Abstract

Parasites of the genus Leishmania are capable of inhibiting effector functions of macrophages. These parasites have developed the adaptive ability to escape host defenses; for example, they inactivate the NF-κB complex and suppress iNOS expression in infected macrophages, which are responsible for the production of the major antileishmanial substance nitric oxide (NO), favoring then its replication and successful infection. Metal complexes with NO have been studied as potential compounds for the treatment of certain tropical diseases, such as ruthenium compounds, known to be exogenous NO donors. In the present work, the compound cis-[Ru(bpy)2SO3(NO)]PF6, or RuNO, showed leishmanicidal activity directly and indirectly on promastigote forms of Leishmania (Leishmania) amazonensis. In addition, treatment with RuNO increased NO production by reversing the depletion of NO caused by Leishmania. We also found increased expression of Akt, iNOS, and NF-κB in infected and treated macrophages. These results demonstrated that RuNO was able to kill the parasite by NO release and modulate the transcriptional capacity of the cell.

Highlights

  • American cutaneous leishmaniasis (ACL) is an endemic disease in Brazil, in which the causative agents are the protozoans Leishmania (Viannia) braziliensis and Leishmania (Leishmania) amazonensis

  • An important one is its ability to interfere with nitric oxide (NO) production, by suppressing the expression of inducible nitric oxide synthase in macrophages, which results in depletion of NO, a key mediator of leishmanicidal activity, able to impair the replication of L. amazonensis [5]

  • The antileishmanial effect of RuNO complex was evaluated by determining the proliferation of promastigote forms of L. amazonensis

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Summary

Introduction

American cutaneous leishmaniasis (ACL) is an endemic disease in Brazil, in which the causative agents are the protozoans Leishmania (Viannia) braziliensis and Leishmania (Leishmania) amazonensis. ACL has several clinical forms: localized, disseminated, or diffuse skin lesions and aggressive and mutilating mucocutaneous wounds [1]; manifestations depend on the species of the parasite and the immune response of the host [2]. Leishmania has several mechanisms for escaping the immune response. An important one is its ability to interfere with nitric oxide (NO) production, by suppressing the expression of inducible nitric oxide synthase (iNOS) in macrophages, which results in depletion of NO, a key mediator of leishmanicidal activity, able to impair the replication of L. amazonensis [5]

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