Tropical Disease Research Unit, and Sandler Center, Department of Pathology, University of California, San Francisco, CA 94121, USA.
ABSTRACT.
The Trypanosoma cruzi cysteine protease cruzain is the target of novel chemotherapy for Chagas' disease. The biological role for cruzain in immune evasion was elucidated in a comparative study of parental wild type-parasites and parasites resistant to the cysteine protease inhibitor N-Pip-F-hF-Vsφ that results in protease-deficiency. Wild type T. cruzi does not activate the host macrophage following infection. Cruzain and the signaling factor NF-κB P65 co-localize to the cell surface of intracellular parasites. P65 is proteolytically cleaved. No significant IL-12 expression occurs in macrophages infected with wild type parasites and subsequently activated with LPS confirming macrophage unresponsiveness. In contrast, cysteine protease inhibitor-resistant, and cruzain-deficient parasites induce macrophage activation and nuclear NF-κB P65 localization. Thus, cruzain hinders macrophage activation allowing T. cruzi survival and replication, and expansion of infection in Chagas' disease.