Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Departamento de Produtos Farmacêuticos, Faculdade de Farmácia, Universidade Federal de Minas Gerais, 31270-901 Belo Horizonte, Minas Gerais, Brazil.
Parasite. 2020;27:29. doi: 10.1051/parasite/2020027. Epub 2020 Apr 30.
A clioquinol (ICHQ)-containing Pluronic F127 polymeric micelle system (ICHQ/Mic) was recently shown to be effective against Leishmania amazonensis infection in a murine model. In the present study, ICHQ/Mic was tested against L. infantum infection. BALB/c mice (n = 12 per group) were infected with L. infantum stationary promastigotes through subcutaneous injection and, 45 days after challenge, received saline or were treated via the subcutaneous route with empty micelles, ICHQ or ICHQ/Mic. In addition, animals were treated with miltefosine by the oral route, as a drug control. Half of the animals were euthanized 1 and 15 days after treatment, aiming to evaluate two endpoints after therapy, when parasitological and immunological parameters were investigated. Results showed that the treatment using miltefosine, ICHQ or ICHQ/Mic induced significantly higher anti-parasite IFN-γ, IL-12, GM-CSF, nitrite and IgG2a isotype antibody levels, which were associated with low IL-4 and IL-10 production. In addition, a higher frequency of IFN-γ and TNF-α-producing CD4 and CD8 T-cells was found in these animals. The parasite load was evaluated in distinct organs, and results showed that the treatment using miltefosine, ICHQ or ICHQ/Mic induced significant reductions in organic parasitism in the treated and infected mice. A comparison between the treatments suggested that ICHQ/Mic was the most effective in inducing a highly polarized Th1-type response, as well as reducing the parasite load in significant levels in the treated and infected animals. Data obtained 15 days after treatment suggested maintenance of the immunological and parasitological responses. In conclusion, ICHQ/Mic could be considered in future studies for the treatment of visceral leishmaniasis.
一种含有曲安西龙(ICHQ)的泊洛沙姆 F127 聚合物胶束系统(ICHQ/Mic)最近在一种小鼠模型中被证明对亚马逊利什曼原虫感染有效。在本研究中,ICHQ/Mic 被测试用于治疗婴儿利什曼原虫感染。BALB/c 小鼠(每组 12 只)通过皮下注射感染婴儿利什曼原虫静止期前鞭毛体,在挑战后 45 天,用生理盐水或通过皮下途径给予空胶束、ICHQ 或 ICHQ/Mic 进行治疗。此外,动物通过口服途径用米替福新进行治疗,作为药物对照。一半的动物在治疗后 1 天和 15 天被安乐死,旨在评估治疗后的两个终点,当调查寄生虫学和免疫学参数时。结果表明,米替福新、ICHQ 或 ICHQ/Mic 治疗显著诱导更高的抗寄生虫 IFN-γ、IL-12、GM-CSF、亚硝酸盐和 IgG2a 同种型抗体水平,这与低 IL-4 和 IL-10 产生相关。此外,在这些动物中发现更高频率的 IFN-γ 和 TNF-α 产生的 CD4 和 CD8 T 细胞。在不同器官中评估寄生虫负荷,结果表明,米替福新、ICHQ 或 ICHQ/Mic 治疗在治疗和感染的小鼠中显著降低了有机寄生虫感染。对治疗的比较表明,ICHQ/Mic 是最有效的诱导高度极化的 Th1 型反应,并在治疗和感染动物中显著降低寄生虫负荷。治疗后 15 天获得的数据表明维持了免疫和寄生虫学反应。总之,ICHQ/Mic 可在未来的内脏利什曼病治疗研究中考虑。