NorthShore University HealthSystem, Evanston, IL, USA.
Future Med Chem. 2013 Oct;5(15):1763-76. doi: 10.4155/fmc.13.108.
Chagas disease is caused by the parasite Trypanosoma cruzi, is endemic in Latin America and leads to an estimated 14,000 deaths per year and around 100 million people at risk of infection. Drugs currently used in the treatment of Chagas are old, partially effective and have numerous side effects.
We have previously reported that 3-nitro-1H-1,2,4-triazole-based compounds demonstrate significant and selective activity against T. cruzi amastigotes in infected L6 cells via activation of a type I nitroreductase, specific to trypanosomatids. In the present work we evaluated in vivo 13 of these compounds based on their high in vitro potency against T. cruzi (IC50 < 1 µM) and selectivity (SI: toxicity to L6 cells/toxicity against T. cruzi amastigotes > 200). Representative compounds of different chemical classes were included. A fast luminescence assay with transgenic parasites that express luciferase, and live imaging techniques were used. A total of 11 out of 13 compounds demonstrated significant antichagasic activity when administered intraperitoneally for 5-10 days at relatively small doses. The best in vivo activity was demonstrated by amides and sulfonamide derivatives. ADMET studies were performed for specific compounds.
At least three compounds were identified as effective, non-toxic antichagasic agents suitable for further development.
恰加斯病由寄生虫克氏锥虫引起,流行于拉丁美洲,每年估计导致 14000 人死亡,约 1 亿人面临感染风险。目前用于治疗恰加斯病的药物较为陈旧,疗效有限,且具有多种副作用。
我们之前曾报道过,基于 3-硝基-1H-1,2,4-三唑的化合物通过激活一种特定于原生动物的 I 型硝基还原酶,对感染 L6 细胞的 T. cruzi 无鞭毛体具有显著且选择性的活性。在本工作中,我们基于这些化合物对 T. cruzi 的高体外活性(IC50<1μM)和选择性(SI:对 L6 细胞的毒性/对 T. cruzi 无鞭毛体的毒性>200),评估了 13 种此类化合物。包含了不同化学类别的代表性化合物。采用表达荧光素酶的转基因寄生虫的快速发光测定法和活体成像技术进行评估。在相对较小剂量下,腹腔内给药 5-10 天,有 11 种化合物中的 13 种表现出显著的抗恰加斯病活性。酰胺和磺酰胺衍生物表现出最佳的体内活性。对特定化合物进行了 ADMET 研究。
至少有三种化合物被鉴定为有效、无毒的抗恰加斯病药物,适合进一步开发。