Leishmania amazonensis exhibits phosphatidylserine-dependentprocoagulant activity a process that is counteracted by sandflysaliva

摘要

Leishmania parasites expose phosphatidylserine (PS) on their surface, a process that has been associated with regulation of host's immune responses. In this study we demonstrate that PS exposure by metacyclic promastigotes of Leishmania amazonensis favours blood coagulation. L. amazonensis accelerates in vitro coagulation of human plasma. In addition, L. amazonensis supports the assembly of the prothrombinase complex, thus promoting thrombin formation. This process was reversed by annexin V which blocks PS binding sites. During blood meal, Lutzomyia longipalpis sandfly inject saliva in the bite site, which has a series of pharmacologically active compounds that inhibit blood coagulation. Since saliva and parasites are co-injected in the host during natural transmission, we evaluated the anticoagulant properties of sandfly saliva in counteracting the procoagulant activity of L. amazonensis . Lu. longipalpis saliva reverses plasma clotting promoted by promastigotes. It also inhibits thrombin formation by the prothrombinase complex assembled either in phosphatidylcholine (PC)/PSvesicles or in L. amazonensis . Sandfly saliva inhibits factorX activation by the intrinsic tenase complex assembled on PC/PS vesicles andblocks factor Xa catalytic activity. Altogether our results show that metacyclicpromastigotes of L. amazonensis are procoagulant due to PSexposure. Notably, this effect is efficiently counteracted by sandflysaliva.