Department of Biomedical Sciences, Faculty of Veterinary Medicine, University of León, 24071 León, Spain.
ACS Infect Dis. 2021 Aug 13;7(8):2390-2401. doi: 10.1021/acsinfecdis.1c00139. Epub 2021 Jun 11.
Leishmaniases are vector-borne neglected diseases caused by single-celled parasites. The search for new antileishmanial drugs has experienced a strong boost thanks to the application of bioimaging to phenotypic screenings based on intracellular amastigotes. Mouse splenic explants infected with fluorescent strains of are proven tools of drug discovery, where hits can be easily transferred to preclinical in vivo models. We have developed a two-staged platform for antileishmanial drugs. First, we screened two commercial collections of repurposing drugs with a total of 1769 compounds in ex vivo mouse splenocytes infected with an infrared emitting strain. The most active and safest compounds were scaled-up to in vivo models of chronic visceral leishmaniasis and cutaneous leishmaniasis. From the total of 1769 compounds, 12 hits with selective indices >35 were identified, and 4 of them were tested in vivo in a model of visceral leishmaniasis. Nifuratel, a repurposed synthetic nitrofuran, when administered orally at 50 mg/kg bw once or twice a day for 10 days, caused >80% reduction in the parasitic load. Furthermore, the intralesional administration of nifuratel in a model of cutaneous leishmaniasis by produced the parasitological cure. From the previous results we have deduced the great capacity of mouse splenic explants to identify new hits, a model which could be easily transferred to in vivo models, as well as the potential use of nifuratel as an alternative to the current treatment of cutaneous leishmaniasis.
利什曼病是由单细胞寄生虫引起的经媒介传播的被忽视疾病。由于将生物成像应用于基于细胞内无鞭毛体的表型筛选,寻找新的抗利什曼病药物的工作得到了强劲推动。用荧光标记的感染小鼠脾组织是发现药物的有力工具,在该模型中,命中化合物很容易转移到临床前体内模型。我们已经开发了一种用于抗利什曼病药物的两阶段平台。首先,我们在感染了红外发射株的离体小鼠脾细胞中筛选了两个再利用药物的商业化合物库,总共有 1769 种化合物。活性最高、安全性最好的化合物被放大到慢性内脏利什曼病和皮肤利什曼病的体内模型中。在总共 1769 种化合物中,有 12 种具有选择性指数>35 的化合物被鉴定出来,其中 4 种在内脏利什曼病模型中进行了体内测试。硝呋太尔是一种经重新利用的合成硝呋拉嗪,当每天口服 50mg/kg 体重,1 次或 2 次,连续 10 天时,寄生虫负荷减少了>80%。此外,在皮肤利什曼病模型中通过局部给予硝呋太尔可导致寄生虫学治愈。从之前的结果我们推断出,小鼠脾组织具有识别新化合物的巨大能力,这种模型可以很容易地转移到体内模型中,而且硝呋太尔作为治疗皮肤利什曼病的替代方法具有很大潜力。