Abstract

African trypanosomes exert significant morbidity and mortality in man and livestock. Only a few drugs are available for the treatment of trypanosome infections and therefore, the development of new anti-trypanosomal agents is required. Previously it has been shown that bloodstream-form trypanosomes are sensitive to the iron chelator deferoxamine. In this study the effect of 13 iron chelators on the growth of Trypanosoma brucei, T. congolense and human HL-60 cells was tested in vitro. With the exception of 2 compounds, all chelators exhibited anti-trypanosomal activities, with 50% inhibitory concentration (IC50) values ranging between 2.1 – 220 μM. However, the iron chelators also displayed cytotoxicity towards human HL-60 cells and therefore, only less favourable selectivity indices compared to commercially available drugs. Interfering with iron metabolism may be a new strategy in the treatment of trypanosome infections. More specifically, lipophilic iron-chelating agents may serve as lead compounds for novel anti-trypanosomal drug development.

Highlights

  • Trypanosoma brucei and T. congolense are the causative agents of sleeping sickness in humans and nagana in cattle, respectively

  • The anti-trypanosomal activities of these compounds are approaching those of commercial drugs used to treat sleeping sickness and nagana (diminazene aceturate (Berenil®): IC50 = 0.5 μM) previously determined for bloodstream forms of T. brucei 427-221a and T. congolense STIB910 under identical experimental conditions [11]

  • Iron deprivation may be a new strategy for the treatment of African trypanosomiasis

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Summary

Introduction

Trypanosoma brucei and T. congolense are the causative agents of sleeping sickness in humans and nagana in cattle, respectively. Over 60 million people living in 36 sub-Saharan countries are threatened with sleeping sickness [1] and 48000 deaths were reported in 2002 [2]. 46 million cattle are exposed to the risk of contracting nagana and the disease costs an estimated 1340 million USD per year [3]. Chemotherapy of African trypanosomiasis still relies on drugs developed decades ago and some of these display serious toxic side effects [4,5]. Drug resistance in African trypanosomes is increasing [6,7]. New strategies to treat African trypanosomes are required

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