The enzymes and receptors in parasites that can be qualified as
targets for antiparasite chemotherapy should perform
essential functions in the parasites and demonstrate some feasibility
for selective inhibition. They can be tentatively
identified through detailed analysis of various aspects of metabolisms
in
the parasites or elucidation of the mechanisms
of action among proven antiparasitic agents. Preliminary verifications
of these putative targets can be indicated by in vitro
antiparasite activity of an inhibitor of the target. However, before a
major long-term effort to pursue in-depth structure-activity analysis of
the target is to be committed for specific inhibitor design,
further validations of the target are essential
to insure that future studies are not misguided. One old-fashioned
approach to validate a target in the pharmaceutical
industry is by correlating target inhibitions with antiparasitic activities
among large numbers of drug derivatives. The
results are often indicative but hardly ever conclusive. Another method
is
by comparing the putative drug targets between
the drug-sensitive and the drug-resistant parasites for potential
discrepancies. Unfortunately, the latter often result from
indirect causes, such as reduced drug transport, instead of an alteration
of the drug target itself. The third experimental
approach is by disrupting the gene encoding the putative target in parasite,
which can provide the most conclusive evidence
on whether the target plays an indispensible role in the parasite. But
special
conditions are needed for the gene knockout
mutants to survive to exhibit their phenotypes and to allow genetic
complementation studies for further verifications.
Furthermore, gene knockout experiments are often difficult to perform on
cells of multiple ploidy or genes of multiple
copies, and are currently applicable only to a limited number of
protozoan parasites. In the current article I have tried
to take a cursory look at some eleven putative drug targets among various
parasites, each supported by well-established
antiparasitic agents identified as its inhibitors. I have also considered
the
evidence for validity of each of them and the
potential means of further verifying their validity.