水飞蓟宾葡甲胺联合水飞蓟宾联合脂质体二氨基二氧乙烷治疗实验性内脏利什曼病的疗效观察。

Association of water extract of green propolis and liposomal meglumine antimoniate in the treatment of experimental visceral leishmaniasis.

机构信息

Programa de Pós-Graduação em Ciências Farmacêuticas (Cipharma), Universidade Federal de Ouro Preto, Ouro Preto, Minas Gerais, Brazil.

出版信息

Parasitol Res. 2014 Feb;113(2):533-43. doi: 10.1007/s00436-013-3685-8. Epub 2013 Nov 30.

Abstract

This work investigated the use of water extract of green propolis (WEP) and its association with free or liposomal meglumine antimoniate (MA) for the treatment of murine visceral leishmaniasis. Mice infected with Leishmania infantum were treated with oral doses of WEP associated or not with a single dose of liposomal MA by intraperitoneal route. Parasite burden was assessed in the liver and spleen by limiting dilution assay, and alterations in the spleen cellular phenotype were evaluated by flow cytometry. Tissue damage was assessed by determination of biochemical markers of the liver, heart, and kidney function and histopathological analysis of the liver and spleen. Our data showed that treatment with WEP was able to reduce parasite load in the liver but not in the spleen. On the other hand, liposomal MA reduced parasite load in both organs. Unexpectedly, there was no synergism with the combination of WEP and liposomal MA in reducing the parasite load. The histopathological analysis showed that administration of WEP, liposomal MA, or their association was able to protect the liver and spleen from lesions caused by infection. No alteration in the profile of spleen cells by flow cytometry or in the liver, heart, and kidney functions by biochemical markers due to any of the treatments was observed. These results demonstrate that although WEP was able to significantly reduce the liver parasite load, its association with liposomal MA did not lead to significant improvement in reducing parasite load. On the other hand, treatment with WEP and/or liposomal MA protected the liver and spleen from lesions caused by the infection.

摘要

本研究旨在探讨绿原酸水提取物(WEP)及其与游离或脂质体葡甲胺锑(MA)联合应用于治疗内脏利什曼病(VL)的效果。通过腹腔途径给予感染利什曼原虫的小鼠口服剂量的 WEP,并联合或不联合单次脂质体 MA 治疗。通过有限稀释法评估肝脏和脾脏中的寄生虫负荷,通过流式细胞术评估脾脏细胞表型的变化。通过测定肝脏、心脏和肾脏功能的生化标志物以及肝脏和脾脏的组织病理学分析来评估组织损伤。研究数据表明,WEP 治疗可降低肝脏中的寄生虫负荷,但对脾脏无效。另一方面,脂质体 MA 可降低两种器官中的寄生虫负荷。出乎意料的是,WEP 和脂质体 MA 联合应用并未在降低寄生虫负荷方面产生协同作用。组织病理学分析表明,WEP、脂质体 MA 或二者联合应用均能保护肝脏和脾脏免受感染引起的损伤。通过流式细胞术或生化标志物未观察到任何处理方式引起的脾脏细胞表型或肝脏、心脏和肾脏功能的改变。这些结果表明,尽管 WEP 能显著降低肝脏中的寄生虫负荷,但与脂质体 MA 联合应用并未显著改善寄生虫负荷的降低。另一方面,WEP 和/或脂质体 MA 治疗可保护肝脏和脾脏免受感染引起的损伤。

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