Moawad Howayda S F, Elgendy Alaa M, Mohamed Sabah M A, Mousa Esraa S, Moustafa Raghda A, Saleh Amira Abd El-Lateef
Medical parasitology Department, Faculty of medicine, Zagazig University, Zagazig, Egypt.
J Parasit Dis. 2025 Jun;49(2):322-333. doi: 10.1007/s12639-024-01756-1. Epub 2024 Nov 7.
Trichinosis is a real threat to public health that infects humans and animals. Current treatments have high resistance and limited bioavailability. Consequently, it is imperative to enhance the bioavailability of these drugs by developing new agents. So, the purpose of this study was to assess the efficacy of ivermectin-loaded chitosan nanoparticles (CS NPs) and their combination with albendazole (ABZ) on the muscular and intestinal phases of trichinosis. We had eight main groups of mice: non-infected control; infected control; infected and treated with ABZ; infected and treated with ivermectin (IVM); infected and treated with CS NPs; infected and treated with ABZ and IVM; infected and treated with IVM-loaded CS NPS; and infected and treated with ABZ combined with IVM-loaded CS NPS. Two subgroups were formed for each group: a and b for both phases, intestinal and muscular, respectively. Drug efficacy was parasitologically, histopathologically, serologically, and molecularly evaluated. The ABZ combined with IVM-loaded CS NPS-treated group showed the highest statistically significant reduction in adult and encysted larval counts and a noticeable reduction of both intestinal and muscular inflammation. In the treated groups, there was a significant decrease in TNF-α, iNOS, and IFN-γ gene expression when compared with the infected control. Although the level of IL10 was increased in all treated groups. In conclusion, IVM-loaded CS NPS enhanced the efficacy of ABZ against -infected mice.
旋毛虫病是一种对人类和动物健康构成实际威胁的疾病。目前的治疗方法存在高耐药性且生物利用度有限。因此,开发新的药物制剂以提高这些药物的生物利用度势在必行。所以,本研究的目的是评估载有伊维菌素的壳聚糖纳米颗粒(CS NPs)及其与阿苯达唑(ABZ)联合使用对旋毛虫病肌肉期和肠道期的疗效。我们将小鼠分为八个主要组:未感染对照组;感染对照组;感染并用ABZ治疗组;感染并用伊维菌素(IVM)治疗组;感染并用CS NPs治疗组;感染并用ABZ和IVM治疗组;感染并用载有IVM的CS NPs治疗组;感染并用ABZ与载有IVM的CS NPs联合治疗组。每组又分为两个亚组:分别用于肠道期和肌肉期的a组和b组。通过寄生虫学、组织病理学、血清学和分子学方法评估药物疗效。ABZ与载有IVM的CS NPs联合治疗组在成虫和包囊幼虫数量上显示出最高的统计学显著降低,并且肠道和肌肉炎症均有明显减轻。与感染对照组相比,治疗组中TNF-α、iNOS和IFN-γ基因表达显著降低。尽管所有治疗组中IL10水平均升高。总之,载有IVM的CS NPs增强了ABZ对感染小鼠的疗效。