Abstract:Neglected tropical diseases (NTDs) are a group of infectious diseases that
mainly affect the population living in poverty and without basic sanitation, causing severe
damage to countries' economies. Among them, Leishmaniasis, Chagas disease,
sleeping sickness, and related diseases such as Malaria stand out, which, despite being
well known, have limited treatments based on old drugs and have high rates of parasite
resistance. In addition, current drugs have an uncertain mechanism of action, and there
is a need to identify new mechanisms to overcome problems related to side effects and
resistance. In a sense, exploring cysteine proteases (CPs) may be a promising alternative
that can lead to discovering innovative drugs that may be useful against these diseases.
However, exploring CPs in drug discovery should be a cautious and rational process
since parasitic CPs show a high degree of homology with human CPs, raising the need
to identify increasingly specific patterns of target selectivity to identify safer drugs with
fewer side effects. Finally, in this review, we present the main aspects related to the design
of CP inhibitor drugs, highlighting structural features of ligands and targets that can
be used in the design of new compounds against Leishmaniasis (LmCPB), Chagas disease
(Cruzain), sleeping sickness (rhodesain) and malaria (falcipain). We hope our findings
can guide researchers in searching for an innovative drug that can be used against
these diseases that threaten the world population's health.