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1.
Health Aff (Millwood) ; 43(7): 959-969, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38950300

ABSTRACT

Global supply chains for active pharmaceutical ingredients (APIs) are highly centralized in certain countries and are susceptible to supply-chain shocks. However, there is no systematic monitoring or global coordination to manage risk and ensure equitable supply continuity during public health emergencies. In this study, we applied quasi-experimental methods on shipment-level customs data to determine how prices and export volume for APIs exported from India were affected by the COVID-19 pandemic. We found that API prices for key essential medicines not used for COVID-19 did not change significantly in the year after the World Health Organization pandemic declaration, but volume decreased by 80 percent. Prices for medicines speculatively repurposed for COVID-19, such as hydroxychloroquine and ivermectin, increased by as much as 250 percent compared with prices for nonrepurposed medicines, but only ivermectin saw a decrease in volume. Systematic monitoring of API markets, investments to promote supply diversification, and legal and political reforms to disincentivize price speculation could support supply-chain resilience and safeguard access to medicines.


Subject(s)
COVID-19 , Humans , COVID-19/epidemiology , SARS-CoV-2 , India , Commerce , COVID-19 Drug Treatment , Global Health , Drugs, Essential/supply & distribution , Drugs, Essential/economics , Ivermectin/supply & distribution , Ivermectin/therapeutic use , Ivermectin/economics , Pandemics , Internationality , Bulk Drugs
2.
Pan Afr Med J ; 47: 142, 2024.
Article in English | MEDLINE | ID: mdl-38933431

ABSTRACT

Lymphatic filariasis is a neglected tropical disease that affects the lymphatic system of humans. The major etiologic agent is a nematode called Wuchereria bancrofti, but Brugia malayi and Brugia timoriare sometimes encountered as causative agents. Mosquitoes are the vectors while humans the definitive hosts respectively. The burden of the disease is heavier in Nigeria than in other endemic countries in Africa. This occurs with increasing morbidity and mortality at different locations within the country, the World Health Organization recommended treatments for lymphatic filariasis include the use of Albendazole (400mg) twice per year in co-endemic areas with loa loa, Ivermectin (200mcg/kg) in combination with Albendazole (400mg) in areas that are co-endemic with onchocerciasis, ivermectin (200mcg/kg) with diethylcarbamazine citrate (DEC) (6mg/kg) and albendazole (400mg) in areas without onchocerciasis. This paper covered a systematic review, meta-analysis, and scoping review on lymphatic filariasis in the respective geopolitical zones within the country. The literature used was obtained through online search engines including PubMed and Google Scholar with the heading "lymphatic filariasis in the name of the state", Nigeria. This review revealed an overall prevalence of 11.18% with regional spread of Northwest (1.59%), North Central and North East, (4.52%), South West (1.26%), and South-South with South East (3.81%) prevalence. The disease has been successfully eliminated in Argungu local government areas (LGAs) of Kebbi State, Plateau, and Nasarawa States respectively. Most clinical manifestations (31.12%) include hydrocele, lymphedema, elephantiasis, hernia, and dermatitis. Night blood samples are appropriate for microfilaria investigation. Sustained MDAs, the right testing methods, early treatment of infected cases, and vector control are useful for the elimination of lymphatic filariasis for morbidity management and disability prevention in the country. Regional control strategies, improved quality monitoring of surveys and intervention programs with proper records of morbidity and disability requiring intervention are important approaches for the timely elimination of the disease in Nigeria.


Subject(s)
Elephantiasis, Filarial , Wuchereria bancrofti , Elephantiasis, Filarial/epidemiology , Elephantiasis, Filarial/drug therapy , Humans , Nigeria/epidemiology , Animals , Wuchereria bancrofti/isolation & purification , Filaricides/administration & dosage , Filaricides/therapeutic use , Albendazole/administration & dosage , Neglected Diseases/epidemiology , Neglected Diseases/parasitology , Ivermectin/administration & dosage , Ivermectin/therapeutic use , Brugia malayi/isolation & purification
3.
PLoS Negl Trop Dis ; 18(6): e0012236, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38935622

ABSTRACT

BACKGROUND: Lymphatic filariasis (LF) remains a significant global issue. To eliminate LF as a public health problem, the World Health Organization (WHO) recommends multiple rounds of mass drug administration (MDA). In certain scenarios, including when elimination targets have not been met with two-drug MDA, triple-drug MDA (using ivermectin, diethylcarbamazine and albendazole) is recommended. In this study, we report on antigen (Ag) and microfilaria (Mf) prevalence in eight primary sampling units (PSUs) in Samoa 4.5 years after one round of triple-drug MDA. METHODOLOGY: In 2023, community surveys were conducted in eight PSUs that had been surveyed previously in 2018 (between 1.5 and 3.5 months post triple-drug MDA) and 2019 (six to eight-months post triple-drug MDA). Fifteen houses were randomly selected in each PSU with household members aged ≥ 5 years invited to participate. Blood samples were tested for Ag and Mf. PRINCIPAL FINDINGS: Ag-positive participants were observed in six of the eight PSUs, and Ag prevalence was significantly above the 1% threshold in four PSUs. The presence of Mf-positive participants in five PSUs confirms the presence of residual active infections. CONCLUSIONS/SIGNIFICANCE: This study provides evidence of persistent LF transmission in Samoa 4.5 years after one round of triple-drug MDA, confirming that one round was insufficient for interruption of transmission in this setting. Our findings highlight the negative impact of delaying MDA rounds, for example, due to public health emergencies.


Subject(s)
Albendazole , Diethylcarbamazine , Elephantiasis, Filarial , Filaricides , Ivermectin , Mass Drug Administration , Elephantiasis, Filarial/transmission , Elephantiasis, Filarial/epidemiology , Elephantiasis, Filarial/drug therapy , Elephantiasis, Filarial/prevention & control , Humans , Albendazole/administration & dosage , Albendazole/therapeutic use , Samoa/epidemiology , Diethylcarbamazine/administration & dosage , Diethylcarbamazine/therapeutic use , Ivermectin/administration & dosage , Ivermectin/therapeutic use , Male , Female , Adult , Filaricides/administration & dosage , Filaricides/therapeutic use , Middle Aged , Adolescent , Animals , Young Adult , Child , Prevalence , Antigens, Helminth/blood , Drug Therapy, Combination , Child, Preschool , Wuchereria bancrofti/drug effects , Wuchereria bancrofti/isolation & purification , Aged
4.
Arch Dermatol Res ; 316(6): 336, 2024 Jun 06.
Article in English | MEDLINE | ID: mdl-38844670

ABSTRACT

Telogen effluvium is characterized by excessive hair shedding usually following a stressful event. Ferritin has been used in clinical practice as a biomarker of nonanemic iron deficiency in cases of telogen effluvium. During the years of the COVID19 pandemic, telogen effluvium was reported as a part of post covid manifestations. As ferritin was also a biomarker for inflammation in cases with covid infection, this study was designed to evaluate the value of ferritin in cases with postcovid telogen effluvium one hundred patients recovering from covid 19 for 4-12 weeks were included in the study, detailed drug and laboratory history was obtained and serum ferritin level was measured. the mean serum level of ferritin among telogen effluvium patients was significantly lower than controls (68.52 ± 126 and 137 ± 137.597 ug/L respectively). Patients with telogen effluvium used significantly more azithromycin and ivermectin and significantly less vitamin C, D, lactoferrin and zinc than the controls Although serum ferritin is lower among telogen effluvium patients, it was still higher than the cutoff value for diagnosing nonanemic iron deficiency, we suggest that it will not be a good biomarkers in these cases. Our secondary outcomes showed that dietary supplements used during active infection such as vitamin C, D, lactoferrin and zinc might have a preventive value on postcovid hair loss, while azithromycin and ivermectin could have a negative long term effect on telogen effluvium.


Subject(s)
Biomarkers , COVID-19 , Dietary Supplements , Ferritins , Humans , Ferritins/blood , COVID-19/blood , COVID-19/diagnosis , Biomarkers/blood , Female , Adult , Male , Case-Control Studies , Middle Aged , SARS-CoV-2 , Azithromycin/therapeutic use , Ivermectin/therapeutic use , Alopecia/diagnosis , Alopecia/blood , Alopecia/etiology , Hair , Young Adult
5.
PLoS One ; 19(6): e0301554, 2024.
Article in English | MEDLINE | ID: mdl-38861496

ABSTRACT

In Sudan, resistance to benzimidazoles has been reported recently in cattle and goats from South Darfur. Herein, ivermectin efficacy against gastrointestinal nematodes (GINs) was evaluated in sheep and goats in three study areas in South Darfur. The faecal egg count reduction test (FECRT) was used to evaluate the efficacy of ivermectin in sheep and goats naturally infected with GINs in the region of Bulbul (goats: n = 106), Kass (goats: n = 40) and Nyala (Domaia (sheep: n = 47, goats: n = 77) and the University farm (goats: n = 52)), using different treatment plans, and the efficacy was evaluated 12 days after treatment. Ivermectin efficacy was also evaluated in goats experimentally infected using local Haemonchus contortus isolates from Kass and Nyala. Nematodes surviving ivermectin treatment in goats in Bulbul and Nyala were harvested and larvae used to infect worm-free male sheep (n = 6, ≤6 months old). Infected sheep were dosed subcutaneously with ivermectin every eight days with increasing doses from 0.2 mg/kg to 1.6 mg/kg bodyweight (bw). Reduced ivermectin efficacy was identified in sheep and goats in the four study locations. Using a paired statistic, the efficacy of a therapeutic dose in sheep was 75.6% (90% upper credible limit (UCrL): 77.5%), while twice the recommended dose led to a reduction of 92.6% (90% UCrL: 93.3%). In goats, the FECRs of a therapeutic dose were 72.9-95.3% (90% UCrL range: 73.6-95.7%) in Bulbul, Nyala Domaia, Nyala University farm and Kass. Twice the dose recommended for goats in Bulbul revealed a 90% UCrL of 87.6%. All post-treatment faecal cultures contained only Haemonchus spp. larvae. The experimental infection trials in sheep and goats supported our findings from field trials and calculated upper 90% CrL of below 98.9%. For the first time highly ivermectin resistant H. contortus populations have been identified in sheep and goats in Sudan, and resistance was experimentally confirmed.


Subject(s)
Drug Resistance , Goat Diseases , Goats , Ivermectin , Nematode Infections , Sheep Diseases , Animals , Goats/parasitology , Ivermectin/pharmacology , Ivermectin/therapeutic use , Sheep/parasitology , Sheep Diseases/drug therapy , Sheep Diseases/parasitology , Goat Diseases/drug therapy , Goat Diseases/parasitology , Sudan , Nematode Infections/drug therapy , Nematode Infections/veterinary , Nematode Infections/parasitology , Feces/parasitology , Male , Parasite Egg Count/veterinary , Nematoda/drug effects , Anthelmintics/therapeutic use , Anthelmintics/pharmacology , Haemonchus/drug effects
6.
Vet Med Sci ; 10(4): e1500, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38864312

ABSTRACT

BACKGROUND: Sarcoptic mange is rare in cats. The main symptoms reported in cases of feline sarcoptic mange include crusty lesions and pruritus, although these may vary in severity among individuals. OBJECTIVES: This report describes three cats infested with Sarcoptes scabiei, all presenting with pruritus and excoriation. METHODS: The diagnosis was confirmed by microscopic observation of skin scrape samples. RESULTS: All three cats were treated successfully using moxidectin and imidacloprid, selamectin and ivermectin, respectively. CONCLUSIONS: The clinical presentation of feline scabies appears to be more variable in cats than in dogs. Infestation with S. scabiei should be considered a differential diagnosis for cats presenting with pruritic inflammatory skin disease.


Subject(s)
Cat Diseases , Sarcoptes scabiei , Scabies , Animals , Scabies/veterinary , Scabies/drug therapy , Scabies/diagnosis , Cat Diseases/parasitology , Cat Diseases/drug therapy , Cat Diseases/diagnosis , Cats , Male , Female , Poland , Sarcoptes scabiei/drug effects , Ivermectin/therapeutic use , Ivermectin/analogs & derivatives , Nitro Compounds/therapeutic use , Neonicotinoids/therapeutic use , Insecticides/therapeutic use , Macrolides
7.
Sci Rep ; 14(1): 13741, 2024 06 14.
Article in English | MEDLINE | ID: mdl-38877072

ABSTRACT

Dirofilaria immitis is a mosquito-borne parasitic nematode that causes fatal heartworm disease in canids. The microfilariae are essential for research, including drug screening and mosquito-parasite interactions. However, no reliable methods for maintaining microfilaria long-term are currently available. Therefore, we used severe combined immunodeficiency (SCID) mice to develop a reliable method for maintaining D. immitis microfilaria. SCID mice were injected intravenously with microfilariae isolated from a D. immitis-infected dog. Microfilariae were detected in blood collected from the tail vein 218 days post-inoculation (dpi) and via cardiac puncture 296 dpi. Microfilariae maintained in and extracted from SCID mice showed infectivity and matured into third-stage larvae (L3s) in the vector mosquito Aedes aegypti. L3s can develop into the fourth stage larvae in vitro. Microfilariae from SCID mice respond normally to ivermectin in vitro. The microfilariae in SCID mice displayed periodicity in the peripheral circulation. The SCID mouse model aided in the separation of microfilariae from cryopreserved specimens. The use of SCID mice enabled the isolation and sustained cultivation of microfilariae from clinical samples. These findings highlight the usefulness of the SCID mouse model for studying D. immitis microfilaremia in canine heartworm research.


Subject(s)
Dirofilaria immitis , Dirofilariasis , Disease Models, Animal , Mice, SCID , Microfilariae , Animals , Dogs , Dirofilariasis/parasitology , Mice , Dog Diseases/parasitology , Aedes/parasitology , Larva , Ivermectin/therapeutic use
8.
Vet Parasitol Reg Stud Reports ; 52: 101047, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38880566

ABSTRACT

The variability in the expression of different P-glycoprotein (P-gp) genes in parasitic nematodes of ruminants such as Haemonchus contortus (Hco-pgp) may be caused by different factors including nematode biology, geographical region and anthelmintic pressure. This study analysed the relative expression level of 10 P-gp genes in two H. contortus (Hco-pgp) field isolates from Yucatan, Mexico: 1) PARAISO (IVM-resistant) and 2) FMVZ-UADY (IVM-susceptible). These isolates were compared with a susceptible reference isolate from Puebla, Mexico, namely "CENID-SAI". In all cases H. contortus adult males were used. The Hco-pgp genes (1, 2, 3, 4, 9, 10, 11, 12, 14 and 16) were analysed for each isolate using the RT-qPCR technique. The Hco-pgp expressions were pairwise compared using the 2-ΔΔCt method and a t-test. The PARAISO isolate showed upregulation compared to the CENID-SAI isolate for Hco-pgp 1, 3, 9, 10 and 16 (P < 0.05), and the PARAISO isolate showed upregulation vs. FMVZ-UADY isolate for Hco-pgp 2 and 9 (P < 0.05), displaying 6.58- and 5.93-fold differences (P < 0.05), respectively. In contrast, similar Hco-pgp gene expression levels were recorded for FMVZ-UADY and CENID-SAI isolates except for Hco-pgp1 (P <0.1), which presented a significant upregulation (6.08-fold). The relative expression of Hco-pgp allowed confirming the IVM-resistant status of the PARAISO isolate and the IVM-susceptible status of the FMVZ-UADY isolate when compared to the CENID-SAI reference isolate. Therefore, understanding the association between the Hco-pgp genes expression of H. contortus and its IVM resistance status could help identifying the genes that could be used as molecular markers in the diagnosis of IVM resistance. However, it is important to consider the geographic origin of the nematode isolate and the deworming history at the farm of origin.


Subject(s)
ATP Binding Cassette Transporter, Subfamily B, Member 1 , Drug Resistance , Haemonchiasis , Haemonchus , Ivermectin , Animals , Haemonchus/drug effects , Haemonchus/genetics , Ivermectin/pharmacology , Mexico , Male , Drug Resistance/genetics , ATP Binding Cassette Transporter, Subfamily B, Member 1/genetics , Haemonchiasis/veterinary , Haemonchiasis/parasitology , Phenotype , Anthelmintics/pharmacology , Gene Expression , Sheep Diseases/parasitology , Sheep
9.
Vet Parasitol Reg Stud Reports ; 52: 101046, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38880577

ABSTRACT

In Argentina, as in the rest of the world, cyathostomins are the most common nematodes parasitizing horses. Control is based almost exclusively on the administration of benzimidazoles, pyrimidines, and macrocyclic lactones. However, intensive use of these drugs is resulting in the development of anthelmintic resistance (AR). For example, AR to benzimidazoles is currently distributed throughout Argentina, while incipient AR to pyrimidines (pyrantel embonate) is appearing in areas where this drug is used. Macrocyclic lactones and especially ivermectin, are by far the most used drugs by the vast majority of equine premises in the country. Although ivermectin has been used since 1982, its efficacy against equine strongylid parasites has remained very high until the present. In this study we report for the first time, the presence of a cyathostomin population with resistance to ivermectin in adult horses belonging to an equine premise located in central Argentina. Fecal egg count reduction tests (FECRT) were performed following the most recent guidelines of the World Association for the Advancement of Veterinary Parasitology (WAAVP) for the diagnosis of anthelmintic resistance (research protocol) and resistance was considered when the Upper 90% Credible Interval fell below the expected efficacy threshold of 99.9%. Calculations were carried out using two different online calculation interfaces suggested by WAAVP. For the 14-day post-treatment interval, ivermectin efficacy was 79.5% (90% Credible Interval: 68.1-88.8) and 79.3% (74.2-83.6.3%) with the two methods, respectively. At 19 days post treatment, fecal egg count reductions were 68.6% (50.5-83.1) and 68.4% (61.9-74.1), respectively. At both intervals, this cyathostomin population fullfilled the criteria for AR. These findings suggest dispersion of ivermectin resistant cyathostomins in Argentina. Given the widespread use of macrocyclic lactones, it is important that veterinarians and the equine industry promote a more selective and evidence-based use of these drugs and establish routine monitoring to determine anthelmintic field efficacy to detect treatment failures as early as possible and avoid potential health problems as well as further spread of resistant genes.


Subject(s)
Drug Resistance , Ivermectin , Parasite Egg Count , Animals , Horses , Ivermectin/pharmacology , Ivermectin/therapeutic use , Argentina , Parasite Egg Count/veterinary , Strongyle Infections, Equine/drug therapy , Strongyle Infections, Equine/parasitology , Anthelmintics/pharmacology , Feces/parasitology , Horse Diseases/drug therapy , Horse Diseases/parasitology , Strongyloidea/drug effects
10.
Anal Methods ; 16(25): 4136-4142, 2024 Jun 27.
Article in English | MEDLINE | ID: mdl-38860551

ABSTRACT

The ivermectin (IVM), as a broad-spectrum antiparasitic drug, was widely prescribed to treat COVID-19 during the pandemic, despite lacking proven efficacy in combating this disease. Therefore, it is important to establish affordable devices in laboratories with minimal infrastructure. The laser engraving technology has been revolutionary in sensor manufacturing, primarily attributed to the diversity of substrates that can be employed and the freedom it provides in creating sensor models. In this work, electrochemical sensors based on graphene were developed using the laser engraving technology for IVM sensing. Through, the studies that used the techniques of cyclic voltammetry and differential pulse voltammetry, following parameter optimization, for the laser-induced graphene electrode demonstrated a mass transport governed by adsorption of the species and exhibited a linear working range of 10-100 (µmol L-1), a limit of detection (LOD) of 1.6 × 10-6 (mol L-1), a limit of quantification (LOQ) of 4.8 × 10-6 (mol L-1), and a sensitivity of 0.139 (µA µmol L-1). The developed method was successfully applied to direct analysis of pharmaceutical tablets, tap water (recovery of 94%) and synthetic urine samples (recovery between 97% and 113%). These results demonstrate the feasibility of the method for routine analyses involving environmental samples.


Subject(s)
Electrochemical Techniques , Graphite , Ivermectin , Lasers , Ivermectin/analysis , Ivermectin/chemistry , Electrochemical Techniques/methods , Electrochemical Techniques/instrumentation , Graphite/chemistry , Humans , Limit of Detection , Antiparasitic Agents/urine , Antiparasitic Agents/analysis , Antiparasitic Agents/chemistry , Electrodes , COVID-19 , SARS-CoV-2
11.
J Hazard Mater ; 475: 134847, 2024 Aug 15.
Article in English | MEDLINE | ID: mdl-38885583

ABSTRACT

Herein, we developed a technique for loading nanopesticides onto Metal-Organic Frameworks (MOFs) to control Spodoptera litura. The average short-axis length of the synthesized carrier emamectin benzoate@PCN-222 @hyaluronic acid (EB@PCN-222 @HA) was ∼40 nm, with an average long-axis length of ∼80 nm. This enabled the manipulation of its size, contact angle, and surface tension on the surface of leaves. Pesticide-loading capacity, determined via thermogravimetric analysis, was measured at ∼16 %. To ensure accurate pesticide release in the alkaline intestine of Spodoptera litura, EB@PCN-222 @HA was engineered to decompose under alkaline conditions. In addition, the carrier delayed the degradation rate of EB, enhancing EB's stability. Loading Nile red onto PCN-222 @HA revealed potential entry into the insect body through feeding, which was supported by bioassay experiments. Results demonstrated the sustained-release performance of EB@PCN-222 @HA, extending its effective duration. The impact of different carrier concentrations on root length, stem length, fresh weight, and germination rate of pakchoi and tomato were assessed. Promisingly, the carrier exhibited a growth-promoting effect on the fresh weight of both the crops. Furthermore, cytotoxicity experiments confirmed its safety for humans. In cytotoxicity assays, PCN-222 @HA showed minimal toxicity at concentrations up to 100 mg/L, with cell survival rates above 80 %. Notably, the EB@PCN-222 @HA complex demonstrated reduced cytotoxicity compared to EB alone, supporting its safety for human applications. This study presents a safe and effective approach for pest control using controlled-release pesticides with extended effective durations.


Subject(s)
Ivermectin , Metal-Organic Frameworks , Spodoptera , Ivermectin/analogs & derivatives , Ivermectin/toxicity , Ivermectin/chemistry , Metal-Organic Frameworks/chemistry , Metal-Organic Frameworks/toxicity , Animals , Hydrogen-Ion Concentration , Spodoptera/drug effects , Insecticides/toxicity , Insecticides/chemistry , Drug Compounding , Hyaluronic Acid/chemistry , Hyaluronic Acid/toxicity , Solanum lycopersicum
12.
Vet Ital ; 60(1)2024 Mar 31.
Article in English | MEDLINE | ID: mdl-38898794

ABSTRACT

The aim of this study was to determine the concentration of TNF-alpha (TNF-α) in dogs naturally infected with Dirofilaria immitis (D. immitis) and to assess whether there are any changes in TNF-α concentration and their dependence during therapy for heartworm disease (HWD). For this study, 14 client-owned dogs with HWD were selected. Clinical and parasitological examinations (modified Knott test for circulating microfilariae and SNAP Test IDEXX for circulating D. immitis antigen) had been used for diagnosing D. immitis and HWD. All dogs were treated with an alternative therapy for HWD (oral doxycycline 10 mg/kg b.w., once daily for 6 weeks, then alternately 4 weeks without and 2 weeks with the medication, and oral ivermectin 6-14 µg/kg b.w., every 2 weeks). The dogs blood sera at the moment of HWD diagnosis, during and at the end of therapy were frozen for further quantifying of TNF-α (Canine TNF-alpha ELISA kit, Thermo scientific). At the moment of HWD diagnosis TNF-α was detected in 9 dogs (7.21±12.44 pg/ml). Concentration of TNF-α was not significantly change during the therapy, neither related to the level of D. immitis antigen nor to antigen level changes. The alternative therapy for HWD has no influence on TNF-α concentration dynamics.


Subject(s)
Dirofilaria immitis , Dirofilariasis , Dog Diseases , Tumor Necrosis Factor-alpha , Animals , Dogs , Dirofilariasis/diagnosis , Dirofilariasis/drug therapy , Dirofilariasis/blood , Dog Diseases/drug therapy , Dog Diseases/diagnosis , Dog Diseases/blood , Tumor Necrosis Factor-alpha/blood , Male , Female , Doxycycline/therapeutic use , Ivermectin/therapeutic use
13.
Toxicon ; 246: 107789, 2024 Aug 02.
Article in English | MEDLINE | ID: mdl-38843999

ABSTRACT

In recent years, contamination of aquatic systems with Avermectin (AVM) has emerged as a significant concern. This contamination poses substantial challenges to freshwater aquaculture. Plant-derived Quercetin (QUE), known for its anti-inflammatory, antioxidant, and ferroptosis-inhibiting properties, is commonly employed as a supplement in animal feed. However, its protective role against chronic renal injury in freshwater carp induced by AVM remains unclear. This study assesses the influence of dietary supplementation with QUE on the consequences of chronic AVM exposure on carp renal function. The carp were subjected to a 30-day exposure to AVM and were provided with a diet containing 400 mg/kg of QUE. Pathological observations indicated that QUE alleviated renal tissue structural damage caused by AVM. RT-QPCR study revealed that QUE effectively reduced the increased expression levels of pro-inflammatory factors mRNA produced by AVM exposure, by concurrently raising the mRNA expression level of the anti-inflammatory factor. Quantitative analysis using DHE tests and biochemical analysis demonstrated that QUE effectively reduced the buildup of ROS in the renal tissues of carp, activity of antioxidant enzymes CAT, SOD, and GSH-px, which were inhibited by AVM, and increased the content of GSH, which was induced by prolonged exposure to AVM. QUE also reduced the levels of MDA, a marker of oxidative damage. Furthermore, assays for ferroptosis markers indicated that QUE increased the mRNA expression levels of gpx4 and slc7a11, which were reduced due to AVM induction, and it caused a reduction in the mRNA expression levels of ftl, ncoa4, and cox2, along with a drop in the Fe2+ concentration. In summary, QUE mitigates chronic AVM exposure-induced renal inflammation in carp by inhibiting the transcription of pro-inflammatory cytokines. By blocking ROS accumulation, renal redox homeostasis is restored, thereby inhibiting renal inflammation and ferroptosis. This provides a theoretical basis for the development of freshwater carp feed formula.


Subject(s)
Carps , Ferroptosis , Ivermectin , Quercetin , Animals , Quercetin/analogs & derivatives , Quercetin/pharmacology , Ferroptosis/drug effects , Ivermectin/analogs & derivatives , Ivermectin/toxicity , Kidney/drug effects , Kidney/pathology , Dietary Supplements , Antioxidants/pharmacology , Animal Feed/analysis , Pesticides/toxicity
14.
Infect Dis Poverty ; 13(1): 44, 2024 Jun 12.
Article in English | MEDLINE | ID: mdl-38867265

ABSTRACT

BACKGROUND: Preventive chemotherapy with ivermectin and albendazole (IA) in mass drug administration (MDA) programs for all at-risk populations is the core public health intervention to eliminate lymphatic filariasis (LF). Achieving this goal depends on drug effectiveness in reducing parasite reservoirs in the community to halt transmission. We assessed the efficacy of ivermectin and albendazole in clearing microfilariae and circulating filarial antigens (CFA) following MDA. METHODS: This community-based prospective study was conducted in Mkinga district, Tanga region, Tanzania, from November 2018 to June 2019. A total of 4115 MDA-eligible individuals were screened for CFA using Filarial test strips. CFA positives were re-examined for microfilariae by microscopy. CFA and microfilariae positive individuals were enrolled and received IA through MDA campaign. The status of microfilariae and CFA was monitored before MDA, and on day 7 and six-month following MDA. The primary efficacy outcomes were the clearance rates of microfilariae on day 7 and six-months, and CFA at 6 months of post-MDA. The McNemar test assessed the proportions of microfilariae positive pre- and post-MDA, while Chi-square tests were utilized to examine factors associated with CFA status six months post-MDA. RESULTS: Out of 4115 individuals screened, 239 (5.8%) tested positive for CFA, of whom 11 (4.6%) were also positive for microfilariae. Out of the ten microfilariae-positive individuals available for follow-up on day 7, nine tested negative, yielding a microfilariae clearance rate of 90% [95% confidence interval (CI): 59.6-98.2%]. Participants who tested negative for microfilariae on day 7 remained free of microfilariae six months after MDA. However, those who did not clear microfilariae on day-7 remained positive six-months post-MDA. The McNemar test revealed a significant improvement in microfilariae clearance on day 7 following MDA (P = 0.02). Out of 183 CFA-positive individuals who were available at 6-month follow-up, 160 (87.4%) remained CFA positive, while 23 became CFA negative. The CFA clearance rate at 6 months post-MDA was 12.6% (95% CI: 8.5-8.5%). There was no significant association of variability in ivermectin plasma exposure, measured by maximum concentration or area under the curve, and the clearance status of microfilariae or CFA post-MDA. CONCLUSIONS: Preventive chemotherapy with IA effectively clears microfilariae within a week. However, it is less effective in clearing CFA at six months of post-MDA. The low clearance rate for filarial antigenemia underscores the need for alternative drug combinations and additional preventive measures to achieve LF elimination by 2030.


Subject(s)
Albendazole , Elephantiasis, Filarial , Filaricides , Ivermectin , Mass Drug Administration , Ivermectin/therapeutic use , Ivermectin/administration & dosage , Albendazole/therapeutic use , Albendazole/administration & dosage , Tanzania/epidemiology , Humans , Elephantiasis, Filarial/prevention & control , Elephantiasis, Filarial/drug therapy , Elephantiasis, Filarial/transmission , Prospective Studies , Male , Female , Adult , Middle Aged , Adolescent , Young Adult , Animals , Child , Filaricides/therapeutic use , Filaricides/administration & dosage , Drug Therapy, Combination , Microfilariae/drug effects , Aged , Child, Preschool , Antigens, Helminth/blood , Treatment Outcome
15.
Pestic Biochem Physiol ; 202: 105941, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38879332

ABSTRACT

Emamectin benzoate (EMB) is extensively used as a crop protection agent. Overuse of EMB poses a serious threat to the quality of water and non-target organisms in the environment. Resveratrol (RES) is a natural phytoalexin with the function of anti-oxidation and anti-inflammation. Nonetheless, it is unclear whether EMB affects the expression of cytokines and induces autophagy, apoptosis, and necroptosis of hepatocytes (L8824 cell) in grass carp (Ctenopharyngodon idella), and whether RES has an attenuate function in this process. Therefore, we established the L8824 cells model of EMB exposure and treated it with RES. The results showed that compared with the control (CON) group, EMB exposure significantly increased the nitric oxide (NO) content, inducible nitric oxide synthase (iNOS) activity, and the expression of iNOS and phosphorylated nuclear factor kappa B (p-NF-κB) (P < 0.05). In addition, compared with the CON group, the results of flow cytometry and dansylcadaverine (MDC) staining showed a significant increase in apoptosis and autophagy in the EMB-exposed group (P < 0.05) with the activation of the B-cell lymphoma-2 (Bcl-2)/Bcl-2 associated X (Bax)/cysteine-aspartic acid protease 3 (Caspase-3)/cysteine-aspartic acid protease 9 (Caspase-9) pathway and microtubule-associated protein light chain 3 (LC3)/sequestosome 1 (p62)/Beclin1 pathway. EMB exposure significantly increased the mRNA and protein expression of receptor-interacting protein 1 (RIPK1)/receptor-interacting protein 3 (RIPK3)/mixed the lineage kinase domain-like (MLKL) pathway (P < 0.05). Moreover, EMB exposure significantly increased the expression of genes related to immunity (immunoglobulin G (IgG), immunoglobulin M (IgM), and immunoglobulin D (IgD), and antimicrobial peptide-related genes expression including ß-defensin and hepcidin) (P < 0.05). The addition of RES significantly diminished autophagy, apoptosis, necroptosis, and immunity-related gene expression by inhibiting iNOS activity, NO content, and the protein expression of iNOS and p-NF-κB. In conclusion, RES attenuated autophagy, apoptosis, and necroptosis in EMB-exposed L8824 cells via suppression of the NO system/NF-κB signaling pathway.


Subject(s)
Carps , Ivermectin , NF-kappa B , Nitric Oxide , Resveratrol , Signal Transduction , Animals , Carps/metabolism , NF-kappa B/metabolism , Ivermectin/analogs & derivatives , Ivermectin/toxicity , Ivermectin/pharmacology , Nitric Oxide/metabolism , Signal Transduction/drug effects , Resveratrol/pharmacology , Nitric Oxide Synthase Type II/metabolism , Nitric Oxide Synthase Type II/genetics , Apoptosis/drug effects , Cell Line , Autophagy/drug effects , Hepatocytes/drug effects , Hepatocytes/metabolism
16.
Biomater Adv ; 162: 213924, 2024 Sep.
Article in English | MEDLINE | ID: mdl-38875802

ABSTRACT

Chronic myeloid leukemia is a hematological cancer, where disease relapse and drug resistance are caused by bone-hosted-residual leukemia cells. An innovative resolution is bone-homing and selective-active targeting of anticancer loaded-nanovectors. Herein, ivermectin (IVM) and methyl dihydrojasmonate (MDJ)-loaded nanostructured lipid carriers (IVM-NLC) were formulated then dually decorated by lactoferrin (Lf) and alendronate (Aln) to optimize (Aln/Lf/IVM-NLC) for active-targeting and bone-homing potential, respectively. Aln/Lf/IVM-NLC (1 mg) revealed nano-size (73.67 ± 0.06 nm), low-PDI (0.43 ± 0.06), sustained-release of IVM (62.75 % at 140-h) and MDJ (78.7 % at 48-h). Aln/Lf/IVM-NLC afforded substantial antileukemic-cytotoxicity on K562-cells (4.29-fold lower IC50), higher cellular uptake and nuclear fragmentation than IVM-NLC with acceptable cytocompatibility on oral-epithelial-cells (as normal cells). Aln/Lf/IVM-NLC effectively upregulated caspase-3 and BAX (4.53 and 15.9-fold higher than IVM-NLC, respectively). Bone homing studies verified higher hydroxyapatite affinity of Aln/Lf/IVM-NLC (1 mg; 22.88 ± 0.01 % at 3-h) and higher metaphyseal-binding (1.5-fold increase) than untargeted-NLC. Moreover, Aln/Lf/IVM-NLC-1 mg secured 1.35-fold higher in vivo bone localization than untargeted-NLC, with lower off-target distribution. Ex-vivo hemocompatibility and in-vivo biocompatibility of Aln/Lf/IVM-NLC (1 mg/mL) were established, with pronounced amelioration of hepatic and renal toxicity compared to higher Aln doses. The innovative Aln/Lf/IVM-NLC could serve as a promising nanovector for bone-homing, active-targeted leukemia therapy.


Subject(s)
Alendronate , Drug Carriers , Ivermectin , Lactoferrin , Humans , Animals , Drug Carriers/chemistry , Lactoferrin/chemistry , Lactoferrin/pharmacology , Lactoferrin/administration & dosage , Alendronate/chemistry , Alendronate/pharmacology , Alendronate/administration & dosage , Ivermectin/chemistry , Ivermectin/analogs & derivatives , Ivermectin/pharmacology , Ivermectin/administration & dosage , Ivermectin/pharmacokinetics , K562 Cells , Nanoparticles/chemistry , Mice , Antineoplastic Agents/pharmacology , Antineoplastic Agents/chemistry , Antineoplastic Agents/administration & dosage , Bone and Bones/drug effects , Bone and Bones/metabolism , Lipids/chemistry , Apoptosis/drug effects
17.
Chemosphere ; 361: 142423, 2024 Aug.
Article in English | MEDLINE | ID: mdl-38830461

ABSTRACT

This study investigates the effects of glyphosate-based herbicide (GLY) and pure emamectin benzoate (EB) insecticide on the brackish copepod Pseudodiaptomus annandalei. The 96h median lethal concentration (96 h LC50) was higher in the GLY exposure (male: 3420.96 ± 394.67 µg/L; female: 3093.46 ± 240.67 µg/L) than in the EB (male: 79.10 ± 7.30 µg/L; female: 6.38 ± 0.72 µg/L). Based on the result of 96h LC50, we further examined the effects of GLY and EB exposures at sub-lethal concentrations on the naupliar production of P. annandalei. Subsequently, a multigenerational experiment was conducted to assess the long-term impact of GLY and EB at concentrations 375 µg/L, and 0.025 µg/L respectively determined by sub-lethal exposure testing. During four consecutive generations, population growth, clutch size, prosome length and width, and sex ratio were measured. The copepods exposed to GLY and EB showed lower population growth but higher clutch size than the control group in most generations. Gene expression analysis indicated that GLY and EB exposures resulted in the downregulation of reproduction-related (vitellogenin) and growth-related (myosin heavy chain) genes, whereas a stress-related gene (heat shock protein 70) was upregulated after multigenerational exposure. The results of the toxicity test after post-multigenerational exposure indicated that the long-term GLY-exposed P. annandalei displayed greater vulnerability towards GLY toxicity compared to newly-exposed individuals. Whereas, the tolerance of EB was significantly higher in the long-term exposed copepod than in newly-exposed individuals. This suggests that P. annandalei might have greater adaptability towards EB toxicity than towards GLY toxicity. This study reports for the first time the impacts of common pesticides on the copepod P. annandalei, which have implications for environmental risk assessment and contributes to a better understanding of copepod physiological responses towards pesticide contaminations.


Subject(s)
Copepoda , Glycine , Glyphosate , Herbicides , Insecticides , Ivermectin , Reproduction , Water Pollutants, Chemical , Animals , Copepoda/drug effects , Copepoda/genetics , Glycine/analogs & derivatives , Glycine/toxicity , Ivermectin/analogs & derivatives , Ivermectin/toxicity , Herbicides/toxicity , Reproduction/drug effects , Insecticides/toxicity , Female , Water Pollutants, Chemical/toxicity , Male , Gene Expression/drug effects
18.
World J Microbiol Biotechnol ; 40(7): 228, 2024 Jun 01.
Article in English | MEDLINE | ID: mdl-38822927

ABSTRACT

Doramectin, an essential animal anthelmintic, is synthesized through the fermentation process of Streptomyces avermitilis. This study delves into the transcriptomic profiles of two strains, namely the doramectin-producing wild-type S. avermitilis N72 and its highly doramectin-producing mutant counterpart, S. avermitilis XY-62. Comparative analysis revealed 860 up-regulated genes and 762 down-regulated genes in the mutant strain, notably impacting the expression of key genes pivotal in doramectin biosynthesis, including aveA1, aveA2, aveA3, aveA4, aveE, and aveBI. These findings shed light on the molecular mechanisms underpinning the heightened doramectin production in S. avermitilis XY-62, presenting promising avenues for optimizing doramectin production processes.


Subject(s)
Gene Expression Profiling , Gene Expression Regulation, Bacterial , Ivermectin , Mutation , Streptomyces , Transcriptome , Streptomyces/genetics , Streptomyces/metabolism , Ivermectin/analogs & derivatives , Ivermectin/metabolism , Bacterial Proteins/genetics , Bacterial Proteins/metabolism , Fermentation , Anthelmintics/metabolism
19.
Sci Rep ; 14(1): 12620, 2024 06 01.
Article in English | MEDLINE | ID: mdl-38824239

ABSTRACT

Ivermectin (IVM) has been proposed as a new tool for malaria control as it is toxic on vectors feeding on treated humans or cattle. Nevertheless, IVM may have a direct mosquitocidal effect when applied on bed nets or sprayed walls. The potential for IVM application as a new insecticide for long-lasting insecticidal nets (LLINs) and indoor residual spraying (IRS) was tested in this proof-of-concept study in a laboratory and semi-field environment. Laboratory-reared, insecticide-susceptible Kisumu Anopheles gambiae were exposed to IVM on impregnated netting materials and sprayed plastered- and mud walls using cone bioassays. The results showed a direct mosquitocidal effect of IVM on this mosquito strain as all mosquitoes died by 24 h after exposure to IVM. The effect was slower on the IVM-sprayed walls compared to the treated nettings. Further work to evaluate possibility of IVM as a new insecticide formulation in LLINs and IRS will be required.


Subject(s)
Anopheles , Insecticide-Treated Bednets , Insecticides , Ivermectin , Mosquito Control , Animals , Anopheles/drug effects , Ivermectin/pharmacology , Insecticides/pharmacology , Mosquito Control/methods , Malaria/prevention & control , Malaria/transmission , Mosquito Vectors/drug effects
20.
Fish Shellfish Immunol ; 150: 109624, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38740228

ABSTRACT

Avermectin is one of the widely used anthelmintics in aquaculture and exhibits substantial toxicity to aquatic organisms. Silybin is extensively used for its anti-inflammatory, antioxidant and anti-apoptotic biological properties. Heart is essential for the survival of fish and plays a vital role in pumping blood oxygen and nutrients. Residual avermectin in water poses harm to carp. However, there is still insufficient research on whether silybin can mitigate the toxicity of avermectin to carp heart tissues. In this research, we established a model involving carp subjected to acute avermectin exposure and administered diets containing silybin to explore the potential protective effects of silybin against avermectin-induced cardiotoxicity. The results revealed that avermectin induced oxidative stress, inflammation, endoplasmic reticulum (ER) stress, mitochondrial pathway apoptosis and autophagy in the cardiac tissues of carp. Compared with the avermectin group, silybin significantly reduced ROS accumulation in cardiac tissues, restored antioxidant enzyme activity, inhibited mRNA transcript levels of pro-inflammatory-related factors, and attenuated ER stress, mitochondrial pathway apoptosis and autophagy. Protein-protein interaction (PPI) analysis demonstrated that silybin mitigated avermectin-induced cardiac oxidative stress, inflammation, ER stress, mitochondrial pathway apoptosis and autophagy. Silybin exerted anti-inflammatory effects through the Nuclear Factor kappa B (NF-κB) pathway, antioxidant effects through the Nuclear factor erythroid 2-related factor 2 (Nrf2) - Kelch-like ECH-associated protein 1 (Keap1) pathway, alleviated cardiac ER stress through the Glucose-regulated protein 78 (GRP78)/Activating Transcription Factor 6 (ATF6)/C/EBP homologous protein (CHOP) axis, suppressed apoptosis through the mitochondrial pathway, and inhibited excessive autophagy initiation through the PTEN-induced putative kinase 1 (PINK1)/Parkin RBR E3 ubiquitin protein ligase (PARKIN) signaling pathway. This study provided evidence supporting the protective effect of silybin against avermectin-induced cardiotoxicity in carp, highlighting its potential as a dietary additive to protect fish from adverse effects caused by avermectin exposure.


Subject(s)
Anthelmintics , Carps , Ivermectin , Protective Agents , Silybin , Silybin/pharmacology , Silybin/therapeutic use , Endoplasmic Reticulum Stress , Cardiotoxicity/drug therapy , Carps/physiology , Animals , Ivermectin/toxicity , Protective Agents/pharmacology , Protective Agents/therapeutic use , Apoptosis/drug effects , Fish Proteins/genetics , Fish Proteins/metabolism , Activating Transcription Factor 6/metabolism , Transcription Factor CHOP/metabolism , Reactive Oxygen Species/metabolism , Inflammation/drug therapy , NF-E2-Related Factor 2/metabolism , Biomarkers/blood , Heart/drug effects , Heart/physiology , Myocardium/pathology
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