Proteasomes degrade most of the proteins inside eukaryotic cells, incl
uding transcription factors and regulators of cell cycle progression.
Here we show that nanomolar concentrations of lactacystin, a specific
irreversible inhibitor of the 20S proteasome, inhibit development of t
he exoerythrocytic and erythrocytic stages of the malaria parasite, Al
though lactacystin-treated Plasmodium berghei sporozoites are still in
vasive, their development into exoerythrocytic forms (EEF) is inhibite
d in vitro and in vivo. Erythrocytic schizogony of P. falciparum in vi
tro is also profoundly inhibited when drug treatment of the synchroniz
ed parasites is prior, but not subsequent, to the initiation of DNA sy
nthesis, suggesting that the inhibitory effect of lactacystin is cell
cycle specific. Lactacystin reduces P. berghei parasitemia in rats, bu
t the therapeutic index is very low. Along with other studies showing
that lactacystin inhibits stage-specific transformation in Trypanosoma
and Entamoeba spp,, these findings highlight the potential of proteas
ome inhibitors as drugs for the treatment of diseases caused by protoz
oan parasites.