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            "abstractNote": "Most mammalian and vector host species have acquired strategies by selective pressure to mislead the trypanosome and to win the fight during their molecular dialogue. Due to the same evolutionary pressure, trypanosomes have acquired strategies to bypass the host defences and to ensure the completion of their complex life cycles. Elucidation of these complex molecular crosstalks will improve the understanding of trypanosomes’ variability with respect to virulence and pathogenicity, will help to define trypansome-specific host biomarkers and will help to refine control strategies for African trypanosomoses. Advances in proteomics applications have provided new insights on African trypanosomes and on the biochemical interactions with their tsetse vectors and mammalian hosts. In this chapter, we present the interest of proteomics to characterise trypanosomes–hosts interactions, a synthetic review of proteomics studies performed on the parasite and its respective hosts, a discussion on the contributions and pitfalls of using diverse proteomics tools, a view for future prospects on proteomics dedicated to African trypanosomes and a projection of new conceptual approaches (i.e. metabolomics, interactomics, population proteomics) to accurately decipher insect vector–trypanosome–mammalian host interactions, with the idea of further developing new tools to improve trypanosomoses control.",
            "bookTitle": "Trypanosomes and Trypanosomiasis",
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            "version": 68,
            "itemType": "journalArticle",
            "title": "Neopterin Is a Cerebrospinal Fluid Marker for Treatment Outcome Evaluation in Patients Affected by Trypanosoma brucei gambiense Sleeping Sickness",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Natalia",
                    "lastName": "Tiberti"
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                {
                    "creatorType": "author",
                    "firstName": "Veerle",
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                {
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                    "firstName": "Xavier",
                    "lastName": "Robin"
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                    "firstName": "Natacha",
                    "lastName": "Turck"
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                    "creatorType": "author",
                    "firstName": "John Charles",
                    "lastName": "Enyaru"
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                {
                    "creatorType": "author",
                    "firstName": "Dieudonné",
                    "lastName": "Mumba Ngoyi"
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                {
                    "creatorType": "author",
                    "firstName": "Sanjeev",
                    "lastName": "Krishna"
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                {
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                    "firstName": "Sylvie",
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                {
                    "creatorType": "author",
                    "firstName": "Joseph Mathu",
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                    "firstName": "Philippe",
                    "lastName": "Büscher"
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                {
                    "creatorType": "author",
                    "firstName": "Jean-Charles",
                    "lastName": "Sanchez"
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            ],
            "abstractNote": "Author SummaryThe reduction of the number of lumbar punctures performed during the follow-up of patients affected by sleeping sickness (HAT) is considered a research priority. Follow-up, consisting of the examination of cerebrospinal fluid (CSF) for presence of parasites and for the number of leukocytes, is necessary to assess treatment outcome. However, diagnosis of treatment failure is still imperfect and WHO encourages improvements in defining criteria. Many studies have attempted to standardize actual methods and to define a cut-off for the number of white blood cells in CSF to define relapses, while only few have proposed alternatives to current practice. Here we show that neopterin, already proven to be a powerful marker for staging T. b. gambiense HAT, is also useful in evaluating post-therapeutic outcome. The measurement of neopterin concentration in CSF during the follow-up may allow reduction in the number of lumbar punctures from five to three for the majority of cured patients.",
            "publicationTitle": "PLOS Neglected Tropical Diseases",
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            "date": "février 28, 2013",
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            "pages": "e2088",
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            "journalAbbreviation": "PLoS Negl Trop Dis",
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            "abstractNote": "Matrix metalloproteinases (MMPs) were originally identified as matrixin proteases that act in the extracellular matrix. Recent works have uncovered nontraditional roles for MMPs in the extracellular space as well as in the cytosol and nucleus. There is strong evidence that subspecialized and compartmentalized matrixins participate in many physiological and pathological cellular processes, in which they can act as both degradative and regulatory proteases. In this review, we discuss the transcriptional and translational control of matrixin expression, their regulation of intracellular sorting, and the structural basis of activation and inhibition. In particular, we highlight the emerging roles of various matrixin forms in diseases. The activity of matrix metalloproteinases is regulated at several levels, including enzyme activation, inhibition, complex formation and compartmentalization. Most MMPs are secreted and have their function in the extracellular environment. MMPs are also found inside cells, both in the nucleus, cytosol and organelles. The role of intracellular located MMPs is still poorly understood, although recent studies have unraveled some of their functions. The localization, activation and activity of MMPs are regulated by their interactions with other proteins, proteoglycan core proteins and / or their glycosaminoglycan chains, as well as other molecules. Complexes formed between MMPs and various molecules may also include interactions with noncatalytic sites. Such exosites are regions involved in substrate processing, localized outside the active site, and are potential binding sites of specific MMP inhibitors. Knowledge about regulation of MMP activity is essential for understanding various physiological processes and pathogenesis of diseases, as well as for the development of new MMP targeting drugs.",
            "publicationTitle": "Progress in Histochemistry and Cytochemistry",
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            "itemType": "journalArticle",
            "title": "Cerebrospinal Fluid Neopterin as Marker of the Meningo-Encephalitic Stage of Trypanosoma brucei gambiense Sleeping Sickness",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Natalia",
                    "lastName": "Tiberti"
                },
                {
                    "creatorType": "author",
                    "firstName": "Alexandre",
                    "lastName": "Hainard"
                },
                {
                    "creatorType": "author",
                    "firstName": "Veerle",
                    "lastName": "Lejon"
                },
                {
                    "creatorType": "author",
                    "firstName": "Bertrand",
                    "lastName": "Courtioux"
                },
                {
                    "creatorType": "author",
                    "firstName": "Enock",
                    "lastName": "Matovu"
                },
                {
                    "creatorType": "author",
                    "firstName": "John Charles",
                    "lastName": "Enyaru"
                },
                {
                    "creatorType": "author",
                    "firstName": "Xavier",
                    "lastName": "Robin"
                },
                {
                    "creatorType": "author",
                    "firstName": "Natacha",
                    "lastName": "Turck"
                },
                {
                    "creatorType": "author",
                    "firstName": "Krister",
                    "lastName": "Kristensson"
                },
                {
                    "creatorType": "author",
                    "firstName": "Dieudonné Mumba",
                    "lastName": "Ngoyi"
                },
                {
                    "creatorType": "author",
                    "firstName": "Gedeão M. L.",
                    "lastName": "Vatunga"
                },
                {
                    "creatorType": "author",
                    "firstName": "Sanjeev",
                    "lastName": "Krishna"
                },
                {
                    "creatorType": "author",
                    "firstName": "Philippe",
                    "lastName": "Büscher"
                },
                {
                    "creatorType": "author",
                    "firstName": "Sylvie",
                    "lastName": "Bisser"
                },
                {
                    "creatorType": "author",
                    "firstName": "Joseph Mathu",
                    "lastName": "Ndung’u"
                },
                {
                    "creatorType": "author",
                    "firstName": "Jean-Charles",
                    "lastName": "Sanchez"
                }
            ],
            "abstractNote": "BackgroundSleeping sickness, or human African trypanosomiasis (HAT), is a protozoan disease that affects rural communities in sub-Saharan Africa. Determination of the disease stage, essential for correct treatment, represents a key issue in the management of patients. In the present study we evaluated the potential of CXCL10, CXCL13, ICAM-1, VCAM-1, MMP-9, B2MG, neopterin and IgM to complement current methods for staging Trypanosoma brucei gambiense patients.Methods and FindingsFive hundred and twelve T. b. gambiense HAT patients originated from Angola, Chad and the Democratic Republic of the Congo (D.R.C.). Their classification as stage 2 (S2) was based on the number of white blood cells (WBC) (>5/µL) or presence of parasites in the cerebrospinal fluid (CSF). The CSF concentration of the eight markers was first measured on a training cohort encompassing 100 patients (44 S1 and 56 S2). IgM and neopterin were the best in discriminating between the two stages of disease with 86.4% and 84.1% specificity respectively, at 100% sensitivity. When a validation cohort (412 patients) was tested, neopterin (14.3 nmol/L) correctly classified 88% of S1 and S2 patients, confirming its high staging power. On this second cohort, neopterin also predicted both the presence of parasites, and of neurological signs, with the same ability as IgM and WBC, the current reference for staging.ConclusionsThis study has demonstrated that neopterin is an excellent biomarker for staging T. b. gambiense HAT patients. A rapid diagnostic test for detecting this metabolite in CSF could help in more accurate stage determination.",
            "publicationTitle": "PLoS ONE",
            "publisher": "",
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            "date": "juillet 18, 2012",
            "volume": "7",
            "issue": "7",
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            "partNumber": "",
            "partTitle": "",
            "pages": "e40909",
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            "abstractNote": "Human African trypanosomiasis (HAT), or sleeping sickness, is a severe disease caused by Trypanosoma brucei (T.b.). The disease hallmark is sleep alterations. Brain involvement in HAT is a crucial pathogenetic step for disease diagnosis and therapy. In this study, a rat model of African trypanosomiasis was used to assess changes of sleep-wake, rest-activity, and body temperature rhythms in the time window previously shown as crucial for brain parenchyma invasion by T.b. to determine potential biomarkers of this event. Chronic radiotelemetric monitoring in Sprague-Dawley rats was used to continuously record electroencephalogram, electromyogram, rest-activity, and body temperature in the same animals before (baseline recording) and after infection. Rats were infected with T.b. brucei. Data were acquired from 1 to 20 d after infection (parasite neuroinvasion initiates at 11–13 d post-infection in this model), and were compared to baseline values. Sleep parameters were manually scored from electroencephalographic-electromyographic tracings. Circadian rhythms of sleep time, slow-wave activity, rest-activity, and body temperature were studied using cosinor rhythmometry. Results revealed alterations of most of the analyzed parameters. In particular, sleep pattern and sleep-wake organization plus rest-activity and body temperature rhythms exhibited early quantitative and qualitative alterations, which became marked around the time interval crucial for parasite neuroinvasion or shortly after. Data derived from actigrams showed close correspondence with those from hypnograms, suggesting that rest-activity could be useful to monitor sleep-wake alterations in African trypanosomiasis.",
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            "title": "Actigraphy in Human African Trypanosomiasis as a Tool for Objective Clinical Evaluation and Monitoring: A Pilot Study",
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                {
                    "creatorType": "author",
                    "firstName": "Alfred K.",
                    "lastName": "Njamnshi"
                },
                {
                    "creatorType": "author",
                    "firstName": "Paul F.",
                    "lastName": "Seke Etet"
                },
                {
                    "creatorType": "author",
                    "firstName": "Stephen",
                    "lastName": "Perrig"
                },
                {
                    "creatorType": "author",
                    "firstName": "Alphonse",
                    "lastName": "Acho"
                },
                {
                    "creatorType": "author",
                    "firstName": "Julius Y.",
                    "lastName": "Funsah"
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                {
                    "creatorType": "author",
                    "firstName": "Dieudonné",
                    "lastName": "Mumba"
                },
                {
                    "creatorType": "author",
                    "firstName": "Jean-Jacques",
                    "lastName": "Muyembe"
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                {
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                    "firstName": "Krister",
                    "lastName": "Kristensson"
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                {
                    "creatorType": "author",
                    "firstName": "Marina",
                    "lastName": "Bentivoglio"
                }
            ],
            "abstractNote": "The clinical picture of the parasitic disease human African trypanosomiasis (HAT, also called sleeping sickness) is dominated by sleep alterations. We here used actigraphy to evaluate patients affected by the Gambiense form of HAT. Actigraphy is based on the use of battery-run, wrist-worn devices similar to watches, widely used in middle-high income countries for ambulatory monitoring of sleep disturbances. This pilot study was motivated by the fact that the use of polysomnography, which is the gold standard technology for the evaluation of sleep disorders and has greatly contributed to the objective identification of signs of disease in HAT, faces tangible challenges in resource-limited countries where the disease is endemic. We here show that actigraphy provides objective data on the severity of sleep-wake disturbances that characterize HAT. This technique, which does not disturb the patient's routine activities and can be applied at home, could therefore represent an interesting, non-invasive tool for objective HAT clinical assessment and long-term monitoring under field conditions. The use of this method could provide an adjunct marker of HAT severity and for treatment follow-up, or be evaluated in combination with other disease biomarkers in body fluids that are currently under investigation in many laboratories.",
            "publicationTitle": "PLoS Negl Trop Dis",
            "publisher": "",
            "place": "",
            "date": "février 14, 2012",
            "volume": "6",
            "issue": "2",
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            "partNumber": "",
            "partTitle": "",
            "pages": "e1525",
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            "journalAbbreviation": "PLoS Negl Trop Dis",
            "DOI": "10.1371/journal.pntd.0001525",
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            "url": "UR  - http://dx.doi.org/10.1371/journal.pntd.0001525,http://dx.doi.org/10.1371/journal.pntd.0001525",
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            "itemType": "journalArticle",
            "title": "How can microbial interactions with the blood–brain barrier modulate astroglial and neuronal function?",
            "creators": [
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                    "firstName": "Dennis J",
                    "lastName": "Grab"
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                    "firstName": "Srabasti J",
                    "lastName": "Chakravorty"
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                    "firstName": "Henri",
                    "lastName": "van der Heyde"
                },
                {
                    "creatorType": "author",
                    "firstName": "Monique F",
                    "lastName": "Stins"
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            ],
            "abstractNote": "The vascular endothelium of the blood–brain barrier (BBB) is regarded as a part of the neurovascular unit (NVU). This emerging NVU concept emphasizes the need for homeostatic signalling among the neuronal, glial and vascular endothelial cellular compartments in maintaining normal brain function. Conversely, dysfunction in any component of the NVU affects another, thus contributing to disease. Brain endothelial activation and dysfunction is observed in various neurological diseases, such as (ischemic) stroke, seizure, brain inflammation and infectious diseases and likely contributes to or exacerbates neurological conditions. The role and impact of brain endothelial factors on astroglial and neuronal activation is unclear. Similarly, it is not clear which stages of BBB endothelial activation can be considered beneficial versus detrimental. Although the BBB plays an important role in context of encephalopathies caused by neurotropic microbes that must first penetrate into the brain, a crucial role of the BBB in contributing to neurological dysfunction may be seen in cerebral malaria (CM), where the Plasmodium parasite remains sequestered in the brain vasculature, does not enter the brain parenchyma, and yet causes coma and seizures. In this minireview some of the scenarios and factors that may play a role in BBB as a relay station to modulate astroneuronal functioning are discussed.",
            "publicationTitle": "Cellular Microbiology",
            "publisher": "",
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            "date": "2011/10/01",
            "volume": "13",
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            "pages": "1470-1478",
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            "creatorSummary": "Kennedy",
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            "itemType": "journalArticle",
            "title": "Difficulties in Diagnostic Staging of Human African Trypanosomiasis",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Peter G. E.",
                    "lastName": "Kennedy"
                }
            ],
            "abstractNote": "Human African trypanosomiasis (HAT), also known as sleeping sickness, continues to be a major hazard to human health in 36 countries in sub-Saharan Africa. One of the most important problems in disease management is the considerable difficulty in distinguishing the early (hemolymphatic) from the late (encephalitic) stage when the parasites have crossed the blood-brain barrier to enter the Central Nervous System (CNS). Treatment of the two stages is different with the highly toxic arsenical drug melarsoprol being the most commonly used therapy for CNS disease. Since melarsoprol kills 5% of treated patients, it is vital to develop reliable and agreed diagnostic staging markers for HAT. Although the current WHO staging criteria on the cerebrospinal fluid (CSF) are the most commonly used, there is still a lack of consensus as to their efficacy which has driven the current search for improved methods of HAT diagnostic staging which are considered here.",
            "publicationTitle": "Journal of Neuroparasitology",
            "publisher": "",
            "place": "",
            "date": "2011",
            "volume": "2",
            "issue": "",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "N110601",
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            "creatorSummary": "Geiger et al.",
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            "version": 1,
            "itemType": "journalArticle",
            "title": "Transcriptomics and proteomics in human African trypanosomiasis: Current status and perspectives",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Anne",
                    "lastName": "Geiger"
                },
                {
                    "creatorType": "author",
                    "firstName": "Gustave",
                    "lastName": "Simo"
                },
                {
                    "creatorType": "author",
                    "firstName": "Pascal",
                    "lastName": "Grébaut"
                },
                {
                    "creatorType": "author",
                    "firstName": "Jean-Benoît",
                    "lastName": "Peltier"
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                {
                    "creatorType": "author",
                    "firstName": "Gérard",
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                },
                {
                    "creatorType": "author",
                    "firstName": "Philippe",
                    "lastName": "Holzmuller"
                }
            ],
            "abstractNote": "Human African trypanosomiasis, or sleeping sickness, is a neglected vector-borne parasitic disease caused by protozoa of the species Trypanosoma brucei sensu lato. Within this complex species, T. b. gambiense is responsible for the chronic form of sleeping sickness in Western and Central Africa, whereas T. b. rhodesiense causes the acute form of the disease in East Africa. Presently, 1.5 million disability-adjusted life years (DALYs) per year are lost due to sleeping sickness. In addition, on the basis of the mortality, the disease is ranked ninth out of 25 human infectious and parasitic diseases in Africa. Diagnosis is complex and needs the intervention of a specialized skilled staff; treatment is difficult and expensive and has potentially life-threatening side effects. The use of transcriptomic and proteomic technologies, currently in rapid development and increasing in sensitivity and discriminating power, is already generating a large panel of promising results. The objective of these technologies is to significantly increase our knowledge of the molecular mechanisms governing the parasite establishment in its vector, the development cycle of the parasite during the parasite's intra-vector life, its interactions with the fly and the other microbial inhabitants of the gut, and finally human host-trypanosome interactions. Such fundamental investigations are expected to provide opportunities to identify key molecular events that would constitute accurate targets for further development of tools dedicated to field work for early, sensitive, and stage-discriminant diagnosis, epidemiology, new chemotherapy, and potentially vaccine development, all of which will contribute to fighting the disease. The present review highlights the contributions of the transcriptomic and proteomic analyses developed thus far in order to identify potential targets (genes or proteins) and biological pathways that may constitute a critical step in the identification of new targets for the development of new tools for diagnostic and therapeutic purposes.",
            "publicationTitle": "Journal of Proteomics",
            "publisher": "",
            "place": "",
            "date": "août 24, 2011",
            "volume": "74",
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            "pages": "1625-1643",
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            "shortTitle": "Transcriptomics and proteomics in human African trypanosomiasis",
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