Burgess Valentina, Maya Juan D
Escuela de Medicina, Facultad de Medicina, Universidad de Chile, Independencia, Santiago, Chile.
Programa de Farmacología Molecular y Clínica, Instituto de Ciencias Biomédicas, Facultad de Medicina, Universidad de Chile, Independencia, Santiago, Chile.
Rev Argent Microbiol. 2023 Jul-Sep;55(3):278-288. doi: 10.1016/j.ram.2023.01.006. Epub 2023 Apr 3.
Infections, including zoonoses, constitute a threat to human health due to the spread of resistant pathogens. These diseases generate an inflammatory response controlled by a resolving mechanism involving specialized membrane lipid-derived molecules called lipoxins, resolvins, maresins, and protectins. The production of some of these molecules can be triggered by aspirin or statins. Thus, it is proposed that modulation of the host response could be a useful therapeutic strategy, contributing to the management of resistance to antiparasitic agents or preventing drift to chronic, host-damaging courses. Therefore, the present work presents the state of the art on the use of statins or aspirin for the experimental management of parasitic infections such as Chagas disease, leishmaniasis, toxoplasmosis or malaria. The methodology used was a narrative review covering original articles from the last seven years, 38 of which met the inclusion criteria. Based on the publications consulted, modulation of the resolution of inflammation using statins may be feasible as an adjuvant in the therapy of parasitic diseases. However, there was no strong experimental evidence on the use of aspirin; therefore, further studies are needed to evaluate its role inflammation resolution process in infectious diseases.
包括人畜共患病在内的感染,由于耐药病原体的传播,对人类健康构成威胁。这些疾病会引发一种炎症反应,该反应由一种涉及称为脂氧素、消退素、maresins和保护素的特殊膜脂衍生分子的消退机制控制。其中一些分子的产生可由阿司匹林或他汀类药物触发。因此,有人提出调节宿主反应可能是一种有用的治疗策略,有助于应对对抗寄生虫药物的耐药性或防止病情转变为慢性、损害宿主的病程。因此,本研究介绍了使用他汀类药物或阿司匹林对恰加斯病、利什曼病、弓形虫病或疟疾等寄生虫感染进行实验性治疗的最新情况。所采用的方法是叙述性综述,涵盖过去七年的原始文章,其中38篇符合纳入标准。根据所查阅的文献,使用他汀类药物调节炎症消退作为寄生虫病治疗的辅助手段可能是可行的。然而,关于使用阿司匹林并没有强有力的实验证据;因此,需要进一步研究来评估其在传染病炎症消退过程中的作用。