基于顺铂的利什曼病当前治疗策略综述。

A review of current treatment strategies based on cisplatin for leishmaniosis.

作者信息

Sachdeva Heena, Sharma Manish

机构信息

Department of Zoology, Multani Mal Modi College, Patiala-147001, Punjab, India.

出版信息

Ann Parasitol. 2022;68(3):435-445. doi: 10.17420/ap6803.449.

Abstract

Neglected tropical diseases as termed by World Health Organization include a group of 20 diverse infectious diseases in the tropical and subtropical regions of the world. Amongst these diseases, high mortality rate is mostly associated with Chagas disease and leishmaniosis due to limited drugs, severe toxicity caused by the available drugs and drug resistance. The above hitches have triggered the researchers to focus on the development of novel alternative therapeutics. Studies reveal that several target-based drugs have emerged which affect the biochemical pathways of the causative parasite. An anti-cancerous molecule and its derivatives might be used as antiprotozoal agents due to biochemical similarities affecting DNA metabolism. Cisplatin is a widely used drug for the treatment of testicular, ovarian, head and neck cancers, melanoma, lymphomas and several others. It exerts anticancer activity via multiple mechanisms but most effective mechanism is binding with DNA, formation of intrastrand and interstrand cross-links and generation of DNA lesions. However, side effects of cisplatin limit its application and effectiveness in the cancer treatment. Moreover, to minimize the side effects of cisplatin, combination therapies are used and have proven to be effective against cancers. Thus, current review is aimed at highlighting potential of cisplatin alone and in combination therapies as an antileishmanial agent.

摘要

世界卫生组织所定义的被忽视的热带病包括世界热带和亚热带地区的一组20种不同的传染病。在这些疾病中,高死亡率主要与恰加斯病和利什曼病相关,原因是药物有限、现有药物导致的严重毒性以及耐药性。上述问题促使研究人员专注于开发新型替代疗法。研究表明,已经出现了几种基于靶点的药物,它们影响致病寄生虫的生化途径。一种抗癌分子及其衍生物可能因其影响DNA代谢的生化相似性而用作抗原生动物药物。顺铂是一种广泛用于治疗睾丸癌、卵巢癌、头颈癌、黑色素瘤、淋巴瘤及其他多种癌症的药物。它通过多种机制发挥抗癌活性,但最有效的机制是与DNA结合、形成链内和链间交联以及产生DNA损伤。然而,顺铂的副作用限制了其在癌症治疗中的应用和有效性。此外,为了尽量减少顺铂的副作用,采用了联合疗法,并且已证明对癌症有效。因此,本综述旨在强调顺铂单独及联合疗法作为抗利什曼原虫药物的潜力。

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