Botros Sanaa, William Samia, Ebeid Fatma, Cioli Donato, Katz Naftale, Day Tim A, Bennett James L
Theodor Bilharz Research Institute, Giza, Egypt.
Am J Trop Med Hyg. 2004 Aug;71(2):206-10.
In a multicenter investigation of the potential antischistosomal activity of myrrh, a resin obtained from an African plant, different derivatives of the resin, including the commercial preparation Mirazid, were tested at different doses in mice and hamsters infected with Schistosoma mansoni. In mice infected with the Egyptian (CD) strain of S. mansoni, four of six groups treated with Mirazid did not show significant worm reduction, while the remaining groups showed significant but trivial reductions. In mice infected with the Puerto Rican (Mill Hill) strain of S. mansoni, a Mirazid solution was toxic for mice at high doses and produced modest or no worm reduction at lower doses. In hamsters and mice infected with Puerto Rican (NMRI) and Brazilian (LE) strains of S. mansoni and treated with the crude extract of myrrh in doses ranging from 180 to 10,000 mg/kg, no signs of antibilharzial activity were observed. Total tissue egg load and egg developmental stages were not affected by any of the treatment regimens. These results were in contrast to those obtained in praziquantel-treated animals in which 94% worm reduction and 100% egg reduction was observed. Based on the findings of this work, we cannot recommend the use of Mirazid in human cases of schistosomiasis.
在一项对没药(一种从非洲植物中提取的树脂)潜在抗血吸虫活性的多中心研究中,该树脂的不同衍生物,包括商业制剂米拉齐德(Mirazid),在感染曼氏血吸虫的小鼠和仓鼠中进行了不同剂量的测试。在感染埃及(CD)株曼氏血吸虫的小鼠中,接受米拉齐德治疗的六组中有四组未显示出明显的蠕虫减少,而其余组虽有明显但轻微的减少。在感染波多黎各(米尔希尔)株曼氏血吸虫的小鼠中,高剂量的米拉齐德溶液对小鼠有毒,低剂量时蠕虫减少程度适中或未减少。在感染波多黎各(NMRI)和巴西(LE)株曼氏血吸虫并接受没药粗提物治疗(剂量范围为180至10,000 mg/kg)的仓鼠和小鼠中,未观察到抗血吸虫活性的迹象。任何治疗方案均未影响组织中的总虫卵负荷和虫卵发育阶段。这些结果与用吡喹酮治疗的动物所获得的结果形成对比,在用吡喹酮治疗的动物中观察到蠕虫减少94%和虫卵减少100%。基于这项工作的发现,我们不建议在人类血吸虫病病例中使用米拉齐德。