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以能量代谢作为环苯扎林的靶点:一种抗内脏利什曼病的候选药物。

Energy metabolism as a target for cyclobenzaprine: A drug candidate against Visceral Leishmaniasis.

作者信息

Lima Marta Lopes, Abengózar Maria A, Torres-Santos Eduardo Caio, Borborema Samanta Etel Treiger, Godzien Joanna, López-Gonzálvez Ángeles, Barbas Coral, Rivas Luis, Tempone Andre Gustavo

机构信息

Centre for Parasitology and Mycology, Instituto Adolfo Lutz, São Paulo, São Paulo, Brazil.

Centro de Investigaciones Biológicas Margarita Salas (CSIC), Madrid, Spain.

出版信息

Bioorg Chem. 2022 Oct;127:106009. doi: 10.1016/j.bioorg.2022.106009. Epub 2022 Jul 6.


DOI:10.1016/j.bioorg.2022.106009
PMID:35841672
Abstract

Leishmaniases have a broad spectrum of clinical manifestations, ranging from a cutaneous to a progressive and fatal visceral disease. Chemotherapy is nowadays the almost exclusive way to fight the disease but limited by its scarce therapeutic arsenal, on its own compromised by adverse side effects and clinical resistance. Cyclobenzaprine (CBP), an FDA-approved oral muscle relaxant drug has previously demonstrated in vitro and in vivo activity against Leishmania sp., but its targets were not fully unveiled. This study aimed to define the role of energy metabolism as a target for the leishmanicidal mechanisms of CBP. Methodology to assess CBP leishmanicidal mechanism variation of intracellular ATP levels using living Leishmania transfected with a cytoplasmic luciferase. Induction of plasma membrane permeability by assessing depolarization with DiSBAC(2)3 and entrance of the vital dye SYTOX® Green. Mitochondrial depolarization by rhodamine 123 accumulation. Mapping target site within the respiratory chain by oxygen consumption rate. Reactive oxygen species (ROS) production using MitoSOX. Morphological changes by transmission electron microscopy. CBP caused on L. infantum promastigotes a decrease of intracellular ATP levels, with irreversible depolarization of plasma membrane, the collapse of the mitochondrial electrochemical potential, mild uncoupling of the respiratory chain, and ROS production, with ensuing intracellular Ca imbalance and DNA fragmentation. Electron microscopy supported autophagic features but not a massive plasma membrane disruption. The severe and irreversible mitochondrial damage induced by CBP endorsed the bioenergetics metabolism as a relevant target within the lethal programme induced by CBP in Leishmania. This, together with the mild-side effects of this oral drug, endorses CBP as an appealing novel candidate as a leishmanicidal drug under a drug repurposing strategy.

摘要

利什曼病具有广泛的临床表现,从皮肤型到进行性致命内脏型疾病不等。如今,化疗几乎是对抗该疾病的唯一方法,但受到其有限的治疗手段的限制,这些手段本身也受到不良副作用和临床耐药性的影响。环苯扎林(CBP)是一种经美国食品药品监督管理局(FDA)批准的口服肌肉松弛药物,此前已在体外和体内显示出对利什曼原虫的活性,但其作用靶点尚未完全明确。本研究旨在确定能量代谢作为CBP杀利什曼原虫机制靶点的作用。使用转染了细胞质荧光素酶的活利什曼原虫评估CBP杀利什曼原虫机制中细胞内ATP水平变化的方法。通过用DiSBAC(2)3评估去极化和活性染料SYTOX® Green的进入来诱导质膜通透性。通过罗丹明123积累来评估线粒体去极化。通过耗氧率绘制呼吸链内的靶点位置。使用MitoSOX检测活性氧(ROS)的产生。通过透射电子显微镜观察形态变化。CBP导致婴儿利什曼原虫前鞭毛体细胞内ATP水平降低,质膜不可逆去极化,线粒体电化学势崩溃,呼吸链轻度解偶联和ROS产生,随后细胞内钙失衡和DNA片段化。电子显微镜支持自噬特征,但未发现大量质膜破坏。CBP诱导的严重且不可逆的线粒体损伤支持生物能量代谢是CBP在利什曼原虫中诱导的致死程序中的一个相关靶点。这一点,再加上这种口服药物的轻微副作用,支持CBP作为药物重新利用策略下一种有吸引力的新型杀利什曼原虫药物候选物。

相似文献

[1]
Energy metabolism as a target for cyclobenzaprine: A drug candidate against Visceral Leishmaniasis.

Bioorg Chem. 2022-10

[2]
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[3]
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[4]
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[6]
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[7]
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[10]
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