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Curcumin Enhances the Anti-Trypanosoma cruzi Activity of Benznidazole-Based Chemotherapy in Acute Experimental Chagas Disease.

作者信息

Novaes Rômulo Dias, Sartini Marcus Vinicius Pessoa, Rodrigues João Paulo Ferreira, Gonçalves Reggiani Vilela, Santos Eliziária Cardoso, Souza Raquel Lopes Martins, Caldas Ivo Santana

机构信息

Department of Structural Biology, Federal University of Alfenas, Alfenas, Minas Gerais, Brazil

Department of Pathology and Parasitology, Federal University of Alfenas, Alfenas, Minas Gerais, Brazil.

出版信息

Antimicrob Agents Chemother. 2016 May 23;60(6):3355-64. doi: 10.1128/AAC.00343-16. Print 2016 Jun.


DOI:10.1128/AAC.00343-16
PMID:27001816
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4879395/
Abstract

Although curcumin can increase the effectiveness of drugs against malaria, combination therapies using the molecule have never been investigated in Chagas disease (ChD). Therefore, we evaluated the efficacy of curcumin as a complementary strategy to benznidazole (Bz)-based chemotherapy in mice acutely infected with Trypanosoma cruzi Eighty-four 12-week-old Swiss mice were equally randomized into seven groups: uninfected (NI), T. cruzi infected and untreated (INF), infected and treated with 100 mg/kg of body weight Bz (B100), 50 mg/kg Bz (B50), 100 mg/kg curcumin (C100), 100 mg/kg Bz plus 100 mg/kg curcumin (B100 plus C100), and 50 mg/kg Bz plus 100 mg/kg curcumin (B50 plus C100). After microscopic identification of blood trypomastigotes (4 days after inoculation), both drugs were administered by gavage once a day for 20 days. Curcumin showed limited antiparasitic, anti-inflammatory, and antioxidant effects when administered alone. When curcumin and Bz were combined, there was a drastic reduction in parasitemia, parasite load, mortality, anti-T. cruzi IgG reactivity, circulating levels of cytokines (gamma interferon [IFN-γ], interleukin 4 [IL-4], and MIP1-α), myocardial inflammation, and morphological and oxidative cardiac injury; these results exceeded the isolated effects of Bz. The combination of Bz and curcumin was also effective at mitigating liver toxicity triggered by Bz, increasing the parasitological cure rate, and preventing infection recrudescence in noncured animals, even when the animals were treated with 50% of the recommended therapeutic dose of Bz. By limiting the toxic effects of Bz and enhancing its antiparasitic efficiency, the combination of the drug with curcumin may be a relevant therapeutic strategy that is possibly better tolerated in ChD treatment than Bz-based monotherapy.

摘要

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[4]
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[5]
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[7]
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[9]
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本文引用的文献

[1]
Concomitant Benznidazole and Suramin Chemotherapy in Mice Infected with a Virulent Strain of Trypanosoma cruzi.

Antimicrob Agents Chemother. 2015-10

[2]
Trypanosoma cruzi infection and benznidazole therapy independently stimulate oxidative status and structural pathological remodeling of the liver tissue in mice.

Parasitol Res. 2015-8

[3]
Therapeutic responses to different anti- drugs in experimental infection by benznidazole-resistant parasite stock.

Parasitology. 2014-10

[4]
Benznidazole and posaconazole in experimental Chagas disease: positive interaction in concomitant and sequential treatments.

PLoS Negl Trop Dis. 2013-8-15

[5]
Trypanosoma cruzi infection induces morphological reorganization of the myocardium parenchyma and stroma, and modifies the mechanical properties of atrial and ventricular cardiomyocytes in rats.

Cardiovasc Pathol. 2013-3-28

[6]
Chagas disease: "the new HIV/AIDS of the Americas".

PLoS Negl Trop Dis. 2012

[7]
Real-time PCR strategy for parasite quantification in blood and tissue samples of experimental Trypanosoma cruzi infection.

Acta Trop. 2012-5-18

[8]
Mechanisms of Trypanosoma cruzi persistence in Chagas disease.

Cell Microbiol. 2012-2-24

[9]
Curcumin-arteether combination therapy of Plasmodium berghei-infected mice prevents recrudescence through immunomodulation.

PLoS One. 2012-1-20

[10]
Curcumin treatment provides protection against Trypanosoma cruzi infection.

Parasitol Res. 2012-1-4

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