Repair of Impaired Host Peroxisomal Properties Cropped Up Due to Visceral Leishmaniasis May Lead to Overcome Peroxisome Related Genetic Disorder Which May Develop Later After Treatment

Abstract

The leishmaniasis is a group of diseases caused by protozoan haemoflagelates of the genus Leishmania1,2. These parasites belong to the family of the Trypanosomatidae (order Kinetoplastida) and are closely related to the Trypanosomes3. Despite enormous efforts, it has proved difficult to predict the exact scale of the impact of leishmaniasis on public health, since many cases remain unreported or misdiagnosed4. It is estimated that approximately 12 million people are currently infected and a further 367 million are at risk of acquiring leishmaniasis in 88 countries, 72 of which are developing countries and 13 of them are among the least developed in the world1, 4. Hence we can link leishmaniasis to poverty, economic development and various environmental changes such as deforestation, urbanization, migration of people into endemic areas and building of damns etc5. The annual incidence rate is estimated to be 1 to 1.5 million cases of cutaneous leishmaniasis (CL) and 5,00,000 cases of visceral leishmaniasis (VL); these are the two major clinical types of leishmaniasis6. The only proven vector of the Leishmania parasite is the blood-sucking female sandfly1, 7 of the genus Phlebotomus in the old world and Lutzomyia in the new world8. The insects are 2-3 mm long (one-third the size of typical mosquitoes) and are found throughout the tropical and temperate parts of the world. The sandfly larvae require organic matter, heat and humidity for development and so are commonly found in house-hold rubbish, burrows of old trees and in cracks in house walls9. The sand flies usually feed at night while the host is asleep10. There are five most important Leishmania species namely L. tropica, L. major, L. donovani, L. braziliensis braszliensis, L. b. peruviensis and L. mexicana which cause the three forms of the disease dermal CL (oriental sore), VL and mucocutaneous leishmaniasis (Chiclero's diseases and Espundi)11, 12, 13. Leishmania exhibits a dimorphic life cycle14 involving two life-cycle stages, the elongated promastigote with free flagellum present in the insect and the intracellular amastigote form15.