Evidence map›Paper›PMID 23965626›Full record

ArticleNature2013

Mechanism of Trypanosoma brucei gambiense resistance to human serum.

Pierrick Uzureau, Sophie Uzureau, Laurence Lecordier, Frédéric Fontaine, Patricia Tebabi, Fabrice Homblé, Axelle Grélard, Vanessa Zhendre, Derek P Nolan, Laurence Lins and 12 more

Abstract read
PubMed Publisher
In one paragraph

Article in Nature, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed
11.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

79 citing papers in PubMed, 156 citations in OpenAlex.

  1. Apolipoproteins L involvement in immunity.Journal of human immunity · 2026
    Review
  2. Germline-targeted baboon apolipoprotein L-1 protects mice against African trypanosomes.Proceedings of the National Academy of Sciences of the United States of America · 2026
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  3. Wildlife surveys detectCurrent research in parasitology & vector-borne diseases · 2026
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  5. A novelRenal failure · 2025
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  6. De novo rates of aProceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Review
  15. Article
  16. ADAR regulates APOL1 via A-to-I RNA editing by inhibition of MDA5 activation in a paradoxical biological circuit.Proceedings of the National Academy of Sciences of the United States of America · 2022
    Article
  17. Article
  18. Review
  19. Review
  20. Review

19 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors at 6 institutions in 5 countries.

Pierrick UzureauLaboratory of Molecular Parasitology, IBMM, Université Libre de Bruxelles, 12 rue des Prof. Jeener et Brachet, B-6041 Gosselies, Belgium.
Sophie Uzureau
Laurence Lecordier
Frédéric Fontaine
Patricia Tebabi
Fabrice Homblé
Axelle Grélard
Vanessa Zhendre
Derek P Nolan
Laurence Lins
Jean-Marc Crowet
Annette Pays
Cécile Felu
Philippe Poelvoorde
Benoit Vanhollebeke
Soren K Moestrup
Jeppe Lyngsø
Jan Skov Pedersen
Jeremy C Mottram
Erick J Dufourc
David Pérez-Morga
Etienne Pays
Université Libre de Bruxelles · BEAarhus University · DKCentre National de la Recherche Scientifique · FRUniversity of Liège · BETrinity College Dublin · IEWellcome Centre for Molecular Parasitology · GB

Funding

Wellcome Trust 085349
6 · The paper itself

Abstract

The African parasite Trypanosoma brucei gambiense accounts for 97% of human sleeping sickness cases. T. b. gambiense resists the specific human innate immunity acting against several other tsetse-fly-transmitted trypanosome species such as T. b. brucei, the causative agent of nagana disease in cattle. Human immunity to some African trypanosomes is due to two serum complexes designated trypanolytic factors (TLF-1 and -2), which both contain haptoglobin-related protein (HPR) and apolipoprotein LI (APOL1). Whereas HPR association with haemoglobin (Hb) allows TLF-1 binding and uptake via the trypanosome receptor TbHpHbR (ref. 5), TLF-2 enters trypanosomes independently of TbHpHbR (refs 4, 5). APOL1 kills trypanosomes after insertion into endosomal/lysosomal membranes. Here we report that T. b. gambiense resists TLFs via a hydrophobic β-sheet of the T. b. gambiense-specific glycoprotein (TgsGP), which prevents APOL1 toxicity and induces stiffening of membranes upon interaction with lipids. Two additional features contribute to resistance to TLFs: reduction of sensitivity to APOL1 requiring cysteine protease activity, and TbHpHbR inactivation due to a L210S substitution. According to such a multifactorial defence mechanism, transgenic expression of T. b. brucei TbHpHbR in T. b. gambiense did not cause parasite lysis in normal human serum. However, these transgenic parasites were killed in hypohaptoglobinaemic serum, after high TLF-1 uptake in the absence of haptoglobin (Hp) that competes for Hb and receptor binding. TbHpHbR inactivation preventing high APOL1 loading in hypohaptoglobinaemic serum may have evolved because of the overlapping endemic area of T. b. gambiense infection and malaria, the main cause of haemolysis-induced hypohaptoglobinaemia in western and central Africa.

Indexed as

AfricaAnimalsAnimals, Genetically ModifiedApolipoprotein L1ApolipoproteinsCell MembraneCysteine ProteasesHaptoglobinsHemoglobinsHemolysisHumansHydrophobic and Hydrophilic InteractionsLipid MetabolismLipoproteins, HDLParasitesProtein Structure, SecondaryAPOL1 protein, humanApolipoprotein L1ApolipoproteinsCysteine ProteasesHaptoglobinsHemoglobinsLipoproteins, HDLTLF1 protein, humanVariant Surface Glycoproteins, Trypanosoma

Identifiers

PMID23965626
OpenAlexW2001711607

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.