Amastigote

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Amastigote[edit | edit source]

Amastigotes of Leishmania within a host cell.

An amastigote is a stage in the life cycle of certain protozoa, particularly those belonging to the genus Leishmania. Amastigotes are characterized by their lack of a visible flagellum, which distinguishes them from the promastigote stage of the same organisms.

Life Cycle[edit | edit source]

Amastigotes are typically found within the phagolysosomes of macrophages in the vertebrate host. The transition from the promastigote to the amastigote form occurs after the parasite is phagocytosed by a macrophage. Once inside the macrophage, the promastigote transforms into the amastigote form, adapting to the acidic environment of the phagolysosome.

The amastigote stage is crucial for the survival and replication of the parasite within the host. Amastigotes multiply by binary fission within the macrophages, eventually causing the host cell to burst and release the parasites, which can then infect new cells.

Morphology[edit | edit source]

Amastigotes are small, round to oval cells, typically measuring 2-4 micrometers in diameter. They have a single nucleus and a kinetoplast, which is a unique structure containing mitochondrial DNA. The kinetoplast is a distinguishing feature of the Kinetoplastida, the order to which Leishmania belongs.

Pathogenesis[edit | edit source]

The amastigote form is responsible for the pathogenesis of leishmaniasis, a disease that can manifest in several forms, including cutaneous leishmaniasis, mucocutaneous leishmaniasis, and visceral leishmaniasis. The clinical manifestations depend on the species of Leishmania and the host's immune response.

Immune Evasion[edit | edit source]

Amastigotes have evolved mechanisms to evade the host's immune system. They can survive within macrophages by inhibiting the phagosome-lysosome fusion and modulating the host's immune response. This allows them to persist in the host for extended periods, leading to chronic infections.

Treatment[edit | edit source]

The treatment of infections caused by amastigotes involves the use of antiprotozoal drugs such as amphotericin B, miltefosine, and pentavalent antimonials. The choice of treatment depends on the form of leishmaniasis and the geographical region.

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Contributors: Prab R. Tumpati, MD