Abstract

Background:Three drugs - pentavalent antimonials, amphotericin B and pentamidine - are currently used for leishmaniasis treatment. They are administered for long periods, only parenterally, and have high cardiac, renal and hepatic toxicities. Therefore, the investigation of new compounds is required. Nitro-heterocyclic derivatives have been used as possible drug candidates to treat diseases caused by trypanosomatids. Methods: Leishmania (L.) amazonensis promastigotes (MHO/BR/73/M2269), maintained in the Laboratório de Soroepidemiologia - Instituto de Medicina Tropical- USP, were exposed to five nitroheterocyclic derivatives, with differences at phenyl-ring position 4: BSF-C4H9, BSF-H, BSF-NO2, BSF-CH3 and BSF-Cl, for 48 hours. After analyzing viability (MTT assay), we evaluated cellular-morphology activity of compounds by transmission electron microscopy (TEM) and measurement of apoptosis (phosphatidylserine expression) by flow cytometry. Results: EC50 of amphotericin B and BSF-CH3 were 0.50 (M and 0.39 (M respective. Other nitro-heterocyclic compounds presented EC50 higher than amphotericin B. All compounds showed greater AV- and PI-positive expression than amphotericin B at 100 (M, except BSF-NO2. TEM showed complete nuclear disfigurement with 100 (M of BSF-NO2, 25 and 6.25 (M of BSF-H, and 6.25 (M BSF-Cl; presence of vesicles within the flagellar pocket with 25 (M BSF-H; alteration of the kinetoplast with 25 (M BSF-C4H9, 25 (M of BSF-H, 6.25 (M BSF-CH3 and 6.25 (M of BSF-Cl. Conclusions: Nitro-heterocyclic compounds have shown activity against promastigotes of L. amazonensis, at lower concentrations. However, improvement of compound scaffolds are needed to assist the elucidation of the mechanism of action and to achieve greater activity.

Highlights

  • IntroductionThree drugs – pentavalent antimonials, amphotericin B and pentamidine – are currently used for leishmaniasis treatment

  • Three drugs – pentavalent antimonials, amphotericin B and pentamidine – are currently used for leishmaniasis treatment. They are administered for long periods, only parenterally, and have high cardiac, renal and hepatic toxicities

  • Nitro-heterocyclic derivatives have been used as possible drug candidates to treat diseases caused by trypanosomatids

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Summary

Introduction

Three drugs – pentavalent antimonials, amphotericin B and pentamidine – are currently used for leishmaniasis treatment. They are administered for long periods, only parenterally, and have high cardiac, renal and hepatic toxicities. Brazil reports approximately 26,000 new cases per year [2] It may include visceral, cutaneous or mucosal clinical manifestations, directly associated with Leishmania species, which causes the infection [3]; [4]; [5]. The search for new compounds for leishmaniasis treatment is necessary and urgent, due to the high toxicity of the drugs currently employed to treat it. This study aimed to evaluate, in vitro, the effect of nitro-heterocyclic compounds on promastigote forms of Leishmania (L.) amazonensis by flow cytometry analysis to detect phosphatidylserine expression and by transmission electron microscope (TEM) to analyze the ultrastructural modifications of promastigotes

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