Leishmaniasis: Pathophysiology, Diagnostics and Current and Emerging Therapeutic Approaches—2nd Edition

A special issue of Biomedicines (ISSN 2227-9059). This special issue belongs to the section "Molecular and Translational Medicine".

Deadline for manuscript submissions: 31 March 2026 | Viewed by 483

Special Issue Editor


E-Mail Website
Guest Editor
Dermatology Service, University Hospital of Brasília, Faculty of Medicine, University of Brasília, Brasília, DF, Brazil
Interests: leishmaniasis; epidemiology; pathophysiology; novel biomarkers; host–parasite interactions; diagnostic tools; therapeutic intervention
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Approximately 20 distinct Leishmania species are known to cause three primary forms of leishmaniasis—cutaneous, mucosal, and visceral—along with other serious forms of leishmaniasis, such as dermal-post-kala-azar, diffuse and disseminated leishmaniasis.

Today, more than 1 billion people worldwide are at risk of contracting this disease.

The differential diagnosis of numerous infections and other granulomatous and neoplastic diseases is vital. Currently, a universally accepted gold standard for diagnosis is still lacking, and physicians rely on epidemiological, clinical and laboratory-based criteria. Existing techniques involving smear and culture have low sensitivity, the widely applied serology method suffers from low specificity, and the intradermal skin test is no longer employed because it lacks standardization. While PCR has enhanced diagnostic sensitivity, it has limited applicability if the disease is prevalent.

Despite ongoing research, there is a great lack of knowledge regarding the pathophysiology of the disease. To date, the routes used by the parasite and the time it takes to spread from the primary lesion to other sites remain unknown.

Treatment remains the cornerstone of leishmaniasis control strategies; but to date, only three first-line drugs are available: antimony, amphotericin B and miltefosine. The drug of choice during treatment—antimony—was introduced into the therapeutic arsenal at the beginning of the last century. A lack of methodological standardization in clinical studies, a diminished therapeutic arsenal, drug toxicity and drug resistance are considered to be the major challenges hindering the progress of therapeutics.

We cordially invite submissions of basic and translational original research and review papers that address various aspects of leishmaniasis:

  • New and innovative therapeutic interventions to treat;
  • Novel diagnostic tools;
  • Novel biomarkers for disease morbidity;
  • Mechanism of pathophysiology, drug action and resistance.

Prof. Dr. Raimunda Nonata Ribeiro Sampaio
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Biomedicines is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • leishmaniasis
  • pathophysiology
  • neglected infectious diseases

Benefits of Publishing in a Special Issue

  • Ease of navigation: Grouping papers by topic helps scholars navigate broad scope journals more efficiently.
  • Greater discoverability: Special Issues support the reach and impact of scientific research. Articles in Special Issues are more discoverable and cited more frequently.
  • Expansion of research network: Special Issues facilitate connections among authors, fostering scientific collaborations.
  • External promotion: Articles in Special Issues are often promoted through the journal's social media, increasing their visibility.
  • Reprint: MDPI Books provides the opportunity to republish successful Special Issues in book format, both online and in print.

Further information on MDPI's Special Issue policies can be found here.

Published Papers (1 paper)

Order results
Result details
Select all
Export citation of selected articles as:

Review

26 pages, 574 KB  
Review
Cutaneous and Mucocutaneous Leishmaniasis: Perspectives on Immunity, Virulence, and Treatment
by Regina Maia de Souza, Felipe Francisco Tuon, José Angelo Lauletta Lindoso, João Vitor Matachon Viana, Isabel Aragão Maia, Raimunda Nonata Ribeiro Sampaio and Valdir Sabbaga Amato
Biomedicines 2025, 13(12), 3008; https://doi.org/10.3390/biomedicines13123008 - 8 Dec 2025
Viewed by 334
Abstract
Leishmaniasis, a neglected tropical disease caused by protozoa of the genus Leishmania, presents a wide clinical spectrum from self-healing cutaneous lesions to life-threatening visceral disease. Its epidemiology and severity vary by geography and species (Old vs. New World), vector biology, and host [...] Read more.
Leishmaniasis, a neglected tropical disease caused by protozoa of the genus Leishmania, presents a wide clinical spectrum from self-healing cutaneous lesions to life-threatening visceral disease. Its epidemiology and severity vary by geography and species (Old vs. New World), vector biology, and host factors. Pathogenesis reflects a tripartite interplay among parasite, host, and sand fly saliva. Parasite virulence determinants—including lipophosphoglycan, GP63, proteophosphoglycans, and GPI-anchored antigens—facilitate complement evasion, macrophage entry, and suppression of microbicidal pathways. Innate defenses (complement, neutrophils, dendritic cells, NK cells) and PRR signaling (TLRs/NLRs) shape early outcomes, while the balance between Th1-mediated macrophage activation and Th2/regulatory responses dictates clearance versus persistence. Clinically, most infections remain cutaneous; a minority disseminate to mucosa, driven by immunopathology and species traits. Management must be individualized by Leishmania species, lesion burden/site, immune status, geographic region and drug availability. Local therapies (intralesional antimonials, cryo-/thermotherapy) are suitable for limited disease, whereas systemic agents (antimonials, amphotericin B, miltefosine, pentamidine, azoles) are reserved for complex, mucosal, disseminated, or immunosuppressed cases. Drug resistance—via altered uptake/efflux, metabolic rewiring, and genomic plasticity—increased toxicity and treatment failure. Targeting parasite virulence and unique metabolic pathways, improving species-specific diagnostics, and integrating host-directed strategies are priorities to shorten therapy and improve clinical outcomes. Full article
Show Figures

Figure 1

Back to TopTop