Open research questions in Trypanosoma species research and implications
411 gap statements mined from Trypanosoma species research and implications papers in our 7.9M-paper local library, which holds 1,143 papers on the topic — drawn mostly from each paper's own stated research gap, future-work, challenge and limitation notes, and its abstract. The ones listed below are a selection still marked open; each names the study that raised it, with a DOI link where the paper has one.
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What the literature leaves open
The diagnosis of Chagas disease in pregnant women and newborns is complex and requires specialized testing. The treatment of Chagas disease in pregnant women and newborns is not well established. The paper identifies a need for routine screening and early diagnosis to prevent and treat the disease.
Enfermedad de Chagas en mujeres embarazadas de México: desafíos y oportunidades para reducir el riesgo materno-fetal · 2026 · DOILimited availability of individual patient data. Variability in the definition of parasite reactivation across primary studies. Need for standardized harmonization rules to address variability in data collection and analysis.
Survival and reactivation risk after heart transplantation in Chagas heart disease: a systematic review and individual patient data meta-analysis · 2026 · DOIOne challenge is the lack of direct demonstration of transmission events in humans, which limits the understanding of sexual transmission. Another challenge is the ethical and medical constraints of sampling reproductive tissues, which hinders the collection of direct evidence. The paper also identifies the challenge of underreporting of Chagas disease cases, which affects the accuracy of epidemiological studies.
Is Sexual Transmission of Chagas Disease Possible? Evaluating the Evidence and Future Directions · 2025 · DOIThere is a need to investigate the diversity, distribution, and infection rates of tsetse species, as well as the genetic diversity of drug resistance-associated trypanosome strains in Kenya. The study aims to fill this gap by providing insights into the genetic diversity of trypanosomes associated with drug resistance in tsetse species from five endemic counties of Kenya.
Identification of Potential Vectors and Species Density of Tsetse Fly, Prevalence, and Genetic Diversity of Drug-Resistant Trypanosomes in Kenya · 2025 · DOIThe study also faced challenges in terms of the limited availability of in vitro diagnostic tests for malaria.
Prevention of Transfusion-Transmitted Malaria and Chagas Disease in Non-Endemic Countries: An 8-Year Study of Seroprevalence Among Donors at Risk in Tuscany (Central Italy) · 2025 · DOIAddressing the challenges of treating neglected parasitic diseases in remote settings with limited resources.
Limited success as monotherapies in chronic cases, - Challenges in achieving complete parasite clearance, - Potential toxicity, - Limited efficacy of antifungal azoles against T.
There is a need for improved treatment strategies for Chagas disease in non-endemic settings. There is a lack of comprehensive characterization of CD in non-endemic European settings. The clinical heterogeneity of CD patients across endemic and non-endemic areas is not well understood.
Chagas Disease in a Non-Endemic Setting: Clinical Profile, Treatment Outcomes, and Predictors of Cure in a 15-Year Cohort Study · 2025 · DOIThe study highlights the need for further research on the relationship between the disease and socioeconomic, environmental, and public policy health variables. The paper notes that the current public policies adopted to date have been ineffective and inefficient in controlling the disease.
Epidemiological Scenario of American Trypanosomiasis and Its Socioeconomic and Environmental Relations, Pará, Eastern Brazilian Amazon · 2025 · DOIThe lack of follow-up or monitoring of patients with Chagas disease is a challenge. The study highlights the need for rigorous testing of blood donors to mitigate the spread of Chagas disease.
Limited information exists on the overall impact of circulating Trypanosoma cruzi strains on the host, - The biological properties of T. cruzi strains from the endemic area of Hidalgo, Mexico, are poorly known.
Biological and Molecular Characterization of Five Trypanosoma cruzi (Chagas, 1909) (Kinetoplastida, Trypanosomatidae) Isolates from the State of Hidalgo, Mexico · 2025 · DOIThe study faced challenges in detecting kdr-type mutations in T. dimidiata, as previous reports have been scarce. The study had to overcome the challenge of analyzing the genetic diversity and population structure of T. dimidiata using mitochondrial markers. The study faced the challenge of integrating population genetic data and resistance surveillance into regionally adapted vector control strategies.
First Report of the L925I kdr Mutation Associated with Pyrethroid Resistance in Genetically Distinct Triatoma dimidiata, Vector of Chagas Disease in Mexico · 2025 · DOIInadequate comprehension of gene–environment interactions and lack of representation of varied populations limit the use of immunogenetic findings in therapeutic settings.
The Role of Immunogenetics in the Host–Parasite Interaction of Chagas Disease: Implications for Personalized Medicine · 2025 · DOIThere are considerable research deficiencies in the understanding of gene–environment interactions. There is a lack of representation of varied populations in immunogenetic studies. Inconsistencies in study design limit the use of immunogenetic findings in therapeutic settings.
The Role of Immunogenetics in the Host–Parasite Interaction of Chagas Disease: Implications for Personalized Medicine · 2025 · DOIWhile the population genetic structure of Glossina pallidipes tsetse flies has been well studied in southern Kenya, little is known about populations in northwestern Kenya.
Population structure of G. pallidipes tsetse flies in Northwestern Kenya - Towards effective vector control · 2026 · DOILarge-scale individual patient data (IPD) evidence on transplant immunosuppression, parasite reactivation and long-term prognosis remains scarce.
Survival and reactivation risk after heart transplantation in Chagas heart disease: a systematic review and individual patient data meta-analysis · 2026 · DOIThe molecular processes central to the expression and regulation of the VSG are however not fully understood.
The Dual Role of the 16mer Motif Within the 3′ Untranslated Region of the Variant Surface Glycoprotein of Trypanosoma brucei · 2025 · DOISpecies of Trypanosoma infecting reptiles are poorly understood and understudied.
Revisiting the diversity and phylogenetic relationships of trypanosomes (Trypanosoma) infecting pelomedusid (Pelomedusidae) freshwater turtles in Southern Africa · 2024 · DOIBats have a long evolutionary history with trypanosomatids, but the role of these flying mammals on parasite transmission cycles in urban areas, especially for Trypanosoma and Leishmania species, remains poorly known.
Trypanosomatid diversity in a bat community of an urban area in Campo Grande, Mato Grosso do Sul, Brazil · 2024 · DOILimited and often suboptimal chemotherapeutic treatment options for Chagas disease. Variable efficacy of nifurtimox in the chronic phase of infection. Adverse effects of nifurtimox that hinder patient adherence.
Development and Characterization of Innovative Nifurtimox Formulations as Therapeutic Alternative for Chagas Disease · 2025 · DOIThe study only analyzed mitochondrial sequence analysis and the detection of kdr-type mutations, - The sample size was limited to 75 specimens of T. dimidiata, - The study only focused on Mexican populations of T.
First Report of the L925I kdr Mutation Associated with Pyrethroid Resistance in Genetically Distinct Triatoma dimidiata, Vector of Chagas Disease in Mexico · 2025 · DOIChimeric recombinant antigens are used in canine Trypanosoma cruzi serology, but the timing of IgG reactivity against them after infection has not been described.
Early and sustained anti-Trypanosoma cruzi IgG reactivity in experimentally infected dogs detected with chimeric recombinant antigens · 2026 · DOIGiven its effects on mitochondria and ability to interact with NIPSNAP, callunene represents a promising chemical probe for studying mitophagy, a poorly understood process in trypanosomatids, and may provide new insights into mitochondrial biology of these parasites.
Realizar un cribaje sistemático y un seguimiento posnatal integral, - Incorporar antígenos derivados de los linajes de T.
Enfermedad de Chagas en mujeres embarazadas de México: desafíos y oportunidades para reducir el riesgo materno-fetal · 2026 · DOIDevelopment of methods suitable for blood donor screening in non-endemic settings, - Exploration of antibody responses associated with recent Plasmodium…
Prevention of Transfusion-Transmitted Malaria and Chagas Disease in Non-Endemic Countries: An 8-Year Study of Seroprevalence Among Donors at Risk in Tuscany (Central Italy) · 2025 · DOI
Most-cited papers in Trypanosoma species research and implications
- Chagas disease · The Lancet · 2010 · 1,967 citations
- Frequency of the congenital transmission of Trypanosoma cruzi: a systematic review and meta‐analysis · BJOG An International Journal of Obstetrics & Gynaecology · 2013 · 230 citations
- Genome-wide subcellular protein map for the flagellate parasite Trypanosoma brucei · Nature Microbiology · 2023 · 185 citations
- Chagas Disease: Chronic Chagas Cardiomyopathy · Current Problems in Cardiology · 2021 · 115 citations
- Romosozumab: First Global Approval · Drugs · 2019 · 79 citations
- The elimination of human African trypanosomiasis: Monitoring progress towards the 2021–2030 WHO road map targets · PLoS neglected tropical diseases · 2024 · 76 citations
- Trypanocidal treatment of Chagas disease · Enfermedades Infecciosas y Microbiología Clínica · 2021 · 72 citations
- The epidemiology of Chagas disease in the Americas · The Lancet Regional Health - Americas · 2024 · 63 citations
- La enfermedad de Chagas en las Américas: una perspectiva de ecosalud · Cadernos de Saúde Pública · 2009 · 58 citations
- Safety Profile of Benznidazole in the Treatment of Chronic Chagas Disease: Experience of a Referral Centre and Systematic Literature Review with Meta-Analysis · Drug Safety · 2018 · 58 citations
Most recent work
- The complete genome of Trypanosoma cruzi reveals 32 chromosomes and three genomic compartments · BMC Genomics · 2026
- Specialized RNA decay fine-tunes monogenic antigen expression in Trypanosoma brucei · Nature Microbiology · 2026
- A Trypanosoma cruzi trans-sialidase peptide demonstrates high serological prevalence among infected populations across endemic regions · Journal of Clinical Investigation · 2026
- Vaccines against chronic Trypanosoma cruzi infection: progress, challenges and future directions · Expert Review of Vaccines · 2026
- Trypanosomes of fish as an emerging threat to aquaculture systems in China · PLoS Pathogens · 2026
- Identification of Antifungal Agents AR-12 and Fosmanogepix as Anti- Trypanosoma cruzi Drugs through an Enhanced Fluorogenic β-Galactosidase Phenotypic Screening Assay · ACS Infectious Diseases · 2026
- A strategic discovery roadmap towards high-quality leads and drug development candidates for kinetoplastid diseases. Part 2: from molecule to confirmed hit · Journal of Antimicrobial Chemotherapy · 2026
- A national atlas of the distribution of tsetse flies in Côte d'Ivoire · Acta Tropica · 2026
- Characterization of novel Trypanosoma species from birds and amphibians in the Colombian dry forest using an integrative taxonomic approach · International Journal for Parasitology · 2026
- Cryo-electron tomography sheds light on the largest protein in the Trypanosoma brucei tripartite attachment complex · bioRxiv · 2026
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