characterization and classification of five cysteine proteinases expressed by paragonimus westermani...
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Characterization and classification of five cysteineproteinases expressed by Paragonimus westermani adult worm
Hyun Park,a Suk-Il Kim,b Kyeong-Man Hong,c Mi-Jin Kim,a Chang-Ho Shin,c
Jae-Sook Ryu,d Duk-Young Min,d Jung-Bin Lee,e and Ui Wook Hwangf,*
a Department of Parasitology, College of Medicine, Wonkwang University, Iksan 570-749, Republic of Koreab Department of Parasitology, College of Medicine, Chosun University, Kwangju 501-759, Republic of Koreac Department of Biochemistry, College of Medicine, Wonkwang University, Iksan 570-749, Republic of Koread Department of Parasitology, Hanyang University College of Medicine, Seoul 133-791, Republic of Koreae Department of Forensic Medicine, College of Medicine, Seoul University, Seoul 110-799, Republic of Koreaf Department of Biology, Teachers College, Kyungpook National University, Taegu 702-701, Republic of Korea
Received 1 February 2002; received in revised form 7 January 2003; accepted 19 March 2003
Abstract
Three new members of the cysteine proteinase gene family of Paragonimus westermani have been isolated and classified.
Comparisons of the predicted amino acid sequences of PwCP2 (U69121), PwCP4 (U56958), and PwCP5 (U33215) were performed
with those of the previously reported PwCP1 (U69120) and PwCP3 (U56865) sequence. The amino acid alignment showed con-
servation of the cysteine, histidine, and asparagine residue that form the catalytic triad. With 57 cysteine proteinases including
PwCP1–5, we conducted phylogenetic analysis using neighbor joining method (NJ). A resultant unrooted tree revealed that
PwCP1–5 were clustered with cruzipain-like or cathepsin L-like cysteine proteinases. More detailed phylogenetic analyses with a
reduced alignment set (22 cysteine proteinases) were performed by NJ and maximum parsimony (MP) methods. The results showed
coincidently that PwCP1, 2, 3, and 4 belonged to the group of previously reported cruzipain-like cysteine proteinases (bootstrapping
values of 97 and 100% in the MP and NJ trees) but PwCP5 to cathepsin L-like cysteine proteinases (the value of 76 and 100% in MP
and NJ trees). Within the cruzipain-like clade, PwCP2 and 4 were found to be the most closely related. PwCP 2, 3, and 4 have five of
six cruzipain signature sequences known previously, whereas PwCP5 do not have any cruzipain sequences in the corresponding sites.
We found that two signature candidate sites (Gly 174, Asn 175—human cathepsin L numbering) for cathepsin L-like group are
conserved in PwCP5, which are conserved within cathepsin L-like group and also different from those of cruzipain and other
cysteine proteinase groups. PwCP5 has three-residue insertion (hydrophilic residues, Ser–Tyr–Gly) within the position corre-
sponding to S3 subsite of SmCL2. Compared to the two-residue insertion (Tyr–Gly) in SmCL2, the three-residue insertion appeared
in PwCP5 may bring bigger difference in substrate specificity between PwCP1–4 (cruzipain) and PwCP5 (cathepsin L-like). Such
presumption is quite plausible considering extremely lower amino acid sequence similarity (18.2%) between PwCP1–4 and PwCP5.
The present study is worthy of reporting one another case, the third organism after Schistosoma mansoni and Schistosoma japonicum,
which has the two kinds of genes encoding both the cruzipain and cathepsin L-like cysteine proteinases. In addition, the fact that
most of cysteine proteinases from P. westermani are cruzipain-like type implies strongly that a new powerful drug for paragonimiasis
could be designed and developed if we focus on the exploration of anti-agents against P. westermani cruzipain-like cysteine pro-
teinases.
� 2003 Elsevier Science (USA). All rights reserved.
Keywords: Paragonimus westermani; Cruzipain-like structure; Cysteine proteinase gene; Phylogenetic relationships
1. Introduction
A trematode Paragonimus westermani causes lung
infection in humans, cats, and tigers that can eat raw
crayfish infected with its metacercariae, which may
Experimental Parasitology 102 (2002) 143–149
www.elsevier.com/locate/yexpr
*Corresponding author. Fax: +82-53-950-6809.
E-mail address: [email protected] (U.W. Hwang).
0014-4894/03/$ - see front matter � 2003 Elsevier Science (USA). All rights reserved.doi:10.1016/S0014-4894(03)00036-5
migrate to the human brain to cause paraplegia, andseizures. The parasite is endemic to Africa, South
America, and Asia including Korea and Japan (Pie-
karski, 1989).
Cysteine proteinases in trematode parasites have been
shown to play important roles in pathogenesis and in-
vasion (McKerrow, 1989). They are reported to hydro-
lyze hemoglobin and collagen, and thus contribute to
the invasion and acquisition of nutrients for the para-sites (Brady et al., 1999; Goldberg et al., 1990; Rosen-
thal et al., 1988). In addition to their pathological roles,
cysteine proteinases have also been suggested to play a
significant role in the reproduction of these parasites. In
P. westermani, an acidic thiol-dependent protease was
reported (Song and Kim, 1994), and a cysteine pro-
teinase gene was also reported from P. westermani
metacercaria (Yamamoto et al., 1994). In our pre-liminary study, we found at least nine proteinases in P.
westermani by gelatin SDS–PAGE. Considerable work
has been done to characterize the cysteine proteinases
from P. westermani, but less information is available
about the classification of cysteine proteinases from
adult P. westermani.
Here, we newly cloned and characterized three cys-
teine proteinase genes (PwCP2, PwCP4, and PwCP5)from adult P. westermani and classified them with pre-
viously reported numerous cysteine proteinases by
phylogenetic analysis.
2. Materials and methods
The metacercariae of P. westermani were obtainedfrom naturally infected crayfish (Cambaroides similis)
collected in Wando-Gun, Korea. Dogs were fed orally
with 150 metacercariae and dissected three months later.
The worms were harvested from cysts in the lungs, and
washed five times with cold saline. Total cellular RNA
and mRNA were purified from the adult worms, and the
isolated mRNA (12 ng) was converted into single-
stranded cDNA using an oligo(dT) 17 primer (Yunet al., 1999). A partial cDNA fragment of the cysteine
proteinase gene was amplified by PCR using degenerate
primers based on the conserved regions of the eukary-
otic cysteine proteinase domains (Eakin et al., 1990).
The primers were dp5 (50-GAR GGI CAR TGY GGITCI TGY TGG-30) and dp3 (50-CCA IGA RTT YTTIAC RAT CCA RTA-30) in which I¼ inosine, R¼A orG, and Y¼T or C.The various cysteine proteinase genes were amplified
from P. westermani using the rapid amplification of
cDNA ends PCR protocol (RACE-PCR) (Park et al.,
1997). Dideoxy nucleotide chain-termination sequencing
(Sanger et al., 1977) was performed on both DNA
strands using a Taq PRISMTM dyeDeoxyTM
sequencing kit (Applied Biosystems). Reactions were
analyzed on a 373 automatic DNA sequencer (AppliedBiosystems) and contiguous sequences were compiled
using MacVectorTM (International Biotechnologies)
sequence analysis software. Note: The nucleotide se-
quence reported in this paper was deposited in the
GenBank under Accession Nos. U56958, U69121, and
U33215 and their classifications in MEROPS database
are as followings: PwCP2 and 4 are orthologues of the
cruzipain (Trypanosoma cruzi) MEROPS ID C01.075and PwCP5 is an orthologue of the cathepsin L (Homo
sapiens) MEROPS ID C01.032.
The amino acid sequences of the cysteine proteinases
were predicted from the nucleotide sequences using
GeneJocky II software (Biosoft). The predicted amino
acid sequences were then multiply aligned with those of
57 cysteine proteinases reported from a variety of or-
ganisms using the Clustal X multiple alignment program(Thompson et al., 1997). Preliminary phylogenetic
analysis was conducted with 57 cysteine proteinases
available from the GenBank using neighbor joining (NJ)
method. Then more detailed phylogenetic trees focused
on PwCP1–5 were reconstructed by both the maximum
parsimony (MP) and NJ methods of PAUP4.0* (Swof-
ford, 2000). In this detailed phylogenetic analysis, we
used a reduced alignment set including only 10 cruzi-pain-like and 10 cathepsin L-like cysteine proteinases as
ingroups and two cathepsin C-like cysteine proteinases
as outgroups.
3. Results and discussion
Three new cysteine proteinase genes, PwCP2(U69121), PwCP4 (U56958), and PwCP5 (U33215) and
the previously reported PwCP1 (U69120) and PwCP3
(U56865) were identified and sequenced from cDNA li-
brary of P. westermani adult worm. As a result of pri-
mary sequence comparisons, it was found that PwCP2
and PwCP4 were most closely related (97.2% identity)
and that PwCP5 had the most divergent amino acid se-
quences among the five characterized in this study, andshared only 18.2% identity with the other four.
Using preliminary phylogenetic analysis conducted
with newly defined three P. westermani cysteine pro-
teinases and 54 cysteine proteinases available from the
GenBank, we recognized that the newly characterized
cysteine proteinases belonged to either a cruzipain-like
group or a cathepsin L-like group shown in NJ tree of
Fig. 1. Overall unrooted NJ tree topology coincidedwith that of Tort et al. (1999) that C1 family peptidases
could be divided into two major evolutionary branches:
branch A including cathepsin B-like and cathepsin C-
like, etc., and branch B including catehepsin L-like,
cruzipain-like, and papain-like, etc.
More detailed phylogenetic analyses focused on the
five P. westermini cysteine proteinases were performed
144 H. Park et al. / Experimental Parasitology 102 (2002) 143–149
Fig. 1. Unrooted neighbor joining tree showing phylogenetic positions of P. westermani cysteine proteinases newly characterized (PwCP2, 4, 5).
PwCP1 P. westermani cysteine proteinase (GenBank Accession No., U69120); PwCP2 P. westermani cysteine proteinase (U69121); PwCP3 P.
westermani cysteine proteinase (U56865); PwCP4 P. westermani cysteine proteinase PwCP5 P. westermani cysteine proteinase (U33215); Pw28CCP,
P. westermani 28-kDa cruzipain-like cystein protease (U70537); NTP, P. westermani neutral thiol protease (D21124); CsCP, Clonorchis sinensis
cysteine proteinase 1 precursor (AF093243); FhCL, Fasciola hepatica cathepsin L (AB009306); FhCL2, F. hepatica secreted cathepsin L2 (U62289);
FhCP, F. sp. cysteine protease (S70380); SmCL1, S. mansoni Puerto preprocathepsin L1 (U07345); SmCL2, S. mansoni (Liberian) cathepsin L
(Z32529); SmCC, S. mansoni (Liberian) cathepsin C (Z32531); Sm31, S. mansoni cathepsin B (M21309); SjCL2, S. japonicum preprocathepsin L
(U38476); SjCC, S. japonicum preprocathepsin C (U77932); Smcal, S. mansoni calpain (M74233); Sm32, S. mansoni hemoglobinase (M21308); SjCB,
S. japonicum cathepsin B (X70968); Sj32, S. japonicum Sj32 (hemoglobinase) (X70967); SeCL, Spirometra erinacei cysteine proteinase (D63670);
AcCP, Ancylostoma caninum (AcCP-1) cathepsin B (U18911); CeCB, Caenorhabditis elegans (Bristol N2) cathepsin B (L39927); HcCP1,Haemonchus
contortus cysteine proteinase (HMCP1) (Z69342); HcCP2, H. contortus cysteine proteinase (HMCP2) (Z69343); HcCP4, H. contortus cysteine
proteinase (HMCP4) (Z69345); HcCP5, H. contortus cysteine proteinase (HMCP5) (Z69346); HcCP6, H. contortus cysteine proteinase (Z81327);
TvPt, Trichomonas vaginalis putative cysteine protease, partial (X70823); GmCP, Giardia muris cysteine protease (GMCP1) (AF006198); GiCP1, G.
intestinalis cysteine protease (U83277); GiCP2 G. intestinalis cysteine protease (U83275); TcCZ1, Toxocara canis cathepsin Z1 (AF143817); TcCL, T.
canis cathepsin L (U53172); TcCB, T. cruzi cathepsin B (AF043246); TcCP, Trypanosome cysteine protease (X54353); Tc, T. cruzi cruzain (M84342);
TcCP, T. congolense cysteine protease (L25130); LdCP, Leishmania donovani chagasi promastigote-specific cysteine protease (AF004593); LmCL,
Leishmania major cathepsin L (U43706); LmCB, Leishmania major cathepsin B (U43705); moCL, mouse cathepsin L (M20495); huCL, human
cathepsin L (M20496); GCCB, human cathepsin B (gastric) (L16510); huCB, human cathepsin B (kidney) (M14221); huCS, human cathepsin S
(CTSS) (M90696); huCS, human cathepsin S (alveolar macrophage) (M86553); huCX, human cathepsin X precursor (ovary) (AF073890); boCX,
human cathepsin X mRNA (osteoclastoma) (U20280); papain, Carica papaya papain (M15203); plCP, Zea mays cysteine protease (mir1)
(AF019145); chymopapain, C. papaya chymopapain (X97789); HgCL, Heteroderma glycines cathepsin L (nematodes) (Y09498); bromelain pt, plant,
Ananas comosus bromelain (D14057).
H. Park et al. / Experimental Parasitology 102 (2002) 143–149 145
using two tree reconstructing methods (MP and NJ)with a reduced alignment set including only 22 cysteine
proteinases which belonged to the cruzipain-like, ca-
thepsin L-like, and cathepsin C-like groups (Fig. 2). The
results showed that PwCP1, 2, 3, and 4 were grouped
with the cruzipain-like cysteine proteinases (bootstrap-
ping values 97 and 100% in MP and NJ trees, respec-
tively) and that PwCP5 with the cathepsin L-like
cysteine proteinases (76 and 100%), as shown in Fig. 2.These results were strongly supported by high boot-
strapping values in both the MP and NJ trees as men-
tioned. The MP and NJ trees were identical in overall
tree topology but have slightly different bootstrapping
values. Within the clade of cruzipain-like cysteine pro-
teinases, PwCP2 and 4 were most closely related to each
other, as expected from their high sequence similarity.
PwCP5 of cathepsin L-like is the first non-cruzipain-likecysteine proteinase reported from P. westermani con-
sidering that all the P. westermani cysteine proteinases
known so far belong to the cruzipain-like group. Until
now, Schistosoma mansoni and Schistosoma japonicum
were the only organisms from which two different genes
encoding both the cruzipain (SmCL1, SmCJ1) and ca-
thepsin L-like (SmCL2, SmCJ2) proteinases have been
isolated and characterized, although the research toobtain functionally active recombinant enzymes was
done only in S. mansoni (Brinkworth et al., 2000). Thus,
the present study is worthy of reporting one another
case, the third organism, which has the two kinds of
genes encoding both the cruzipain and cathepsin L-like
cysteine proteinases. It is also quite intriguing that all
the three organisms known so far are trematodes. It
implies that possession of both the cruzipain and ca-thepsin L-like cysteine proteinases in an organism might
not be rare phenomena in trematodes.
It was known that cysteine proteinases of C1 pepti-
dase family have highly conserved structure (Brady
et al., 2000; Brinkworth et al., 2000; Tort et al., 1999).
For instances, they consists of two domains, NH2-ter-
minal half (helical structure domain) and COOH-ter-
minal half (predominantly b-sheet structure domain).Generally, there are three conserved disulfide bridges for
forming appropriate and stable tertiary structures, two
in the first NH2-domain and one in the second COOH-
domain. The sites of the six cysteine residues related
with three disulfide bonds are shown in Fig. 3 and the
sites are completely conserved with cysteine residues in
all the examined cysteine proteinases including
PwCP1–5. It shows that the PwCP1–5 could be foldedsuccessfully into functional enzymes.
Recently, Brinkworth et al. (2000) has reported six
cruzipain signature residues (Asn 33, Trp 38, Ala 124,
Leu 127, Leu 164, and Pro 174, according to amino acid
residue numbering of cysteine proteinase of T. cruzi)
through comparison of primary structures of cysteine
proteinases between cruzipain and cathepsin L-like
groups. Four (PwCP1–4) of five P. westermini cysteine
proteinases focused on this study which belong to cru-
zipain group have the exact cruzipain signature se-
Fig. 2. Most parsimonious tree inferred from amino acid sequences of
22 cysteine proteinases including PwCP1–5. SmCC and SjCC were
used as outgroups. The numbers on the tree above branches indicate
bootstrapping values obtained with 100 replicates. Tree-bisection-re-
connection (TBR) method was used as a branch-swapping algorithm.
The numbers in parentheses are bootstrapping values obtained from
NJ analysis. In MP analysis, all characters had equal weighting. Of 471
total characters, 55 are constant, 128 variable characters are parsi-
mony-uninformative, and 288 are parsimony-informative. Tree length
¼ 2208, consistency index (CI) ¼ 0.7785, retention index (RI) ¼0.6823, rescaled consistency index ¼ 0.5312. Cathepsin L-like cysteine
proteinases formed a strong monophyletic group with PwCP1–5 in the
three phylogenetic trees. PwCP1 P. westermani cysteine proteinase
(GenBank Accession No., U69120); PwCP2 P. westermani cysteine
proteinase (U69121); PwCP3 P. westermani cysteine proteinase
(U56865); PwCP4 P. westermani cysteine proteinase PwCP5 P. west-
ermani cysteine proteinase (U33215); PwCP, P. westermani cysteine
proteinase (AF071801); PwNTP, P. westermani neutral thiol protease
(D21124); Pw28CCP, P. westermani 28-kDa a cruzipain-like cysteine
protease (U70537); CsCP1, C. sinensis cysteine proteinase (AB020036);
CsCP2, C. sinensis cysteine proteinase 1 precursor (AF093243);
SmCL1, S. mansoni puerto rican preprocathepsin L1 (U07345);
huCS1, human cathepsin S (CTSS) (M90696); huCS2, human ca-
thepsin S (alveolar macrophage) (M86553); boCX, human cathepsin X
mRNA (osteoclastoma) (U20280); HgCL, nematode heteroderma
glycines cathepsin L (Y09498); moCL, mouse cathepsin L (M20495);
huCL, human cathepsin L (M20496); SeCL, S. erinacei cysteine pro-
teinase (D63670); SmCL2, S. mansoni cathepsin L (Z32529); SjCL, S.
japonicum preprocathepsin L (U38476); SmCC, S. mansoni (Liberian)
cathepsin C (Z32531); SjCC, S. japonicum preprocathepsin C
(U77932).
146 H. Park et al. / Experimental Parasitology 102 (2002) 143–149
Fig. 3. Deduced amino acid sequence alignment of 12 cysteine proteinases including three cysteine proteinase genes (PwCP2, 4, and 5) newly defined
from P. westermani. PwCP1 P. westermani cysteine proteinase (GenBank Accession No., U69120); PwCP2 P. westermani cysteine proteinase
(U69121); PwCP3 P. westermani cysteine proteinase (U56865); PwCP4 P. westermani cysteine proteinase (U56958); PwNTP, P. westermani neutral
thiol protease (D21124); PwCP, P. westermani cysteine proteinase (AF071801); Pw28CCP, P. westermani 28-kDa cruzipain-like cysteine protease
(U70537); SmCL1, S. mansoni Puerto rican preprocathepsin L1 (U07345); CsCP1, C. sinensis cysteine proteinase (AB020036); PwCP5 P. westermani
cysteine proteinase (U33215); huCL, human cathepsin L (M20496); SmCL2, S. mansoni cathepsin L (Z32529). Total alignment length ¼ 441; ‘‘-’’
missing data or alignment gap; ‘‘?’’ unidentified amino acid sequence; ‘‘.’’ same amino acid residue with that of the first line (PwCP1) of the
alignment. The names of the enzymes belonging to the cathepsin L-like are marked in italic letters, CsCP1, PwCP5, huCL, and SmCL2. White boxes
indicate conserved cystein residues related with forming disulfide bridges and gray boxes six cruzipain signature residues which correspond to Asn 33,
Trp 38, Ala 124, Leu 127, Leu 164, and Pro 174 (in order) reported by Brinkworth et al. (2000) according to a residue numbering of cystein proteinase
of T. cruzi. Bold letters mark cathepsin L-like signature residues suggested firstly here. White arrow indicates the fifth cruzipain signature residue
(Leu) showing which may be inappropriate as a cruzipain signature residue because of high variability among cruzipain proteinases. ‘‘�’’ indicates a
processing site: the first one is for removal of the signal peptide and the second one is for cleavage of the proregion peptide from the mature enzyme.
‘‘}’’ and ‘‘N’’ indicate S3 pocket position and two- or three-residue insertion site of S3 subsite causing difference of substrate specificity betweenSmCL1 and SmCL2 (Brady et al., 2000). The ERFNIN motif region (Karrer et al., 1993) is marked with asterisks above the relevant residues in the
proregion peptides.
H. Park et al. / Experimental Parasitology 102 (2002) 143–149 147
quences in five sites corresponding to Asn 33, Trp 38,Ala 124, Leu 127, and Pro 174, except that the last Pro
174 residue was unidentified in PwCP2 because of se-
quence incompleteness (Fig. 3). However, the fifth cru-
zipain signature site (Leu 164) was not conserved, and
thus except for leucine in SmCL1 and PwCP1, threonine
in PwCP2–4, PwNTP, PwCP, and Pw28CCP and serine
in PwCP3 were found in the corresponding site (Fig. 3).
In P. westermini cysteine proteinases, seven among eightreported so far have not a hydrophobic leucine residue
but one of two hydrophilic residues (threonine or serine)
except PwCP1 as shown in Fig. 3 (white arrow). This is
likely to show that the fifth one (Leu 164) may be in-
appropriate as a cruzipain signature residue. PwCP5
considered as cathepsin L-like group based on the
phylogenetic analysis did not have any cruzipain signa-
ture residues.Through comparison of all kinds of cysteine pro-
teinases published until now, we carefully looked for
signature residues specific to cathepsin L-like group and
thus useful to identify it as in the cruzipain group. As a
result, we found four signature candidate sites (Gly 174,
Asn 175, Ala 325, and Pro 331—human cathepsin L
numbering) for cathepsin L-like group, which are con-
served within cathepsin L-like group and also differentfrom those of cruzipain and other cysteine proteinase
groups. Unfortunately, existences of Ala 325 and Pro
331 in PwCP5 were impossible to confirm because of 30-end incomplete sequencing. Except for the two, PwCP5
with other cathepsin L-like cysteine proteinases have the
two remaining residues (Gly 174 and Asn 175 high-
lighted with bold letters in Fig. 3) considered as the most
important signature residues characteristic of cathepsinL-like proteinases. These two possible signature resi-
dues, Gly 174 (this residue does not exist in some ca-
thepsin L-like cysteine proteinases) and (the most
conserved signature residue), seem to have more im-
portant meaning than the other two to distinguish ca-
thepsin L-like cysteine proteinases from cruzipain
group, because the two are corresponding to the S3
pocket position (Asn 175) or its vicinal position (Gly174) related with difference of substrate specificity be-
tween SmCL1 (cruzipain group) and SmCL2 (cathepsin
L-like) (Brady et al., 2000). According to Brady et al.
(2000), such substrate specificity difference between the
two are caused mainly by the two-residue insertion
(hydrophilic residues, Tyr–Gly) shown in immediate
upstream position of the S3 pocket of SmCL2. In the
equivalent position, PwCP1–4 belonging to cruzipaingroup have no insertion residues as SmCL1 and other
cruzipain cysteine proteinases, whereas PwCP5 has
three-residue insertion (hydrophilic residues, Ser–Tyr–
Gly) as SmCL2 and other cathepsin L-like cysteine
proteinases. Compared to the two-residue insertion in
SmCL2, the three-residue insertion appeared in PwCP5
may bring bigger difference in substrate specificity be-
tween PwCP1–4 and PwCP5 than that observed betweenSmCL1 and SmCL2 (Brady et al., 2000). Such pre-
sumption is quite plausible considering extremely lower
amino acid sequence similarity (18.2%) between
PwCP1–4 and PwCP5 (44% between SmCL1 and
SmCL2).
Yun et al. (2000) reported an extensive work for
exploring 28-kDa cruzipain-like cysteine protease
(Pw28CCP) from P. westermani. According to their re-sults, Pw28CCP is located in the intestinal epithelium
and its recombinant protein expressed in Escherichia coli
appeared highly specific and sensitive antigenicity with
sera from patients with active paragonimiasis. Our
present result showed that two of three newly charac-
terized cysteine proteinases from P. westermani be-
longed to the cruzipain-like group. As shown in Fig. 2,
PwCP1–4 are very closely related with PW28CCP withinthe cruzipain-like group. It suggests that most of P.
westermani cysteine proteinases may be cruzipain-like
one closely related with Pw28CCP. The fact that most of
cysteine proteinases from P. westermani reported so far
are cruzipain-like types implies strongly that a new
powerful drug for paragonimiasis could be designed and
developed if we focus on exploration of anti-agents
against P. wesetrmani cruzipain-like cysteine protein-ases.
Acknowledgments
This study was supported by a grant from the Min-
istry of Education for Basic Medical Science (KRF-
1997-021-F00275), by Wonkwang University (2001), in
part, and by research fund from Chosun University in
2000. This work was also partly supported by the KoreaResearch Foundation grant (KRF-2002-015-CS0033) to
U.W.H.
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