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Matt Rogers
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Project Overview needs clarification please

Unless I am mistaken (anyone of the team members from Brazil is welcome to correct me please) the Say No To Schistosoma project is searching for potential drug candidates for Schistosoma Mansoni only, not the entire group of Schistosoma parasites that are potentially lethal to humans (mansoni, intercalatum, haematobium, japonicum, mekongi). Therefore the Project Overview page http://www.worldcommunitygrid.org/research/sn2s/overview.do paragraph labeled Significance states:
The disease kills 200,000 people each year and affects over 207 million people.
This statistic is true of the entire group of Schistoma parasites, but Schistosoma Mansoni affects 42% of those, 83.31 million. source pages397-403
The Brazilian page http://usu.br/novo/project_overview clearly refers to the project as Help Fight SchistosomaMansoni, however it also uses the WHO statistics for combined Schistosoma parasites in 76 countries, whereas Mansoni is only present in 54 countries (specifically it is the only species present in Latin America, where the research team is located). source
Having learned this information, does anybody else feel mislead by the Project Overview as I did? The project is certainly a worthwhile endeavour, just let's not exaggerate what is being accomplished here; it will not impact over 200 million people, it will impact closer to 84 million.

Additionally, there are two effective drug treatments readily available, oxamniquine and praziquantel with a single oral dose annually. So is the purpose of this project to find better alternatives to those drugs that are more efficacious, less side effects, cheaper to manufacture, or what exactly? I look forward to any details that informed individuals can provide on the subject.
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[Edit 1 times, last edit by Matt Rogers at Aug 23, 2013 9:45:34 AM]
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Re: Project Overview needs clarification please

Hello Matt Rogers,
applause
Please feel free to point out needed clarifications and corrections to the project staff. You ought to be able to find some places where some added details would add to the understanding of our members.

devilish This sort of helpful criticism is best supplied by interested and knowledgeable members of the World Community Grid. As you pointed out, the description is more accurate in the native language of the scientists. There may be possible improvements in all languages used.

cool As an aside to readers who wonder if they ought to feel outraged or shocked - it is standard in laboratory testing to check interesting drug candidates that show some effect against one disease by testing them against all related diseases to see if they are "broad-spectrum" drug candidates. In theory, a molecule might be so specific that it is effective against a different form of schistosomiasis without showing any activity that the project would notice. In practice, I can cheerfully consider this an unlikely event.
(Just the same, it would be nice if the description were detailed enough that a reader could realize the possibility even while being reassured about the improbability.)

wink
Lawrence
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johncmacalister2010@gmail.com
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Re: Project Overview needs clarification please

Unless I am mistaken (anyone of the team members from Brazil is welcome to correct me please) the Say No To Schistosoma project is searching for potential drug candidates for Schistosoma Mansoni only, not the entire group of Schistosoma parasites that are potentially lethal to humans (mansoni, intercalatum, haematobium, japonicum, mekongi). Therefore the Project Overview page http://www.worldcommunitygrid.org/research/sn2s/overview.do paragraph labeled Significance states:
The disease kills 200,000 people each year and affects over 207 million people.
This statistic is true of the entire group of Schistoma parasites, but Schistosoma Mansoni affects 42% of those, 83.31 million. source pages397-403
The Brazilian page http://usu.br/novo/project_overview clearly refers to the project as Help Fight SchistosomaMansoni, however it also uses the WHO statistics for combined Schistosoma parasites in 76 countries, whereas Mansoni is only present in 54 countries (specifically it is the only species present in Latin America, where the research team is located). source
Having learned this information, does anybody else feel mislead by the Project Overview as I did? The project is certainly a worthwhile endeavour, just let's not exaggerate what is being accomplished here; it will not impact over 200 million people, it will impact closer to 84 million.

Additionally, there are two effective drug treatments readily available, oxamniquine and praziquantel with a single oral dose annually. So is the purpose of this project to find better alternatives to those drugs that are more efficacious, less side effects, cheaper to manufacture, or what exactly? I look forward to any details that informed individuals can provide on the subject.


Interesting observation: thank you for your diligence and I await clarification from the researchers. In my view, treatment of tropical diseases is important, but the number of people affected by Schistosoma
is far lower than those affected by malaria. Therefore, I devote more of my computing resources to malaria research.
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crunching, crunching, crunching.

AMD Ryzen 5 2600 6-core Processor with Windows 11 64 Pro.

AMD Ryzen 7 3700X 8-Core Processor with Windows 11 64 Pro (part time)


smile
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alged
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Re: Project Overview needs clarification please

the answer of Lawrencehardin looks as giving not real clarification - a bit ambiguous as to put the problem on translation only-
do we suspect the brazilian researchers to present things in order to have a support as large as possible?
crunching for SN2S anyway ......
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Re: Project Overview needs clarification please

The affirmation is correct. Our Project searching drugs for S. mansoni, because S. mansoni is endemic in Brazil. But drugs for S. mansoni is used for other schistosoma parasites.
Malaria is worse Neglected Tropical Diseases, but schistomose is the second.

That the need for discovery and development of drugs against schistosomiasis and food-borne trematodiasis is a pressing one is justified on the following grounds. Firstly, no vaccines are presently available for the prevention of these diseases and the tasks ahead and resources required for developing effective vaccines are substantial. Secondly, there are operational challenges and resource constraints regarding the implementation of other preventive measures such as access to clean water and adequate sanitation. Thirdly, changing human behaviour (e.g., avoiding water contact to prevent schistosome transmission and properly cooking aquatic products to avoid food-borne trematode infections) is difficult. Hence, the use of safe and efficacious drugs is the key strategy for individual treatment and community-based morbidity control of schistosomiasis and food-borne trematodiasis.
At present, however, few drugs are available for the treatment and control of trematode infections. In the case of schistosomiasis, praziquantel is virtually the only drug left to treat infected patients and, thus, prevent morbidity.

Currently, oxaminiquine and praziquantel are the drugs used for the treatment of schistosomiasis, yet both have limitations such as low efficacy in the treatment of acute schistosomiasis, low activity on S. mansoni in the immature and treatments fail due to the occurrence of resistance or tolerance.

Thanks again for you help.
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Re: Project Overview needs clarification please

Matt Rogers had a same day reply from the lead scientist and went silent. No Matt, I do not and did not feel misled to answer that question. In fact, any contagious disease I consider as affecting everyone and moving north, and south, as we speak... intense movement of people and change of climate on a global scale. Next time those not living in isolation and need to do a business trip in this globalized world, make sure to take the appropriate prophylactic [substances] with you for the zone you're traveling to... quinine does not work anymore either.

(OT, is past tense of 'mislead' not 'misled'? Not my native tongue, 'English' being a of Turkish offspring, thought that was rather funny, where we're here much closer to the source ;)
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Sgt.Joe
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Re: Project Overview needs clarification please

OT: misled is correct. Per American Heritage Dictionary:

mis·led (ms-ld)
v.
Past tense and past participle of mislead.

Cheers
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Sgt. Joe
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Matt Rogers
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Re: Project Overview needs clarification please

rhickson,
Thank you for this informative reply, and thank you for the confirmation that this project focuses its targets on S. mansoni. Could you elaborate upon your statement "drugs for S. mansoni is used for other schistosoma parasites" for my benefit please?
My limited research and understanding of this class of parasites indicates there are vast differences between the genome (and thus subsequent target proteins) of, for example, S. mansoni and S. haematobium, as well as very different epidemiology. To me, this makes perfect sense why a drug like oxaminiquine showed efficacy against S. mansoni but not against other members of the Schistosoma group, and a drug like metrifonate showed efficacy against S. haematobium but not against other members. This leads to my question, using only the genome of S. mansoni, how does this project intend to make treatments tailored to the entire class of Schistomiasis, rather than specific to S. mansoni only? Wouldn't adding or cross-referencing the genomes of S. haematobium and S. japonicum (both publicly available) for common gene loci or common proteins ensure cross-compatibility "broad spectrum" use? Perhaps my logic is flawed; please don't hesitate to set it straight.
As a previous post pointed out, it may be a while before I have the opportunity to check back in on this forum so patience is appreciated if I "go silent". Thanks in advance.
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Re: Project Overview needs clarification please

Hi Matt,

Most infections are caused by Schistosoma mansoni, S. haematobium or S. japonicum, with two other species (S. intercalatum and S. mekongi) contributing less to the case load.
Current treatment is based mainly on a single drug, praziquantel, which was introduced over 25 years ago. Praziquantel is safe, well tolerated and effective as a single-dose treatment. However, treatment failures have been reported, and it is likely that increasing resistance of parasites to the drug accounts for some of these cases.
Oxamniquine can be used as an alternative anti-schistosomal drug, but it is not effective against S. haematobium. Repeated infection induces some degree of immunity to the parasite in humans, so na effective vaccine could offer a promising alternative to chemotherapy or be used in conjunction with it,36 but so far no such vaccine is available.

The search for potential drug targets has been facilitated and stimulated by the availability of the genome sequence for two schistosomes (Berriman et al. 2009, The Schistosoma japonicum Genome Sequencing and Functional Analysis Consortium 2009). The search for schistosome-specific molecules in vital pathways would in theory permit the development of drugs with no adverse effect on the host.

The drug has a significant action against taenia¬sis, cysticercosis and different species of Schistosoma including: hematobium, mansoni, japonicum, mecongi and intercalatum, as shown in preliminary studies by Davis and Wegner (1979), Ishisaki et al. (1979) and Katz et al. (1979), among others. It has been commercialised in Brazil by Merck under the names Cestox® and Cisticid® and under the generic name Praziquantel.
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