Article:Functional Analysis of the Cathepsin-Like Cysteine Protease Genes in Adult Brugia malayi Using RNA Interference

From ScienceSource
Jump to: navigation, search

This page is the ScienceSource HTML version of the scholarly article described at Its title is Functional Analysis of the Cathepsin-Like Cysteine Protease Genes in Adult Brugia malayi Using RNA Interference and the publication date was 2009. The initial author is Louise Ford.

Fuller metadata can be found in the Wikidata link, which lists all authors, and may have detailed items for some or all of them. There is further information on the article in the footer below. This page is a reference version, and is protected against editing.

Converted JATS paper:

Journal Information

Title: PLoS Neglected Tropical Diseases

Functional Analysis of the Cathepsin-Like Cysteine Protease Genes in Adult Brugia malayi Using RNA Interference

Alternative Title: RNAi of B. malayi Cysteine Protease Genes

  • Louise Ford
  • Jun Zhang
  • Jing Liu
  • Sarwar Hashmi
  • Juliet A. Fuhrman
  • Yelena Oksov
  • Sara Lustigman

[1]Laboratory of Molecular Parasitology, Lindsley F. Kimball Research Institute, New York Blood Center, New York, New York, United States of America

[2]Department of Biology, Tufts University, Medford, Massachusetts, United States of America

[3]Laboratory of Electron Microscopy, Lindsley F. Kimball Research Institute, New York Blood Center, New York, New York, United States of America

  • Paul J. Brindley (Editor)

George Washington University Medical Center, United States of America

Publication date (collection): 2/2009

Publication date (epub): 2/2009



Cathepsin-like enzymes have been identified as potential targets for drug or vaccine development in many parasites, as their functions appear to be essential in a variety of important biological processes within the host, such as molting, cuticle remodeling, embryogenesis, feeding and immune evasion. Functional analysis of Caenorhabditis elegans cathepsin L (Ce-cpl-1) and cathepsin Z (Ce-cpz-1) has established that both genes are required for early embryogenesis, with Ce-cpl-1 having a role in regulating in part the processing of yolk proteins. Ce-cpz-1 also has an important role during molting.

Methods and Findings

RNA interference assays have allowed us to verify whether the functions of the orthologous filarial genes in Brugia malayi adult female worms are similar. Treatment of B. malayi adult female worms with Bm-cpl-1, Bm-cpl-5, which belong to group Ia of the filarial cpl gene family, or Bm-cpz-1 dsRNA resulted in decreased numbers of secreted microfilariae in vitro. In addition, analysis of the intrauterine progeny of the Bm-cpl-5 or Bm-cpl Pro dsRNA- and siRNA-treated worms revealed a clear disruption in the process of embryogenesis resulting in structural abnormalities in embryos and a varied differential development of embryonic stages.


Our studies suggest that these filarial cathepsin-like cysteine proteases are likely to be functional orthologs of the C. elegans genes. This functional conservation may thus allow for a more thorough investigation of their distinct functions and their development as potential drug targets.


Author Summary

Filarial nematodes are an important group of human pathogens, causing lymphatic filariasis and onchocerciasis, and infecting around 150 million people throughout the tropics with more than 1.5 billion at risk of infection. Control of filariasis currently relies on mass drug administration (MDA) programs using drugs which principally target the microfilarial life-cycle stage. These control programs are facing major challenges, including the absence of a drug with macrofilaricidal or permanent sterilizing activity, and the possibility of the development of drug-resistance against the drugs available. Cysteine proteases are essential enzymes which play important roles in a wide range of cellular processes, and the cathepsin-like cysteine proteases have been identified as potential targets for drug or vaccine development in many parasites. Here we have studied the function of several of the cathepsin-like enzymes in the filarial nematode, B. malayi, and demonstrate that these cysteine proteases are involved in the development of embryos, show similar functions to their counterparts in C. elegans, and therefore, provide an important target for future drug development targeted to eliminate filariasis.



Human lymphatic filariasis (LF), caused by the filarial parasites Brugia malayi, Brugia timori and Wuchereria bancrofti, infects 120 million people worldwide, of which 40 million people show chronic disease symptoms ( [1]. The disease is estimated to be responsible for 5.5 million DALYs, and is the second leading cause of permanent and long-term disability worldwide [2]. A further one billion people (18% of the world's population) are at risk of infection (

The Global Programme to Eliminate Lymphatic Filariasis (GPELF) aims to use mass drug administration (MDA) to interrupt transmission and to reduce morbidity, with annual doses of a multi-drug regimen for at least five years ( [3]. The African Programme for Onchocerciasis Control aims to establish by 2010 community-based sustainable ivermectin treatments of 50 million people in 19 African countries having meso- and hyper-endemicity ( However, it appears unlikely that any of these MDA regimens will be sufficient to eliminate LF or onchocerciasis in all endemic areas [2]. Numerous technical challenges threaten the success of these eradication programs [2],[4], including incomplete efficacy of available drugs against adult filarial worms [5],[6], severe drug toxicity in people with heavy loiasis infections [3], and the risk that filarial worms will develop resistance to the drugs available for MDA [7],[8]. Ivermectin (IVM) resistance has been reported worldwide in several other parasitic nematodes [9].

The emergence of drug resistant strains of the O. volvulus parasite was initially suggested by reports of patients with onchocerciasis who failed to respond to IVM treatment [10],[11] and a recent report from Ghana has provided the first direct proof of IVM resistance in O. volvulus populations [12]. A number of studies have associated IVM resistance with genetic markers (reviewed in [13]), while a recent, more extensive study using worms taken from individuals before and after repeated IVM treatments, has demonstrated that IVM causes genetic selection on O. volvulus[14]. At present there are no alternative drugs for IVM for use in the onchocerciasis MDA programs that can reduce Mf or kill adult worms and no vaccines are available [15]. Vaccines that decrease transmission would complement MDA programs and may be necessary for complete elimination [13]. Notably, antibiotic treatment targeting Wolbachia endosymbionts of filarial nematodes is emerging as an alternative drug treatment for filariasis. Doxycycline treatment has been shown to result in an almost complete loss of Mf and macrofilaricidal effects in LF and in sterilization of adult worms and macrofilaricidal effects in O. volvulus (reviewed in [16],[17]). However, the period of treatment with doxycycline at present (between 4–8 weeks) is not applicable to mass treatment strategies, due to both the logistical difficulties and contra-indication in children under eight and pregnant women [16],[17], as a result antibiotic treatment regimens require further refinement.

Therefore, a major priority has to be the identification of new drugs with strong activity against adult filarial worms (macrofilaricidal) which have new classes of chemistry, new molecular targets, and novel modes of action. Recent breakthroughs in genomics and chemistry make macrofilaricidal drug development more feasible, and accordingly a high priority goal with the WHO/TDR and the Bill & Melinda Gates Foundation [8],[18],[19],[20],[21].

RNA interference (RNAi) was first described in Caenorhabditis elegans where it was shown to spread systemically throughout the whole organism [22] and is widely used to identify gene function and has been developed for high-throughput genomics [23],[24],[25]. This powerful reverse genetics mechanism thus provides an invaluable tool which could be transferred to gene function studies and novel drug discovery in filarial nematodes. Moreover, it potentially provides an unprecedented opportunity to identify pre-validated drug targets after efficient mining of nematode genomic databases and RNAi genome wide C. elegans databases. [26],[27][28][29]. RNAi has been successfully demonstrated in a number of parasitic nematodes (reviewed in [30],[31]), including filarial nematodes [32],[33],[34],[35],[36]. However, although RNAi has been demonstrated in parasitic nematodes, its application as a tool for high-throughput functional genomic screening for identification of essential parasite genes has not yet been achieved due to variable success in transferring the technology from C. elegans to parasitic nematodes and problems with inconsistent results and poor reproducibility [30],[37].

While a wide range of target genes have been screened using RNAi in parasitic nematodes, only a small number of these genes have been selected due to their potential as drug targets [31]. Filarial proteases have been recognized as potential drug targets [33],[38]. RNAi targeting the cathepsin L- and Z-like cysteine proteases (CPL & CPZ respectively) has clearly validated their essential role during O. volvulus L3 molting [33]. The function(s) of CPLs in filarial nematodes during embryogenesis, however, was only predicted indirectly by immunoelectron microscopy (IEM) [39],[40], while detailed studies of the CPLs in C. elegans[40],[41] have provided more direct proof of their function in the free living nematodes. However, their predicted essential function during development may not always be conserved in both filarial nematodes and C. elegans, as has been shown for the roles of CPL and CPZ in the molting of O. volvulus and C. elegans[33]. Therefore it would be beneficial to be able to directly and reliably assess their essential function(s) using RNAi technology in filarial adult worms, in particular during embryogenesis. Here we demonstrate the use of double-stranded RNA (dsRNA)-mediated silencing to study the possible function of several of the cathepsin-like enzymes in B. malayi.

Materials and Methods


Adult female B. malayi, collected from the peritoneal cavities of infected jirds (Meriones unguiculatus) at day 80–85 post-infection, were kindly provided by the NIAID/NIH Filariasis Research Reagent Repository Center (Athens, GA; Worms were washed once in normal culture medium (CM; RPMI-1640, 100 U/ml penicillin, 100 µg/ml streptomycin, 2 mM L-glutamine, 2.5 µg/ml amphotericin B, and 25 mM HEPES (Sigma, St Louis, MO)) preheated to 37°C. Individual worms were transferred into 1 ml of normal CM in 48 well culture plates (Corning Inc. Life Sciences, Lowell, MA) and cultured overnight at 37°C under 5% CO2 to ensure the absence of any contaminating microorganisms. Release of Mf was measured after overnight culture. Viable and motile worms, which were secreting motile Mf and were in the middle of the Mf release distribution, were selected for RNAi treatment.

Cloning of target B. malayi gene fragments for in vitro transcription

The GenBank accession numbers of the targeted B. malayi cathepsin-like cysteine protease (CP) genes and the gene-specific primers used to amplify the target genes are listed in Table 1. Fragments corresponding to cDNA regions of the B. malayi cathepsin-like genes; Bm-cpl-1, Bm-cpl-5, and Bm-cpz, were amplified by PCR using gene-specific primers designed against the published sequences [39] (Table 1). A smaller fragment corresponding to pro-region of the Bm-cpl genes (Bm-cpl Pro), designed to knock-down the three B. malayi cpl genes; Bm-cpl-1, Bm-cpl-4 and Bm-cpl-5 (group Ia of the filarial cathepsin L-like cysteine protease gene family [39]), which have identical pro-region sequences, was amplified using gene-specific primers (Table 1). A fragment corresponding to an intronic sequence within intron 2 of the O. volvulus cpz gene sequence Ov-cpz-int2 (position 621-1132, GenBank accession no. AY591516), was amplified as a negative control as described previously [33]. The sequence was checked for putative microRNAs (miRNA) using the miRBase database ( and by folding it using Mfold ( These analyses were used to determine if Ov-cpz-int2 contains any strong hairpins with a delta G≤−25 kcal/mol which might indicate a unique miRNA which could potentially initiate miRNA silencing at the translational level [42],[43]. Both methods have shown that the Ov-cpz-int2 sequence has no miRNA sequences (C. Poole&L. McReynolds, New England Biolabs, personal communication) that could have induced silencing of the target gene using a different pathway to dsRNA-induced silencing. E. coli β-lactamase (Ec-bla) dsRNA (GenBank accession no. NC_010862, position 24517-24770) [31] was also used as a negative control. The PCR fragments were then sub-cloned into pCR4-TOPO vector (Invitrogen, Carlsbad, CA) or pBluescript SK vector (Stratagene, La Jolla, CA) according to the manufacturer's instructions. Clones were confirmed by sequencing both strands. Plasmids were then purified using the Rapid Plasmid Miniprep System (Marligen Biosciences Inc., Ijamsville, MD) and were used as templates for RNA in vitro transcription.

10.1371/journal.pntd.0000377.t001Table 1

GenBank accession numbers, and primer sequences and positions used for gene specific dsRNA production and real-time RT-PCR (qRT-PCR) with the resulting fragment size.

Gene targetAccession numberPrimer namePositionPrimers (5′-3′)Gene specific primer productdsRNA productionBm-cpl-1AF331035Bm-cpl-1F548CCAAGTTCAGTTGATTGG642 bpBm-cpl-1R1189GATGGGAAATGAACCCATCGBm-cpl-5AY533167Bm-cpl-5F550CTGCCAGATCAAGTTGAC648 bpBm-cpl-5R1197CGGGAAATGAAGCCATAGBm-cpl ProAY533167Bm-cpl Pro F117CAATATGACGAGACTTGCGT334 bpBm-cpl Pro R450GACCATAAATTCTTCATCGGBm-cpzAY533170Bm-cpz F200CGAAGACTTACCTATAGC289 bpBm-cpz R488TTTCGTGTGGTATGCCAACOv-cpz-int2AY591516Int2 F621TTCCTTTTCGGAGAATTAGC512 bpInt2 R1132TATGGAAAAAGATCGAAATTqRT-PCRBm-tub-1AY705382Bm-tubF173AATATGTGCCACGAGCAGTC307 bpBm-tubR479GGATACTCCTCACGAATTTBm-cplAY533167Bm-cpl RTF100GACAAAGATTACAAACAGGGC381 bpBm-cpl RTR480TGATTGGGCAGTCGAAGTC

Production of dsRNA, siRNA and Cy3-labeled RNAs

For RNA transcription, cDNA template from the purified plasmid was amplified with M13 forward and M13 reverse primers (Invitrogen) and then used with either T3 and T7 RNA polymerase for the single-stranded sense or antisense RNA synthesis using the MEGAscript high yield transcription kit (Ambion Inc., Austin, TX). Large quantities of dsRNA were prepared as previously described [44]. Integrity of dsRNA was checked by standard agarose gel electrophoresis. The final size (bp) of dsRNA is approximately 120 bp larger than the amplified gene-specific fragment due to vector linker sequence between the T3 and T7 priming sites and inserted gene fragment. Short-interfering RNA (siRNA) corresponding to the specific target was produced by digesting transcribed dsRNA with RNase III (Ambion) according to the manufacturer's instructions. Undigested and partially RNaseIII digested material was removed using a siRNA purification unit (Ambion). The siRNA was quantified by measuring absorbance and the concentration calculated according to the manufacturer's instructions.

The penetration of both dsRNA and siRNA into adult female B. malayi was followed using fluorescently-labeled RNA. dsRNA and siRNA were fluorescently labeled with cyber red, Cy3 (Cy3-RNA), using the Silencer siRNA labeling kit (Ambion) according to the manufacturer's instructions. B. malayi adult female worms, in groups of 4, were soaked in normal CM containing Cy3-RNA (0.01 mg/ml) for 24–72 h. Fluorescence was visualized using a Zeiss Axiovert fluorescence microscope using the rhodamine filter set, using emission 590 nm.

RNA interference (RNAi) treatment of B. malayi adult females

RNAi treatment of B. malayi adult females was carried out by soaking with dsRNA or siRNA. dsRNA preparations were dialyzed for 3 h in D-tube Maxi dialysis tubes, 12–14 kDa cut-off (Novagen, EMD Biosciences, Inc., Madison, WI), at 37°C under 5% CO2, against normal culture medium before incubation with B. malayi adult female worms.

Following 24 h culture in normal culture medium at 37°C in a 5% CO2 incubator, viable and motile worms were transferred into 48-well plates in groups of 3–4 adult females per well. Each group was cultured for upto 3 d in 1 ml of normal CM containing 1.5–2 mg/ml dsRNA or 5 µM (45 µg/ml) siRNA, with a daily change of media containing dsRNA. Following RNAi treatment, worms were transferred to normal CM containing 10% heat-inactivated fetal calf serum and cultured for an additional 2 d, with daily change of media. Every 24 h throughout the experiment adult female phenotypes were monitored microscopically, and the number and the phenotype of the secreted progeny, microfilariae (Mf), pre-microfilariae (p-mf), embryos and eggs, were recorded. To compare progeny release after RNAi treatment, release was expressed as a reduction in release in comparison to the release in the dsRNA-free medium control group. At the end of the experiment (2 d after RNAi treatment) worms were collected for either embrograms, where intrauterine progeny were recovered from individual female worms, or RNA extraction for quantitative real-time PCR (qRT-PCR) analysis. Worms were gently homogenized in 0.5 ml normal culture medium for 2–3 min, and the resulting suspension was examined microscopically to determine the relative proportions of progeny at different stages of development.

RNAi treatment with dsRNA was repeated using dialysis tubes instead of 48-well plates, as previously demonstrated by Aboobaker et al (2003) [34] using a modified protocol. Worms were incubated in dsRNA for 4 d in dialysis tubes (D-tube Maxi dialysis tubes, 12–14 kDa cut-off) and dialyzed against normal culture medium, which allowed for a longer incubation time in dsRNA and no further handling of the worms during the incubation period.

Bm-cpl-1, Bm-cpl-5, Bm-cpl Pro and Bm-cpz dsRNAs were used as the test RNAi treatments, with negative controls being either culture medium containing RNA storage buffer (medium control), dsRNA corresponding to an O. volvulus intronic sequence Ov-cpz-int2 or E. coli β-lactamase (Ec-bla) (negative control). Each experiment was repeated at least three times.

Real-time RT-PCR

Loss of specific transcripts following RNAi treatment were examined by real-time quantitative RT-PCR (qRT-PCR). Primers used were designed to prevent re-amplification from dsRNA (Table 1) and to amplify all three of the B. malayi filarial group Ia cathepsin L-like cysteine protease genes; Bm-cpl-1, Bm-cpl-4 and Bm-cpl-5 (Bm-cpl). Our initial attempts to design dsRNA-mediated silencing confirmation primers to distinguish the three Bm-cpl genes were unsuccessful; Bm-cpl-4 and Bm-cpl-5 are 94% identical, while Bm-cpl-1 is 83% identical to Bm-cpl-4 and Bm-cpl-5. Moreover, because of the strong similarity, we assumed that dsRNA-mediated silencing with Bm-cpl-5 dsRNA will cross-target also Bm-cpl-4 and Bm-cpl-1. However, it will not be able to cross-target the other five phylogenetically distinct cpl genes that belong to group Ic [39]. This was further established by comparing the predicted siRNA in these three transcripts to those of group Ic using the Protein Lounge siRNA Database (; none of which were similar to those predicted for Bm-cpl-1, -4 and -5. B. malayi β-tubulin (Bm-tub-1; GenBank accession no. AY705382) was used as the endogenous control gene. At the end of the experiment (2 d after RNAi treatment), groups of four adult female worms were removed from culture, washed in PBS, and flash frozen in liquid N2. Frozen worms were homogenized in Trizol reagent (Invitrogen) and RNA was extracted as previously described [40]. First strand cDNA was generated using the SuperScript III first strand cDNA synthesis kit (Invitrogen) and priming with oligo(dT)20. The specific cDNA fragments were then amplified by real-time PCR using QuantiTect SYBR Green PCR kit (Qiagen Inc, Valencia, CA) and the ABI Prism 7700 Sequence Detection System (Applied Biosystems, Foster City, CA). The PCR conditions used were 50°C for 2 min, 95°C for 15 min, followed by 40 cycles of 94°C for 15 s, 52–58°C for 30 s, 72°C for 30 s. The relative amount of test amplicon in each experiment was determined by using the comparative CT method normalizing against the endogenous control gene (Bm-tub-1), as described in the ABI PRISM Sequence Detection System User Bulletin No2 (Applied Biosystems). The value of the medium control group was set to 100% and the relative reduction of the RNAi treated groups was calculated and expressed as a percentage reduction in comparison to the control group.

Statistical Analysis

Comparison between the groups in RNA interference experiments were analyzed using the two-tailed non-parametric Mann-Whitney U-test. A P value of <0.05 was considered statistically significant.


dsRNA-mediated silencing of the B. malayi cathepsin-like cysteine protease genes, Bm-cpl-1, Bm-cpl-5, and Bm-cpz results in the reduction of Mf secretion in vitro

To determine the possible function(s) of the B. malayi cathepsin-like cysteine protease genes during embryogenesis of B. malayi, RNAi was carried out to selectively interfere with Bm cathepsin-like cysteine protease gene expression; Bm-cpz or Bm-cpl. Microfilarial release was determined prior to RNAi treatment to provide a baseline reading and shows that grouped worms were evenly distributed in terms of Mf release (Fig. 1A). Daily microfilarial release was determined from control and RNAi treated adult female worms which were cultured for 18 h in the presence of gene-specific dsRNA (2 mg/ml) and then cultured for an additional 48 h in dsRNA-free culture medium. In comparison to the control worms and the worms treated with a negative control dsRNA (Ov-cpz-int2), adult worms treated with dsRNAs corresponding to the cathepsin-like cysteine protease genes, Bm-cpl-1, Bm-cpl-5 and Bm-cpz, all showed a reduction in the release of Mf into the culture medium (Fig. 1B & C). This reduction in the secretion of Mf corresponded to a 71.4% (Bm-cpl-1), 92.8% (Bm-cpl-5) and 61.3% (Bm-cpz), inhibition (average) of Mf release 48 h after RNAi treatment. The reduction in the release of Mf after treatment with Bm-cpl-5 dsRNA was significantly different from both the control worms (P = 0.026; 48 h after RNAi) and the negative control (Ov-cpz-int2) treated worms (P = 0.002 and 0.041; 24 h and 48 h after RNAi respectively) (Fig. 1). This demonstrates a persistent effect of dsRNA-mediated silencing as worms had been cultured in dsRNA-free medium for a further 24–48 h following RNAi treatment. As we saw the most significant reductions in the release of Mf after treatment with dsRNA corresponding to Bm-cpl-5 (Fig. 1B & C) we decided to focus on optimization of the RNAi technique and analyzing the effect on embryogenesis using dsRNA corresponding to Bm-cpl-5 and to the identical pro-region of Bm-cpl-1, Bm-cpl-4 and Bm-cpl-5; Bm-cpl Pro, which was designed to target all three Bm-cpl transcripts.

10.1371/journal.pntd.0000377.g001Figure 1

dsRNA-mediated silencing of the B. malayi cathepsin-like genes, Bm-cpl-1, Bm-cpl-5, and Bm-cpz leads to a reduction in microfilaria release from B. malayi in vitro.

Following 24 h culture in normal culture medium, two groups of 3 female B. malayi worms were soaked for 18 h in 2 mg/ml gene-specific dsRNA (Bm-cpl-1, Bm-cpl-5, Bm-cpz, Ov-cpz-Int2) or medium alone (control). Following dsRNA treatment, individual worms were transferred to dsRNA-free medium and cultured for an additional 48 h. Released microfilariae were collected and counted daily. Results are expressed as Mf release before RNAi treatment (A), 24 h (B) and 48 h (C) after treatment. Each graph represents one experiment which is representative of at least 3 separate experiments. P values denote a significant difference between dsRNA-treated worms and either untreated medium controls or negative control (Ov-cpz-Int2) (Mann-Whitney U-test).

Uptake of Cy3-labeled RNAs by adult female B. malayi

In order to optimize and utilize the RNAi soaking technique in B. malayi to target the cathepsin-like cysteine protease genes it was important to demonstrate uptake of the in vitro transcribed dsRNA and siRNA by adult female B. malayi. FITC-labeled Bm-tub-1 dsRNA (approx. 300 bp) has previously been shown to be taken up successfully by adult female B. malayi after soaking for 18 h with 0.08 mg/ml dsRNA [34].

Cy3-labeled Bm-cpl RNAs, both dsRNA and siRNA, were taken up by adult worms in vitro after soaking for 24–72 h at 0.01 mg/ml (Fig. 2). Uptake of Cy3-labeled RNA was clearly seen after 24 h incubation with Cy3-labeled RNAs corresponding to a fragment of Bm-cpl-5. The dsRNA Bm-cpl-5 fragment appeared in the mouth, esophagus and intestine after 24 h and in the cuticular and hypodermal regions after 48 h and 72 h (Fig. 2A). Uptake of the Cy3-labeled RNAs appeared to be affected by the size of the dsRNA. While the dsRNA Bm-cpl-5 fragment (approx. 800 bp) was taken up by the adult worms and was seen in the hypodermal regions only after 48 h, the siRNA appeared in these regions earlier and was clearly already seen after 24 h (Fig. 2B). In addition, a smaller dsRNA corresponding to the pro-region of Bm-cpl; Bm-cpl Pro (approx. 400 bp) gave a more intense and diffuse uptake staining pattern after 72 h when compared to the uptake of the larger Bm-cpl-5 fragment (Fig. 2C). The smaller Bm-cpl Pro Cy3-labeled dsRNA and the Cy3-labeled siRNAs were also found along the length of the uterus. It is important to note that while the dsRNAs were added at the same concentration (wt/vol), they have different molarities due to their different lengths, Bm-cpl-5; approx. 800 bp, 0.019 µM, Bm-cpl Pro; approx. 400 bp, 0.038 µM, siRNA; approx 13.5 bp, 1.1 µM. This uptake was consistent in all worms examined.

10.1371/journal.pntd.0000377.g002Figure 2

Demonstration of uptake of Cy3-labeled dsRNAs or siRNA by B. malayi.

Adult female B. malayi (2 groups of 4 worms) were soaked in normal culture medium containing Cy3-dsRNA (0.01 mg/ml) for 24–72 h. Uptake was examined for Bm-cpl-5 dsRNA (∼800 bp) (A), Bm-cpl-5 siRNA (B), Bm-cpl Pro dsRNA (∼400 bp) (C) and Bm-cpl Pro siRNA (D). Fluorescence was visualized using a Zeiss Axiovert fluorescence microscope using the rhodamine filter set, using emission 590 nm.

We also examined whether the use of a lipid carrier (lipofectin) could improve the uptake of dsRNA. Lipofectin was not toxic to B. malayi adult female worms, however, lipofectin mixed with Bm-cpl-5 dsRNA did not improve the penetration of dsRNA (data not shown).

dsRNA-mediated silencing of B. malayi cpl-5 and the pro-region of Bm-cpl results in the inhibition of Mf secretion in vitro, death of Mf, and changes in intrauterine progeny potentially resulting from a specific change in Bm-cpl transcript level

We next examined in more detail the effect of RNAi selectively carried out to interfere with Bm-cpl gene expression using both Bm-cpl-5 and Bm-cpl Pro. Microfilarial release was determined daily from worms cultured in the presence of gene-specific dsRNA (1.5 mg/ml, Bm-cpl-5; 2.82 µM, Bm-cpl Pro; 5.63 µM) or their corresponding siRNA (5 µM) for 3 d, and then cultured for a further 2 d in dsRNA-free culture medium. In comparison to the control worms, adult worms treated with dsRNA or siRNA corresponding to the Bm-cpl genes showed a persistent and significant reduction in the release of Mf into the culture medium after 1, 3 and 5 days (P<0.05 for all) (Fig. 3). Reduction in Mf release after treatment with Bm-cpl-5 dsRNA was equivalent to that shown in Fig. 1. Although treatment with the negative control dsRNA, Ov-cpz-int2, did result in a reduction in the release of Mf this reduction was not significantly different from the medium control (P>0.05) (Fig. 3). Reduction in the release of Mf was seen most rapidly after treatment with Bm-cpl-5 dsRNA, however, by day 5 both Bm-cpl-5 and Bm-cpl Pro dsRNA treatment had equivalent reductions in Mf release. Importantly, reductions in Mf release were also seen after treatment with siRNA corresponding to the Bm-cpl-5 and Bm-cpl Pro genes (Fig. 3). We also noted that in the groups treated with either Bm-cpl-5 or Bm-cpl Pro dsRNA the majority of Mf which were released from day 1 onwards were immotile and granulated (approx. 90–95%) suggesting that the Mf were dead (data not shown).

10.1371/journal.pntd.0000377.g003Figure 3

dsRNA treatment of adult female B. malayi with Bm-cpl-5 and the pro-region of Bm-cpl (Bm-cpl Pro) leads to an inhibition of B. malayi microfilaria secretion in vitro.

8 female worms (2 groups of 4 worms) were treated for 3 d with 1.5 mg/ml gene-specific dsRNA or 5 µM siRNA, corresponding to Bm-cpl-5 or Bm-cpl-Pro. Worms were then cultured for a further 2 d in culture medium alone. Mf secretion was recorded daily and release expressed as a reduction in release in comparison to the dsRNA-free medium control group on day 1 (open bars), day 3 (hashed bars), and day 5 (closed bars). Data represents one representative experiment from at least 3 separate experiments.

RNAi treatment with Bm-cpl-5 and Bm-cpl Pro genes had dramatic effects on intrauterine embryogram profiles (Fig. 4). Intrauterine progeny were examined 2 d after RNAi treatment and expressed as the relative proportions of progeny at different stages of development; eggs, developing embryos, pre-microfilariae (pre-Mf) and Mf. In comparison to the percentage of intrauterine pre-Mf in both the medium control (21.2%) and the negative control, Ov-cpz-int2 (22.1%) adult female worms treated with Bm-cpl-5 and Bm-cpl Pro dsRNA or siRNA showed significant reductions in pre-microfilariae (pre-Mf); Bm-cpl-5 dsRNA; 6.8% (Control; P = 0.002, Ov-cpz-int2; P = 0.004), Bm-cpl-5 siRNA; 13.2% (Control; P = 0.0037, Ov-cpz-int2; ns), Bm-cpl Pro dsRNA; 9.0% (Control; P = 0.0011, Ov-cpz-int2; P = 0.028), and Bm-cpl Pro siRNA; 11.6% (Control; P = 0.0003, Ov-cpz-int2; P = 0.016). While the numbers of pre-Mf were reduced, the percentage of embryos within the uterine progeny were significantly increased in comparison to medium control (49.1%) and the negative control, Ov-cpz-int2 (51.3%); Bm-cpl-5 dsRNA; 64.2% (Control; P = 0.002, Ov-cpz-int2; P = 0.048), Bm-cpl-5 siRNA; 64.5% (Control; P = 0.0037, Ov-cpz-int2; P = 0.042), Bm-cpl Pro dsRNA; 64.0% (Control; P = 0.0011, Ov-cpz-int2; P = 0.028), and Bm-cpl Pro siRNA; 60.2% (Control; P = 0.0003, Ov-cpz-int2; ns). No changes were observed in the proportions of Mf or eggs within the uterus. Phenotypic changes and structural abnormalities in developing embryos were also observed following RNAi treatment (Fig. 5). Treatment with either Bm-cpl-5 dsRNA (Fig. 5C) or Bm-cpl Pro dsRNA (Fig. 5D) resulted in malformed intrauterine embryos in comparison to both the medium control (Fig. 5A) and negative control (Fig. 5B). Embryos from treated worms appeared to be not fully developed within the eggshell, leading to space between the embryo and eggshell. Effects on embryonic viability were also observed following RNAi treatment with Bm-cpl suggesting that the eggs and embryos released from Bm-cpl treated B. malayi were less viable (18–22% viable) than those from controls as demonstrated by MTT viability staining [45] (data not shown).

10.1371/journal.pntd.0000377.g004Figure 4

Embryogenesis effects following treatment of adult female B. malayi with dsRNA or siRNA.

Intrauterine progeny from individual female worms (groups of four adult worms) were examined 2 d after dsRNA treatment and expressed as the relative proportions of progeny at different stages of development. Data represents one representative experiment from at least 3 separate experiments.

10.1371/journal.pntd.0000377.g005Figure 5

Treatment of adult female B. malayi with Bm-cpl-1, Bm-cpl-5, and Bm-cpz dsRNAs leads to phenotypic changes in developing embryos.

Intrauterine progeny from individual female worms were examined 2 d after treatment with medium control (A), Ov-cpz-Int2 control dsRNA (B), Bm-cpl-5 dsRNA (C) and Bm-cpl Pro dsRNA (D).

RNAi treatment was repeated using dialysis tubes instead of the culture plate system. Worms were incubated in dsRNA for 4 d in dialysis tubes and dialyzed against normal culture medium, which allowed for a longer incubation time in dsRNA with the total amount of dsRNA required being much less. RNAi treatment targeting the B. malayi cathepsin-like cysteine protease group Ia genes using dialysis tubes resulted in similar phenotypic effects to those seen in the culture plate system (data not shown). RNAi in dialysis tubes has the potential to facilitate higher-throughput RNAi screens for selected genes.

RNAi treatment targeting Bm-cpl-5 and Bm-cpl Pro using both dsRNA and siRNA resulted in a specific reduction in Bm-cpl transcript level (Fig. 6). Analysis by qRT-PCR on RNA isolated from the RNAi treated worms, which had identical phenotypes to those shown in Figs. 1&3, showed that the Bm-cpl transcript levels were reduced by 51.0% in Bm-cpl-5 dsRNA treated worms and by 48.9% in the siRNA treated worms, these reductions were significantly different from both the medium control (dsRNA; P = 0.0006, siRNA; P<0.0001) and the negative control (dsRNA; P = 0.0033, siRNA; P<0.0001). The Bm-cpl transcript levels were also reduced in Bm-cpl Pro treated worms; 66.5% and 37.4% in dsRNA and siRNA treated worms respectively, with significant differences from both the medium control (dsRNA; P = 0.0003, siRNA; P = 0.002) and the negative control (dsRNA; P = 0.0016, siRNA; P = 0.0082). The percent reduction was normalized using a tubulin (Bm-tub-1) transcript. In comparison, the Bm-cpl-3 (89% identical to Bm-cpl-2 and -7) and Bm-cpl-6 transcripts that belong to the Ic subgroup of the B. malayi cysteine protease protein family were not reduced in the Bm-cpl Pro treated worms (data not shown). These data demonstrate that the inhibition of Mf secretion in vitro, death of Mf, and changes in intrauterine progeny following dsRNA-mediated silencing is likely associated with reductions in the Bm-cpl gene specific transcript levels belonging to group Ia.

10.1371/journal.pntd.0000377.g006Figure 6

Soaking B. malayi adult female worms in dsRNA results in Bm-cpl gene-specific inhibition of expression.

At the end of the experiment (2 d after treatment), groups of four adult female worms were removed from culture and analyzed for differences in Bm-cpl gene-specific transcript levels by qRT-PCR. The relative amounts of Bm-cpl amplicon were determined by using the comparative CT method and normalizing against the endogenous control gene (Bm-tub-1). The median value of the control group was set to 100% and the reduction in expression in the treated groups was calculated as a percentage of the control. ## denotes a significant difference between dsRNA or siRNA-treated worms and medium control, while *** denotes a significant difference between dsRNA or siRNA-treated worms and negative control (dsRNA of Ov-cpz-Int2) (Mann-Whitney U-test).


Cysteine proteases play important roles in both intracellular and extracellular processes which are important in both development and survival. Cathepsin-like enzymes have been identified as potential targets for drug or vaccine development in many parasites, including filarial nematodes [33],[38], due to as their potential essential roles in feeding [46],[47][48], molting [33],[49], embryogenesis [40],[44] and immune functions [50] (reviewed in [51]). Here we describe the use of RNAi techniques in B. malayi adult females to directly assess the function(s) of the cysteine protease (CP) genes that belong to the CPZ and the group Ia of Bm-CPL protein families.

In filarial nematodes the gene family of group Ia cathepsin L-like protease enzymes (Bm-cpl: Bm-cpl-1, Bm-cpl-4 and Bm-cpl-5) has been shown to be associated with larval molting and remodeling of the cuticle and eggshell [39]. Antibodies raised to Ov-CPL-1 (64–65% identity with Bm-CPL-1, -4 and -5) and Bp-CPL-4 (77, 91 and 94% identity with Bm-CPL-1, -5 and -4, respectively) recognized the reproductive system in B. malayi similarly [39] (S. Lustigman, unpublished data), and this localization was similar to that of Ce-CPL-1 [40]. The putative functions of the group Ic cathepsin L-like protease enzymes (Bm-cpl-2, Bm-cpl-3, Bm-cpl-6, Bm-cpl-7 and Bm-cpl-8) are still unknown. In C. elegans, Ce-cpl-1 was shown to be essential for embryogenesis [40], while Ce-cpz-1 has a function during embryogenesis but is not essential and also has an important role during molting [44]. The C. elegans Ce-cpl-1 knock-out mutant has an embryonic lethal phenotype [40]. RNAi targeting of Ce-cpl-1 produced an early embryonic lethal phenotype with 95–100% of F1 embryos arresting with only 100–200 cells following dsRNA injection and ∼92% of F1 embryos arresting after soaking of L4 in dsRNA [40]. Interestingly, the H. contortus cpl-1 gene can rescue the C. elegans cpl-1 RNAi effect, suggesting that the parasite CPL is an orthologue of C. elegans CPL-1 and that CPL-1 is functionally conserved in parasitic nematode species [52]. This is further demonstrated in O. volvulus, where Ov-cpl-1 can rescue the C. elegans Ce-cpl-1 mutant, using a rescue construct containing the Ce-cpl-1 promoter, the full length Ov-cpl-1 cDNA from the first ATG to the stop codon and the Ce-cpl-1 3′UTR (S. Hashmi, unpublished data).

However, despite high sequence similarity the predicted essential function of a gene is not always essentially conserved in both filarial nematodes and C. elegans, as has been shown for the different roles of CPL and CPZ in the molting of O. volvulus and C. elegans[33]. dsRNA-mediated silencing of the Bm-cpl group Ia genes in B. malayi adult females leads to phenotypic changes in embryos, where embryos from Bm-cpl treated worms were not fully developed within the eggshell, leading to space between the embryo and eggshell. Embryonic viability following RNAi treatment with Bm-cpl was also affected.

The role(s) of cysteine proteases during embryo development have been shown to include an essential role in yolk processing. Cysteine proteases are known to be involved in yolk degradation during invertebrate embryonic development [53],[54],[55] and Ce-CPL-1 has been shown to play an essential role in yolk protein processing during embryonic development, where a loss of CPL-1 activity in the Ce-cpl-1 mutant leads to formation of enlarged cytoplasmic yolk vesicles and embryonic lethality [41]. Whether the Bm-cpl cysteine proteases are also involved with yolk protein processing would be interesting to investigate. Immunolocalization of the native Bm-CPLs indirectly suggests that they do localize to yolk vesicles within the developing embryonic stages [39] but further co-localization studies are required to confirm these observations. Also of relevance would be to investigate the co-localization of the native Bm-CPLs with their endogenous cysteine protease inhibitors, such as the cystatins [56]. The activities of cathepsin-like cysteine proteases are controlled by their specific endogenous protein inhibitors [57],[58]. In C. elegans, co-localization of CPL-1 and CPZ-1 enzymes with both endogenous CP inhibitors and yolk proteins has been clearly demonstrated and data indicates that CPL-1 and CPZ-1 and their putative inhibitor, Ce-CPI-2a, play a role during oogenesis and fertilization in C. elegans[59]. The O. volvulus CPL-1 and CPZ are also localized in the same regions as the endogenous inhibitor, Ov-CPI-2 [40],[49], implying that Ov-CPI-2 may regulate both enzymes during O. volvulus development. In addition, both enzymes are essential for third to fourth stage larva molting as demonstrated by RNAi [33].

dsRNA-mediated silencing of the Bm-cpl genes suggests that some of the B. malayi CPs such as the Bm-CPL group Ia enzymes may function during embryonic development and show similar function(s) to C. elegans CPL-1, their most phylogenetically related CP, therefore suggesting conserved essential function(s) between these filarial nematode and C. elegans CPs. As CP inhibitors targeting parasite CPs have been proposed as therapeutics in both protozoan [60],[61],[62],[63] and metazoan [64],[65] parasites, CPs involved in embryogenesis clearly provide a valuable putative target if it results in a block in embryogenesis which, in filarial nematodes, would, in essence, lead to sterility of the adult worm. Therefore, it would be invaluable to determine specific cysteine protease inhibitors which would target the endogenous Bm-CPL group Ia enzymes and moreover, could be used as therapeutic agents against the parasite. Methodologies, such as synthetic combinatorial library analysis [66], specific chemical library screening [67] and small molecule affinity fingerprinting [68] are available to identify such specific inhibitors.

In order to elucidate the function(s) of the cysteine proteases of B. malayi we have developed and improved the reverse genetics RNAi techniques which have been used previously in filarial nematodes. RNAi has been demonstrated successfully in parasitic helminths and could provide an invaluable tool in determining gene function and identification of drug and vaccine targets. Using RNAi to selectively target the potential drug targets; the cathepsin-like cysteine protease genes, in adult female B. malayi we have demonstrated that these genes can be affected; dsRNA-mediated silencing of the Bm-cpl genes led to significant reductions in the number of Mf released by adult female nematodes. While Bm-cpl-1, Bm-cpl-5 and Bm-cpz all showed this persistent phenotype following dsRNA-mediated silencing the most significant reductions in the release of Mf were observed with dsRNA corresponding to Bm-cpl-5 therefore we focused on optimization of the RNAi technique using fragments corresponding to Bm-cpl-5 and the 100% conserved pro-region of Bm-cpl-1, Bm-cpl-4 and Bm-cpl-5, designed to target all three of the B. malayi filarial group Ia cathepsin L-like cysteine protease transcripts [39], which we named Bm-cpl. Treatment of adult worms with dsRNA or siRNA corresponding to the Bm-cpl genes resulted in a persistent and significant reduction in the release of Mf, the majority of which were dead, and changes in intrauterine progeny. At the same time, these treatments also resulted in a specific reduction in the Bm-cpl transcript levels. While we can not directly correlate the observed phenotypic effects with the specific reduction in Bm-cpl transcript levels it is tempting to speculate that the effects on embryonic development and Mf production are due to the specific knock-down of the Bm-cpl genes using the dsRNA-silencing pathway.

Interestingly, while RNAi treatment using both dsRNA and siRNA were effective in specific gene silencing, the uptake studies have suggested that smaller fragments of dsRNA and siRNAs are able to penetrate adult female B. malayi worms more efficiently than longer dsRNAs, pointing to the possibility that the cuticle barrier in the female worm is more yielding to the penetration of smaller fragments of dsRNA and siRNA. Therefore, the efficiency of RNAi may be dependent on the dsRNA fragment size. It is also important to note that due to RNA fragment size differences the molarity of each dsRNA tested was different (dsRNA range; 400–800 bp, siRNA; ∼13.5 bp, at 1.5 mg/ml; dsRNA range; 2.82–5.63 µM, siRNA; 166.83 µM, at 2.0 mg/ml; dsRNA range; 3.75–7.51 µM, siRNA; 222.44 µM). However, despite these molar differences, RNAi using longer dsRNA was still effective in this in vitro screening system. dsRNA molarity has been shown to affect the efficiency of RNAi targeting of actin in L. sigmodontis (Ls-act) with 3.5 µM giving the most consistent reductions in transcript, while higher molar concentrations of dsRNA (17.5 and 35 µM) resulted in increased levels of heat shock protein 60 (Ls-hsp60) suggesting the worms were stressed [35]. Therefore dsRNA molarity might still be an important consideration to keep in mind when optimizing RNAi techniques.

While successful siRNA application has been reported in T. colubriformis[69] and S. mansoni[70],[71] it has not previously been documented for filarial nematodes. We have shown for the first time that RNAi treatment using siRNA can also be effective in filarial nematodes and show the same phenotypic changes and reduction in transcript levels as RNAi treatment with fragments corresponding to the same region of dsRNA. This provides an additional RNAi strategy for future projects aimed at assessing the function(s) of genes in filarial worms and the discovery of novel drug targets. This is important as many of the inconsistencies with RNAi in parasitic helminths could be due to differences in the RNAi pathways between these helminths and free-living C. elegans. Analyses of genome databases, including H. contortus[30] and B. malayi[72], have shown that while putative orthologues of many genes required for RNAi are present, other genes which are essential for the recognition and systemic spread of dsRNA in C. elegans, such as rde-4, sid and rsd genes, appear to be absent. The absence of these genes could explain the problems associated with RNAi in parasitic helminths, although it could be that these genes are not required or alternative pathways exist. However, although the genes for dsRNA processing appear to be missing, the machinery for processing siRNA appears to be present. Therefore, the use of siRNA vs. dsRNA may provide a more robust RNAi assay for some of the target transcripts.

We have also tested an alternative method for delivering the dsRNA molecules to adult B. malayi, which are notoriously difficult to maintain in culture for extended periods [73], by culturing worms in dialysis tubes in the presence of dsRNA. This technique provides a way of minimizing the handling of nematodes and has the potential to facilitate higher-throughput RNAi screens. Dialysis of the dsRNA prior to RNAi treatment was also important in reducing the non-specific off-target effects which can occur following RNAi [74]. In filarial parasites treatment with control dsRNA, resulted in a 24.7–49.8% reduction in molting of O. volvulus L3 larvae [32],[33], and resulted in reduced motility in B. malayi adult worms [34]. Off-target effects following RNAi treatment have also been demonstrated in S. mansoni, these including non-specific changes in mRNA levels, changes in cercariae distribution and reduction in sporocyst length following treatment with control dsRNA [75],[76]. We noted some non-specific toxic effects of unrelated dsRNA; for example the RNAi with the negative control dsRNA we selected to use, Ov-cpz-int2, resulted in 14.9% reduction in the release of Mf 48 h after RNAi. However, this was not accompanied by any indirect knock-down in target gene transcription. E. coli β-lactamase (Ec-bla) dsRNA (GenBank accession no. NC_010862, position 24517-24770) [43] was also used as a negative control and also showed some off target effects (1.8%, 10.5% and 26.0% reduction in Mf release on day 1, 3 and 5). Regardless, the effect with the gene specific RNAi was significant. These off-target effects could, in part, be due to an innate immune response mounted in the nematode in response to foreign RNA. Viral RNAs are recognized by the innate immune response through toll-like receptor (TLR) 3 for dsRNA and TLR7 or TLR8 for ssRNA [77]. In addition, RNA silencing serves as an innate anti-viral mechanism in plants, fungi and animals [78],[79], and has been shown to be involved in C. elegans[80]. RNAi silencing in nematodes may have evolved to protect them against viruses and it could be speculated as a reason to why nematodes appear to be free from viruses. Another possibility is that the off-target effects could be due to the generation of microRNAs (miRNAs) from the dsRNA control sequence used. Intronic sequences have been shown to potentially also contain functional miRNAs [81],[82]. However, searching the intron sequence used in this study (Ov-cpz-int2) shows that it contains no miRNA regions so this appears unlikely.

In order to effectively assess the essential function(s) of filarial genes using RNAi it is important to keep in mind the unpredictability associated with RNAi and to take care to optimize the conditions according to the target gene of interest. Suppression of gene expression following RNAi treatment, using current methodologies, appears to be more effective for some genes rather than others [83],[84]. This could be due to experimental parameters such as dsRNA preparations, length of dsRNA, and regions of dsRNA amplified, or parasite factors including abundance and location of the target gene transcript. As seen in C. elegans the life-cycle stage may also be important; RNAi is often not efficient in the treated worms (P0), and the phenotypic effects are only obvious in the progeny (F1), after the target mRNA that is produced in the F1 generation is also degraded [85]. Our studies, unfortunately, can only measure the phenotypic and genotypic outcomes in treated (P0) adult female worms. When the steady-state transcript levels in the adult worms are high it can be difficult to observe significant reduction even though the phenotypic release of F1 progeny is affected. One potential solution will be, in the future, to also measure the transcript levels of the targeted mRNA in the F1 progeny within the uterus or secreted into culture. In order to be able to obtain information as similar as possible to C. elegans the culture conditions in parasitic nematodes need to be optimized in order to maintain parasites for longer periods of time and, ideally, to allow for their subsequent development into the next life-cycle stages. The effects of RNAi treatment may also need to be studied directly in vivo or after monitoring the development of the F1 following treatment of adult worms in vitro then passing the secreted Mf through the full life-cycle in vivo. It may also be possible to perform RNAi directly on early developmental stages such as eggs and embryos. Using uptake studies we can demonstrate that dsRNA is taken up into eggs and embryos isolated from the uterine contents of adult female B. malayi (L. Ford&S. Lustigman, unpublished data).

In order to maximally utilize RNAi in parasitic helminths as a tool for determining gene function and for high-throughput screening of potential drug and vaccine candidates, various problems need to be addressed and optimization of both the long-term culturing conditions and RNAi techniques is required. By modifying both ours and published RNAi techniques we have shown persistent dsRNA-mediated silencing and demonstrated improved RNAi techniques.

In conclusion, RNAi assays have allowed us to examine the function(s) of the cathepsin-like cysteine protease filarial group Ia genes in B. malayi adult female worms and have demonstrated that they have function(s) in embryogenesis and development which are similar to their orthologous genes in C. elegans. Thus, validating the potential of the filarial cysteine proteases as promising drug targets for filarial chemotherapy.


We thank the NIAID/NIH Filariasis Research Reagent Repository Center (FR3) for supplying the adult B. malayi worms. From NYBC we thank Gitanjali Patel (Nucleic Acid Analysis Laboratory) for DNA sequencing and Deneen Jackson (Molecular Parasitology Laboratory) for technical assistance. We also thank Michael Crawford and Andrew Martens, Divergence Inc., for the provision and preparation of Ec-bla dsRNA.


  1. WHO2006Neglected tropical diseases.Preventive chemotherapy and transmission control
  2. DH MolyneuxM BradleyA HoeraufD KyelemMJ Taylor2003Mass drug treatment for lymphatic filariasis and onchocerciasis.Trends Parasitol1951652214580963
  3. DH MolyneuxN Zagaria2002Lymphatic filariasis elimination: progress in global programme development.Ann Trop Med Parasitol96Suppl 2S1540
  4. Y DadzieM NeiraD Hopkins2003Final report of the Conference on the eradicability of Onchocerciasis.Filaria J2212605722
  5. LX LiuPF Weller1996Antiparasitic drugs.N Engl J Med334117811848602186
  6. D Richard-LenobleJ ChandenierP Gaxotte2003Ivermectin and filariasis.Fundam Clin Pharmacol1719920312667230
  7. RK Prichard2007Ivermectin resistance and overview of the Consortium for Anthelmintic Resistance SNPs.Expert Opin Drug Discov2S41S5223489032
  8. S TownsonB RamirezF FakoredeM MouriesS Nwaka2007Challenges in drug discovery for novel antifilarials.Expert Opin Drug Discov2S63S7323489034
  9. GC ColesF JacksonWE PomroyRK PrichardG von Samson-Himmelstjerna2006The detection of anthelmintic resistance in nematodes of veterinary importance.Vet Parasitol13616718516427201
  10. K AwadziSK AttahET AddyNO OpokuBT Quartey2004Thirty-month follow-up of sub-optimal responders to multiple treatments with ivermectin, in two onchocerciasis-endemic foci in Ghana.Ann Trop Med Parasitol9835937015228717
  11. K AwadziDA BoakyeG EdwardsNO OpokuSK Attah2004An investigation of persistent microfilaridermias despite multiple treatments with ivermectin, in two onchocerciasis-endemic foci in Ghana.Ann Trop Med Parasitol9823124915119969
  12. MY Osei-AtweneboanaJK EngDA BoakyeJO GyapongRK Prichard2007Prevalence and intensity of Onchocerca volvulus infection and efficacy of ivermectin in endemic communities in Ghana: a two-phase epidemiological study.Lancet3692021202917574093
  13. S LustigmanJP McCarter2007Ivermectin Resistance in Onchocerca volvulus: Toward a Genetic Basis.PLoS Negl Trop Dis1e76doi:10.1371/journal.pntd.000007617989789
  14. C BourguinatSD PionJ KamgnoJ GardonBO Duke2007Genetic Selection of Low Fertile Onchocerca volvulus by Ivermectin Treatment.PLoS Negl Trop Dis1e72doi: 10.1371/journal.pntd.000007217989786
  15. PJ Hotez2007Control of onchocerciasis–the next generation.Lancet3691979198017574078
  16. KL JohnstonMJ Taylor2007Wolbachia in filarial parasites: targets for filarial infection and disease control.Curr Infect Dis Rep9555917254505
  17. A Hoerauf2008Filariasis: new drugs and new opportunities for lymphatic filariasis and onchocerciasis.Curr Opin Infect Dis2167368118978537
  18. A HudsonS Nwaka2007The Concept Paper on the Helminth Drug Initiative. Onchocerciasis/lymphatic filariasis and schistosomiasis: opportunities and challenges for the discovery of new drugs/diagnostics.Expert Opin Drug Discov2S3S723489030
  19. M BerrimanS LustigmanJP McCarter2007Genomics and Emerging Drug Discovery Technologies.Expert Opin Drug Discov2S83S8923489036
  20. WN GrantCA Behm2007Target identification and validation for anthelmintic discovery.Expert Opin Drug Discov2S91S9823489038
  21. WHO/TDR JPS2007Summary report from the Helminth Drug Initiative Consultation Meetings: Informal consultation of experts to advice TDR on the proposed initiative.Expert Opin Drug Discov2S99S10323489039
  22. A FireS XuMK MontgomerySA KostasSE Driver1998Potent and specific genetic interference by double-stranded RNA in Caenorhabditis elegans.Nature3918068119486653
  23. I MaedaY KoharaM YamamotoA Sugimoto2001Large-scale analysis of gene function in Caenorhabditis elegans by high-throughput RNAi.Curr Biol1117117611231151
  24. RS KamathAG FraserY DongG PoulinR Durbin2003Systematic functional analysis of the Caenorhabditis elegans genome using RNAi.Nature42123123712529635
  25. B SonnichsenLB KoskiA WalshP MarschallB Neumann2005Full-genome RNAi profiling of early embryogenesis in Caenorhabditis elegans.Nature43446246915791247
  26. CA BehmMM BendigJP McCarterAE Sluder2005RNAi-based discovery and validation of new drug targets in filarial nematodes.Trends Parasitol219710015734653
  27. S HashmiW TaweS Lustigman2001Caenorhabditis elegans and the study of gene function in parasites.Trends Parasitol1738739311685900
  28. JM FosterY ZhangS KumarCK Carlow2005Mining nematode genome data for novel drug targets.Trends Parasitol2110110415734654
  29. S KumarK ChaudharyJM FosterJF NovelliY Zhang2007Mining Predicted Essential Genes of Brugia malayi for Nematode Drug Targets.PLoS ONE2e1189doi:10.1371/journal.pone.000118918000556
  30. P GeldhofA VisserD ClarkG SaundersC Britton2007RNA interference in parasitic helminths: current situation, potential pitfalls and future prospects.Parasitology13460961917201997
  31. S LustigmanL FordMJ Crawford2008RNA Interference: From functional genomics to validation of drug targets in helminths.RT LylandIB BrowningRNA Interference Research ProgressNova Science Publishers, Inc135162
  32. L FordDB GuilianoY OksovAK DebnathJ Liu2005Characterization of a Novel Filarial Serine Protease Inhibitor, Ov-SPI-1, from Onchocerca volvulus, with Potential Multifunctional Roles during Development of the Parasite.J Biol Chem280408454085616186127
  33. S LustigmanJ ZhangJ LuiY OksovS Hashmi2004RNA interference targeting cathepsin L and Z-like cysteine proteases of Onchocerca volvulus confirmed their essential function during L3 molting.Mol Biochem Parasitol13816517015555728
  34. AA AboobakerML Blaxter2003Use of RNA interference to investigate gene function in the human filarial nematode parasite Brugia malayi.Mol Biochem Parasitol129415112798505
  35. K PfarrU HeiderA Hoerauf2006RNAi mediated silencing of actin expression in adult Litomosoides sigmodontis is specific, persistent and results in a phenotype.Int J Parasitol3666166916546192
  36. B TachuS PillaiR LuciusT Pogonka2008Essential role of chitinase in the development of the filarial nematode Acanthocheilonema viteae.Infect Immun7622122817938220
  37. DP KnoxP GeldhofA VisserC Britton2007RNA interference in parasitic nematodes of animals: a reality check?Trends Parasitol2310510717276139
  38. CB PooleJ JinLA McReynolds2007Subtilisin-like proteases in nematodes.Mol Biochem Parasitol1551817570539
  39. DB GuilianoX HongJH McKerrowML BlaxterY Oksov2004A gene family of cathepsin L-like proteases of filarial nematodes are associated with larval molting and cuticle and eggshell remodeling.Mol Biochem Parasitol13622724215478801
  40. S HashmiC BrittonJ LiuDB GuilianoY Oksov2002Cathepsin L is essential for embryogenesis and development of Caenorhabditis elegans.J Biol Chem2773477348611707440
  41. C BrittonL Murray2004Cathepsin L protease (CPL-1) is essential for yolk processing during embryogenesis in Caenorhabditis elegans.J Cell Sci1175133514315456850
  42. L WuJG Belasco2008Let me count the ways: mechanisms of gene regulation by miRNAs and siRNAs.Mol Cell291718206964
  43. KV Morris2008RNA-mediated transcriptional gene silencing in human cells.Curr Top Microbiol Immunol32021122418268846
  44. S HashmiJ ZhangY OksovS Lustigman2004The Caenorhabditis elegans cathepsin Z-like cysteine protease, Ce-CPZ-1, has a multifunctional role during the worms' development.J Biol Chem2796035604514630920
  45. JC ComleyMJ ReesCH TurnerDC Jenkins1989Colorimetric quantitation of filarial viability.Int J Parasitol1977832707965
  46. AL WilliamsonP LecchiBE TurkY ChoePJ Hotez2004A multi-enzyme cascade of hemoglobin proteolysis in the intestine of blood-feeding hookworms.J Biol Chem279359503595715199048
  47. AL WilliamsonPJ BrindleyDP KnoxPJ HotezA Loukas2003Digestive proteases of blood-feeding nematodes.Trends Parasitol1941742312957519
  48. M DelcroixM SajidCR CaffreyKC LimJ Dvorak2006A multienzyme network functions in intestinal protein digestion by a platyhelminth parasite.J Biol Chem281393163932917028179
  49. S LustigmanJH McKerrowK ShahJ LuiT Huima1996Cloning of a cysteine protease required for the molting of Onchocerca volvulus third stage larvae.J Biol Chem27130181301898939969
  50. JP DaltonSO NeillC StackP CollinsA Walshe2003Fasciola hepatica cathepsin L-like proteases: biology, function, and potential in the development of first generation liver fluke vaccines.Int J Parasitol331173118113678633
  51. JF TortPJ BrindleyD KnoxKH WolfeJP Dalton1999Proteinases and associated genes of parasitic helminths.Adv Parasitol4316126610214692
  52. C BrittonL Murray2002A cathepsin L protease essential for Caenorhabditis elegans embryogenesis is functionally conserved in parasitic nematodes.Mol Biochem Parasitol122213312076767
  53. M MedinaP LeonCG Vallejo1988Drosophila cathepsin B-like proteinase: a suggested role in yolk degradation.Arch Biochem Biophys2633553633132106
  54. WL ChoSM TsaoAR HaysR WalterJS Chen1999Mosquito cathepsin B-like protease involved in embryonic degradation of vitellin is produced as a latent extraovarian precursor.J Biol Chem274133111332110224092
  55. X LiuRC McCarronJH Nordin1996A cysteine protease that processes insect vitellin. Purification and partial characterization of the enzyme and the proenzyme.J Biol Chem27133344333518969194
  56. B ManouryWF GregoryRM MaizelsC Watts2001Bm-CPI-2, a cystatin homolog secreted by the filarial parasite Brugia malayi, inhibits class II MHC-restricted antigen processing.Curr Biol1144745111301256
  57. V TurkV StokaD Turk2008Cystatins: biochemical and structural properties, and medical relevance.Front Biosci135406542018508595
  58. YM HenskensEC VeermanAV Nieuw Amerongen1996Cystatins in health and disease.Biol Chem Hoppe Seyler37771868868064
  59. S HashmiJ ZhangY OksovQ JiS Lustigman2006The Caenorhabditis elegans CPI-2a cystatin-like inhibitor has an essential regulatory role during oogenesis and fertilization.J Biol Chem281284152842916857685
  60. PS DoyleYM ZhouJC EngelJH McKerrow2007A cysteine protease inhibitor cures Chagas' disease in an immunodeficient-mouse model of infection.Antimicrob Agents Chemother513932393917698625
  61. SC BarrKL WarnerBG KornreicJ PiscitelliA Wolfe2005A cysteine protease inhibitor protects dogs from cardiac damage during infection by Trypanosoma cruzi.Antimicrob Agents Chemother495160516116304193
  62. K BrakPS DoyleJH McKerrowJA Ellman2008Identification of a new class of nonpeptidic inhibitors of cruzain.J Am Chem Soc1306404641018435536
  63. PJ Rosenthal2004Cysteine proteases of malaria parasites.Int J Parasitol341489149915582526
  64. MH AbdullaKC LimM SajidJH McKerrowCR Caffrey2007Schistosomiasis mansoni: novel chemotherapy using a cysteine protease inhibitor.PLoS Med4e1417214506
  65. Y Alcala-CantoF Ibarra-VelardeH Sumano-LopezJ Gracia-MoraA Alberti-Navarro2007Effect of a cysteine protease inhibitor on Fasciola hepatica (liver fluke) fecundity, egg viability, parasite burden, and size in experimentally infected sheep.Parasitol Res10046146517024356
  66. Y ChoeF LeonettiDC GreenbaumF LecailleM Bogyo2006Substrate profiling of cysteine proteases using a combinatorial peptide library identifies functionally unique specificities.J Biol Chem281128241283216520377
  67. DC GreenbaumZ MackeyE HansellP DoyleJ Gut2004Synthesis and structure-activity relationships of parasiticidal thiosemicarbazone cysteine protease inhibitors against Plasmodium falciparum, Trypanosoma brucei, and Trypanosoma cruzi.J Med Chem473212321915163200
  68. DC GreenbaumWD ArnoldF LuL HayrapetianA Baruch2002Small molecule affinity fingerprinting. A tool for enzyme family subclassification, target identification, and inhibitor design.Chem Biol91085109412401493
  69. Z IssaWN GrantS StasiukCB Shoemaker2005Development of methods for RNA interference in the sheep gastrointestinal parasite, Trichostrongylus colubriformis.Int J Parasitol3593594016023650
  70. G Krautz-PetersonM RadwanskaD NdegwaCB ShoemakerPJ Skelly2007Optimizing gene suppression in schistosomes using RNA interference.Mol Biochem Parasitol15319420217420062
  71. A OsmanEG NilesS Verjovski-AlmeidaPT LoVerde2006Schistosoma mansoni TGF-beta receptor II: role in host ligand-induced regulation of a schistosome target gene.PLoS Pathog2e54doi:10.1371/journal.ppat.002005416789838
  72. E GhedinS WangD SpiroE CalerQ Zhao2007Draft genome of the filarial nematode parasite Brugia malayi.Science3171756176017885136
  73. C BrittonL Murray2006Using Caenorhabditis elegans for functional analysis of genes of parasitic nematodes.Int J Parasitol3665165916616144
  74. P Svoboda2007Off-targeting and other non-specific effects of RNAi experiments in mammalian cells.Curr Opin Mol Ther924825717608023
  75. PJ SkellyA Da'daraDA Harn2003Suppression of cathepsin B expression in Schistosoma mansoni by RNA interference.Int J Parasitol3336336912705930
  76. N DinguirardTP Yoshino2006Potential role of a CD36-like class B scavenger receptor in the binding of modified low-density lipoprotein (acLDL) to the tegumental surface of Schistosoma mansoni sporocysts.Mol Biochem Parasitol14621923016427708
  77. S UematsuS Akira2008Toll-Like receptors (TLRs) and their ligands.Handb Exp Pharmacol120
  78. A SaumetCH Lecellier2006Anti-viral RNA silencing: do we look like plants?Retrovirology3316409629
  79. P DunoyerO Voinnet2005The complex interplay between plant viruses and host RNA-silencing pathways.Curr Opin Plant Biol841542315939663
  80. R LuM MaduroF LiHW LiG Broitman-Maduro2005Animal virus replication and RNAi-mediated antiviral silencing in Caenorhabditis elegans.Nature4361040104316107851
  81. SL LinJD MillerSY Ying2006Intronic MicroRNA (miRNA).J Biomed Biotechnol20062681817057362
  82. SL LinH KimSY Ying2008Intron-mediated RNA interference and microRNA (miRNA).Front Biosci132216223017981704
  83. A VisserP GeldhofV de MaereDP KnoxJ Vercruysse2006Efficacy and specificity of RNA interference in larval life-stages of Ostertagia ostertagi.Parasitology13377778316879764
  84. P GeldhofL MurrayA CouthierJS GilleardG McLauchlan2006Testing the efficacy of RNA interference in Haemonchus contortus.Int J Parasitol3680181016469321
  85. EM Maine2008Studying gene function in Caenorhabditis elegans using RNA-mediated interference.Brief Funct Genomic Proteomic718419418443013

The underlying source XML for this text is taken from The license for the article is CC BY 2.5. The main subject has been identified as infectious disease.