Labib El Gendy Alaa Eldin M, Mohammed Faten Alsayed, Abdel-Rahman Sara A, Shalaby Thanaa Ibrahim Ahmed, Fathy Ghada M, Mohammad Samira Metwally, El-Shafey Mahmoud A, Mohammed Nesma Atef
1Medical Parasitology Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
2Medical Research Institute, Alexandria University, Alexandria, Egypt.
J Parasit Dis. 2019 Sep;43(3):416-425. doi: 10.1007/s12639-019-01106-6. Epub 2019 Apr 3.
Praziquantel (PZQ) is the main treatment of Schistosomiasis mansoni. However, resistance to it was described. So, there is a necessity to develop novel drugs or to enhance the present drugs. This work aimed to assess the efficacy of PZQ alone and when loaded on liposomes in treatment of infection by parasitological and histopathological studies in experimental murine models. 112 male laboratories bred Swiss Albino mice were used in this work. They were divided into four groups: Group 1: control group; Group 2: infected then treated by PZQ (500 mg/kg) at 7, 30 and 45 days post infection; Group 3: infected then treated by liposome encapsulated PZQ (lip.PZQ) (500 mg/kg) at 7, 30 and 45 days post infection; Group 4: infected then treated by free liposomes at 7, 30 and 45 days post infection. The results showed that G3 caused the highest significant reduction of the total worm count, eggs/gram liver tissue and intestine (97.2%, 99.3%, 99.5%) respectively. Followed by G2 (85.1%, 97.6%, 89.8%) respectively. Regarding the histopathological studies, G3 showed the highest significant reduction in number and diameter of hepatic granuloma (97.6% and 98.1%), followed by G2 (77.2% and 75%) when compared to other groups. In conclusion, lip.PZQ is more effective than free PZQ from all aspects especially when administered 45 days PI.
吡喹酮(PZQ)是曼氏血吸虫病的主要治疗药物。然而,已发现对其存在耐药性。因此,有必要研发新型药物或增强现有药物的疗效。本研究旨在通过实验小鼠模型的寄生虫学和组织病理学研究,评估单独使用PZQ以及负载于脂质体中的PZQ在治疗感染方面的疗效。本研究使用了112只雄性实验室饲养的瑞士白化小鼠。它们被分为四组:第1组:对照组;第2组:感染后在感染后第7天、30天和45天用PZQ(500mg/kg)治疗;第3组:感染后在感染后第7天、30天和45天用脂质体包裹的PZQ(lip.PZQ)(500mg/kg)治疗;第4组:感染后在感染后第7天、30天和45天用游离脂质体治疗。结果显示,第3组导致总虫数、肝脏组织和肠道中每克虫卵数显著减少最多,分别为97.2%、99.3%、99.5%。其次是第2组,分别为85.1%、97.6%、89.8%。关于组织病理学研究,与其他组相比,第3组肝肉芽肿的数量和直径减少最为显著,分别为97.6%和98.1%,其次是第2组,分别为77.2%和75%。总之,lip.PZQ在各方面都比游离PZQ更有效,尤其是在感染后45天给药时。