Department of Medical Microbiology, Tehran University of Medical Sciences, Tehran, Iran.
Noncommunicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, Iran.
Biomed Res Int. 2024 Feb 29;2024:7632408. doi: 10.1155/2024/7632408. eCollection 2024.
Despite tremendous advances in the prevention and treatment of infectious diseases, only few antiparasitic drugs have been developed to date. Protozoan infections such as malaria, leishmaniasis, and trypanosomiasis continue to exact an enormous toll on public health worldwide, underscoring the need to discover novel antiprotozoan drugs. Recently, there has been an explosion of research into the antiprotozoan properties of quercetin, one of the most abundant flavonoids in the human diet. In this review, we tried to consolidate the current knowledge on the antiprotozoal effects of quercetin and to provide the most fruitful avenues for future research. Quercetin exerts potent antiprotozoan activity against a broad spectrum of pathogens such as spp., spp., spp., spp., spp., and . In addition to its immunomodulatory roles, quercetin disrupts mitochondrial function, induces apoptotic/necrotic cell death, impairs iron uptake, inhibits multiple enzymes involved in fatty acid synthesis and the glycolytic pathways, suppresses the activity of DNA topoisomerases, and downregulates the expression of various heat shock proteins in these pathogens. In vivo studies also show that quercetin is effective in reducing parasitic loads, histopathological damage, and mortality in animals. Future research should focus on designing effective drug delivery systems to increase the oral bioavailability of quercetin. Incorporating quercetin into various nanocarrier systems would be a promising approach to manage localized cutaneous infections. Nevertheless, clinical trials are needed to validate the efficacy of quercetin in treating various protozoan infections.
尽管在传染病的预防和治疗方面取得了巨大进展,但迄今为止仅开发出少数几种抗寄生虫药物。原生动物感染,如疟疾、利什曼病和锥虫病,仍然对全球公共卫生造成巨大影响,这凸显了发现新的抗原生动物药物的必要性。最近,人们对槲皮素的抗原生动物特性进行了大量研究,槲皮素是人类饮食中最丰富的类黄酮之一。在这篇综述中,我们试图整合关于槲皮素的抗原生动物作用的现有知识,并为未来的研究提供最有成效的途径。槲皮素有广谱抗寄生虫活性,可对抗多种病原体,如 、 、 、 、 和 。除了其免疫调节作用外,槲皮素还破坏线粒体功能,诱导细胞凋亡/坏死,损害铁摄取,抑制脂肪酸合成和糖酵解途径中涉及的多种酶,抑制 DNA 拓扑异构酶的活性,并下调这些病原体中各种热休克蛋白的表达。体内研究还表明,槲皮素可有效降低寄生虫负荷、组织病理学损伤和动物死亡率。未来的研究应集中于设计有效的药物输送系统以提高槲皮素的口服生物利用度。将槲皮素纳入各种纳米载体系统将是管理局部皮肤感染的有前途的方法。然而,需要进行临床试验来验证槲皮素治疗各种原生动物感染的疗效。