Drug discovery for Chagas disease should consider Trypanosoma cruzi strain diversity.

Bianca Zingales; Michael A Miles ORCID logo; Carolina B Moraes; Alejandro Luquetti; Felipe Guhl; Alejandro G Schijman; Isabela Ribeiro; Drugs for Neglected Disease Initiative; Chagas Clinical Research Platform Meeting; (2014) Drug discovery for Chagas disease should consider Trypanosoma cruzi strain diversity. Memorias do Instituto Oswaldo Cruz, 109 (6). pp. 828-833. ISSN 0074-0276 DOI: 10.1590/0074-0276140156
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This opinion piece presents an approach to standardisation of an important aspect of Chagas disease drug discovery and development: selecting Trypanosoma cruzi strains for in vitro screening. We discuss the rationale for strain selection representing T. cruzi diversity and provide recommendations on the preferred parasite stage for drug discovery, T. cruzi discrete typing units to include in the panel of strains and the number of strains/clones for primary screens and lead compounds. We also consider experimental approaches for in vitro drug assays. The Figure illustrates the current Chagas disease drug-discovery and development landscape.


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