Abstract

BackgroundGiardia duodenalis causes giardiasis in humans, particularly in developing countries. Despite the availability of treatments, resistance to some of the commercial anti-Giardia drugs has been reported in addition to their harmful side effects. Therefore, novel treatments for giardiasis are required. In this study, we aimed to assess the in vitro activity of crude extracts of Ageratum conyzoides against G. duodenalis trophozoites.MethodsPlants were classified into three groups based on their flower colors: white (W), purple (P), and white–purple (W–P). Plants were separately cut into leaf (L) and flower (F) parts. Changes in internal organelle morphology of trophozoites following exposure to crude extracts were assessed using transmission electron microscopy (TEM). In subsequent experiments, efficacy of the most active essential oils from crude extracts [half maximal inhibitory concentrations (IC50) ≤ 100 μg/mL] against G. duodenalis trophozoites was tested. In vitro anti-Giardia assays using essential oils were performed in the same way as those performed using crude extracts.ResultsLW–P and FP extracts showed high activity (IC50 ≤ 100 μg/mL) against G. duodenalis trophozoites, with IC50 ± SD values of 45.67 ± 0.51 and 96.00 ± 0.46 μg/mL, respectively. In subsequent experiments, IC50 ± SD values of LW–P and FP essential oils were 35.00 ± 0.50 and 89.33 ± 0.41 μg/mL, respectively. TEM revealed the degeneration of flagella and ventral discs of G. duodenalis trophozoites following exposure to crude extracts.ConclusionCrude LW–P and FP extracts of A. conyzoides showed the highest activity against G. duodenalis. Exposure to crude extract induced changes in the flagella and ventral discs of G. duodenalis trophozoites, which play important roles in attachment to the surface of mucosal cells. Our results suggest that the tested extracts warrant further research in terms of their efficacy and safety as giardiasis treatment.

Highlights

  • Giardia duodenalis causes giardiasis in humans, in developing countries

  • Our result demonstrated the efficacy and organelle targets of A. conyzoides extracts against G. duodenalis and provided basis for the development of novel therapeutic agents against giardiasis in the future

  • Plant collection We reviewed the characteristics of A. conyzoides such as flower, leaf, stem, and areas of distribution

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Summary

Introduction

Giardia duodenalis causes giardiasis in humans, in developing countries. Despite the availability of treatments, resistance to some of the commercial anti-Giardia drugs has been reported in addition to their harmful side effects. G. lamblia or G. intestinalis) is a common enteric protozoan that causes giardiasis in humans and animals. The greatest burden of giardiasis worldwide is found in developing countries, where poor. Partial failure in giardiasis treatment due to drug resistance has been reported to occur in endemic areas [1]. Metronidazole is the first-line treatment for giardiasis, adverse side effects have been reported; metallic taste, headache, dry mouth and, to a lesser extent, nausea, glossitis, urticaria, pruritus, and dark colored urine [29, 30]. Search for novel agents to treat giardiasis has accelerated

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