El-Kady Asmaa M, Ahmad Alzahraa Abdelraouf, Hassan Tasneem M, El-Deek Heba E M, Fouad Samer S, Althagfan Sultan S
Department of Medical Parasitology, Faculty of Medicine, South Valley University, Qena 83523, Egypt,
Department of Medical Parasitology, Faculty of Medicine, Assiut University, Assiut 71515, Egypt.
Infect Drug Resist. 2019 Mar 28;12:709-719. doi: 10.2147/IDR.S196544. eCollection 2019.
Schistosomiasis is one of the most prevalent parasitic infections in developing countries. Although chemotherapy is one of the main strategies in controlling the disease, it is less effective in reversal of schistosome-induced pathology especially in the chronic and advanced stages of schistosomiasis. New strategies and prospective therapeutic agents with antifibrotic effects are needed. Eugenol has a wide anti-inflammatory effect. In the present study, we investigated the possible antischistosomal effect of eugenol on .
The murine model of was established in three groups of adult male Balb-c mice; group I (infected non-treated group) and groups II and III (infected groups) treated orally with eugenol and praziquantel (PZQ), respectively. The expression of the sensitive immunohistochemical marker α-smooth muscle actin (α-SMA) in schistosome-infected tissues was determined. In addition, parasitological, biochemical, and histological parameters that reflect disease severity and morbidity were examined.
Eugenol treatment showed significant reduction in total worm burden by 19.2%; however, the oogram pattern showed no marked difference compared to that of the PZQ group. Yet, eugenol significantly reduced the serum levels of hepatic enzymes: aspartate aminotransferase and alanine aminotransferase. Histopathological examination revealed a significant reduction in both numbers and diameters of hepatic granulomata, which was consistent with reduction in collagen fiber deposition. Additionally, the antifibrotic effect of eugenol was validated by its considerable reduction in the expression of the sensitive marker α-SMA in both eugenol- and PZQ-treated groups.
Although eugenol could not totally eradicate adults of , the significant amelioration of liver enzymes and hepatic fibrosis potentiate eugenol's role as a promising antifibrotic and a complementary antischistosomal agent.
血吸虫病是发展中国家最普遍的寄生虫感染之一。尽管化疗是控制该疾病的主要策略之一,但在逆转血吸虫病引起的病理变化方面效果较差,尤其是在血吸虫病的慢性和晚期阶段。需要新的策略和具有抗纤维化作用的前瞻性治疗药物。丁香酚具有广泛的抗炎作用。在本研究中,我们研究了丁香酚对......可能的抗血吸虫作用。
在三组成年雄性Balb-c小鼠中建立......的小鼠模型;第一组(感染未治疗组)以及第二组和第三组(感染组)分别口服丁香酚和吡喹酮(PZQ)。测定血吸虫感染组织中敏感免疫组织化学标志物α平滑肌肌动蛋白(α-SMA)的表达。此外,还检查了反映疾病严重程度和发病率的寄生虫学、生化和组织学参数。
丁香酚治疗使总虫负荷显著降低了19.2%;然而,虫卵图谱模式与吡喹酮组相比没有显著差异。不过,丁香酚显著降低了血清肝酶水平:天冬氨酸转氨酶和丙氨酸转氨酶。组织病理学检查显示肝肉芽肿的数量和直径均显著减少,这与胶原纤维沉积的减少一致。此外,丁香酚和吡喹酮治疗组中敏感标志物α-SMA表达的显著降低证实了丁香酚的抗纤维化作用。
尽管丁香酚不能完全根除......成虫,但肝酶和肝纤维化的显著改善增强了丁香酚作为一种有前景的抗纤维化和辅助抗血吸虫药物的作用。