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1.
Parasitol Res ; 120(9): 3215-3227, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34337681

RESUMO

Persicaria strigosa (R.Br.) Nakai. (Family Polygonaceae) is an important plant of Assam, having several ethnobotanical uses. Tribal communities consume leaf extracts to cure helminth infection. The present study investigated the antioxidant, phytochemicals, and anthelmintic activity of P. strigosa. Total phenolic and flavonoid contents were estimated following standard methods. Antioxidant properties were analyzed by TAC, FRAP, DPPH, ABTS, and TBARS assays. Anthelmintic activity of plant was investigated in Paramphistomum sp. treated with 5 mg/mL, and paralysis and death times were recorded. The most potent solvent extract was performed GC-MS analysis to identify the phytocompounds. Plant extract-treated parasites were further analyzed for biochemical changes. Additionally, molecular docking was performed to study the binding affinities between phytocompounds and enzymes. P. strigosa showed rich phenolics, flavonoids, and antioxidant properties. Ethyl acetate and methanolic extracts showed more powerful antioxidant properties than other extracts. In vitro anthelmintic study found ethyl acetate and diethyl ether the most active extracts. Treated parasites showed a significant decrease in enzyme activity. The highest inhibition was observed in AchE, followed by MDH, LDH, ALP, and ACP. GC-MS study identified 12 probable compounds from the ethyl acetate extract of P. strigosa. Molecular docking showed the strongest binding affinity between the phytocompounds and AchE enzyme (- 7.6 kcal/mol). Overall, compounds C6, C7, and C12 showed better binding affinity compared to other compounds. The in vitro helminth bioassays and biochemical analysis suggest Persicaria strigosa a possible anthelmintic agent. However, isolation and characterization of bioactive compound(s) may promise new drug candidates for helminth infections.


Assuntos
Anti-Helmínticos , Helmintos/efeitos dos fármacos , Extratos Vegetais , Polygonaceae , Animais , Anti-Helmínticos/farmacologia , Antioxidantes/farmacologia , Simulação de Acoplamento Molecular , Compostos Fitoquímicos/farmacologia , Extratos Vegetais/farmacologia , Polygonaceae/química
2.
Chem Biodivers ; 18(9): e2100310, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34231306

RESUMO

Propolis is a bee product that has been used in medicine since ancient times. Although its anti-inflammatory, antioxidant, antimicrobial, antitumor, and immunomodulatory activities have been investigated, its anti-parasitic properties remain poorly explored, especially regarding helminths. This review surveys the results obtained with propolis around the world against human parasites. Regarding protozoa, studies carried out with the protozoa Trypanosoma spp. and Leishmania spp. have demonstrated promising results in vitro and in vivo. However, there are fewer studies for Plasmodium spp., the etiological agent of malaria and less so for helminths, particularly for Fasciola spp. and Schistosoma spp. Despite the favorable in vitro results with propolis, helminth assays need to be further investigated. However, propolis has shown itself to be an excellent natural product for parasitology, thus opening new paths and approaches in its activity against protozoa and helminths.


Assuntos
Antiparasitários/farmacologia , Fenóis/farmacologia , Extratos Vegetais/farmacologia , Própole/química , Animais , Antiparasitários/química , Antiparasitários/isolamento & purificação , Brasil , Helmintos/efeitos dos fármacos , Leishmania/efeitos dos fármacos , Estrutura Molecular , Testes de Sensibilidade Parasitária , Fenóis/química , Fenóis/isolamento & purificação , Extratos Vegetais/química , Extratos Vegetais/isolamento & purificação , Plasmodium/efeitos dos fármacos , Trypanosoma/efeitos dos fármacos
3.
Parasitology ; 147(8): 835-840, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32252832

RESUMO

Helminth parasitology is an important discipline, which poses often unique technical challenges. One challenge is that helminth parasites, particularly those in humans, are often difficult to obtain alive and in sufficient quantities for study; another is the challenge of studying these organisms in vitro - no helminth parasite life cycle has been fully recapitulated outside of a host. Arguably, the key issue retarding progress in helminth parasitology has been a lack of experimental tools and resources, certainly relative to the riches that have driven many parasitologists to adopt free-living model organisms as surrogate systems. In response to these needs, the past 10-12 years have seen the beginnings of helminth parasitology's journey into the 'omics' era, with the release of abundant sequencing resources, and the functional genomics tools with which to test biological hypotheses. To reflect this progress, the 2019 Autumn Symposium of the British Society for Parasitology was held in Queen's University Belfast on the topic of 'post-genomic progress in helminth parasitology'. This issue presents examples of the current state of play in the field, while this editorial summarizes how genomic datasets and functional genomic tools have stimulated impressive recent progress in our understanding of parasite biology.


Assuntos
Genoma Helmíntico , Helmintos , Parasitologia/tendências , Animais , Anti-Helmínticos/uso terapêutico , Sistemas CRISPR-Cas , Resistência a Medicamentos/genética , Genômica , Helmintíase/diagnóstico , Helmintos/efeitos dos fármacos , Helmintos/genética , Helmintos/metabolismo , Helmintos/parasitologia , Humanos , Patologia Molecular , Proteômica , Interferência de RNA , Transcriptoma
4.
Artigo em Inglês | MEDLINE | ID: mdl-30323047

RESUMO

Soil-transmitted helminth (STH) infections still remain a major health problem in poor rural settings. The lack of efficacious drugs against all STH species raises interest in drug combinations. Drug-drug interactions (DDIs) are, however, of major concern, so careful in vitro and in vivo characterization is needed. The combination of tribendimidine with either ivermectin or oxantel pamoate targets a broad range of STHs and thus represents a promising treatment alternative. Drug-drug interactions, however, have not yet been investigated. Therefore, the effects of combinations of ivermectin, oxantel pamoate, and tribendimidine's active metabolite deacylated amidantel (dADT) on cytochrome P450 (CYP450) metabolism were evaluated, followed by a pharmacokinetic analysis of tribendimidine and ivermectin alone and in combination in healthy rats. Oxantel pamoate is only poorly absorbed and was therefore excluded from pharmacokinetic analysis. No evident effect was observed for tribendimidine-oxantel pamoate at the CYP450 metabolism level, whereas a combination of tribendimidine and ivermectin led to moderately increased CYP2D6 inhibition compared to ivermectin or tribendimidine alone. Coadministration of tribendimidine with ivermectin altered neither the time to maximum concentration of drug in plasma (Tmax) nor the elimination half-lives of dADT, the acetylated derivative of amidantel (adADT), and ivermectin. While the area under the concentration-versus-time curve (AUC) and maximum concentration of drug in plasma (Cmax) values of dADT, adADT, and ivermectin are reduced by coadministration, the change is insufficient to declare that a DDI has been detected. Further studies are necessary to understand the observed interaction of tribendimidine and ivermectin, which is not related to P450 metabolism, and its significance for the situation in humans.


Assuntos
Anti-Helmínticos/farmacocinética , Sistema Enzimático do Citocromo P-450/metabolismo , Ivermectina/farmacocinética , Fenilenodiaminas/farmacocinética , Pamoato de Pirantel/análogos & derivados , Animais , Anti-Helmínticos/farmacologia , Área Sob a Curva , Inibidores das Enzimas do Citocromo P-450/farmacocinética , Inibidores das Enzimas do Citocromo P-450/farmacologia , Sistema Enzimático do Citocromo P-450/efeitos dos fármacos , Interações Medicamentosas , Quimioterapia Combinada , Helmintíase Animal/tratamento farmacológico , Helmintos/efeitos dos fármacos , Ivermectina/farmacologia , Masculino , Fenilenodiaminas/farmacologia , Pamoato de Pirantel/farmacocinética , Pamoato de Pirantel/farmacologia , Ratos
5.
Proc Natl Acad Sci U S A ; 113(44): 12526-12531, 2016 11 01.
Artigo em Inglês | MEDLINE | ID: mdl-27791067

RESUMO

In cross-sectional studies, chronic helminth infections have been associated with immunological hyporesponsiveness that can affect responses to unrelated antigens. To study the immunological effects of deworming, we conducted a cluster-randomized, double-blind, placebo-controlled trial in Indonesia and assigned 954 households to receive albendazole or placebo once every 3 mo for 2 y. Helminth-specific and nonspecific whole-blood cytokine responses were assessed in 1,059 subjects of all ages, whereas phenotyping of regulatory molecules was undertaken in 121 school-aged children. All measurements were performed before and at 9 and 21 mo after initiation of treatment. Anthelmintic treatment resulted in significant increases in proinflammatory cytokine responses to Plasmodium falciparum-infected red blood cells (PfRBCs) and mitogen, with the largest effect on TNF responses to PfRBCs at 9 mo-estimate [95% confidence interval], 0.37 [0.21-0.53], P value over time (Ptime) < 0.0001. Although the frequency of regulatory T cells did not change after treatment, there was a significant decline in the expression of the inhibitory molecule cytotoxic T lymphocyte-associated antigen 4 (CTLA-4) on CD4+ T cells of albendazole-treated individuals, -0.060 [-0.107 to -0.013] and -0.057 [-0.105 to -0.008] at 9 and 21 mo, respectively; Ptime = 0.017. This trial shows the capacity of helminths to up-regulate inhibitory molecules and to suppress proinflammatory immune responses in humans. This could help to explain the inferior immunological responses to vaccines and lower prevalence of inflammatory diseases in low- compared with high-income countries.


Assuntos
Albendazol/uso terapêutico , Infecções Comunitárias Adquiridas/prevenção & controle , Helmintíase/tratamento farmacológico , Helmintos/efeitos dos fármacos , Adolescente , Adulto , Animais , Anti-Helmínticos/uso terapêutico , Linfócitos T CD4-Positivos/efeitos dos fármacos , Linfócitos T CD4-Positivos/imunologia , Linfócitos T CD4-Positivos/metabolismo , Antígeno CTLA-4/imunologia , Antígeno CTLA-4/metabolismo , Criança , Infecções Comunitárias Adquiridas/imunologia , Infecções Comunitárias Adquiridas/parasitologia , Estudos Transversais , Citocinas/sangue , Citocinas/imunologia , Método Duplo-Cego , Feminino , Helmintíase/epidemiologia , Helmintíase/imunologia , Helmintos/imunologia , Interações Hospedeiro-Parasita/efeitos dos fármacos , Interações Hospedeiro-Parasita/imunologia , Humanos , Indonésia/epidemiologia , Masculino , Plasmodium falciparum/efeitos dos fármacos , Plasmodium falciparum/imunologia , Prevalência , Resultado do Tratamento , Adulto Jovem
6.
J Helminthol ; 93(5): 533-538, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30149818

RESUMO

In this study, we evaluated the in vivo comparative efficacy of ivermectin and Nigella sativa extract against helminths in Aseel chickens, and the effects of helminths on blood parameters before and after treatment in Aseel chickens. Forty naturally infected adult Aseel chickens were randomly divided into four groups (n = 10 each): group A (ivermectin at 300 µg/kg); group B (N. sativa extract at 200 mg/kg); group C (ivermectin at 300 µg/kg + N. sativa extract at 200 mg/kg); group D was kept as a positive control to monitor time-related changes. On day 28 post treatment, the mean percentages of faecal egg-count reduction (FECR %) in groups A, B and C were recorded as 93.58, 88.09 and 100.00%, respectively. Further data analysis showed significantly higher efficacy in group C (100 ± 0.00%) than in groups A and B (P < 0.001). Highly significant (P < 0.001) improvements in mean percentage values of packed cell volume (PCV %) were recorded in groups A and C on days 14 and 28 post treatment. Meanwhile, the improvements in mean values of haemoglobin (Hb) concentration in groups A, B and C were highly significant (P < 0.001) when compared to that of group D on day 28 post treatment. The synergistic combination of ivermectin and N. sativa extract possessed greater efficacy than either ivermectin or N. sativa extract used alone. Furthermore, both PCV % and Hb concentration values gradually increased in the treated groups compared to the control group, in which PCV % and Hb concentration gradually decreased throughout the trial.


Assuntos
Helmintíase Animal/tratamento farmacológico , Ivermectina/uso terapêutico , Nigella sativa/química , Extratos Vegetais/uso terapêutico , Animais , Galinhas/parasitologia , Sinergismo Farmacológico , Fezes/parasitologia , Helmintos/efeitos dos fármacos , Contagem de Ovos de Parasitas , Distribuição Aleatória
7.
J Biol Chem ; 292(38): 15731-15743, 2017 09 22.
Artigo em Inglês | MEDLINE | ID: mdl-28798236

RESUMO

Mitochondria play a primary role in the pathophysiology of Parkinson's disease (PD), and small molecules that counteract the initial stages of disease may offer therapeutic benefit. In this regard, we have examined whether the off-target effects of the Food and Drug Administration (FDA)-approved anti-helminth drug nitazoxanide (NTZ) on mitochondrial respiration could possess any therapeutic potential for PD. Results indicate that MPP+-induced loss in oxygen consumption rate (OCR) and ATP production by mitochondria were ameliorated by NTZ in real time by virtue of its mild uncoupling effect. Pretreatment of cells with NTZ mitigated MPP+-induced loss in mitochondrial OCR and reactive oxygen species (ROS). Similarly, addition of NTZ to cells pretreated with MPP+ could reverse block in mitochondrial OCR and reactive oxygen species induced by MPP+ in real time. The observed effects of NTZ were found to be transient and reversible as removal of NTZ from incubation medium restored the mitochondrial respiration to that of controls. Apoptosis induced by MPP+ was ameliorated by NTZ in a dose-dependent manner. In vivo results demonstrated that oral administration of NTZ (50 mg/kg) in an acute MPTP mouse model of PD conferred significant protection against the loss of tyrosine hydroxylase (TH)-positive neurons of substantia nigra. Based on the above observations we believe that repurposing of NTZ for PD may offer therapeutic benefit.


Assuntos
Aprovação de Drogas , Helmintos/efeitos dos fármacos , Mitocôndrias/efeitos dos fármacos , Mitocôndrias/metabolismo , Transtornos Parkinsonianos/tratamento farmacológico , Tiazóis/farmacologia , United States Food and Drug Administration , Trifosfato de Adenosina/biossíntese , Animais , Apoptose/efeitos dos fármacos , Linhagem Celular Tumoral , Respiração Celular/efeitos dos fármacos , Humanos , Masculino , Potencial da Membrana Mitocondrial/efeitos dos fármacos , Camundongos , Neurônios/efeitos dos fármacos , Neurônios/patologia , Nitrocompostos , Transtornos Parkinsonianos/metabolismo , Transtornos Parkinsonianos/patologia , Ratos , Espécies Reativas de Oxigênio/metabolismo , Tiazóis/uso terapêutico , Estados Unidos
8.
Clin Infect Dis ; 66(suppl_4): S253-S259, 2018 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-29860285

RESUMO

Background: Considerable efforts have been made to better understand the effectiveness of large-scale preventive chemotherapy therapy for the control of morbidity caused by infection with soil-transmitted helminths (STHs): Ascaris lumbricoides, Trichuris trichiura, and the 2 hookworm species, Necator americanus and Ancylostoma duodenale. Current World Health Organization (WHO) guidelines for STH control include mass drug administration (MDA) programs based on prevalence measurements, aiming at reducing morbidity in pre-school-aged children (pre-SAC) and school-aged children (SAC) by lowering the prevalence of moderate- to heavy-intensity infections to <1%. Methods: We project the likely impact of following the current WHO guidelines and assess whether the WHO morbidity goals will be achieved across a range of transmission settings. We also investigate modifications that could be made to the current WHO treatment guidelines, and project their potential impacts in achieving morbidity and transmission control. Results: While the standard guidelines are sufficient at low transmission levels, community-wide treatment (ie, involving pre-SAC, SAC, and adults) is essential if WHO morbidity goals are to be met in moderate- to high-transmission settings. Moreover, removing the recommendation of decreasing the treatment frequency at midline (5-6 years after the start of MDA) further improves the likelihood of achieving morbidity control in SAC. Conclusions: We meld analyses based on 2 mathematical models of parasite transmission and control by MDA for the dominant STH species, to generate a unified treatment approach applicable across all settings, regardless of which STH infection is most common. We recommend clearly defined changes to the current WHO guidelines.


Assuntos
Albendazol/administração & dosagem , Anti-Helmínticos/administração & dosagem , Helmintíase/prevenção & controle , Helmintos/efeitos dos fármacos , Modelos Teóricos , Guias de Prática Clínica como Assunto , Adulto , Animais , Criança , Pré-Escolar , Feminino , Helmintíase/tratamento farmacológico , Helmintíase/epidemiologia , Helmintíase/transmissão , Humanos , Administração Massiva de Medicamentos , Prevalência , Solo/parasitologia , Organização Mundial da Saúde
9.
Pharmacol Res ; 133: 77-100, 2018 07.
Artigo em Inglês | MEDLINE | ID: mdl-29727708

RESUMO

The World Health Organization estimated that more than 1.5 billion people are infected with soil-transmitted helminths globally, and foodborne trematodiases in humans cause ∼2 million life-years lost to disability and death worldwide every year. Investment in prevention, treatment, and awareness of helminth infections and discovery of new, safe, effective, and affordable anti-helminth drugs are urgently needed. Artemisinin (ART) and its derivatives have been widely used to treat malaria and other protozoan infections; they also possess activities against helminths. So far, many papers on ART and its derivatives against schistosomal infections have been reported and reviewed. This review attempts to summarize recent advances in the uses of ART and its derivatives to treat infections of helminth parasites other than Schistosoma spp. in both humans and animals, including nematodes (Toxocara canis, Trichinella spiralis, Haemonchus contortus, Meloidogyne spp., Globodera rostochiensis, and Xiphinema index), cestodes (Echinococcus spp. and Taenia crassiceps), trematodes (Echinostoma spp., Fasciola spp., Clonorchis sinensis, Opisthorchis viverrini, Paragonimus westermani, Heterophyes heterophyes, and Paramphistomum microbothrium), and monogenea parasites (Dactylogyrus and Gyrodactylus). We concluded that ART and its derivatives are potentially effective drugs for treating various helminthic diseases of public health significance.


Assuntos
Anti-Helmínticos/uso terapêutico , Artemisininas/uso terapêutico , Helmintíase/tratamento farmacológico , Animais , Anti-Helmínticos/química , Anti-Helmínticos/farmacologia , Artemisininas/química , Artemisininas/farmacologia , Helmintos/efeitos dos fármacos , Humanos
10.
Parasitology ; 145(13): 1655-1664, 2018 11.
Artigo em Inglês | MEDLINE | ID: mdl-29415781

RESUMO

Helminth infections have large negative impacts on production efficiency in ruminant farming systems worldwide, and their effective management is essential if livestock production is to increase to meet future human needs for dietary protein. The control of helminths relies heavily on routine use of chemotherapeutics, but this approach is unsustainable as resistance to anthelmintic drugs is widespread and increasing. At the same time, infection patterns are being altered by changes in climate, land-use and farming practices. Future farms will need to adopt more efficient, robust and sustainable control methods, integrating ongoing scientific advances. Here, we present a vision of helminth control in farmed ruminants by 2030, bringing to bear progress in: (1) diagnostic tools, (2) innovative control approaches based on vaccines and selective breeding, (3) anthelmintics, by sustainable use of existing products and potentially new compounds, and (4) rational integration of future control practices. In this review, we identify the technical advances that we believe will place new tools in the hands of animal health decision makers in 2030, to enhance their options for control and allow them to achieve a more integrated and sustainable approach to helminth control in support of animal welfare and production.


Assuntos
Anti-Helmínticos/uso terapêutico , Helmintíase Animal/prevenção & controle , Helmintos/efeitos dos fármacos , Ruminantes/parasitologia , Criação de Animais Domésticos , Bem-Estar do Animal , Animais , Animais Domésticos/parasitologia , Clima , Helmintíase Animal/transmissão , Gado/parasitologia , Fatores de Tempo
11.
Mar Drugs ; 16(9)2018 Aug 30.
Artigo em Inglês | MEDLINE | ID: mdl-30200225

RESUMO

An N-methylated analog of a marine bacteria-derived natural proline-rich tetracyclopeptide was synthesized by coupling the deprotected dipeptide fragments Boc-l-prolyl-l-N-methylleucine-OH and l-prolyl-l-N-methylphenylalanine-OMe. A coupling reaction was accomplished utilizing N,N'-Dicyclohexylcarbodidimde (DCC) and 1-Ethyl-3-(3-dimethylaminopropyl) carbodiimide (EDC·HCl) as coupling agents and Triethylamine (TEA) or N-methylmorpholine (NMM) as the base in the presence of the racemization suppressing agent. This was followed by the cyclization of the linear tetrapeptide fragment under alkaline conditions. The structure of the synthesized cyclooligopeptide was confirmed using quantitative elemental analysis, FTIR (Fourier-transform infrared spectroscopy), ¹H NMR (Nuclear magnetic resonance spectroscopy), 13C NMR, and mass spectrometry. From the bioactivity results, it was clear that the newly synthesized proline-rich tetracyclopeptide exhibited better anthelmintic potential against Megascoplex konkanensis, Pontoscotex corethruses, and Eudrilus eugeniae at a concentration of 2 mg/mL as well as improved antifungal activity against pathogenic dermatophytes Trichophyton mentagrophytes and Microsporum audouinii at a concentration of 6 µg/mL, as compared to non-methylated tetracyclopeptide. Moreover, N-methylated tetracyclopeptide displayed significant activity against pathogenic Candida albicans.


Assuntos
Organismos Aquáticos/química , Bactérias/química , Helmintos/efeitos dos fármacos , Peptídeos Cíclicos/síntese química , Animais , Anti-Helmínticos/síntese química , Anti-Helmínticos/farmacologia , Antibacterianos/síntese química , Antibacterianos/farmacologia , Antifúngicos/síntese química , Antifúngicos/farmacologia , Arthrodermataceae/efeitos dos fármacos , Espectroscopia de Ressonância Magnética Nuclear de Carbono-13 , Ciclização , Dipeptídeos/química , Metilação , Testes de Sensibilidade Microbiana , Estrutura Molecular , Peptídeos Cíclicos/farmacologia , Prolina/química , Espectroscopia de Infravermelho com Transformada de Fourier
12.
Infect Immun ; 85(4)2017 04.
Artigo em Inglês | MEDLINE | ID: mdl-28167672

RESUMO

Helminth infections are known to modulate cytokine responses in latent tuberculosis (LTB). However, very few studies have examined whether this modulation is reversible upon anthelmintic therapy. We measured the systemic and mycobacterial (TB) antigen-stimulated levels of type 1, type 2, type 17, and regulatory cytokines in individuals with LTB and with or without coexistent Strongyloides stercoralis infection before and after anthelmintic therapy. Our data reveal that individuals with LTB and coexistent S. stercoralis infection have significantly lower levels of systemic and TB antigen-stimulated type 1 (gamma interferon [IFN-γ], tumor necrosis factor alpha [TNF-α], and interleukin-2 [IL-2]) and type 17 (IL-17A and/or IL-17F) cytokines and significantly higher levels of systemic but not TB antigen-stimulated type 2 (IL-4 and IL-5) and regulatory (transforming growth factor beta [TGF-ß]) cytokines. Anthelmintic therapy resulted in significantly increased systemic levels of type 1 and/or type 17 cytokines and in significantly decreased systemic levels of type 2 and regulatory (IL-10 and TGF-ß) cytokines. In addition, anthelmintic therapy resulted in significantly increased TB antigen-stimulated levels of type 1 cytokines only. Our data therefore confirm that the modulation of systemic and TB antigen-stimulated cytokine responses in S. stercoralis-LTB coinfection is reversible (for the most part) by anthelmintic treatment.


Assuntos
Antígenos de Bactérias/imunologia , Coinfecção , Citocinas/metabolismo , Helmintíase/imunologia , Helmintíase/metabolismo , Helmintos/efeitos dos fármacos , Mycobacterium tuberculosis , Tuberculose/imunologia , Tuberculose/metabolismo , Adulto , Animais , Anti-Helmínticos/farmacologia , Feminino , Helmintíase/parasitologia , Helmintíase/terapia , Interações Hospedeiro-Parasita/efeitos dos fármacos , Interações Hospedeiro-Parasita/imunologia , Interações Hospedeiro-Patógeno/efeitos dos fármacos , Interações Hospedeiro-Patógeno/imunologia , Humanos , Tuberculose Latente/imunologia , Tuberculose Latente/metabolismo , Tuberculose Latente/microbiologia , Masculino , Pessoa de Meia-Idade , Tuberculose/microbiologia , Adulto Jovem
13.
Curr Opin Infect Dis ; 30(5): 482-488, 2017 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-28700363

RESUMO

PURPOSE OF REVIEW: Soil-transmitted helminths (STH) are endemic in 120 countries and are associated with substantial morbidity and loss of economic productivity. Although current WHO guidelines focus on morbidity control through mass drug administration (MDA), there is global interest in whether a strategy targeting disease elimination might be feasible in some settings. This review summarizes the prospects for switching from control to an elimination strategy. RECENT FINDINGS: STH control efforts have reduced the intensity of infections in targeted populations with associated reductions in morbidity. However, adults are not frequently targeted and remain important reservoirs for reinfection of treated children. Recent modeling suggests that transmission interruption may be possible through expanded community-wide delivery of MDA, the feasibility of which has been demonstrated by other programs. However, these models suggest that high levels of coverage and compliance must be achieved. Potential challenges include the risk of prematurely dismantling STH programs and the potential increased risk of antihelminthic resistance. SUMMARY: Elimination of STH may offer an opportunity to eliminate substantial STH-related morbidity while reducing resource needs of neglected tropical disease programs. Evidence from large community trials is needed to determine the feasibility of interrupting the transmission of STH in some geographic settings.


Assuntos
Anti-Helmínticos/uso terapêutico , Erradicação de Doenças , Helmintíase/prevenção & controle , Helmintos , Solo/parasitologia , Adulto , Animais , Criança , Resistência a Medicamentos , Helmintos/efeitos dos fármacos , Humanos
14.
BMC Complement Altern Med ; 17(1): 284, 2017 May 30.
Artigo em Inglês | MEDLINE | ID: mdl-28558679

RESUMO

BACKGROUND: Since long, natural sources have been explored for possible managements of various diseases. In this context, the study is designed to evaluate Isodon rugosus Wall. ex Benth for biological potentials including antibacterial, anthelmintic, insecticidal, anti-termites and anti-Pharaoh activities followed by GC-MS analysis of active fraction to identify various bioactive compounds. METHODS: I. rugosus was investigated against eight bacterial strains using well diffusion method and microdilution method with ceftriaxone as positive control. Similarly, the insecticidal activity was carried out against Tribolium castaneum, Rhyzopertha dominica, Monomorium pharaonis and Heterotermis indicola following contact toxicity method. Likewise, anthelmintic activity was performed against Ascaridia galli and Pherethima posthuma using albendazole as positive control, in which the paralysis and death times of the worms were observed. The GC-MS analysis of the most active solvent fraction was performed for identifications of various bioactive compounds. RESULTS: Among the tested samples of I. rugosus, flavonoids and ethyl acetate fraction exhibited high antibacterial activities. The crude saponins showed highest anthelmintic activity against Pherethima posthuma and Ascaridia galli with death times of 27.67 and 29.22 min respectively at concentrations of 40 mg/ml. In insecticidal activity, chloroform fraction and saponins exhibited notable results against R. dominica (60 and 70%) and T. castaneum (70 and 76%) at concentration of 200 mg/ml. In anti-termite assay, all the plant samples showed overwhelming results, i.e. all the 25 termites were killed on the 3rd day. Similarly, in anti-Pharaoh activity, the chloroform, ethyl acetate and saponins fractions were most potent, each exhibiting LD50 of <0.1 mg/ml. In GC-MS analysis, total of 57 compounds were identified. Some of the bioactive compounds identified in GC-MS analysis are palmitic acid, hinokiol, α-amyrin, phytol, ethyl linolate, cyclohexanone, hinokione, methyl palmitate, ethyl palmitate and stigmasterol acetate. CONCLUSIONS: Based on our current results, it can be concluded that I. rugosus possess strong antibacterial, insecticidal and anthelmintic potentials having crude saponins and ethyl acetate as the most active fractions. The GC-MS analysis and biological assays reveal that ethyl acetate fraction is a suitable target for the isolation of diverse array of bioactive compounds.


Assuntos
Anti-Helmínticos/farmacologia , Antibacterianos/farmacologia , Inseticidas/farmacologia , Isodon/química , Extratos Vegetais/química , Extratos Vegetais/farmacologia , Animais , Anti-Helmínticos/química , Anti-Helmínticos/isolamento & purificação , Antibacterianos/química , Antibacterianos/isolamento & purificação , Bactérias/efeitos dos fármacos , Cromatografia Gasosa-Espectrometria de Massas , Helmintos/efeitos dos fármacos , Insetos/efeitos dos fármacos , Inseticidas/química , Inseticidas/isolamento & purificação , Extratos Vegetais/isolamento & purificação
15.
N Z Vet J ; 65(4): 176-184, 2017 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-28415922

RESUMO

Anthelmintic drugs require effective concentrations to be attained at the site of parasite location for a certain period to assure their efficacy. The processes of absorption, distribution, metabolism and excretion (pharmacokinetic phase) directly influence drug concentrations attained at the site of action and the resultant pharmacological effect. The aim of the current review article was to provide an overview of the relationship between the pharmacokinetic features of different anthelmintic drugs, their availability in host tissues, accumulation within target helminths and resulting therapeutic efficacy. It focuses on the anthelmintics used in cattle and sheep for which published information on the overall topic is available; benzimidazoles, macrocyclic lactones and monepantel. Physicochemical properties, such as water solubility and dissolution rate, determine the ability of anthelmintic compounds to accumulate in the target parasites and consequently final clinical efficacy. The transcuticular absorption process is the main route of penetration for different drugs in nematodes and cestodes. However, oral ingestion is a main route of drug entry into adult liver flukes. Among other factors, the route of administration may substantially affect the pharmacokinetic behaviour of anthelmintic molecules and modify their efficacy. Oral administration improves drug efficacy against nematodes located in the gastroinestinal tract especially if parasites have a reduced susceptibility. Partitioning of the drug between gastrointestinal contents, mucosal tissue and the target parasite is important to enhance the drug exposure of the nematodes located in the lumen of the abomasum and/or small intestine. On the other hand, large inter-animal variability in drug exposure and subsequent high variability in efficacy is observed after topical administration of anthelmintic compounds. As it has been extensively demonstrated under experimental and field conditions, understanding pharmacokinetic behaviour and identification of different factors affecting drug activity is important for achieving optimal parasite control and avoiding selection for drug resistance. The search for novel alternatives to deliver enhanced drug concentrations within target helminth parasites may contribute to avoiding misuse, and prolong the lifespan of existing and novel anthelmintic compounds in the veterinary pharmaceutical market.


Assuntos
Aminoacetonitrila/análogos & derivados , Anti-Helmínticos/farmacocinética , Benzimidazóis/farmacocinética , Doenças dos Bovinos/tratamento farmacológico , Helmintíase Animal/tratamento farmacológico , Lactonas/farmacocinética , Doenças dos Ovinos/tratamento farmacológico , Aminoacetonitrila/farmacocinética , Animais , Bovinos , Doenças dos Bovinos/parasitologia , Cestoides/efeitos dos fármacos , Haemonchus/efeitos dos fármacos , Helmintos/efeitos dos fármacos , Ruminantes , Salicilanilidas/farmacocinética , Ovinos , Doenças dos Ovinos/parasitologia
16.
Parasitology ; 142(2): 303-17, 2015 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-25354656

RESUMO

SUMMARY Pentameric ligand-gated ion-channels rapidly transduce synaptic neurotransmitter signals to an electrical response in post-synaptic neuronal or muscle cells and control the neuromusculature of a majority of multicellular animals. A wide range of pharmaceuticals target these receptors including ethanol, nicotine, anti-depressants and other mood regulating drugs, compounds that control pain and mobility and are targeted by a majority of anthelmintic drugs used to control parasitic infection of humans and livestock. Major advances have been made in recent years to our understanding of the structure, function, activity and the profile of compounds that can activate specific receptors. It is becoming clear that these anthelmintic drug targets are not fixed, but differ in significant details from one nematode species to another. Here we review what is known about the evolution of the pentameric ligand-gated ion-channels, paying particular attention to the nematodes, how we can infer the origins of such receptors and understand the factors that determine how they change both over time and from one species to another. Using this knowledge provides a biological framework in which to understand these important drug targets and avenues to identify new receptors and aid the search for new anthelmintic drugs.


Assuntos
Anti-Helmínticos/farmacologia , Helmintos/efeitos dos fármacos , Helmintos/metabolismo , Ativação do Canal Iônico/fisiologia , Canais Iônicos/metabolismo , Animais , Helmintos/genética , Canais Iônicos/genética , Filogenia
17.
Indian J Med Res ; 141(3): 330-9, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25963494

RESUMO

BACKGROUND & OBJECTIVES: One third of the world's population is infected with one or more of the most common soil-transmitted helminths (STH). Albendazole (ALB) is being administered with diethyl carbamazine (DEC) in filariasis endemic areas to eliminate lymphatic filariasis (LF) and helminth infections. In this study, the cumulative impact of seven annual rounds of mass drug administrations (MDA) of DEC and ALB on STH infection in school children in selected villages in southern India was determined. METHODS: During 2001-2010, seven MDAs were implemented by the Tamil Nadu s0 tate h0 ealth d0 epartment, India. LF and STH infections were monitored in school children from 18 villages of the two treatment arms (viz, DEC alone and DEC+ALB). Kato-Katz cellophane quantitative thick smear technique was employed to estimate STH infections at three weeks, six months and one year post MDA. RESULTS: Prior to treatment, an overall STH prevalence was 60 per cent. After each MDA, infection markedly reduced at three weeks post-treatment in both the arms. The prevalence increased at six months period, which was maintained up to one year. After seven rounds of MDA, the infection reduced from 60.44 to 12.48 per cent in DEC+ALB arm; while the reduction was negligible in DEC alone arm (58.77 to 52.70%). INTERPRETATION & CONCLUSIONS: Seven rounds of MDA with DEC+ALB reduced the infection load significantly, and further sustained low level of infection for 10 years. However, complete parasite elimination could not be achieved. To curtail STH infection in the community, MDA should be regularized and environmental sanitation measures need to be improved by effective community-based campaigns.


Assuntos
Albendazol/administração & dosagem , Dietilcarbamazina/administração & dosagem , Filariose Linfática/tratamento farmacológico , Helmintíase/tratamento farmacológico , Enteropatias Parasitárias/tratamento farmacológico , Animais , Criança , Esquema de Medicação , Filariose Linfática/epidemiologia , Filariose Linfática/parasitologia , Feminino , Helmintíase/epidemiologia , Helmintíase/parasitologia , Helmintos/efeitos dos fármacos , Helmintos/patogenicidade , Humanos , Enteropatias Parasitárias/epidemiologia , Enteropatias Parasitárias/parasitologia , Masculino
18.
Exp Parasitol ; 153: 75-80, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-25816976

RESUMO

In the search for new anthelmintics able to overcome the resistance problem against all available drugs in livestock, the synthesis of novel valerolactam-benzimidazole hybrid compounds was reported. This allowed us to obtain these in vitro and in vivo bioactive compounds using Nippostrongylus brasiliensis rat model by integrating physiology-based assays and ex vivo diffusion studies. In order to further study those novel hybrid molecules, Haemonchus contortus (a sheep gastrointestinal nematode of interest) and Mesocestoides vogae tetrathyridia (a useful system to study the efficacy of anthelmintic drugs against cestoda) were used as parasite models to compare the ex vivo patterns of diffusion and biotransformation of benzimidazoles and their valerolactam-benzimidazole hybrid derivatives. On average, a nine-fold higher intraparasitic concentration of compounds was found in M. vogae compared with H.contortus, with similarities regarding the order of entry of compounds, highlighting febendazole (FEB) and its hybrid compound 10, while valerolactam compound 2 practically did not penetrate the parasites. Interestingly, sulphoxidation drug metabolism was observed and measured, revealing percentages of oxidation of 8.2% and 14.5% for albendazole (ABZ) and febendazole respectively in M. vogae, while this effect was more relevant in H. contortus parasite. More importantly, significant differences were observed between anthelmintic-susceptible adult parasites (Hc S) and those from sheep farms (Hc U). In fact, the percentages of oxidation of FEB and the hybrid compound 8 were higher in Hc U (25.5%, 54.1%, respectively) than in Hc S (8.8%, 38.2%). Interestingly, sulphoxidation of hybrid compound 10 was neither observed in M. vogae nor in H. contortus parasites, suggesting that increased drug metabolism (oxidation reactions) could not be used by these parasites as a defense mechanism against this novel drug.


Assuntos
Anti-Helmínticos/farmacologia , Benzimidazóis/farmacologia , Helmintíase Animal/tratamento farmacológico , Helmintos/efeitos dos fármacos , Lactamas/farmacologia , Doenças dos Ovinos/tratamento farmacológico , Animais , Anti-Helmínticos/síntese química , Anti-Helmínticos/química , Benzimidazóis/química , Biotransformação , Feminino , Helmintíase Animal/parasitologia , Helmintos/crescimento & desenvolvimento , Lactamas/química , Masculino , Camundongos , Ratos , Ovinos , Doenças dos Ovinos/parasitologia
19.
Ecotoxicol Environ Saf ; 119: 162-9, 2015 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-26004356

RESUMO

During an environmental impact study of an accidental oil spill in the Campeche Sound in October 2007, we examined the helminth parasites of the benthic flatfish Cyclopsetta chittendeni as well as the concentrations of hydrocarbons and heavy metals in the sediment. The aim of this study was to determine the potential effects of these contaminants on the helminth communities of the flatfish. A total of 427 hosts were examined, and 16,895 helminths, representing 17 species, were obtained from two surveys (March and July, 2008). Statistically significant negative associations were observed between the hydrocarbons and helminth parasite abundances using multivariate methods. The results suggest that in October 2007, the oil spill had a strong negative effect on these helminth communities. However, after five months, the impacted stations were re-populated by both the flatfish and helminths. The most likely explanation for this rapid recovery is the rescue effect from non-impacted habitats to impacted stations.


Assuntos
Doenças dos Peixes/parasitologia , Linguado/parasitologia , Helmintos/efeitos dos fármacos , Hidrocarbonetos/toxicidade , Poluição por Petróleo/efeitos adversos , Poluentes Químicos da Água/efeitos adversos , Animais , Monitoramento Ambiental/métodos , Golfo do México , Hidrocarbonetos/efeitos adversos , México , Análise Multivariada
20.
J Helminthol ; 89(6): 748-54, 2015 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-25287940

RESUMO

We evaluated the effect of carbendazim on non-target organisms using the parasite Chordodes nobilii as a test organism. The Gordiida act as a link between freshwater and terrestrial ecosystems; and C. nobilii, a neotropical representative species of this group, has been shown to be sensitive to other contaminants even at environmentally acceptable concentrations. The taxa susceptible to carbendazim, however, may not be adequately represented among the standard aquatic test species used in ecotoxicological risk assessment. Moreover, the autochthonous organisms in this area that could be used as bioindicators still need to be found. The aim of the present work was therefore to assess the susceptibility of the preparasitic stages of C. nobilii to noxious effects by carbendazim. The assay protocol consisted in 96- and 48-h acute exposures of early embryonic stages and larvae, respectively, to concentrations ranging from 10 to 360 µg/l. Embryonic development was not inhibited by carbendazim at any of the evaluated concentrations, but the infectivity of larvae emerging from the exposed eggs was significantly diminished. Larval survival rate was also affected at the lowest concentration assayed. Values of the mean inhibition concentration (IC50) were 7 and 11 µg/l for embryos and larvae, respectively. Compared to other freshwater organisms, C. nobilii can be considered a species moderately to highly susceptible to carbendazim. As the expected environmental concentrations of carbendazim range from 6.25 to 41.3 µg/l, C. nobilii could well be a species in danger when exposed to this fungicide.


Assuntos
Benzimidazóis/farmacologia , Carbamatos/farmacologia , Helmintos/efeitos dos fármacos , Larva/efeitos dos fármacos , Animais , Feminino , Helmintos/embriologia , Larva/crescimento & desenvolvimento , Masculino , Testes de Sensibilidade Parasitária
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