniases and World Health Organization (2010). Control of the leishmaniases: report of a meeting of the WHO Expert Commitee on the Control of Leishmaniases, Geneva, 22&#x2013;26 March 2010. Control Las Leishmaniasis Inf. Una Reuni&#xf3;n Com. Expert. OMS Sobre El Control Las Leishmaniasis Ginebra 22 26 Marzo 2010. Available at: <ext-link ext-link-type="uri" xlink:href="https://apps.who.int/iris/handle/10665/44412">https://apps.who.int/iris/handle/10665/44412</ext-link> [Accessed 6 July 2022]</p>
</fn>
<fn id="fn4">
<label>4</label>
<p>Target Pathogen. Available at: <ext-link ext-link-type="uri" xlink:href="http://target.sbg.qb.fcen.uba.ar/patho/">http://target.sbg.qb.fcen.uba.ar/patho/</ext-link>[Accessed 30 December 2022]</p>
</fn>
<fn id="fn5">
<label>5</label>
<p>Radio, S (2022). Sradiouy/IdMiner. Available at: <ext-link ext-link-type="uri" xlink:href="https://github.com/sradiouy/IdMiner">https://github.com/sradiouy/IdMiner</ext-link> [Accessed 30 December 2022]</p>
</fn>
<fn id="fn6">
<label>6</label>
<p>DNDi&#x2014;Best science for the most neglected (2019). Available at: <ext-link ext-link-type="uri" xlink:href="https://dndi.org/">https://dndi.org/</ext-link>[Accessed 30 December 2022]</p>
</fn>
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