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Fig. 1. The life cycle of Trypanosoma brucei. Trypanosomes proliferate in the bloodstream of mammalian hosts as morphologically slender forms. These cells express the bloodstream-stage-specific VSG coat to evade the mammalian immune response. The kinetoplast (the mitochondrial genome of the parasite) is located at the posterior end of the cell and mitochondrial activity is relatively repressed. As parasite numbers increase in the bloodstream, differentiation to morphologically stumpy forms occurs. These are division-arrested forms pre-adapted for transmission to tsetse flies. Upon uptake in a tsetse bloodmeal, procyclic forms are generated, these being proliferative in the fly midgut. Procyclic forms express a surface coat distinct from that of bloodstream forms, the VSG being lost and replaced by a coat composed of EP and GPEET procyclins. The kinetoplast is also repositioned to a sub-terminal position. After establishment in the fly midgut, trypanosomes arrest in division and then migrate to the tsetse salivary gland, where they attach as epimastigote forms. These are proliferative and attached through elaboration of their flagellum. Eventually, these generate non-proliferative metacyclic forms, which have re-acquired a VSG coat in preparation for transmission to a new mammalian host. Arrowheads represent differentiation events in the trypanosome life cycle.
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