Trypanosoma brucei brucei is noninfectious to humans because of its se
nsitivity to the cytolytic activity of normal human serum. Biochemical
evidence indicates that the active component of human serum is high-d
ensity lipoprotein (HDL). Several possible mechanisms have been propos
ed for the killing of trypanosomes by human HDL, and while a unified m
odel that accounts for all experimental information is lacking, there
is substantial evidence that receptor-mediated binding and endocytosis
might be required for lysis. Trypanosomes resistant to the lyric effe
cts of human HDL cause human sleeping sickness. The basis for the resi
stance of these parasites to HDL-mediated killing is unknown. The sens
itivity of T. brucei brucei to the cytolytic action of human HDL is de
velopmentally regulated and resistance correlates with life-cycle spec
ific changes in macromolecular uptake by the organism.