Abstract

ABSTRACT Cutaneous leishmaniasis is a disease caused by protozoa of the genus Leishmania and, currently, the treatment of first choice is meglumine antimoniate. However, due to its limited effectiveness and high toxicity, it is necessary to seek new active principles for leishmaniasis treatment. Metal complexes are gaining importance due to their effectiveness and low toxicity. In this context, the present study aimed to evaluate the in vitro and in vivo antileishmanial activity of the hypotoxic copper(I) complex [HB(pz)3]Cu(PCN). Four dermotropic species of Leishmania were tested with the metal complex and its effectiveness was determined through parasitic viability and infectivity rate, and cytotoxicity was determined using a redox dye (resazurin). For the in vivo tests, hamsters were infected and the lesions treated with a formulated ointment containing the complex, the effectiveness of which was assessed by measuring the diameter of the inoculum/snout location and determining the parasitic load. The results demonstrated moderate toxicity in murine macrophages and human monocytes and better efficacy in Leishmania (V.) braziliensis when compared to the other species tested, with a 50% reduction in the viability of promastigote and amastigote forms (in vitro). General data from daily topical treatment for up to 30 days showed low efficacy for reducing lesions, and no clinical and parasitological cure was observed in the experimental animals. Thus, the [HB(pz)3]Cu(PCN) complex proved to be promising in in vitro studies against L. (V.) braziliensis, and should be further tested in new formulations and new experimental treatment schemes.

Highlights

  • Cutaneous leishmaniasis (CL) is a neglected disease and endemic in more than 92 countries, with over 90% of cases occurring in the Americas (WHO 2021)

  • Leishmania (Viannia) guyanensis, L. (V.) braziliensis and L. (Leishmania) amazonensis are highlighted in Brazil due to their wide distribution and the induction of different clinical manifestations (Teles et al 2016)

  • The strains used in this study were Leishmania (Leishmania) amazonensis (IFLA/BR/1967/PH8), Leishmania (Viannia) guyanensis (MHOM/BR/1975/M4147), Leishmania (Viannia) braziliensis (MHOM/BR/1975/2904) and Leishmania (Viannia) naiffi (MDAS/BR/1979/M5533), obtained from the Roswell Park Memorial Institute

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Summary

Introduction

Cutaneous leishmaniasis (CL) is a neglected disease and endemic in more than 92 countries, with over 90% of cases occurring in the Americas (WHO 2021). Transmission is vectorial, and its etiological agents are the protozoans of the genus Leishmania (Blanco 2017). (Leishmania) amazonensis are highlighted in Brazil due to their wide distribution and the induction of different clinical manifestations (Teles et al 2016). In the treatment of CL, pentavalent antimonials are most commonly employed, and pentamidine and amphotericin B are the drugs of second choice. Considering that these drugs have low efficacy due to parasitic diversity and resistance, high toxicity, and require a long and painful treatment, the search for new active principles with more effective action is warranted (Bastos et al 2016; Brasil 2017)

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