Instituto Nacional de Parasitología Dr M. Fatala Chaben, ANLIS CG Malbrán, Ministerio de Salud, Av. Paseo Colón 568, Ciudad de Buenos Aires, Argentina.
Departamento de Ciencias Básicas y Aplicadas, Universidad Nacional del Chaco Austral, Cte. Fernández 755, 3700, Pcia. Roque Sáenz Peña, Chaco, Argentina.
Parasitology. 2021 Apr;148(5):566-575. doi: 10.1017/S0031182020002310. Epub 2020 Dec 10.
Chagas disease is a serious parasitic infection caused by Trypanosoma cruzi. Unfortunately, the current chemotherapeutic tools are not enough to combat the infection. The aim of this study was to evaluate the trypanocidal activity of benznidazole-loaded microparticles during the acute phase of Chagas infection in an experimental murine model. Microparticles were prepared by spray-drying using copolymers derived from esters of acrylic and methacrylic acids as carriers. Dissolution efficiency of the formulations was up to 3.80-fold greater than that of raw benznidazole. Stability assay showed no significant difference (P > 0.05) in the loading capacity of microparticles for 3 years. Cell cultures showed no visible morphological changes or destabilization of the cell membrane nor haemolysis was observed in defibrinated human blood after microparticles treatment. Mice with acute lethal infection survived 100% after 30 days of treatment with benznidazole microparticles (50 mg kg-1 day-1). Furthermore, no detectable parasite load measured by quantitative polymerase chain reaction and lower levels of T. cruzi-specific antibodies by enzyme-linked immunosorbent assay were found in those mice. A significant decrease in the inflammation of heart tissue after treatment with these microparticles was observed, in comparison with the inflammatory damage observed in both infected mice treated with raw benznidazole and untreated infected mice. Therefore, these polymeric formulations are an attractive approach to treat Chagas disease.
恰加斯病是一种由克氏锥虫引起的严重寄生虫感染。不幸的是,目前的化学治疗工具不足以对抗这种感染。本研究的目的是在实验性小鼠模型中评价载苯硝唑微球在恰加斯感染急性期的杀锥虫活性。微球通过喷雾干燥制备,使用丙烯酸和甲基丙烯酸酯的酯衍生的共聚物作为载体。制剂的溶解效率比原始苯硝唑高 3.80 倍。稳定性试验表明,微球的载药量在 3 年内没有显著差异(P > 0.05)。细胞培养显示微球处理后,无可见的形态变化或细胞膜不稳定,也未观察到纤维蛋白溶解的人血发生溶血。急性致死性感染的小鼠在接受苯硝唑微球(50 mg kg-1 day-1)治疗 30 天后 100%存活。此外,通过定量聚合酶链反应检测到的寄生虫载量和通过酶联免疫吸附试验检测到的克氏锥虫特异性抗体水平均较低。与用原始苯硝唑治疗和未治疗的感染小鼠观察到的炎症损伤相比,用这些微球治疗后心脏组织的炎症明显减少。因此,这些聚合物制剂是治疗恰加斯病的一种有吸引力的方法。