二甲双胍作为抗寄生虫药物治疗小鼠旋毛虫病的创新性用途。

Metformin innovative repurposing as anti-parasitic drug in the treatment of murine trichinosis.

作者信息

Mahmoud Y S, El-Wakil E S, Elsayad M H, Khodear G A M, Kazem A, Elhadad H

机构信息

Misr University for Science and Technology, 6th of October, Egypt.

Department of Parasitology, Theodor Bilharz Research Institute, Giza, Egypt.

出版信息

J Helminthol. 2025 Apr 25;99:e55. doi: 10.1017/S0022149X25000276.

Abstract

Benzimidazoles are the most frequently prescribed therapeutic options for treating trichinellosis in clinical settings; however, they have a lot of disadvantages. Therefore, researchers are focusing on the hunt for substitute chemicals. The goal of the current study was to compare the effectiveness of albendazole and the anti-diabetic medication metformin loaded on chitosan nanoparticles in treating mice infected with various stages of infection. 160 mice were included in the present study and divided into 8 groups: 6 experimentally treated groups, and positive and negative control groups. For studying the intestinal and parenteral phase, each group was broken into two more subgroups (a and b) according to the time of drug administration. The effects of albendazole, albendazole-loaded NPs, metformin, metformin-loaded NPs, combined albendazole and metformin, and metformin and albendazole-loaded NPs were assessed using parasitological studies, histopathological examination, and ultrastructural examination using SEM.Statistically significant differences were detected in all studied subgroups compared to the control infected subgroup both in the intestinal and muscular phases. The greatest decrease in recovered adult worm and muscle larvae numbers was achieved by ABZ & MET/ Cs NPs. These findings were confirmed by histopathological examination. SEM examination of the tegument of adult worms and muscle larvae showed destruction with multiple degenerative changes.Our results suggested that metformin and its combination with albendazole especially when loaded on chitosan nanoparticles could be potential therapeutic alternative drugs against trichinellosis.

摘要

苯并咪唑是临床治疗旋毛虫病最常用的治疗选择;然而,它们有很多缺点。因此,研究人员正专注于寻找替代化学品。本研究的目的是比较负载在壳聚糖纳米颗粒上的阿苯达唑和抗糖尿病药物二甲双胍在治疗感染不同阶段的小鼠时的有效性。本研究纳入了160只小鼠,分为8组:6个实验治疗组,以及阳性和阴性对照组。为了研究肠道和肠外阶段,根据给药时间,每组又分为两个亚组(a和b)。使用寄生虫学研究、组织病理学检查和扫描电子显微镜超微结构检查评估阿苯达唑、负载阿苯达唑的纳米颗粒、二甲双胍、负载二甲双胍的纳米颗粒、阿苯达唑和二甲双胍联合用药,以及二甲双胍和负载阿苯达唑的纳米颗粒的效果。在肠道和肌肉阶段,与感染对照组相比,所有研究亚组均检测到统计学上的显著差异。阿苯达唑与二甲双胍/壳聚糖纳米颗粒组在回收的成虫和肌肉幼虫数量上下降最大。这些发现通过组织病理学检查得到证实。对成虫和肌肉幼虫体表的扫描电子显微镜检查显示有破坏和多种退行性变化。我们的结果表明,二甲双胍及其与阿苯达唑的联合用药,特别是负载在壳聚糖纳米颗粒上时,可能是治疗旋毛虫病的潜在替代药物。

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