Leishmania is a protozoa of trypanosomatidae family, Sarcomastigophora class, that causes leishmaniasis, a group of disease with different clinical forms. This parasite is transferred to human body by septic phlebotomus sand-fly bite and lives and proliferates inside phagocyte cells (
1). It is estimated that more than 12 million of world population are infected with this parasite. Every year, two million new cases are reported that 1.5 million are cutaneous and 500000 are visceral type (
2).
Leishmania has two recognizable stages in its life cycle: promastigote and amastigote. Promastigote has a mobile flagellum, spindle body with 15 to 25 μm length and 2 to 3 μm width. At this stage the parasite proliferates in vector sand-fly intestine; then, it goes to the upper part of fly’s digestive system to the back part of oral cavity and pharynx (
3). The parasites, which have been inoculated in the skin of vertebrate host, are swallowed by macrophages, converted to amastigote form, and finally, start proliferation. Amastigote form is immobile, non-flagellate and 2 to 5 µ in size, lives inside mammalian host macrophages, and causes leishmaniasis (
3). The pathogenesis of parasite changes during promastigotes growth and proliferation (
4). Proliferation of promastigotes includes two stages: logarithmic, and stationary. While the parasite is noninfective at logarithmic stage, it is infective and able to penetrate and settle inside macrophages during stationary stage (
4). Promastigotes are called "procyclic" in logarithmic phase and "metacyclic" in stationary phase. In logarithmic phase, promastigotes have a thin cell wall, short flagellum with an empty flagellar pocket, whereas stationary phase or metacyclic promastigotes have a thick cell wall, long flagellum, with a flagellar pocket full of secretory materials, and very few organic cells (
5). In meta-cyclic form, flagellum length is 1.8 times longer than in logarithmic promastigotes (
5). Immunologically, meta-cyclic form has more resistance to human serum and various temperatures (
6). In addition, there are also biochemical differences between these two stages of parasite, including more mobility, more protein, less carbohydrate in metacyclic form; moreover, metacyclogenesis is accompanied with surface changes in their antigens. These changes are specific in different stages of growth (
6). For instance, two polypeptides of 51 and 114 kDa in logarithmic phase of respectively
Leishmania donovani and
Leishmania major were recognized that change to 22 and 38 kDa polypeptides or are lost during transformation to stationary form. Furthermore, a 75 kDa polypeptide was only expressed in metacyclic phase of
L. major (
6). In metacyclic phase, surface appearance of glycoprotein 63 (GP63) is also increased. GP63 acts as a facilitator in entering process of promastigote to macrophages (
7). The flagellar pocket of all trypanosomatidae, including
Leishmania, is a specialized zone and it is the mediator of endocytosis and discharges of acid phosphatase (ACP) (
7), which is the most frequent secretory protein in
Leishmania (
8). This enzyme was first recognized in 1925 and plays roles in survival of parasite in sand fly and formation and evolution of parasitophorous vacuole in macrophages by dephosphorylating membrane and preventing macrophages from hydrogen peroxide production (
9). Therefore, this phosphatase molecule is one of the factors that might play a role in preservation and survival of the parasite inside the vertebrate host cells (
10,
11). Considering that the parasite is noninfective of logarithmic phase and infective in stationary phase with accumulation of ACP inside the flagellar pocket of parasite in stationary phase, it seems that ACP is an effective factor in pathogenesis of the parasite.