Abstract

Leishmaniasis are diseases caused by parasites belonging to Leishmania genus. The treatment with pentavalent antimonials present high toxicity. Secondary line drugs, such as amphotericin B and miltefosine also have a narrow therapeutic index. Therefore, there is an urgent need to develop new drugs to treat leishmaniasis. Here, we present the in vitro anti-leishmanial activity of unusual dimeric flavonoids purified from Arrabidaea brachypoda. Three compounds were tested against Leishmana sp. Compound 2 was the most active against promastigotes. Quantifying the in vitro infected macrophages revealed that compound 2 was also the most active against intracellular amastigotes of L. amazonensis, without displaying host cell toxicity. Drug combinations presented an additive effect, suggesting the absence of interaction between amphotericin B and compound 2. Amastigotes treated with compound 2 demonstrated alterations in the Golgi and accumulation of vesicles inside the flagellar pocket. Compound 2-treated amastigotes presented a high accumulation of cytoplasmic vesicles and a myelin-like structure. When administered in L. amazonensis-infected mice, neither the oral nor the topical treatments were effective against the parasite. Based on the high in vitro activity, dimeric flavonoids can be used as a lead structure for the development of new molecules that could be useful for structure-active studies against Leishmania.

Highlights

  • IntroductionLeishmaniasis is a complex of diseases caused by protozoan parasites belonging to the genus

  • Leishmaniasis is a complex of diseases caused by protozoan parasites belonging to the genusLeishmania and transmitted by the bite of the female sand fly vector

  • The purified compounds from A. brachypoda were tested against different species of Leishmania, namely amazonensis, L. infantum

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Summary

Introduction

Leishmaniasis is a complex of diseases caused by protozoan parasites belonging to the genus. Leishmania and transmitted by the bite of the female sand fly vector. The disease is endemic in 98 countries. Around 58,000 cases of visceral leishmaniasis and 220,000 cases of the cutaneous disease are officially reported per year worldwide [1]. The first-line treatment is performed with the pentavalent antimonials. Still used, this chemotherapy presents several limitations, such as serious side effects, including patient death, prolonged course of treatment and emergence of drug resistance.

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