Leishmaniasis Books
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Review by Kinetoplastid Biology and DiseaseReview Date: 2004-05-06
Review by Kinetoplastid Biology and DiseaseReview Date: 2004-05-06
Leishmaniasis
is a spectrum of diseases ranging from the cutaneous, to visceral; the diverse clinical forms of disease are caused by multiple
species, with different reservoir hosts and insect vectors. Hence, there is considerable complexity in the biology to be understood,
as indicated by the first four chapters by Drs. Dedet, Shaw, Killick-Kendrick and Campino. The first four chapters provide
an overview of the epidemiology of this spectrum of diseases and include reviews of the ecology of New World leishmaniasis,
biology of phlebotomine sand flies (insect vector), and epidemiology of visceral leishmaniasis. The next chapters focus on
topics devoted to understanding the biology of the host-parasite and vector-parasite interactions. The chapter by Dr. Kamhawi
on the Leishmania parasites within the digestive tract of phlebotomine sand flies summarizes important aspects relevant to
parasite transmission, namely, the relationship of LPG to parasite vector-midgut association as well as the effect of salivary
components on the transmission of disease. The interactions of the parasite with the macrophage are covered in the next two
chapters. The immunological consequences of receptor-ligand interactions (CR3, FcR, CR1) utilized in parasite uptake in terms
of the establishment and maintenance of infection are presented (Drs. Mosser and Brittingham). This section discusses the
differences between the promastigotes (seen only in the initiation of infection) and amastigote (found during chronic infection
in the mammalian host) developmental stages in these processes. The effect of infection on the function of macrophages is
relevant to immunology (as macrophages are important antigen-presenting cells). The parasite clearly causes impairment in
the signal transduction pathways utilized for macrophage activation by various cytokines and chemokines; hence, these signal
transduction pathways may represent potential chemotherapeutic targets. This topic is discussed in the chapter by Dr. Matlashewski.
The chapter by Drs. Zilberstein and Ephros covers chemotherapy, and reviews existing therapies, and discusses what is currently
known about the mode of drug action and mechanisms of drug resistance. The last three chapters (Drs. Kaye, Farrell, and Campos-Neto)
are focused on what is known concerning the immune response to leishmanial infection - our understanding of the mechanisms
of pathogenesis as well as recent progress towards the development of vaccine against cutaneous leishmaniasis. Concise, these
provide a thoughtful overview of what has been determined about immune mechanisms that control infection. The chapter on cutaneous
leishmaniasis is appropriately focused on Leishmania major, which has been the mainstay of immunological studies. However,
given the distinctions found for New World Leishmania (L. mexicana complex) from L. major, additional information concerning
this aspect would have provided a more complete picture of the diversity of pathogenesis. The fact that we need to know more
about the human immune response to infection is underscored in these chapters and the important advances made in the past
decade concerning the immunological features of visceral and cutaneous diseases are clearly presented. In short, "World Class
Parasites: LEISHMANIA" provides a long overdue concise, yet comprehensive current overview of the leishmaniases - what has
been learnt over the past 25 years - and what remains to be understood about this interesting genus of parasitic protozoans!
Diane
McMahon-Pratt, Kinetoplastid Biology and Disease 2003, 2:9
Used price: $25.00

Excellent text bookReview Date: 1999-03-25

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There are several non-scientific distractions. There appears to be no copy-editing work, resulting in too many incomplete literature citations (four in pp. 147-50), and many typographic errors in the text, including two in the Preface. The Index is too brief and chapters are illustrated with very few diagrams and no photographs. These deficiencies are possibly due to a desire for rapid publication to keep chapters current and/or to cost-cutting measures established by the publisher.
Nevertheless, many readers will find interesting thoughts and insights from their own perspectives in many chapters of this book, including this reviewer with decades of exposure to Leishmania and leishmaniasis. I find Shaw's historical view on this disease in the Amazon region interesting, as described in his chapter on South American leishmaniasis. His writing on the separation of subgenous Leihsmania and Viannia clarifies some confusion of our own experimental data. It is also interesting that PKDL is thought to result from the targeting of effector function against parasites in the skin of patients recovering from VL after chemotherapy, as stated by Kaye citing the work of Theander's group. These are just several examples of my own deficiencies rectified by reading this book. Other readers will find specific points of interest according to their own backgrounds and knowledge.
The editor and serial editors deserve our appreciation and congratulations for their successful endeavour by putting this volume together for publication. There has been no hard cover book devoted to Leishmania since the late 1980's. This book may well be the last one of this kind, since in this era of information highway, the next book on Leishmania and leishmaniasis is likely to be electronically digitized for sale in the website. I will make sure to keep my copy around and urge you all to rush order a copy before it is sold.
Kwang-Poo Chng, Kinetoplastid Biology and Disease 2003, 2:9