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    Without treatment, why does African sleeping sickness invariably lead to death?

    The trypanosomes that cause this disease are capable of expressing a glycoprotein coat with a different molecular structure with each generation. Because the immune system must respond to specific antigens to raise a meaningful defense, the changing nature of trypanosome antigens prevents the immune system from ever clearing this infection. Massive trypanosome infection eventually leads to host organ failure and death.

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Source:  OpenStax, Concepts of biology for slcc biol 1010. OpenStax CNX. Aug 13, 2013 Download for free at https://legacy.cnx.org/content/col11555/1.1
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