经临床批准的 CNS 疾病药物可作为靶向食脑变形虫的潜在治疗药物。
Clinically Approved Drugs against CNS Diseases as Potential Therapeutic Agents To Target Brain-Eating Amoebae.
机构信息
Department of Biological Sciences, School of Science and Technology , Sunway University , Selangor 47500 , Malaysia.
HEJ Research Institute of Chemistry, International Center for Chemical and Biological Sciences , University of Karachi , Karachi 75270 , Pakistan.
出版信息
ACS Chem Neurosci. 2019 Jan 16;10(1):658-666. doi: 10.1021/acschemneuro.8b00484. Epub 2018 Oct 29.
Central nervous system (CNS) infections caused by free-living amoebae such as Acanthamoeba species and Naegleria fowleri are rare but fatal. A major challenge in the treatment against the infections caused by these amoebae is the discovery of novel compounds that can effectively cross the blood-brain barrier to penetrate the CNS. It is logical to test clinically approved drugs against CNS diseases for their potential antiamoebic effects since they are known for effective blood-brain barrier penetration and affect eukaryotic cell targets. The antiamoebic effects of clinically available drugs for seizures targeting gamma-amino butyric acid (GABA) receptor and ion channels were tested against Acanthamoeba castellanii belonging to the T4 genotype and N. fowleri. Three such drugs, namely, diazepam (Valium), phenobarbitone (Luminal), phenytoin (Dilantin), and their silver nanoparticles (AgNPs) were evaluated against both trophozoites and cysts stage. Drugs alone and drug conjugated silver nanoparticles were tested for amoebicidal, cysticidal, and host-cell cytotoxicity assays. Nanoparticles were synthesized by sodium borohydride reduction of silver nitrate with drugs as capping agents. Drug conjugated nanoconjugates were characterized by ultraviolet-visible (UV-vis) and Fourier transform infrared (FT-IR) spectroscopies and atomic force microscopy (AFM). In vitro moebicidal assay showed potent amoebicidal effects for diazepam, phenobarbitone, and phenytoin-conjugated AgNPs as compared to drugs alone against A. castellanii and N. fowleri. Furthermore, both drugs and drug conjugated AgNPs showed compelling cysticidal effects. Drugs conjugations with silver nanoparticles enhanced their antiacanthamoebic activity. Interestingly, amoeba-mediated host-cell cytotoxicity was also significantly reduced by drugs alone as well as their nanoconjugates. Since, these drugs are being used to target CNS diseases, their evaluation against brain-eating amoebae seems feasible due to advantages such as permeability of the blood-brain barrier, established pharmacokinetics and dynamics, and United States Food and Drug Administration (FDA) approval. Given the limited availability of effective drugs against brain-eating amoebae, the clinically available drugs tested here present potential for further in vivo studies.
自由生活的阿米巴引起的中枢神经系统(CNS)感染,如棘阿米巴属物种和福氏耐格里阿米巴,较为罕见,但却致命。针对这些阿米巴引起的感染,治疗的一个主要挑战是发现可以有效穿透血脑屏障进入中枢神经系统的新型化合物。鉴于这些药物已知能有效穿透血脑屏障并影响真核细胞靶标,因此测试针对 CNS 疾病的临床批准药物对其抗阿米巴作用具有合理性。针对 GABA 受体和离子通道的癫痫发作的临床可用药物的抗阿米巴作用已针对属于 T4 基因型的棘阿米巴属和福氏耐格里阿米巴进行了测试。三种此类药物,即地西泮(Valium)、苯巴比妥(Luminal)和苯妥英(Dilantin)及其银纳米颗粒(AgNP),已针对滋养体和包囊阶段进行了评估。单独使用药物以及药物偶联的银纳米颗粒用于进行杀阿米巴、杀包囊和宿主细胞细胞毒性测定。纳米颗粒通过将药物作为封端剂用硼氢化钠还原硝酸银来合成。通过紫外-可见(UV-vis)和傅里叶变换红外(FT-IR)光谱以及原子力显微镜(AFM)对药物偶联的纳米复合物进行了表征。与单独使用药物相比,体外杀阿米巴测定显示地西泮、苯巴比妥和苯妥英偶联的 AgNP 对棘阿米巴属和福氏耐格里阿米巴具有更强的杀阿米巴作用。此外,这两种药物和药物偶联的 AgNP 均显示出强烈的杀包囊作用。药物与银纳米颗粒的偶联增强了其抗棘阿米巴活性。有趣的是,单独使用药物及其纳米复合物也大大降低了阿米巴介导的宿主细胞细胞毒性。由于这些药物用于靶向 CNS 疾病,因此鉴于其穿透血脑屏障的优势、已建立的药代动力学和药效学以及美国食品和药物管理局(FDA)的批准,对其进行针对食脑阿米巴的评估似乎是可行的。鉴于针对食脑阿米巴的有效药物有限,这里测试的临床可用药物具有进一步进行体内研究的潜力。