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Ramos-Milaré ÁCFH, Sydor BG, Brustolin AÁ, Lera-Nonose DSSL, Oyama J, Silva EL, Caetano W, Campanholi KSS, Demarchi IG, Silveira TGV, Lonardoni MVC. In vitro effects of lapachol and β-lapachone against Leishmania amazonensis. Braz J Med Biol Res 2023; 56:e12693. [PMID: 37255095 DOI: 10.1590/1414-431x2023e12693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2023] [Accepted: 04/06/2023] [Indexed: 06/01/2023] Open
Abstract
Leishmaniasis is a neglected disease that affects millions of people worldwide, and special attention should be given to treatment because the available drugs have limitations, which can lead to low therapeutic adherence and parasitic resistance. This study evaluated the activity of the bioactive naphthoquinones, lapachol and β-lapachone, against Leishmania amazonensis. The cell alterations were evaluated in vitro on promastigote and amastigote forms. The lethal dose (LD50) at 24, 48, and 72 h on the promastigote's forms using lapachol was 75.60, 72.82, and 58.85 μg/mL and for β-lapachone was 0.65, 1.24, and 0.71 μg/mL, respectively. The naphthoquinones significantly inhibited the survival rate of L. amazonensis amastigotes at 83.11, 57.59, and 34.95% for lapachol (82.28, 41.14, and 20.57 µg/mL), and 78.49, 83.25, and 80.22% for β-lapachone (3.26, 1.63, and 0.815 µg/mL). The compounds on the promastigote's forms led to the loss of mitochondrial membrane potential, induced changes in the integrity of the membrane, caused damage to cells suggestive of the apoptotic process, and showed inhibition of tumor necrosis factor (TNF)-α and interleukin (IL)-6 production. The results showed that these naphthoquinones are promising candidates for research on new drugs with anti-Leishmania activity derived from natural products.
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Affiliation(s)
- Á C F H Ramos-Milaré
- Programa de Pós-graduação em Ciências da Saúde, Universidade Estadual de Maringá, Maringá, PR, Brasil
| | - B G Sydor
- Programa de Pós-graduação em Ciências da Saúde, Universidade Estadual de Maringá, Maringá, PR, Brasil
| | - A Á Brustolin
- Programa de Pós-graduação em Ciências da Saúde, Universidade Estadual de Maringá, Maringá, PR, Brasil
| | - D S S L Lera-Nonose
- Programa de Pós-graduação em Ciências da Saúde, Universidade Estadual de Maringá, Maringá, PR, Brasil
| | - J Oyama
- Programa de Pós-graduação em Biociências e Fisiopatologia, Universidade Estadual de Maringá, Maringá, PR, Brasil
| | - E L Silva
- Departamento de Química, Universidade Estadual de Maringá, Maringá, PR, Brasil
| | - W Caetano
- Departamento de Química, Universidade Estadual de Maringá, Maringá, PR, Brasil
| | - K S S Campanholi
- Departamento de Química, Universidade Estadual de Maringá, Maringá, PR, Brasil
| | - I G Demarchi
- Departamento de Análises Clínicas, Universidade Estadual de Maringá, Florianópolis, SC, Brasil
- Departamento de Análises Clínicas e Biomedicina, Universidade Estadual de Maringá, Maringá, PR, Brasil
| | - T G V Silveira
- Departamento de Análises Clínicas e Biomedicina, Universidade Estadual de Maringá, Maringá, PR, Brasil
| | - M V C Lonardoni
- Departamento de Análises Clínicas e Biomedicina, Universidade Estadual de Maringá, Maringá, PR, Brasil
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Sydor BG, Ramos-Milaré ÁCFH, Pereira MB, Brustolin AÁ, Montaholi DC, Lera-Nonose DSSL, Negri M, de Lima Scodro RB, Teixeira JJV, Lonardoni MVC. Plants of the Phytolaccaceae family with antimicrobial activity: A systematic review. Phytother Res 2022; 36:3505-3528. [PMID: 35858779 DOI: 10.1002/ptr.7557] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2021] [Revised: 01/24/2022] [Accepted: 06/22/2022] [Indexed: 12/09/2022]
Abstract
Phytolaccaceae is a plant family of the order Caryophyllales, which includes species used in traditional medicine to treat diseases. The purpose of this study was to investigate Phytolaccaceae family plants with potential antimicrobial action, through a systematic review. The study was conducted following the criteria of PRISMA protocol. The search was performed in the electronic databases PubMed, Web of Science, Scopus, and LILACS, in March 2021. The search strategy used free descriptors and terms, limiting articles to the English language, regardless of publication year. The risk of bias and the quality of publications were based on the CONSORT checklist, modified for in vitro studies and SYRCLE's RoB tool for in vivo study. Five independent judges performed quality assessments of publications and risk of bias analysis. Ninety-five publications were retrieved from the databases and, after screening and eligibility criteria, 22 articles remained, from 1998 to 2019. In the selected studies, the plants were obtained from eight countries. In vivo and in vitro studies of extracts from the Phytolaccaceae family plants, evaluating antibacterial (8 publications), antifungal (8), anti-Trypanosoma (2), anti-Leishmania (2), antiviral (1), and antiamoebic (1) activities, are included. The plant species identified belong to genera Petiveria, Phytolacca, Gallesia, Trichostigma, and Seguieria. The risk of bias in the 22 publications both in vitro and in vitro was suboptimal. The evidence obtained showed that the Phytolaccaceae family, a source of plants with antimicrobial action, can serve as a basis for the creation of new herbal medicines, expanding the possibility of treatment for infectious diseases and stimulating their preservation and biodiversity. However, more high-quality studies are needed to establish the clinical efficacy of the plant.
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Affiliation(s)
- Bruna Gomes Sydor
- Postgraduate Program in Health Sciences, State University of Maringá, Maringá, Brazil
| | | | | | - Aline Ávila Brustolin
- Postgraduate Program in Health Sciences, State University of Maringá, Maringá, Brazil
| | | | | | - Melyssa Negri
- Postgraduate Program in Health Sciences, State University of Maringá, Maringá, Brazil
| | | | | | - Maria Valdrinez Campana Lonardoni
- Postgraduate Program in Health Sciences, State University of Maringá, Maringá, Brazil.,Postgraduate Program in Biosciences and Physiopathology, State University of Maringá, Maringá, Brazil
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Alves Mota C, Stéfanie Sara Lopes Lera-Nonose D, Ávila Brustolin A, Chiqueto Duarte G, Carolina Mota Dos Santos M, Valdrinez Campana Lonardoni M, Gomes Verzignassi Silveira T. Low expression of hypoxia-inducible factor-1α and differential expression of immune mediators during experimental infection with Leishmania (Viannia) spp. Cytokine 2022; 153:155833. [PMID: 35247649 DOI: 10.1016/j.cyto.2022.155833] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2021] [Revised: 02/04/2022] [Accepted: 02/11/2022] [Indexed: 11/27/2022]
Abstract
Leishmania (Viannia) species are the major agents of cutaneous leishmaniasis (CL) in the Americas. Ulcerative stigmatizing skin lesions generally characterize CL. The microenvironment during Leishmania infection is rich in inflammatory cells and molecules, which contrasts with low oxygen levels. The hypoxia-inducible factor (HIF)-1α activates several genes in response to hypoxia and inflammatory reactions, but its role in the CL course is poorly understood. We investigated the expression pattern of the genes HIF-1α, arginase, inducible NO synthase (iNOS), interferon (IFN)-γ, interleukin (IL)-12, and IL-10 in skin lesions and lymph nodes of golden hamsters infected with L. braziliensis, L. lainsoni, and L. naiffi. The animals were infected and followed for 105 days, with paw volume measurements and photos taken weekly. Euthanasia was performed at 0, 15, 56, and 105 days post-infection. The parasite load of paw and lymph node tissues were measured through absolute quantification at real-time PCR (qPCR), and reverse transcription qPCR (RT-qPCR) was applied to demonstrate the relative mRNA expression of the target genes. Among groups, animals infected with L. braziliensis had the highest parasite load in paws and lymph nodes. HIF-1α mRNA was down-regulated during chronic Leishmania (Viannia) infection but demonstrated less inhibition in hamsters infected with L. lainsoni and L. naiffi. Arginase was the most detectable gene in animals infected by L. braziliensis; IFN-γ and IL-10 genes were the most detectable in L. lainsoni and L. naiffi-infected animals. HIF-1α gene transcription seemed to be down-modulated byL. (Viannia)infection and was less inhibited by L. lainsoni and L. naiffi when compared toL. braziliensis. Animals with L. lainsoni and L. naiffi showed better control of the disease. Further studies are necessary to evaluate the mechanism influencing HIF-1α expression and its role on CL protection; such research could elucidate potential use of HIF-1α as a therapeutic target.
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Affiliation(s)
- Camila Alves Mota
- Programa de Pós-Graduação em Ciências da Saúde, Universidade Estadual de Maringá, Maringá, Paraná, Brasil.
| | | | - Aline Ávila Brustolin
- Programa de Pós-Graduação em Ciências da Saúde, Universidade Estadual de Maringá, Maringá, Paraná, Brasil
| | | | | | - Maria Valdrinez Campana Lonardoni
- Laboratório de Leishmanioses, Departamento de Análises Clínicas e Biomedicina, Universidade Estadual de Maringá, Maringá, Paraná, Brasil
| | - Thaís Gomes Verzignassi Silveira
- Laboratório de Leishmanioses, Departamento de Análises Clínicas e Biomedicina, Universidade Estadual de Maringá, Maringá, Paraná, Brasil
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Neitzke-Abreu HC, Caetano RCS, Reinhold-Castro KR, Lima-Junior MSDC, dos Santos WJT, de Alcantara Nogueira de Melo G, Cuman RKN, Aristides SMA, Silveira TGV, Lonardoni MVC. Leukocyte Behavior in Mesenteric Microcirculation upon Exper-imental By Leishmania Spp. in BALB/c Mice. IJPA 2021; 16:567-575. [PMID: 35082885 PMCID: PMC8710210 DOI: 10.18502/ijpa.v16i4.7869] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/22/2021] [Accepted: 04/11/2021] [Indexed: 11/30/2022]
Abstract
Background: We aimed to determine the cellular recruitment (leukocyte rolling and adhesion) by which the Leishmania (Viannia) braziliensis, L. (Leishmania) amazonensis, and L. (Leishmania) major species in the mesenteric microcirculation of BALB/c mice. Methods: Five experimental groups were considered: group 1 (L. braziliensis); group 2 (L. amazonensis); group 3 (L. major); group 4 (control group with PBS); group 5 (negative control group), analyzed 3, 6, 12, and 24 h after parasite inoculation. Results: Infections by the different Leishmania species caused an increase in the number of rolling leukocytes: L. braziliensis a peak at 6 h; L. amazonensis and L. major a peak at 3 h. The Leishmania infections induced leukocyte adhesion: L. major and L. amazonensis showed an increase after 3 and 6 h, respectively. Conclusion: The kinetics of cellular recruitment in Leishmania infections, leading to infection susceptibility or resistance, indicates that distinct mechanisms regulate the initial response to Leishmania infection and determine its course.
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Affiliation(s)
- Herintha Coeto Neitzke-Abreu
- Postgraduate Program of Health Sciences, Universidade Estadual de Maringá, Maringá, PR, Brazil
- Postgraduate Program of Health Sciences, Universidade Federal da Grande Dourados, Dourados, MS, Brazil
- Correspondence
| | | | | | | | | | - Gessilda de Alcantara Nogueira de Melo
- Departament of Clinical Analysis and Biomedicine, Universidade Estadual de Maringá, Maringá, PR, Brazil
- Postgraduate Program of Biosciences and Pathophysiology, Universidade Estadual de Maringá, Maringá, PR, Brazil
| | - Roberto Kenji Nakamura Cuman
- Postgraduate Program of Health Sciences, Universidade Estadual de Maringá, Maringá, PR, Brazil
- Postgraduate Program of Pharmaceutical Sciences, Universidade Estadual de Maringá, Maringá, PR, Brazil
| | - Sandra Mara Alessi Aristides
- Postgraduate Program of Health Sciences, Universidade Estadual de Maringá, Maringá, PR, Brazil
- Departament of Clinical Analysis and Biomedicine, Universidade Estadual de Maringá, Maringá, PR, Brazil
| | - Thais Gomes Verzignassi Silveira
- Postgraduate Program of Health Sciences, Universidade Estadual de Maringá, Maringá, PR, Brazil
- Departament of Clinical Analysis and Biomedicine, Universidade Estadual de Maringá, Maringá, PR, Brazil
| | - Maria Valdrinez Campana Lonardoni
- Postgraduate Program of Health Sciences, Universidade Estadual de Maringá, Maringá, PR, Brazil
- Departament of Clinical Analysis and Biomedicine, Universidade Estadual de Maringá, Maringá, PR, Brazil
- Postgraduate Program of Biosciences and Pathophysiology, Universidade Estadual de Maringá, Maringá, PR, Brazil
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Pereira MB, Sydor BG, Memare KG, Verzignassi Silveira TG, Alessi Aristides SM, Dalmarco EM, Vieira Teixeira JJ, Campana Lonardoni MV, Demarchi IG. In vivo efficacy of meglumine antimoniate-loaded nanoparticles for cutaneous leishmaniasis: a systematic review. Nanomedicine (Lond) 2021; 16:1505-1518. [PMID: 34189952 DOI: 10.2217/nnm-2021-0119] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/09/2022] Open
Abstract
Background: Nanotechnology is a promising strategy to improve existing antileishmanial agents. Objective: To explore the evidence of encapsulated meglumine antimoniate for cutaneous leishmaniasis treatment in animal models. Materials & methods: The studies were recovered from PubMed, Scopus, EMBASE, LILACS, WoS and Google according to eligibility criteria following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and the Population, Intervention, Comparison, Outcomes and Study design (PICOS) strategy. Study appraisal was assessed using the Animal Research Reporting of In Vivo Experiments, SYstematic Review Centre for Laboratory animal Experimentation (SYRCLE) and Grading of Recommendations Assessment, Development and Evaluation (GRADE) recommendations. Results: Five studies were included. Liposomes, metallic and polymeric nanoparticles were tested in BALB/c mice against Leishmania major, L. tropica or L. amazonensis. Limitations: Few studies were found to meet the eligibility criteria. Conclusion: All formulations had a significant efficacy, similar to the meglumine antimoniate reference treatment concerning the lesion size and parasite burden. The studies had a high and moderate risk of bias, and the confidence in cumulative evidence was considered low. Therefore, we encourage the development of high-quality preclinical studies. Registration: PROSPERO register CRD42020170191.
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Affiliation(s)
- Meliana Borilli Pereira
- Graduate Program in Health Sciences, State University of Maringá, Avenida Colombo, 5790, Jardim Universitário, Maringá, 87020-900, PR, Brazil
| | - Bruna Gomes Sydor
- Graduate Program in Health Sciences, State University of Maringá, Avenida Colombo, 5790, Jardim Universitário, Maringá, 87020-900, PR, Brazil
| | - Karla Gabriela Memare
- Graduate Program in Health Sciences, State University of Maringá, Avenida Colombo, 5790, Jardim Universitário, Maringá, 87020-900, PR, Brazil
| | - Thaís Gomes Verzignassi Silveira
- Graduate Program in Health Sciences, State University of Maringá, Avenida Colombo, 5790, Jardim Universitário, Maringá, 87020-900, PR, Brazil
| | - Sandra Mara Alessi Aristides
- Graduate Program in Health Sciences, State University of Maringá, Avenida Colombo, 5790, Jardim Universitário, Maringá, 87020-900, PR, Brazil
| | - Eduardo Monguilhott Dalmarco
- Health Sciences Center - Department of Clinical Analysis, Federal University of Santa Catarina, Campus Universitário Reitor João David Ferreira Lima, s/n°, Bairro Trindade, Florianópolis, 88040-900, SC, Brazil
| | - Jorge Juarez Vieira Teixeira
- Department of Clinical Analysis & Biomedicine, State University Maringá, Avenida Colombo, 5790, Jardim Universitário, Maringá, 87020-900, PR, Brazil.,Post Graduation Program in Bioscience & Physiopathology, State University Maringá, Avenida Colombo, 5790, Jardim Universitário, Maringá, 87020-900, PR, Brazil
| | - Maria Valdrinez Campana Lonardoni
- Graduate Program in Health Sciences, State University of Maringá, Avenida Colombo, 5790, Jardim Universitário, Maringá, 87020-900, PR, Brazil
| | - Izabel Galhardo Demarchi
- Graduate Program in Health Sciences, State University of Maringá, Avenida Colombo, 5790, Jardim Universitário, Maringá, 87020-900, PR, Brazil.,Health Sciences Center - Department of Clinical Analysis, Federal University of Santa Catarina, Campus Universitário Reitor João David Ferreira Lima, s/n°, Bairro Trindade, Florianópolis, 88040-900, SC, Brazil
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6
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Lera-Nonose DSSL, De Oliveira LF, Brustolin A, Santos TS, Oyama J, Ramos-Milaré ÁCFH, Terron-Monich MDS, Demarchi IG, Neto QADL, Teixeira JJV, Lonardoni MVC. Genetic variations in the human immune system influence susceptibility to tegumentary leishmaniasis: a systematic review and meta-analysis. Expert Rev Clin Immunol 2021; 17:513-537. [PMID: 33749481 DOI: 10.1080/1744666x.2021.1906650] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
OBJECTIVES The outcomes of tegumentary leishmaniasis (TL) rely on a complex interaction between the host immune system and the parasite. This study assessed the influence of polymorphisms in immune-related genes on TL. METHODS Web of Science, Scopus, PubMed, and Embase databases were searched systemically. The meta-analysis used a retrospective model in examining alleles, heterozygotes, and homozygotes. A quality assessment and an analysis of cumulative evidence were performed. RESULTS A total of 29 genes (encoding for cytokines, chemokines, and other immune receptors) and 84 polymorphisms were analyzed. The IL-1β_rs16944 (OR = 1.341, p = 0.003), TNF-α_rs1800629 (OR = 3.804, p = 0.004), MIF_rs755622 (OR = 3.357, p = 0.001), and INF- γ_rs243056 (OR = 1.670, p = 0.028) polymorphisms were speculated as risk factor for TL. They decrease the expression of the corresponding genes crucial for TL control. The quality assessment score was approximately 50%, suggesting the need for a clear method and polymorphism characterization for further comparison. The relevant risk of bias and other considerations resulted in low and moderate cumulative evidence confidence. CONCLUSIONS IL-1β_rs16944, TNF-α_rs1800629, MIF_rs755622, and INF-γ_rs2430561 polymorphisms were speculated as risk factor for TL, corroborating that IL-1β, TNF-α, INF-γ, and MIF are involved in the TL pathogenesis.
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Affiliation(s)
- Daniele Stéfanie Sara Lopes Lera-Nonose
- Graduate Program in Health Sciences, Universidade Estadual De Maringá, Maringá, Paraná, Brazil.,Department of Clinical Analysis and Biomedicine- Laboratory of Leishmaniasis, Universidade Estadual De Maringá, Maringá, Paraná, Brazil
| | | | - Aline Brustolin
- Graduate Program in Health Sciences, Universidade Estadual De Maringá, Maringá, Paraná, Brazil
| | - Thais Silva Santos
- Graduate Program in Bioscience and Physiopathology, Universidade Estadual De Maringá, Maringá, Paraná, Brazil
| | - Jully Oyama
- Graduate Program in Bioscience and Physiopathology, Universidade Estadual De Maringá, Maringá, Paraná, Brazil
| | - Áquila Carolina Fernandes Herculano Ramos-Milaré
- Graduate Program in Health Sciences, Universidade Estadual De Maringá, Maringá, Paraná, Brazil.,Department of Clinical Analysis and Biomedicine- Laboratory of Leishmaniasis, Universidade Estadual De Maringá, Maringá, Paraná, Brazil
| | - Mariana De Souza Terron-Monich
- Graduate Program in Health Sciences, Universidade Estadual De Maringá, Maringá, Paraná, Brazil.,Department of Basic Science-Laboratory of Immunogenetics, Universidade Estadual De Maringá, Maringá, Paraná, Brazil
| | - Izabel Galhardo Demarchi
- Graduate Program in Health Sciences, Universidade Estadual De Maringá, Maringá, Paraná, Brazil.,Department of Clinical Analysis, Universidade Federal De Santa Catarina, Roberto Sampaio Gonzaga Street, Campus Reitor João David Ferreira Lima, Florianópolis, Santa Catarina, Brazil
| | - Quirino Alves De Lima Neto
- Department of Basic Science-Laboratory of Immunogenetics, Universidade Estadual De Maringá, Maringá, Paraná, Brazil
| | - Jorge Juarez Vieira Teixeira
- Department of Clinical Analysis and Biomedicine - Laboratory of Epidemiology and Evidence-based Health, Universidade Estadual De Maringá, Maringá, Paraná, Brazil
| | - Maria Valdrinez Campana Lonardoni
- Department of Clinical Analysis and Biomedicine- Laboratory of Leishmaniasis, Universidade Estadual De Maringá, Maringá, Paraná, Brazil
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Mota CA, Venazzi EAS, Zanzarini PD, Aristides SMA, Lonardoni MVC, Silveira TGV. Filter paper performance in PCR for cutaneous leishmaniasis diagnosis. Rev Soc Bras Med Trop 2020; 54:e00472020. [PMID: 33338104 PMCID: PMC7747818 DOI: 10.1590/0037-8682-0047-2020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2020] [Accepted: 07/23/2020] [Indexed: 11/27/2022] Open
Abstract
INTRODUCTION The objective of this study was to evaluate the performance of filter paper (FP) for lesion scraping collection in a polymerase chain reaction (PCR) for cutaneous leishmaniasis (CL) diagnosis. METHODS Lesion scrapings from 48 patients were collected and analyzed for PCR. RESULTS PCR with FP detected up to three Leishmania braziliensis promastigotes. Considering the direct search by microscopy or PCR of samples collected in STE buffer as standards, the sensitivity of PCR with FP was 100%. CONCLUSIONS FP can be useful for CL diagnosis in remote regions, allowing high sensitivity in the detection of the parasite by PCR.
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Affiliation(s)
- Camila Alves Mota
- Universidade Estadual de Maringá, Programa de Pós-Graduação em Biociências e Fisiopatologia, Maringá, PR, Brasil
| | - Eneide Aparecida Sabaini Venazzi
- Universidade Estadual de Maringá, Departamento de Análises Clínicas e Biomedicina, Laboratório de Parasitologia Clínica, Maringá, PR, Brasil
| | - Paulo Donizeti Zanzarini
- Universidade Estadual de Maringá, Departamento de Análises Clínicas e Biomedicina, Laboratório de Leishmanioses, Maringá, PR, Brasil
| | - Sandra Mara Alessi Aristides
- Universidade Estadual de Maringá, Departamento de Análises Clínicas e Biomedicina, Laboratório de Leishmanioses, Maringá, PR, Brasil
| | - Maria Valdrinez Campana Lonardoni
- Universidade Estadual de Maringá, Departamento de Análises Clínicas e Biomedicina, Laboratório de Leishmanioses, Maringá, PR, Brasil
| | - Thaís Gomes Verzignassi Silveira
- Universidade Estadual de Maringá, Departamento de Análises Clínicas e Biomedicina, Laboratório de Leishmanioses, Maringá, PR, Brasil
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8
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Ferreira FBP, Herculano Ramos-Milaré ÁCF, Gonçalves JE, Lazarin-Bidóia D, Nakamura CV, Sugauara RR, Fernandez CMM, Gazim ZC, Demarchi IG, Silveira TGV, Lonardoni MVC. Campomanesia xanthocarpa (Mart.) O. Berg essential oil induces antileishmanial activity and remodeling of the cytoplasm organelles. Nat Prod Res 2020; 35:6112-6116. [PMID: 32998582 DOI: 10.1080/14786419.2020.1827401] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
Leishmaniasis is a neglected disease that affects millions of people worldwide. This study aimed to analyze antileishmanial activity of Campomanesia xanthocarpa leaf essential oil (EO) on promastigote and amastigote forms of Leishmania amazonensis, cytotoxicity in murine macrophages and sheep erythrocytes. The essential oil (EO) was analyzed by gas chromatography/mass spectrophotometry. The main and most abundant compounds were sesquiterpene hydrocarbons (71.22%) such as trans-caryophyllene (7.87%), bicyclogermacrene (11.28%), and δ-cadinene (8.34%). The IC50 for promastigote and amastigote forms of L. amazonensis was 70 µg mL-1 and 6 µg mL-1, respectively. C. xanthocarpa EO was not cytotoxic for murine macrophages (CC50 1860 µg mL-1) and sheep erythrocytes (1.5%), presenting high selectivity index for protozoan (310). C. xanthocarpa EO induced effects on the morphology and ultrastructure of this parasite. The high activity for intracellular amastigote forms, low toxicity to murine macrophages, and erythrocytes, suggest that C. xanthocarpa EO is promising for the treatment of leishmaniasis.
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Affiliation(s)
| | | | - José Eduardo Gonçalves
- Posgraduate in Clean Technologies, UniCesumar, Maringá, Paraná State, Brazil.,Cesumar Instituto de Ciências, Tecnologia e Inovação - ICETI, Maringá, Paraná State, Brazil
| | - Danielle Lazarin-Bidóia
- Laboratory of Innovation in Development of Medicines and Cosmetics, Department of Health Sciences, Universidade Estadual de Maringá, Maringá, Paraná State, Brazil
| | - Celso Vataru Nakamura
- Laboratory of Innovation in Development of Medicines and Cosmetics, Department of Health Sciences, Universidade Estadual de Maringá, Maringá, Paraná State, Brazil
| | - Rosangela Rumi Sugauara
- Posgraduate in Biotechnology Applied to Agriculture, Universidade Paranaense, Umuarama, Paraná State, Brazil
| | | | - Zilda Cristiani Gazim
- Posgraduate in Biotechnology Applied to Agriculture, Universidade Paranaense, Umuarama, Paraná State, Brazil
| | | | - Thaís Gomes Verzignassi Silveira
- Posgraduate Program in Health Sciences, Universidade Estadual de Maringá, Maringá, Paraná State, Brazil.,Department of Clinical Analysis and Biomedicine, Universidade Estadual de Maringá, Maringá, Paraná State, Brazil
| | - Maria Valdrinez Campana Lonardoni
- Posgraduate Program in Health Sciences, Universidade Estadual de Maringá, Maringá, Paraná State, Brazil.,Department of Clinical Analysis and Biomedicine, Universidade Estadual de Maringá, Maringá, Paraná State, Brazil
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Oyama J, Fernandes Herculano Ramos-Milaré ÁC, Lopes Lera-Nonose DSS, Nesi-Reis V, Galhardo Demarchi I, Alessi Aristides SM, Juarez Vieira Teixeira J, Gomes Verzignassi Silveira T, Campana Lonardoni MV. Photodynamic therapy in wound healing in vivo: a systematic review. Photodiagnosis Photodyn Ther 2020; 30:101682. [PMID: 32032780 DOI: 10.1016/j.pdpdt.2020.101682] [Citation(s) in RCA: 27] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2019] [Revised: 01/20/2020] [Accepted: 01/31/2020] [Indexed: 12/17/2022]
Abstract
Wounds constitute severe problems in public health. Inappropriate manipulation to promote wound healing and indiscriminate use of antibiotics may contribute to failure in wound treatment, leading to bacterial growth and resistance. Appropriate and correct approaches to wound treatment are crucially important. Further, the development of new and effective treatment modalities is important to decrease infection-related mortality and to reduce patient suffering and side effects. Photodynamic therapy (PDT) could be a promising approach to ameliorate this global health problem. We researched articles that used PDT in wound healing in vivo. The systematic review included articles that investigated the effect of PDT on wound healing in animals, published from May 2008 through 2018, in the databases PubMed and Web of Science. The main types of wounds described in the selected articles were burns, abrasions, and excisional wounds. Most of the studies tested PDT in wounds infected by methicillin-resistant Staphylococcus aureus, S. aureus standard strain, or Pseudomonas aeruginosa. The studies demonstrated that PDT contributes in several ways to the wound healing process, such as killing bacterial cells and stimulating the proliferation of fibroblasts and consequently of collagen and elastin. Based on these studies, PDT provided excellent results for the wound healing process, acting in several steps and accelerating tissue repair. PDT has proven to be a promising therapeutic modality, able to inhibit bacterial regrowth or kill bacteria, contributing significantly to accelerate the wound healing process.
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Affiliation(s)
- Jully Oyama
- Graduate Program in Bioscience and Physiopathology, State University of Maringá, Colombo Avenue, 5790, Postal Code 87020-900, Maringá, Paraná, Brazil.
| | | | | | - Vanessa Nesi-Reis
- Graduate Program in Health Sciences, State University of Maringá, Colombo Avenue, 5790, Postal Code 87020-900, Maringá, Paraná, Brazil
| | - Izabel Galhardo Demarchi
- Graduate Program in Health Sciences, State University of Maringá, Colombo Avenue, 5790, Postal Code 87020-900, Maringá, Paraná, Brazil; Department of Clinical Analysis, Federal University of Santa Catarina, Roberto Sampaio Gonzaga Street, Campus Reitor João David Ferreira Lima, Postal Code 88040-970, Florianópolis, Santa Catarina, Brazil
| | - Sandra Mara Alessi Aristides
- Department of Clinical Analysis and Biomedicine, State University of Maringá, Colombo Avenue, 5790, Postal Code 87020-900, Maringá, Paraná, Brazil
| | - Jorge Juarez Vieira Teixeira
- Department of Clinical Analysis and Biomedicine, State University of Maringá, Colombo Avenue, 5790, Postal Code 87020-900, Maringá, Paraná, Brazil
| | - Thaís Gomes Verzignassi Silveira
- Department of Clinical Analysis and Biomedicine, State University of Maringá, Colombo Avenue, 5790, Postal Code 87020-900, Maringá, Paraná, Brazil
| | - Maria Valdrinez Campana Lonardoni
- Department of Clinical Analysis and Biomedicine, State University of Maringá, Colombo Avenue, 5790, Postal Code 87020-900, Maringá, Paraná, Brazil
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10
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Santos TDS, Demarchi IG, Mello TFP, Teixeira JJV, Lonardoni MVC. Antiphospholipid Syndrome. Rev Cienc Saude 2019. [DOI: 10.21876/rcshci.v9i4.892] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
Antiphospholipid syndrome (APS) was characterized as an autoimmune condition with the production of antiphospholipid antibodies (aPL) associated with thrombosis and morbidity in pregnancy. The prevalence of aPL in the population ranges from 1% to 5% in patients with APS. The hypotheses regarding pathophysiological mechanisms are strongly related to binding proteins and antiphospholipid antibodies. The exact mechanisms by which they lead to clinical manifestations appear to be heterogeneous, but it is believed which aPL contribute to the cellular activation/coagulation, and so cause the thrombotic events. The treatment of APS should be an individual character and several factors should be taken into accounts, such as a number of antibodies, the age of the patient and the history of thrombotic events.
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11
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Conter CC, Mota CA, Dos Santos BA, de Souza Braga L, de Souza Terron M, Navasconi TR, Fernandes ACBS, Demarchi IG, de Castro KRR, Aristides SMA, Lonardoni MVC, Teixeira JJV, Silveira TGV. PCR primers designed for new world Leishmania: A systematic review. Exp Parasitol 2019; 207:107773. [PMID: 31605671 DOI: 10.1016/j.exppara.2019.107773] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2019] [Revised: 10/07/2019] [Accepted: 10/07/2019] [Indexed: 01/03/2023]
Abstract
Studies of the primers that were designed to detect New World Leishmania were systematically reviewed to report the characteristics of each target, detection limit, specificity of the primers designed and diagnostic sensibility. The papers identified in the databases PubMed and Web of Science involved 50 studies. Minicircle is the most applied target in molecular research for diagnosis, due to its high sensitivity in detecting Leishmania in different clinical samples, a characteristic that can be partially attributed to the higher number of copies of the minicircle per cell. The other molecular targets shown in this review were less sensitive to diagnostic use because of the lower number of copies of the target gene per cell, but more specific for identification of the subgenus and/or species. The choice of the best target is an important step towards the result of the research. The target allows the design of primers that are specific to the genus, subgenus or a particular species and also imparts sensitivity to the method for diagnosis. The findings of this systematic review provide the advantages and disadvantages of the main molecular targets and primers designed for New World Leishmania, offering information so that the researcher can choose the PCR system best suited to their research need. This is a timely and extremely thorough review of the primers designed for New World Leishmania.
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Affiliation(s)
- Carolina Cella Conter
- Graduate Program in Health Sciences, State University of Maringá, Maringá, Paraná, Brazil
| | - Camila Alves Mota
- Graduate Program in Health Sciences, State University of Maringá, Maringá, Paraná, Brazil
| | | | - Laís de Souza Braga
- Graduate Program in Health Sciences, State University of Maringá, Maringá, Paraná, Brazil
| | | | - Taísa Rocha Navasconi
- Graduate Program in Health Sciences, State University of Maringá, Maringá, Paraná, Brazil
| | | | - Izabel Galhardo Demarchi
- Department of Clinical Analyses and Biomedicine, State University of Maringá, Maringá, Paraná, Brazil
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12
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Oyama J, Lera-Nonose DSSL, Ramos-Milaré ÁCFH, Padilha Ferreira FB, de Freitas CF, Caetano W, Hioka N, Silveira TGV, Lonardoni MVC. Potential of Pluronics ® P-123 and F-127 as nanocarriers of anti-Leishmania chemotherapy. Acta Trop 2019; 192:11-21. [PMID: 30659806 DOI: 10.1016/j.actatropica.2019.01.008] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2018] [Revised: 01/02/2019] [Accepted: 01/08/2019] [Indexed: 12/19/2022]
Abstract
Leishmaniasis is a neglected disease and drugs approved for its treatment often lead to abandonment, failure of therapy and even death. Photodynamic therapy (PDT) has been shown to be a promising, non-invasive and selective for a target region without requiring high-cost technology. Usually, it is employed a photosensitizing agent (PS) incorporated into nanoparticles (NP). Pluronics® P-123 and F-127 micelles are very interesting aqueous NP promoting efficient and selective delivery and less adverse effects. This study aimed to detect the activity of Pluronics® P-123 and F-127 themselves since there is a scarcity of data on these NP activities without drugs incorporation. This study evaluated, in vitro, the activity of Pluronics® against promastigotes and amastigotes of Leishmania amazonensis and also their cytotoxicities. Additionally, the determination of the mitochondria membrane potential in promastigotes, internalization of these Pluronics® in the parasite membrane and macrophages and its stability in the culture medium was evaluated. Results showed that Pluronics® did not cause significant damage to human red cells and promastigotes. The P-123 and F-127 inhibited the survival rate of L. amazonensis amastigotes, and also presented loss of mitochondrial membrane potential on promastigotes. The Pluronics® showed low cytotoxic activity on J774A.1 macrophages, while only P-123 showed moderate cytotoxicity for BALB/c macrophages. The stability of P-123 and F-127 in culture medium was maintained for ten days. In conclusion, the NP studied can be used for incorporating potent leishmanicidal chemotherapy, due to their selectivity towards macrophages, being a promising system for the treatment of cutaneous leishmaniasis.
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13
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Terron-Monich MDS, Demarchi IG, da Silva PRF, Ramos-Milaré ÁCFH, Gazim ZC, Silveira TGV, Lonardoni MVC. 6,7-Dehydroroyleanone diterpene derived from Tetradenia riparia essential oil modulates IL-4/IL-12 release by macrophages that are infected with Leishmania amazonensis. Parasitol Res 2018; 118:369-376. [DOI: 10.1007/s00436-018-6166-2] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2018] [Accepted: 11/23/2018] [Indexed: 12/11/2022]
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14
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Silva CMD, Peder LDD, Jorge FA, Thomazella MV, Horvath JD, Silva ES, Lonardoni MVC, Teixeira JJV, Bertolini DA. High Seroprevalence of Syphilis Among HIV-Infected Patients and Associated Predictors. AIDS Res Hum Retroviruses 2018; 34:821-822. [PMID: 29943623 DOI: 10.1089/aid.2018.0036] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
| | - Leyde Daiane de Peder
- Post-Graduate Program in Biosciences and Physiopathology, State University of Maringá, Maringá, Brazil
| | | | | | | | | | - Maria Valdrinez Campana Lonardoni
- Post-Graduate Program in Health Sciences, State University of Maringá, Maringá, Brazil
- Post-Graduate Program in Biosciences and Physiopathology, State University of Maringá, Maringá, Brazil
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15
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Santos AGAD, Ferlini JDP, Vicentino SL, Lonardoni MVC, Sant'Ana DDMG, Melo GDAND. Alterations induced in the ileum of mice upon inoculation with different species of Leishmania: a preliminary study. Rev Soc Bras Med Trop 2018; 51:537-541. [PMID: 30133641 DOI: 10.1590/0037-8682-0348-2017] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2017] [Accepted: 12/28/2017] [Indexed: 02/05/2023] Open
Abstract
INTRODUCTION Leishmania species cause skin, mucosal, and disseminated lesions. We studied the effects of three Leishmania species on ileal morphology in mice. METHODS BALB/c mice were intraperitoneally inoculated with Leishmania (Leishmania) amazonensis, Leishmania (Viannia) braziliensis, and Leishmania (Leishmania) major (4 animals/group). After 72h, the ilea were collected and histologically processed. RESULTS Following inoculation, the goblet cell and intraepithelial lymphocyte populations increased, while Paneth cell number and crypt width decreased. In addition, enterocyte size, villi height, and mucosa, submucosa, and muscular tunic thickness increased. CONCLUSIONS Leishmania modified the quantity of cells in and morphology of mice ilea.
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Affiliation(s)
| | | | - Suellen Lais Vicentino
- Programa de Pós-Graduação em Biociências e Fisiopatologia, Universidade Estadual de Maringá, Maringá, PR, Brasil.,Instituto de Ciências Biológicas, Médicas e da Saúde, Universidade Paranaense, Umuarama, PR, Brasil
| | | | - Debora de Mello Gonçales Sant'Ana
- Programa de Pós-Graduação em Biociências e Fisiopatologia, Universidade Estadual de Maringá, Maringá, PR, Brasil.,Departamento de Ciências Morfológicas, Universidade Estadual de Maringá, Maringá, PR, Brasil
| | - Gessilda de Alcântara Nogueira de Melo
- Programa de Pós-Graduação em Biociências e Fisiopatologia, Universidade Estadual de Maringá, Maringá, PR, Brasil.,Departamento de Análises Clínicas e Biomedicina, Universidade Estadual de Maringá, Maringá, PR, Brasil
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16
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do Nascimento Volpe RAF, Navasconi TR, Dos Reis VN, Hioka N, Becker TCA, Lonardoni MVC, Aristides SMA, Silveira TGV. Photodynamic Therapy for the Treatment of American Tegumentary Leishmaniasis: Evaluation of Therapies Association in Experimentally Infected Mice With Leishmania (Leishmania) amazonensis. J Lasers Med Sci 2018; 9:274-282. [PMID: 31119023 DOI: 10.15171/jlms.2018.49] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Introduction: American tegumentary leishmaniasis (ATL) is a zoonotic disease caused by protozoan parasites of the genus Leishmania that affects the skin and mucous membrane. Currently, the available drugs for the treatment are injectable, with side effects, long-term treatment regimen and there is the possibility of drug resistance. Thus, alternative therapies have been tested, including photodynamic therapy (PDT). We evaluated the efficacy of PDT on its own and associated with the prescribed ATL treatment. Methods: BALB/c mice were infected with Leishmania (Leishmania) amazonensis and divided into 6 groups: Gluc+PDT, treated with Glucantime® and photodynamic therapy (PDT) with methylene blue (MB)/red LED (light-emitting diode); Gluc, treated with Glucantime®; PDT, treated with PDT with MB/red LED; Ampho+PDT, treated with amphotericin and PDT with MB/red LED; Ampho, treated with amphotericin; and control, which were infected but not treated. Two treatment cycles were performed. After 165 days of infection, the parasite load was determined. Results: Statistical differences were not found (P>0.05) between measures of volume and thickness of the infected footpads in the treated groups when compared with the control group. However, there was a significant reduction (P<0.05) in the parasitic load of the popliteal lymph nodes of the Gluc+PDT, Gluc, PDT and Ampho groups when compared to the control group. In the histological analysis of the infected footpads, the Gluc+PDT group presented a smaller amount of amastigote nests and lower intensity of the mononuclear infiltrate when compared to the Gluc and PDT groups. Conclusion: The results showed that although there is no significant difference in the evaluations of footpad size (thickness and volume), there is a downward measurement tendency in the Gluc+PDT group, as it can be observed by volume data and corroborated by parasite negative load.
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Affiliation(s)
| | - Taisa Rocha Navasconi
- Graduate Program in Health Sciences, Universidade Estadual de Maringá, Maringá, Brazil
| | - Vanessa Nesi Dos Reis
- Graduate Program in Health Sciences, Universidade Estadual de Maringá, Maringá, Brazil
| | - Noboru Hioka
- Department of Chemistry, Universidade Estadual de Maringá, Maringá, Brazil
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17
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Oyama J, Ferreira FBP, Conter CC, Lera-Nonose DSSL, Ramos-Milaré ÁCFH, Venazzi EAS, Silveira TGV, Lonardoni MVC. American tegumentary leishmaniasis: diagnostic and treatment challenges in a clinical case. Rev Inst Med Trop Sao Paulo 2018; 60:e3. [PMID: 29451600 PMCID: PMC5813666 DOI: 10.1590/s1678-9946201860003] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2017] [Accepted: 11/28/2017] [Indexed: 11/22/2022] Open
Abstract
This clinical case presents a patient with a raised and ulcerative lesion with erythematous edges in the mouth, on the lower lip that was unsuccessfully treated as herpes labialis. Clinical data and laboratory tests (Montenegro skin test, indirect immunofluorescence, direct parasite search and polymerase chain reaction) led to the diagnosis of American tegumentary leishmaniasis caused by Leishmania (Viannia) sp. Treatment with pentavalent antimonial (Glucantime®) for 120 days was not effective and administration of amphotericin B for 30 days resulted in wound healing. Glucantime® treatment protocol was longer than the recommended by the Brazilian Ministry of Health in the handbook of mucosal leishmaniasis. This suggests that amphotericin B should have been administered earlier, preventing the psychological and social problems faced by the patient. This study reports a rare clinical case of primary mucosal leishmaniasis on the lip that had a delayed diagnosis, highlighting the precariousness in the management of disease and showing that, despite the importance of leishmaniasis in Brazil, it is still neglected by health professionals.
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Affiliation(s)
- Jully Oyama
- Universidade Estadual de Maringá, Maringá, Paraná, Brazil
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18
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Nesi-Reis V, Lera-Nonose DSSL, Oyama J, Silva-Lalucci MPP, Demarchi IG, Aristides SMA, Teixeira JJV, Silveira TGV, Lonardoni MVC. Contribution of photodynamic therapy in wound healing: A systematic review. Photodiagnosis Photodyn Ther 2017; 21:294-305. [PMID: 29289704 DOI: 10.1016/j.pdpdt.2017.12.015] [Citation(s) in RCA: 80] [Impact Index Per Article: 11.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2017] [Revised: 12/12/2017] [Accepted: 12/26/2017] [Indexed: 10/18/2022]
Abstract
OBJECTIVE We researched articles that used photodynamic therapy (PDT) for skin wound healing in humans. METHODS The systematic review was conducted through scientific articles that investigated the action of PDT on wound healing in humans, published from July 2005 to March 2017, in the data bases PubMed and LILACS. RESULTS The main types of wound described in selected articles in this review were chronic ulcer and non-melanoma skin cancer. For accomplishing the PDT, second generation of photosensitizing agents with laser or light emitting diode were used. The studies demonstrated that PDT contribute in several ways to the wound healing process: leading to cellular death; reducing or increasing inflammation; stimulating fibroblasts proliferation and, consequently, of collagen and elastin; raising transforming growth factor beta and metalloproteinases. Based on this, PDT provided good results in wound healing process, acting in several steps and accelerating tissue repair. CONCLUSIONS PDT improved healing in many wound models in humans, revealing itself as a promising therapeutic modality for stimulating wound healing and remodelling.
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Affiliation(s)
- Vanessa Nesi-Reis
- Graduate Program in Health Sciences, Universidade Estadual de Maringá, Avenida Colombo, 5790, Jardim Universitário, CEP 87020-900, Maringá, Paraná, Brazil.
| | | | - Jully Oyama
- Graduate Program in Bioscience and Physiopathology, Universidade Estadual de Maringá, Avenida Colombo, 5790, Jardim Universitário, CEP 87020-900, Maringá, Paraná, Brazil.
| | - Marielle Priscila Paula Silva-Lalucci
- Graduate Program in Bioscience and Physiopathology, Universidade Estadual de Maringá, Avenida Colombo, 5790, Jardim Universitário, CEP 87020-900, Maringá, Paraná, Brazil.
| | - Izabel Galhardo Demarchi
- Departament of Clinical Analysis and Biomedicine, Universidade Estadual de Maringá, Avenida Colombo, 5790, Jardim Universitário, CEP 87020-900, Maringá, Paraná, Brazil.
| | - Sandra Mara Alessi Aristides
- Departament of Clinical Analysis and Biomedicine, Universidade Estadual de Maringá, Avenida Colombo, 5790, Jardim Universitário, CEP 87020-900, Maringá, Paraná, Brazil.
| | - Jorge Juarez Vieira Teixeira
- Departament of Clinical Analysis and Biomedicine, Universidade Estadual de Maringá, Avenida Colombo, 5790, Jardim Universitário, CEP 87020-900, Maringá, Paraná, Brazil.
| | - Thaís Gomes Verzignassi Silveira
- Departament of Clinical Analysis and Biomedicine, Universidade Estadual de Maringá, Avenida Colombo, 5790, Jardim Universitário, CEP 87020-900, Maringá, Paraná, Brazil.
| | - Maria Valdrinez Campana Lonardoni
- Departament of Clinical Analysis and Biomedicine, Universidade Estadual de Maringá, Avenida Colombo, 5790, Jardim Universitário, CEP 87020-900, Maringá, Paraná, Brazil.
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19
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Santos TDS, Ieque AL, de Carvalho HC, Sell AM, Lonardoni MVC, Demarchi IG, de Lima Neto QA, Teixeira JJV. Antiphospholipid syndrome and recurrent miscarriage: A systematic review and meta-analysis. J Reprod Immunol 2017; 123:78-87. [PMID: 28985591 DOI: 10.1016/j.jri.2017.09.007] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2017] [Revised: 09/15/2017] [Accepted: 09/18/2017] [Indexed: 10/18/2022]
Abstract
Antiphospholipid syndrome (APS) is an autoimmune condition that is associated with thrombosis and morbidity in pregnancy. The exact mechanisms by which these associations occur appear to be heterogeneous and are not yet well understood. The aim of this study was to identify and analyze publications in recent years to better understand the diagnosis and its contribution to monitoring APS among women with recurrent miscarriage (RM). This systematic review and meta-analysis was conducted using the PubMed and Web of Knowledge databases, with articles published between 2010 and 2014, according to the PRISMA statement. Of the 85 identified studies, nine were selected. Most of the studies reported an association between recurrent miscarriage and specific antiphospholipid antibodies, as anticardiolipin antibodies (aCL), lupus anticoagulant (LA), anti-β2-glycoprotein I antibodies (aβ2GPI) and antiphosphatidylserine (aPS), which showed a relationship with RM. The main result of the meta-analysis revealed association between antiphospholipid antibodies (aPLs) and/or APS compared to the patients with RM (OR: 0.279; 95% CI: 0.212-0.366) and APS cases compared to the patients with RM (OR: 0.083; 95% CI: 0.036-0.189). High heterogeneity among these studies (I2=100.0%, p <0.001) was observed. In addition, there was no significant publication bias across studies according to Begg's test (p=0.230), although Egger's test (p=0.037) suggests significant publication bias. The funnel plot was slightly asymmetrical. Systematic review and meta-analysis demonstrated a positive association between antiphospholipid antibodies and/or antiphospholipid syndrome in patients with recurrent miscarriage.
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Affiliation(s)
- Thaís da Silva Santos
- Postgraduate Program in Biosciences and Physiopathology, State University Maringa, 5790 Colombo Avenue, 87020-900, Maringa, Brazil
| | - Andressa Lorena Ieque
- Postgraduate Program in Health Sciences, State University Maringa, 5790 Colombo Avenue, 87020-900 Maringa, Brazil
| | - Hayalla Corrêa de Carvalho
- Postgraduate Program in Biosciences and Physiopathology, State University Maringa, 5790 Colombo Avenue, 87020-900, Maringa, Brazil
| | - Ana Maria Sell
- Department of Cell Biology and Genetics, Center of Biological Sciences, State University Maringa,5790 Colombo Avenue, 87020-900 Maringa, Brazil
| | | | - Izabel Galhardo Demarchi
- Department of Clinical Analyses and Biomedicine, State University Maringa, 5790 Colombo Avenue, 87020-900 Maringa, Brazil
| | - Quirino Alves de Lima Neto
- Department of Basic Health Sciences, State University Maringa,5790 Colombo Avenue, 87020-900 Maringa, Brazil
| | - Jorge Juarez Vieira Teixeira
- Postgraduate Program in Biosciences and Physiopathology, Department of Clinical Analyses and Biomedicine, State University Maringa, 5790 Colombo Avenue, 87020-900 Maringa, Brazil.
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20
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Navasconi TR, Dos Reis VN, Freitas CF, Pereira PCDS, Caetano W, Hioka N, Lonardoni MVC, Aristides SMA, Silveira TGV. Photodynamic Therapy With Bengal Rose and Derivatives Against Leishmania amazonensis. J Lasers Med Sci 2017; 8:46-50. [PMID: 28912944 DOI: 10.15171/jlms.2017.09] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
Introduction: The treatment of cutaneous leishmaniasis (CL) is based primarily on the use of pentavalent antimonials, which may lead to many side effects limiting their use. Photodynamic therapy (PDT) is an alternative for the treatment of CL, and some xanthene dyes have the potential for use in PDT. Methods: The xanthenes rose bengal B (RB) and its derivatives rose bengal methyl ester (RBMET), and butyl ester (RBBUT) were analyzed for leishmanicidal activity against promastigotes and intracellular amastigotes of Leishmania amazonensis. Cytotoxicity was assessed in J774.A1 macrophages. Results: RB derivates RBMET (IC50 9.83 μM), and RBBUT (IC50 45.08 μM) showed leishmanicidal activity, however, were toxic to J774.A1 macrophages, resulting in low selectivity index. Conclusion: The RBMET and RBBUT showed to be effective against the L. amazonensis and the low selectivity index presented may not be a limitation for their use in PDT to CL treatment.
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Affiliation(s)
- Taisa Rocha Navasconi
- Graduate Program in Health Sciences, Universidade Estadual de Maringá, Maringá, Brazil
| | - Vanessa Nesi Dos Reis
- Graduate Program in Health Sciences, Universidade Estadual de Maringá, Maringá, Brazil
| | | | | | - Wilker Caetano
- Department of Chemistry, Universidade Estadual de Maringá, Maringá, Brazil
| | - Noboru Hioka
- Department of Chemistry, Universidade Estadual de Maringá, Maringá, Brazil
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21
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Cardoso BM, De Mello TFP, Lera DSL, Brenzan MA, Cortez DAG, Donatti L, Silveira TGV, Lonardoni MVC. Antileishmanial Activity of a Calophyllum brasiliense Leaf Extract. Planta Med 2017; 83:57-62. [PMID: 27224267 DOI: 10.1055/s-0042-107673] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Calophyllum brasiliense (Clusiaceae) is a tree that grows mainly in the Atlantic Forest in Brazil. Its leaves possess antibacterial activity, cytotoxic activity against certain tumor cell lines, and antimicrobial activity in BALB/c mice infected with Leishmania (Leishmania) amazonensis.Aiming to identify ultrastructural changes and DNA fragmentation in Leishmania (Viannia) braziliensis, promastigotes were treated with a concentration of the dichloromethane extract and coumarin (-) mammea A/BB from C. brasiliense leaves that inhibited 50 % of the parasites (IC50), and were evaluated by transmission and scanning electron microscopy. Ultrastructural changes showed different levels of mitochondrial alterations, including mitochondrial swelling and a reduction in the density of the mitochondrial matrix. Induced DNA fragmentation, as observed by TUNEL, suggested that the extract and coumarin (-) mammea A/BB induced apoptosis-like cell death. These results suggest that the combination of C. brasiliense extract and coumarin (-) mammea A/BB can be considered a promising candidate for the development of new antiprotozoal agents, because of its significant leishmanicidal activity.
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Affiliation(s)
- Bruna Muller Cardoso
- Programa de Pós-Graduação em Biociências e Fisiopatologia, Departamento de Análises Clínicas e Biomedicina, Universidade Estadual de Maringá, Maringá, PR, Brazil
| | - Tatiane Franca Perles De Mello
- Programa de Pós-Graduação em Biociências e Fisiopatologia, Departamento de Análises Clínicas e Biomedicina, Universidade Estadual de Maringá, Maringá, PR, Brazil
| | - Daniele Stefani Lopes Lera
- Programa de Pós-Graduação em Biociências e Fisiopatologia, Departamento de Análises Clínicas e Biomedicina, Universidade Estadual de Maringá, Maringá, PR, Brazil
| | - Mislaine Adriana Brenzan
- Programa de Pós-Graduação em Ciências Farmacêuticas, Departamento de Farmácia e Farmacologia, Universidade Estadual de Maringá, Maringá, PR, Brazil
| | - Diógenes Aparecido Garcia Cortez
- Programa de Pós-Graduação em Ciências Farmacêuticas, Departamento de Farmácia e Farmacologia, Universidade Estadual de Maringá, Maringá, PR, Brazil
| | - Lucélia Donatti
- Programa de Pós-Graduação em Biologia Celular e Molecular, Universidade Federal do Paraná, Curitiba, PR, Brazil
| | - Thais Gomes Verzignassi Silveira
- Programa de Pós-Graduação em Biociências e Fisiopatologia, Departamento de Análises Clínicas e Biomedicina, Universidade Estadual de Maringá, Maringá, PR, Brazil
| | - Maria Valdrinez Campana Lonardoni
- Programa de Pós-Graduação em Biociências e Fisiopatologia, Departamento de Análises Clínicas e Biomedicina, Universidade Estadual de Maringá, Maringá, PR, Brazil
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Nassif PW, Castilho-Peres M, Rosa APZ, Silva ALD, Aristides SMA, Lonardoni MVC, Teixeira JJV, Silveira TGV. Clinical, laboratory, and therapeutic characteristics of American tegumentary leishmaniasis in the 15 th State Health Division, Northwest Paraná State, Southern Brazil. Rev Soc Bras Med Trop 2016; 49:593-601. [DOI: 10.1590/0037-8682-0208-2016] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2016] [Accepted: 09/23/2016] [Indexed: 11/22/2022] Open
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Demarchi IG, Terron MDS, Thomazella MV, Mota CA, Gazim ZC, Cortez DAG, Aristides SMA, Silveira TGV, Lonardoni MVC. Antileishmanial and immunomodulatory effects of the essential oil from Tetradenia riparia (Hochstetter) Codd. Parasite Immunol 2016; 38:64-77. [PMID: 26615004 DOI: 10.1111/pim.12297] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2015] [Accepted: 11/24/2015] [Indexed: 12/12/2022]
Abstract
Cutaneous leishmaniasis usually presents therapeutic resistance to antimonials, and the existing therapies for leishmaniasis have many adverse effects and toxicity. Natural products may be regarded as possible candidates for alternative leishmaniasis treatment. The plant Tetradenia riparia has shown promise for the treatment of infectious diseases in folk medicine. We evaluated the antileishmanial activity of an essential oil from T. riparia (TrEO) and the modulatory effects of TrEO on cytokine modulation by peritoneal fluid cells that were infected with L. (L.) amazonensis. Peritoneal fluid cells were infected with Leishmania and incubated with TrEO (30 ng/mL) for 3, 6, and 24 h. Cytokines were screened using semi-quantitative reverse-transcription polymerase chain reaction (RT-PCR) and flow cytometry. Antileishmanial activity was evaluated at 24 h by microscopic counting and quantitative PCR (qPCR). TrEO treatment induced the death of 50% of Leishmania amastigotes (indicated by microscopic counting) and 91% of the parasite load (indicated by qPCR). TrEO inhibited some of the most critical cytokines for parasite growth and the establishment of infection, including granulocyte-macrophage colony-stimulating factor, interleukin-4 (IL-4), IL-10, and tumour necrosis factor. The parasite inhibited interferon-γ and IL-12, and TrEO blocked this inhibition, indicating that these cytokines are critical for activating mechanisms associated with the death and elimination of the parasite. These results suggest that TrEO may be an alternative leishmaniasis therapy when considering its antileishmanial and immunomodulatory activity.
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Affiliation(s)
- Izabel Galhardo Demarchi
- Departamento de Análises Clínicas e Biomedicina, Laboratório de Imunologia Clínica, Universidade Estadual de Maringá, Maringá, Paraná, Brazil
| | - Mariana de Souza Terron
- Departamento de Análises Clínicas e Biomedicina, Laboratório de Imunologia Clínica, Universidade Estadual de Maringá, Maringá, Paraná, Brazil
| | - Mateus Vailant Thomazella
- Departamento de Análises Clínicas e Biomedicina, Laboratório de Imunologia Clínica, Universidade Estadual de Maringá, Maringá, Paraná, Brazil
| | - Camila Alves Mota
- Departamento de Análises Clínicas e Biomedicina, Laboratório de Imunologia Clínica, Universidade Estadual de Maringá, Maringá, Paraná, Brazil
| | - Zilda Cristiani Gazim
- Departamento de Farmácia, Laboratório de Química de Produtos Naturais da Universidade Paranaense, Umuarama, Paraná, Brazil
| | | | - Sandra Mara Alessi Aristides
- Departamento de Análises Clínicas e Biomedicina, Laboratório de Imunologia Clínica, Universidade Estadual de Maringá, Maringá, Paraná, Brazil
| | - Thaís Gomes Verzignassi Silveira
- Departamento de Análises Clínicas e Biomedicina, Laboratório de Imunologia Clínica, Universidade Estadual de Maringá, Maringá, Paraná, Brazil
| | - Maria Valdrinez Campana Lonardoni
- Departamento de Análises Clínicas e Biomedicina, Laboratório de Imunologia Clínica, Universidade Estadual de Maringá, Maringá, Paraná, Brazil
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Trevisan DAC, Lonardoni MVC, Demarchi IG. Diagnostic methods to cutaneous leishmaniasis detection in domestic dogs and cats. An Bras Dermatol 2016; 90:868-72. [PMID: 26734869 PMCID: PMC4689076 DOI: 10.1590/abd1806-4841.20153716] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2014] [Accepted: 07/21/2014] [Indexed: 11/21/2022] Open
Abstract
Cutaneous leishmaniasis is caused by different species of
Leishmania. In domestic animals such as dogs and
cats, the diagnostic consists of clinical, epidemiological and serological
tests, which changes among countries all around the world. Because of this
diversity in the methods selected, we propose this systematic literature
review to identify the methods of laboratory diagnosis used to detect
cutaneous leishmaniasis in domestic dogs and cats in the Americas. Articles
published in the last 5 years were searched in PubMed, ISI Web of Science,
LILACS and Scielo, and we selected 10 papers about cutaneous leishmaniasis
in dogs and cats in the Americas. In Brazil, often the indirect
immunofluorescence and enzyme immunoassay (ELISA) have been applied. Other
countries like United States and Mexico have been using antigenic fractions
for antibodies detections by Western blot. ELISA and Western blot showed a
higher sensitivity and efficacy in the detection of leishmaniasis. Analysis
of sensibility and specificity of the methods was rarely used. Although
confirmatory to leishmaniasis, direct methods for parasites detection and
polymerase chain reaction showed low positivity in disease detection. We
suggested that more than one method should be used for the detection of
feline and canine leishmaniasis. Serological methods such as Western blot
and enzyme immunoassay have a high efficacy in the diagnosis of this
disease.
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Fernandes ACBS, Pedroso RB, de Mello TFP, Donatti L, Venazzi EAS, Demarchi IG, Aristides SMA, Lonardoni MVC, Silveira TGV. In vitro characterization of Leishmania (Viannia) braziliensis isolates from patients with different responses to Glucantime(®) treatment from Northwest Paraná, Brazil. Exp Parasitol 2016; 167:83-93. [PMID: 27181585 DOI: 10.1016/j.exppara.2016.05.003] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2015] [Revised: 04/19/2016] [Accepted: 05/12/2016] [Indexed: 11/29/2022]
Abstract
Leishmaniasis is a group of diseases that presents various clinical manifestations. Many studies have shown that the parasite plays an important role in the clinical manifestations and prognosis of this disease. The cutaneous and mucosal forms of American tegumentary leishmaniasis (ATL) are associated with Leishmania (Viannia) braziliensis, which exhibits intraspecific genetic polymorphisms and various clinical manifestations. The present study focused on four different L. braziliensis strains that were isolated from patients with distinct Glucantime(®) treatment responses. The isolates were described based on their molecular, biological, and infective characteristics. Growth patterns in culture medium and different grow phases were analyzed, MID-Logarithimic (Mid-LOG), Logarithimic (LOG) and Stationary (STAT) phases. Complement resistance was evaluated using guinea pig serum. Infection to murine peritoneal macrophages, cytokine and nitric oxide were analyzed. Ultrastructural features were determined by transmission electron microscopy, and molecular characteristics were determined based on random amplified polymorphic DNA (RAPD). All of the L. braziliensis isolates showed typical growth and similar complement sensitivity patterns. Markedly lower infectivity indexes were observed for all strains in the LOG phase, with different cytokine profiles. The ultrastructure analysis revealed distinct differences between the MID-LOG, LOG, and STAT phases. The RAPD results showed a divergence between the isolates of the L. braziliensis. The in vitro characterization of L. braziliensis isolates from humans with different treatment responses using various parameters enabled us to observe differences among the isolates. Molecular and in vivo characterizations are currently under study to improve understanding of the parasite-host interaction that can imply in the clinical manifestation differences.
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Affiliation(s)
| | - Raíssa Bocchi Pedroso
- Programa de Pós-Graduação em Ciências da Saúde, Universidade Estadual de Maringá, Maringá, Paraná, Brazil.
| | | | - Lucélia Donatti
- Departamento de Biologia Celular, Universidade Federal do Paraná, Curitiba, Paraná, Brazil.
| | | | - Izabel Galhardo Demarchi
- Departamento de Análises Clínicas e Biomedicina, Universidade Estadual de Maringá, Maringá, Paraná, Brazil.
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Gualda KP, Marcussi LM, Neitzke-Abreu HC, Aristides SMA, Lonardoni MVC, Cardoso RF, Silveira TGV. NEW PRIMERS FOR DETECTION OF Leishmania infantum USING POLYMERASE CHAIN REACTION. Rev Inst Med Trop Sao Paulo 2016; 57:377-83. [PMID: 26603223 PMCID: PMC4660445 DOI: 10.1590/s0036-46652015000500002] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2014] [Accepted: 01/16/2015] [Indexed: 11/24/2022] Open
Abstract
Leishmania infantum causes visceral leishmaniasis (VL) in the New World. The diagnosis of VL is confirmed by parasitological and serological tests, which are not always sensitive or specific. Our aim was to design new primers to perform a Polymerase Chain Reaction (PCR) for detecting L. infantum. Sequences of the minicircle kinetoplast DNA (kDNA) were obtained from GenBank, and the FLC2/RLC2 primers were designed. Samples of DNA from L. infantum, Leishmania amazonensis,Leishmania braziliensis, Leishmania guyanensis, Leishmania naiffi, Leishmania lainsoni, Leishmania panamensis,Leishmaniamajor and Trypanosoma cruzi were used to standardize the PCR. PCR with FLC2/RLC2 primers amplified a fragment of 230 bp and the detection limit was 0.2 fg of L. infantum DNA. Of the parasite species assayed, only L. infantum DNA was amplified. After sequencing, the fragment was aligned to GenBank sequences, and showed (99%) homology with L. infantum. In the analysis of blood samples and lesion biopsy from a dog clinically suspected to have VL, the PCR detected DNA from L. infantum. In biopsy lesions from humans and dogs with cutaneous leishmaniasis, the PCR was negative. The PCR with FLC2/RLC2 primers showed high sensitivity and specificity, and constitutes a promising technique for the diagnosis of VL.
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Conter CC, Neitzke-Abreu HC, Pedroso RB, Lonardoni MVC, Silveira TGV, Aristides SMA. Detection of Leishmania (Viannia) DNA in leucocytes from the blood of patients with cutaneous leishmaniasis. Rev Soc Bras Med Trop 2016; 48:626-8. [PMID: 26516978 DOI: 10.1590/0037-8682-0052-2015] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2015] [Accepted: 04/16/2015] [Indexed: 11/22/2022] Open
Abstract
INTRODUCTION Cutaneous leishmaniasis (CL) is a serious and global public health issue, with the potential of developing a mucosal form, occurring as subclinical cases, and showing recurrence despite previous treatment. METHODS Polymorphonuclear and mononuclear DNA obtained from 49 patients was subjected to polymerase chain reaction for detection of Leishmania (Viannia). RESULTS DNA was detected in mononuclear cells from two patients with active primary lesions positive for CL, with infection periods of 3 and 6 months, respectively. CONCLUSIONS The DNA of Leishmania (Viannia) indicates probable parasite dissemination possibly explaining subclinical case emergence, lesion recurrence, and mucosal lesion appearance.
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Affiliation(s)
- Carolina Cella Conter
- Programa de Pós-Graduação em Ciências da Saúde, Universidade Estadual de Maringá, Maringá, Paraná, Brazil
| | | | - Raissa Bocchi Pedroso
- Departamento de Análises Clínicas e Biomedicina, Universidade Estadual de Maringá, Maringá, Paraná, Brazil
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Fernandes ACBS, Pedroso RB, Venazzi EAS, Zanzarini PD, Aristides SMA, Lonardoni MVC, Silveira TGV. AMERICAN CUTANEOUS LEISHMANIASIS WITH UNUSUAL CLINICAL PRESENTATION AND RESPONSE TO TREATMENT. Rev Inst Med Trop Sao Paulo 2016; 58:20. [PMID: 27007563 PMCID: PMC4804557 DOI: 10.1590/s1678-9946201658020] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2015] [Accepted: 07/08/2015] [Indexed: 11/29/2022] Open
Abstract
The clinical manifestations and prognosis of cutaneous leishmaniasis (CL) can be
influenced by the immune response of the patient and the species of the parasite. A
case of atypical clinical presentation of CL, with development of non-characteristic
lesions, poor response to therapy, and a long time to resolution is reported.
Confirmatory laboratory tests included parasite detection, indirect
immunofluorescence, Montenegro skin test, polymerase chain reaction, and parasite
identification by multilocus enzyme electrophoresis. The parasite was identified as
Leishmaniabraziliensis. The lesion was unresponsive to three
complete courses of N-methylglucamine antimoniate intramuscular, and to treatment
with pentamidine. The patient did not tolerate amphotericin B. The lesion finally
receded after treatment with intravenous N-methylglucamine antimoniate. It is
essential to ensure the accuracy of diagnosis and the appropriate treatment, which
can include the use a second choice drug or a different route of administration.
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Affiliation(s)
| | - Raíssa Bocchi Pedroso
- Programa de Pós-Graduação em Ciências da Saúde, Universidade Estadual de Maringá, Maringá, Paraná, Brasil, ,
| | | | - Paulo Donizeti Zanzarini
- Departamento de Análises Clínicas e Biomedicina, Universidade Estadual de Maringá, Maringá, Paraná, Brasil, , , , ,
| | - Sandra Mara Alessi Aristides
- Departamento de Análises Clínicas e Biomedicina, Universidade Estadual de Maringá, Maringá, Paraná, Brasil, , , , ,
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Casavechia MTG, Lonardoni MVC, Venazzi EAS, Campanerut-Sá PAZ, da Costa Benalia HR, Mattiello MF, Menechini PVL, Dos Santos CA, Teixeira JJV. Prevalence and predictors associated with intestinal infections by protozoa and helminths in southern Brazil. Parasitol Res 2016; 115:2321-9. [PMID: 26987643 DOI: 10.1007/s00436-016-4980-y] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2015] [Accepted: 03/01/2016] [Indexed: 10/22/2022]
Abstract
Approximately 2 billion people are infected with soil-transmitted helminths worldwide, mainly in tropical and subtropical areas. This research aimed to investigate the prevalence and predictors associated with parasitic infections in primary health care. A cross-sectional study was performed with a large random sample to identify the prevalence and predictors associated with parasitic infections in primary health care in Marialva, southern Brazil, from April 2011 to September 2013. Stool samples from 775 individuals were analyzed for the presence of protozoan cysts, helminth eggs, and larvae. The overall prevalence of intestinal parasites was 13.94 %, and the prevalence of protozoa and helminths was 15.1 and 2.9 %, respectively. The predictor variables that were associated with intestinal parasites were male gender odds ratio (OR) 1.60, 95 % confidence interval (CI 1.10-2.40) and the absence of a kitchen garden (OR 2.28, 95 % CI, 1.08-4.85). Positive associations were found between Giardia duodenalis and individuals aged ≤18 with high risk (OR 19.0, 95 % CI 2.16-167.52), between Endolimax nana and the absence of a kitchen garden (p < 0.01), and between Trichuris trichiura and the presence of a kitchen garden (p = 0.014). Polyparasitism was present in 27.27 % of infected individuals. Our findings confirmed a relatively low prevalence in primary care, compared to international standards, despite the rare publications in the area. As variables, male gender and the absence of a kitchen garden stood out as important predictors. It is highly relevant that the health conditions of the population comply with consistent standards.
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Affiliation(s)
| | | | | | | | | | - Matheus Felipe Mattiello
- Department of Medicine, Health Sciences Center, State University of Maringá, Maringá, Paraná, Brazil
| | | | | | - Jorge Juarez Vieira Teixeira
- Department of Clinical Analysis and Biomedicine, Health Sciences Center, State University of Maringá, Maringá, Paraná, Brazil.
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Skraba CM, de Mello TFP, Pedroso RB, Ferreira ÉC, Demarchi IG, Aristides SMA, Lonardoni MVC, Silveira TGV. Evaluation of the reference value for the Montenegro skin test. Rev Soc Bras Med Trop 2016; 48:437-44. [PMID: 26312935 DOI: 10.1590/0037-8682-0067-2015] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2015] [Accepted: 06/29/2015] [Indexed: 11/22/2022] Open
Abstract
INTRODUCTION The Montenegro skin test (MST) has good clinical applicability and low cost for the diagnosis of American tegumentary leishmaniasis (ATL). However, no studies have validated the reference value (5mm) typically used to discriminate positive and negative results. We investigated MST results and evaluated its performance using different cut-off points. METHODS The results of laboratory tests for 4,256 patients with suspected ATL were analyzed, and 1,182 individuals were found to fulfill the established criteria. Two groups were formed. The positive cutaneous leishmaniasis (PCL) group included patients with skin lesions and positive direct search for parasites (DS) results. The negative cutaneous leishmaniasis (NCL) group included patients with skin lesions with evolution up to 2 months, negative DS results, and negative indirect immunofluorescence assay results who were residents of urban areas that were reported to be probable sites of infection at domiciles and peridomiciles. RESULTS The PCL and NCL groups included 769 and 413 individuals, respectively. The mean ± standard deviation MST in the PCL group was 12.62 ± 5.91mm [95% confidence interval (CI): 12.20-13.04], and that in the NCL group was 1.43 ± 2.17mm (95% CI: 1.23-1.63). Receiver-operating characteristic curve analysis indicated 97.4% sensitivity and 93.9% specificity for a cut-off of 5mm and 95.8% sensitivity and 97.1% specificity for a cut-off of 6mm. CONCLUSIONS Either 5mm or 6mm could be used as the cut-off value for diagnosing ATL, as both values had high sensitivity and specificity.
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Affiliation(s)
- Cissiara Manetti Skraba
- Programa de Pós-Graduação Stricto Sensu em Ciências da Saúde, Universidade Estadual de Maringá, Maringá, Paraná, BR
| | | | - Raíssa Bocchi Pedroso
- Programa de Pós-Graduação Stricto Sensu em Ciências da Saúde, Universidade Estadual de Maringá, Maringá, Paraná, BR
| | - Érika Cristina Ferreira
- Programa de Pós-Graduação Stricto Sensu em Ciências da Saúde, Universidade Estadual de Maringá, Maringá, Paraná, BR
| | - Izabel Galhardo Demarchi
- Programa de Pós-Graduação Stricto Sensu em Ciências da Saúde, Universidade Estadual de Maringá, Maringá, Paraná, BR
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Cardoso BM, de Mello TFP, Lopes SN, Demarchi IG, Lera DSL, Pedroso RB, Cortez DA, Gazim ZC, Aristides SMA, Silveira TGV, Lonardoni MVC. Antileishmanial activity of the essential oil from Tetradenia riparia obtained in different seasons. Mem Inst Oswaldo Cruz 2015; 110:1024-34. [PMID: 26602873 PMCID: PMC4708023 DOI: 10.1590/0074-02760150290] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2015] [Accepted: 10/16/2015] [Indexed: 11/22/2022] Open
Abstract
The herbaceous shrub Tetradenia riparia has been traditionally used
to treat inflammatory and infectious diseases. Recently, a study showed that
T. riparia essential oil (TrEO) obtained in summer has
antileishmanial effects, although these results could be influenced by seasonal
variation. This study evaluated the activity of the TrEO obtained in different
seasons against Leishmania (Leishmania) amazonensis, in vitro and in
vivo. The compounds in the TrEO were analysed by gas chromatography-mass
spectrometry; terpenoids were present and oxygenated sesquiterpenes were the majority
compounds (55.28%). The cytotoxicity and nitric oxide (NO) production were also
tested after TrEO treatment. The TrEO from all seasons showed a 50% growth inhibitory
concentration for promastigotes of about 15 ng/mL; at 30 ng/mL and 3 ng/mL, the TrEO
reduced intracellular amastigote infection, independently of season. The TrEO from
plants harvested in summer had the highest 50% cytotoxic concentration, 1,476 ng/mL
for J774.A1 macrophages, and in spring (90.94 ng/mL) for murine macrophages. NO
production did not change in samples of the TrEO from different seasons. The
antileishmanial effect in vivo consisted of a reduction of the parasite load in the
spleen. These results suggest that the TrEO has potential effects on L. (L.)
amazonensis, consonant with its traditional use to treat parasitic
diseases.
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Affiliation(s)
- Bruna Muller Cardoso
- Departamento de Análises Clínicas e Biomedicina, Universidade Estadual de Maringá, Maringá, PR, Brasil
| | | | - Sara Negrão Lopes
- Departamento de Análises Clínicas e Biomedicina, Universidade Estadual de Maringá, Maringá, PR, Brasil
| | - Izabel Galhardo Demarchi
- Departamento de Análises Clínicas e Biomedicina, Universidade Estadual de Maringá, Maringá, PR, Brasil
| | | | - Raíssa Bocchi Pedroso
- Departamento de Análises Clínicas e Biomedicina, Universidade Estadual de Maringá, Maringá, PR, Brasil
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Sbeghen MR, Voltarelli EM, Campois TG, Kimura E, Aristides SMA, Hernandes L, Caetano W, Hioka N, Lonardoni MVC, Silveira TGV. Topical and Intradermal Efficacy of Photodynamic Therapy with Methylene Blue and Light-Emitting Diode in the Treatment of Cutaneous Leishmaniasis Caused by Leishmania braziliensis. J Lasers Med Sci 2015; 6:106-11. [PMID: 26464777 DOI: 10.15171/jlms.2015.03] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
INTRODUCTION The topical and intradermal photodynamic therapy (PDT) effect of methylene blue (MB) using light-emitting diode (LED) as light source (MB/LED-PDT) in the treatment of lesions of American cutaneous leishmaniasis (ACL) caused by Leishmania braziliensis in hamsters were investigated. METHODS Hamsters were infected in the footpad with 4×10(7) promastigotes of L. braziliensis and divided in 4 groups: Control group was not treated, AmB group was treated with amphotericin B, MB-Id group received intradermal MB at the edge of the lesion and MB-Tp group received MB topic. After treatment with MB, the animals were illuminated using red LEDs at the 655 nm wavelength for 1 hour. The MB/LED-PDT was carried out three times a week for 12 weeks. RESULTS Animals of MB-Tp group presented lesion healing with significant diminution in extent of the lesion, and reduced parasite burden compared to control group; however, no significant difference was seen compared to the AmB group. MB-Tp group also showed reconstitution of the epithelium, the formation of collagen fibers, organization in the epidermis, a little disorganization and inflammation in the dermis. MB-Id was ineffective in all parameters evaluated, and it was comparable to the control group results. CONCLUSION These data show that PDT with the use of MB-Tp and LED may be an alternative for the treatment of ACL. However, additional studies are being conducted to assess the potential of MB/LED-PDT, alone or in combination with conventional therapy, for the treatment of ACL.
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Affiliation(s)
| | | | | | - Elza Kimura
- Departament of Pharmacy, Universidade Estadual de Maringá, Maringá, Paraná, Brazil
| | | | - Luzmarina Hernandes
- Department of Morphophysiology Sciences, Universidade Estadual de Maringá, Maringá, Paraná, Brazil
| | - Wilker Caetano
- Department of Chemistry, Universidade Estadual de Maringá, Maringá, Paraná, Brazil
| | - Noboru Hioka
- Department of Chemistry, Universidade Estadual de Maringá, Maringá, Paraná, Brazil
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Demarchi IG, Thomazella MV, de Souza Terron M, Lopes L, Gazim ZC, Cortez DAG, Donatti L, Aristides SMA, Silveira TGV, Lonardoni MVC. Antileishmanial activity of essential oil and 6,7-dehydroroyleanone isolated from Tetradenia riparia. Exp Parasitol 2015; 157:128-37. [PMID: 26116864 DOI: 10.1016/j.exppara.2015.06.014] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2015] [Revised: 06/15/2015] [Accepted: 06/22/2015] [Indexed: 10/23/2022]
Abstract
Tetradenia riparia plant is used as a traditional medicine in Africa for the treatment of inflammatory and infectious diseases as like parasitic. Therapy for leishmaniasis caused by Leishmania (Leishmania) amazonensis specie often fails, and the conventional drugs are toxic, expensive, require a long period of treatment, and adverse effects are common. The alternative therapies using natural products are inexpensive and have few or any adverse reaction. These reasons are sufficient to investigate the new natural therapeutic for leishmaniasis. We evaluated the potential of the essential oil (TrEO) and 6,7-dehydroroyleanone (TrROY) isolated from T. riparia on L. (L.) amazonensis promastigote and amastigote forms, cytotoxicity on human erythrocytes and murine macrophages, nitric production and inducible nitric oxide synthase (iNOS) mRNA expression. TrEO was the most effective to promote the Leishmania promastigote death. After 72 h incubation, the lethal dose of TrEO and TrROY that promoted 50% Leishmania death (LD50) were 0.8 μg/mL and 3 μg/mL, respectively. TrEO and TrROY were not cytotoxic to human erythrocytes, but TrROY was toxic to murine macrophages resulting in a low selectivity index. The transmission electronic microscopy showed that TrEO (0.03 μg/mL) was able to modify the promastigote ultrastructures suggesting autophagy as chromatin condensation, blebbing, membranous profiles and nuclear fragmentation. Infected-macrophages treated with TrEO (0.03 μg/mL) or TrROY (10 μg/mL) had an infection index decreased in 65 and 48%. TrEO did not induce iNOS mRNA expression or nitrite production in macrophages infected with Leishmania. TrROY and mainly TrEO promoted the Leishmania death, and TrROY showed loss toxicity to erythrocytes cells. Other compounds derived from T. riparia and the essential oil could be explored to develop a new alternative treatment for leishmaniasis.
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Affiliation(s)
| | | | - Mariana de Souza Terron
- Laboratório de Imunologia Clínica da Universidade Estadual de Maringá, Maringá, Paraná, Brazil
| | - Lilian Lopes
- Laboratório de Imunologia Clínica da Universidade Estadual de Maringá, Maringá, Paraná, Brazil
| | - Zilda Cristiani Gazim
- Laboratório de Química de Produtos Naturais da Universidade Paranaense, Umuarama, Paraná, Brazil
| | | | - Lucélia Donatti
- Laboratório de Biologia Adaptativa, Departamento de Biologia Celular, Universidade Federal do Paraná, Curitiba, Brazil
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Lordani TVA, Brenzan MA, Cortez LER, Lordani CRF, Honda PA, Lonardoni MVC, Cortez DAG. Effect of a topical formulation containing Calophyllum brasiliense Camb. extract on cutaneous wound healing in rats. Nat Prod Res 2014; 29:953-7. [PMID: 25310798 DOI: 10.1080/14786419.2014.956742] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
This study evaluated the wound healing effects of topical application of an emulsion containing the HPLC-standardised extract from Calophyllum brasiliense Cambess (Clusiaceae) leaves in rats. The macroscopic analysis demonstrated that the wounds treated with the C. brasiliense emulsion healed earlier than the wounds treated with emulsion base and Dersani®. The percentage of wound healing in the group treated with the C. brasiliense emulsion was significantly higher than in the other groups at 7 and 14 days. On day 14, the animals treated with the C. brasiliense emulsion exhibited a 90.67% reduction of the wound areas. The histological evaluation revealed that on day 21, the group treated with the C. brasiliense emulsion exhibited a significant increase in fibroblasts compared with the other groups. Thus, the C. brasiliense emulsion had healing properties in the topical treatment of wounds and accelerated the healing process.
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Affiliation(s)
- T V A Lordani
- a Programa de Pós-graduação em Promoção da Saúde, Centro Universitário de Maringá, CESUMAR , Av. Guerdner 1610, Jd. Aclimação, 87050-900 Maringá , PR , Brazil
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Neitzke-Abreu HC, Reinhold-Castro KR, Venazzi MS, Scodro RBDL, Dias ADC, Silveira TGV, Teodoro U, Lonardoni MVC. Detection of Leishmania (Viannia) IN Nyssomyia neivai and Nyssomyia whitmani by multiplex polymerase chain reaction, in Southern Brazil. Rev Inst Med Trop Sao Paulo 2014; 56:391-5. [PMID: 25229218 PMCID: PMC4172109 DOI: 10.1590/s0036-46652014000500004] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2013] [Accepted: 03/10/2014] [Indexed: 11/22/2022] Open
Abstract
Sandflies transmit pathogens of leishmaniasis. The natural infection of sandflies by Leishmania (Viannia) was assessed in municipalities, in the state of Paraná, in Southern Brazil. Sandflies were collected with Falcão and Shannon traps. After dissection in search of flagellates in digestive tubes and identification of the species, female sandflies were submitted to the Multiplex Polymerase Chain Reaction (multiplex PCR) for detection of the fragment of the kDNA of Leishmania (Viannia) and the fragment from the IVS6 cacophony gene region of the phlebotomine insects. The analysis was performed in pools containing seven to 12 guts from females of the same species. A total of 510 female sandflies were analyzed, including nine Migonemyia migonei, 17 Pintomyia fischeri, 216 Nyssomyia neivai, and 268 Nyssomyia whitmani. Although none of the females was found naturally infected by flagellates through dissection, the fragment of DNA from Leishmania (Viannia) was shown by multiplex PCR in one sample of Ny. neivai (0.46%) and three samples of Ny. whitmani (1.12%). It was concluded that Ny. neivai and Ny. whitmani are susceptible to Leishmania infection, and that multiplex PCR can be used in epidemiological studies to detect the natural infection of the sandfly vector, because of its sensitivity, specificity and feasibility.
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Affiliation(s)
- Herintha Coeto Neitzke-Abreu
- Programa de Pós Graduação em
Ciências da Saúde, Universidade Estadual de
Maringá, Maringá, Paraná, Brazil, Programa de Pós Graduação em
Ciências da Saúde, Universidade Estadual de Maringá,
Maringá, Paraná, Brazil
| | - Kárin Rosi Reinhold-Castro
- Programa de Pós Graduação em
Ciências da Saúde, Universidade Estadual de
Maringá, Maringá, Paraná, Brazil, Programa de Pós Graduação em
Ciências da Saúde, Universidade Estadual de Maringá,
Maringá, Paraná, Brazil
| | - Mateus Sabaini Venazzi
- Departamento de Medicina, Universidade Estadual de
Maringá, Maringá, Paraná, Brazil, Departamento de Medicina, Universidade
Estadual de Maringá, Maringá, Paraná, Brazil
| | - Regiane Bertin de Lima Scodro
- Departamento de Análises Clínicas
e Biomedicina, Universidade Estadual de
Maringá, Maringá, Paraná, Brasil, Departamento de Análises Clínicas
e Biomedicina, Universidade Estadual de Maringá, Maringá,
Paraná, Brasil
| | - Alessandra de Cassia Dias
- Programa de Pós Graduação em
Ciências da Saúde, Universidade Estadual de
Maringá, Maringá, Paraná, Brazil, Programa de Pós Graduação em
Ciências da Saúde, Universidade Estadual de Maringá,
Maringá, Paraná, Brazil
| | - Thaís Gomes Verzignassi Silveira
- Programa de Pós Graduação em
Ciências da Saúde, Universidade Estadual de
Maringá, Maringá, Paraná, Brazil, Programa de Pós Graduação em
Ciências da Saúde, Universidade Estadual de Maringá,
Maringá, Paraná, Brazil
- Departamento de Análises Clínicas
e Biomedicina, Universidade Estadual de
Maringá, Maringá, Paraná, Brasil, Departamento de Análises Clínicas
e Biomedicina, Universidade Estadual de Maringá, Maringá,
Paraná, Brasil
| | - Ueslei Teodoro
- Programa de Pós Graduação em
Ciências da Saúde, Universidade Estadual de
Maringá, Maringá, Paraná, Brazil, Programa de Pós Graduação em
Ciências da Saúde, Universidade Estadual de Maringá,
Maringá, Paraná, Brazil
| | - Maria Valdrinez Campana Lonardoni
- Programa de Pós Graduação em
Ciências da Saúde, Universidade Estadual de
Maringá, Maringá, Paraná, Brazil, Programa de Pós Graduação em
Ciências da Saúde, Universidade Estadual de Maringá,
Maringá, Paraná, Brazil
- Departamento de Análises Clínicas
e Biomedicina, Universidade Estadual de
Maringá, Maringá, Paraná, Brasil, Departamento de Análises Clínicas
e Biomedicina, Universidade Estadual de Maringá, Maringá,
Paraná, Brasil
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Neitzke-Abreu HC, Venazzi MS, de Lima Scodro RB, Zanzarini PD, da Silva Fernandes ACB, Aristides SMA, Silveira TGV, Lonardoni MVC. Cutaneous leishmaniasis with atypical clinical manifestations: Case report. IDCases 2014; 1:60-2. [PMID: 26955529 PMCID: PMC4762788 DOI: 10.1016/j.idcr.2014.07.003] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2014] [Revised: 07/18/2014] [Accepted: 07/19/2014] [Indexed: 12/14/2022] Open
Abstract
This case report alerts to the existence of atypical forms of cutaneous leishmaniasis (CL). A woman with nodular cutaneous lesions over a neck with papules and pustules located deep in the hypodermis that formed plaques with subcutaneous induration and satellite papules was confirmed to have CL. After confirmation, the patient was treated with remission of the lesions, scarring and thickening of the skin.
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Affiliation(s)
| | | | | | - Paulo Donizeti Zanzarini
- Department of Clinical Analysis and Biomedicine, Universidade Estadual de Maringá, Maringá, Brazil
| | | | - Sandra Mara Alessi Aristides
- Health Sciences Postgraduate Program, Universidade Estadual de Maringá, Maringá, Brazil
- Department of Clinical Analysis and Biomedicine, Universidade Estadual de Maringá, Maringá, Brazil
| | - Thaís Gomes Verzignassi Silveira
- Health Sciences Postgraduate Program, Universidade Estadual de Maringá, Maringá, Brazil
- Department of Clinical Analysis and Biomedicine, Universidade Estadual de Maringá, Maringá, Brazil
| | - Maria Valdrinez Campana Lonardoni
- Health Sciences Postgraduate Program, Universidade Estadual de Maringá, Maringá, Brazil
- Department of Clinical Analysis and Biomedicine, Universidade Estadual de Maringá, Maringá, Brazil
- Corresponding author at: Avenida Colombo 5790, Maringá, CEP: 87020-900, Brazil. Tel.: +55 44 3011 4878; fax: +55 44 3011 4860.
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Skraba CM, Pedroso RB, Fiorini A, Rosado FR, Aristides SMA, Lonardoni MVC, Teixeira JJV, Silveira TGV. Diagnosis of American cutaneous leishmaniasis by enzyme immunoassay using membrane antigens of Leishmania (Viannia) braziliensis. Diagn Microbiol Infect Dis 2014; 78:411-7. [PMID: 24485589 DOI: 10.1016/j.diagmicrobio.2013.08.020] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2013] [Revised: 08/01/2013] [Accepted: 08/23/2013] [Indexed: 11/25/2022]
Abstract
This study evaluated the reactivity of membrane antigens of Leishmania (Viannia) braziliensis for the diagnosis of ACL by enzyme immunoassay (EIA). Promastigotes of L. (V.) braziliensis were grown in medium 199 and lysed in a sonicator. Sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE) and Western blotting showed that specific proteins of L. (V.) braziliensis (apparent molecular weights 36 kDa and 48-56 kDa) were recognized by sera from ACL patients. These proteins were eluted from the SDS-PAGE and tested in EIA-IgG with sera from ACL patients, healthy individuals, patients with toxoplasmosis, paracoccidioidomycosis, syphilis, tuberculosis, leprosy, and Chagas disease. The EIA-IgG with membrane antigens allowed us to distinguish patients with ACL from healthy individuals and patients with other diseases (P < 0.0001), and showed a sensitivity of 93.3% and specificity of 90.8%, not including Chagas disease patients. 2D-SDS-PAGE followed by Western blotting was performed to improve the characterization of the antigens, and showed a component with isoelectric points near the acid pH side and apparent molecular weights of 48-56 kDa. The results showed good sensitivity and specificity of EIA-IgG with membrane antigens, indicating their potential use for diagnosis of ACL, as well as seroepidemiological surveys and follow-up of clinically cured patients.
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Affiliation(s)
- Cissiara Manetti Skraba
- Postgraduate Program in Health Sciences, State University of Maringá, Maringá, Paraná, Brazil
| | - Raíssa Bocchi Pedroso
- Postgraduate Program in Health Sciences, State University of Maringá, Maringá, Paraná, Brazil
| | - Adriana Fiorini
- Postgraduate Program in Biosciences Applied to Pharmacy, State University of Maringá, Paraná, Brazil
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Neitzke-Abreu HC, Venazzi MS, Bernal MVZ, Reinhold-Castro KR, Vagetti F, Mota CA, Silva NR, Aristides SMA, Silveira TGV, Lonardoni MVC. Detection of DNA from Leishmania (Viannia): accuracy of polymerase chain reaction for the diagnosis of cutaneous leishmaniasis. PLoS One 2013; 8:e62473. [PMID: 23976920 PMCID: PMC3743517 DOI: 10.1371/journal.pone.0062473] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2012] [Accepted: 03/21/2013] [Indexed: 11/18/2022] Open
Abstract
Cutaneous leishmaniasis (CL) can occur in skin and mucosa, causing disfiguring lesions. The laboratory diagnosis of CL involves immunological methods and optical detection of the parasite, al of which have limitations. There is a need for more effective diagnostic methods for CL which wil allow treatment to be initiated more promptly in order to help prevent the development of severe forms of mucosal disease, and to estimate the prognosis of the infection. The polymerase chain reaction (PCR) has been widely used to diagnose CL, because of its higher sensitivity. This study estimated the accuracy and compared PCRs of samples from lesion scarification (PCR-L) and blood sample-enriched leukocytes (PCR-B) with three conventional diagnostic techniques: parasite direct search (DS), Montenegro skin test (MST), and indirect immunofluorescence reaction (IIF). The study included 276 patients under suspicion of CL. We conducted a cross-sectional study, in which patients were selected by convenience sampling. We used MP3H/MP1L primers to generate a Leishmania (Viannia) (minicircle kDNA) fragment of 70-bp. Of 106 patients with CL, 83.87%, 51.67%, 64.52%, 85.71%, or 96.10% tested positive by PCR-L, PCR-B, DS, IIF, or MST, respectively. Five patients tested positive only by PCR-L, and two other patients only by PCR-B. PCR-L is indicated for use in patients with chronic lesions or Leishmania reinfection, which may progress to mucosal lesion. PCR-B is indicated for use in patients with negative results in conventional tests or for patients with no apparent lesion. PCR is not only useful in diagnosing CL but also helps to identify the infecting species.
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Affiliation(s)
| | - Mateus Sabaini Venazzi
- Department of Clinical Analysis and Biomedicine (DAB), Universidade Estadual de Maringá, Maringá, State of Paraná, Brazil
| | | | - Kárin Rosi Reinhold-Castro
- Health Sciences Postgraduate Program (PCS), Universidade Estadual de Maringá, Maringá, State of Paraná, Brazil
| | - Fernanda Vagetti
- Department of Clinical Analysis and Biomedicine (DAB), Universidade Estadual de Maringá, Maringá, State of Paraná, Brazil
| | - Camila Alves Mota
- Department of Clinical Analysis and Biomedicine (DAB), Universidade Estadual de Maringá, Maringá, State of Paraná, Brazil
| | - Naielly Rodrigues Silva
- Department of Clinical Analysis and Biomedicine (DAB), Universidade Estadual de Maringá, Maringá, State of Paraná, Brazil
| | - Sandra Mara Alessi Aristides
- Department of Clinical Analysis and Biomedicine (DAB), Universidade Estadual de Maringá, Maringá, State of Paraná, Brazil
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Scodro RBL, Pires CTA, Carrara VS, Lemos COT, Cardozo-Filho L, Souza VA, Corrêa AG, Siqueira VLD, Lonardoni MVC, Cardoso RF, Cortez DAG. Anti-tuberculosis neolignans from Piper regnellii. Phytomedicine 2013; 20:600-604. [PMID: 23474218 DOI: 10.1016/j.phymed.2013.01.005] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/25/2012] [Revised: 12/11/2012] [Accepted: 01/26/2013] [Indexed: 06/01/2023]
Abstract
The present study determined the anti-Mycobacterium tuberculosis activities of supercritical CO2 extracts, neolignans eupomatenoid-5 (1), conocarpan (4) and eupomatenoid-3 (7) and their derivatives (2, 3, 5, 6, and 8) from Piper regnellii, as well as their cytotoxicities. The supercritical CO2 extract from leaves was purified by chromatographic methods, yielding compounds (1), (4) and (7), which were identified by (1)H NMR and comparison with literature data. Anti-M. tuberculosis activity (H37Rv and clinical isolates) was evaluated using a resazurin microtiter assay plate (REMA) to determine the MIC. The cytotoxicity assay was carried out in macrophages J774G.8 by sulforhodamine B colorimetric assay. The supercritical CO2 extracts from leaves and stems, and compound (4) showed activity against M. tuberculosis (MIC 15.6 μg/ml). Compound (1) showed the best activity (MIC 1.9 μg/ml), with good SI. Compounds (7) and (8) showed low activity against M. tuberculosis H37Rv. The derivative compounds did not show increased anti-M. tuberculosis activity. This is the first report, to our knowledge, to describe neolignans from P. regnellii with activity against M. tuberculosis, and compound (1) is a potential candidate for future antituberculosis drugs.
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Affiliation(s)
- R B L Scodro
- Postgraduate Program in Pharmaceutical Sciences, State University of Maringá, Maringá, Paraná, Brazil
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Silva Carrara VD, Cunha-Júnior EF, Torres-Santos EC, Corrêa AG, Monteiro JL, Demarchi IG, Campana Lonardoni MV, Garcia Cortez DA. Antileishmanial activity of amides from Piper amalago and synthetic analogs. Revista Brasileira de Farmacognosia 2013. [DOI: 10.1590/s0102-695x2013005000022] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Marcussi LM, Skraba CM, Perles TF, Pedroso RB, Lonardoni MVC, Silveira TGV. EVALUATI ON OF SPECIFIC PRIMERS FOR SPECIES IDENTIFICATION OF Leishmania (V.) braziliensis. Rev Patol Trop 2013. [DOI: 10.5216/rpt.v42i1.23595] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Giolo MP, Oliveira CMD, Bertolini DA, Lonardoni MVC, Gouveia MS, Netto DP, Nixdorf SL, Machinski Junior M. Aflatoxin M1 in the urine of non-carriers and chronic carriers of hepatitis B virus in Maringa, Brazil. BRAZ J PHARM SCI 2012. [DOI: 10.1590/s1984-82502012000300011] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Exposure to aflatoxins (AFs) in the diet may favour the development of hepatocellular carcinoma (HCC) and the acute exacerbation of hepatitis in chronic hepatitis B virus (HBV) carriers. Measurement of biomarkers such as aflatoxin M1 (AFM1), a metabolite of aflatoxin B1 (AFB1), in urine allows for the assessment of populations exposed to aflatoxins. The aim of this study was to investigate the occurrence of aflatoxin M1 in the urine of HBV carrier and non-carrier patients. One group included 43 randomly selected HBV carriers treated at two hospitals in the city of Maringa, Brazil, from March to June 2008. Control group consisted of 29 healthy adult volunteers with anti-HBs positive and HBsAg negative test results. Detection of AFM1 was performed by fluorescence using high performance liquid chromatography (HPLC) and post-column derivation with the Kobra Cell®. Of the 72 samples analysed, 05/29 (17.2%) AFM1 positive samples were from HBV non-carriers, and 16/43 (37.2%) of samples were from chronic HBV carriers. This study showed AFM1 in the urine of the two surveyed population. However, there is evidence that the chronic HBV carriers have a higher risk of developing HCC due to additive interaction between AFs and HBV.
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Demarchi IG, Cardozo DM, Aristides SMA, Moliterno RA, Silveira TGV, Cardoso RF, Bertolini DA, Svidzinski TIE, Teixeira JJV, Lonardoni MVC. Activity of antiretroviral drugs in human infections by opportunistic agents. BRAZ J PHARM SCI 2012. [DOI: 10.1590/s1984-82502012000100019] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Highly active antiretroviral therapy (HAART) is used in patients infected with HIV. This treatment has been shown to significantly decrease opportunist infections such as those caused by viruses, fungi and particularly, protozoa. The use of HAART in HIV-positive persons is associated with immune reconstitution as well as decreased prevalence of oral candidiasis and candidal carriage. Antiretroviral therapy benefits patients who are co-infected by the human immunodeficiency virus (HIV), human herpes virus 8 (HHV-8), Epstein-Barr virus, hepatitis B virus (HBV), parvovirus B19 and cytomegalovirus (CMV). HAART has also led to a significant reduction in the incidence, and the modification of characteristics, of bacteremia by etiological agents such as Staphylococcus aureus, coagulase negative staphylococcus, non-typhoid species of Salmonella, Streptococcus pneumoniae, Pseudomonas aeruginosa, and Mycobacterium tuberculosis. HAART can modify the natural history of cryptosporidiosis and microsporidiosis, and restore mucosal immunity, leading to the eradication of Cryptosporidium parvum. A similar restoration of immune response occurs in infections by Toxoplasma gondii. The decline in the incidence of visceral leishmaniasis/HIV co-infection can be observed after the introduction of protease inhibitor therapy. Current findings are highly relevant for clinical medicine and may serve to reduce the number of prescribed drugs thereby improving the quality of life of patients with opportunistic diseases.
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Oliveira DMD, Lonardoni MVC, Teodoro U, Silveira TGV. Comparison of different primes for PCR-based diagnosis of cutaneous leishmaniasis. Braz J Infect Dis 2011; 15:204-10. [PMID: 21670918 DOI: 10.1016/s1413-8670(11)70176-3] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2010] [Accepted: 02/24/2011] [Indexed: 10/27/2022] Open
Abstract
OBJECTIVE The objective of this study was to analyze different primers that are commonly used in epidemiological studies for the detection of Leishmania DNA by PCR, and to compare them to the conventional direct parasite search for American cutaneous leishmaniasis (ACL) diagnosis. MATERIAL AND METHODS Five pairs of primers, four of them derived from Leishmania kDNA sequences (MP3H-MP1L; B1-B2; LBF1-LBR1; 13A-13B), and one derived from the SL RNA (mini-exon) gene repeat (LU5A-LB3C), reported previously, were used. RESULTS The MP3H-MP1L primers were the best at amplifying the DNA, detecting 2 fg of Leishmania spp. DNA. The 13A-13B primers presented the worst performance, detecting 512 x 10³ fg of DNA. CONCLUSION The wide variation in the analytical sensitivity of the primers used in the PCR, and the significant differences from the conventional method of ACL diagnosis found in this study, emphasize the importance of standardizing the PCR technique, analyzing sensitivity, and selecting suitable oligonucleotide primers.
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Peloi LS, Biondo CEG, Kimura E, Politi MJ, Lonardoni MVC, Aristides SMA, Dorea RCC, Hioka N, Silveira TGV. Photodynamic therapy for American cutaneous leishmaniasis: The efficacy of methylene blue in hamsters experimentally infected with Leishmania (Leishmania) amazonensis. Exp Parasitol 2011; 128:353-6. [DOI: 10.1016/j.exppara.2011.04.009] [Citation(s) in RCA: 53] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2010] [Revised: 04/04/2011] [Accepted: 04/28/2011] [Indexed: 11/25/2022]
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Gazim ZC, Demarchi IG, Lonardoni MVC, Amorim ACL, Hovell AMC, Rezende CM, Ferreira GA, de Lima EL, de Cosmo FA, Cortez DAG. Acaricidal activity of the essential oil from Tetradenia riparia (Lamiaceae) on the cattle tick Rhipicephalus (Boophilus) microplus (Acari; Ixodidae). Exp Parasitol 2011; 129:175-8. [PMID: 21762693 DOI: 10.1016/j.exppara.2011.06.011] [Citation(s) in RCA: 51] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2010] [Revised: 06/20/2011] [Accepted: 06/28/2011] [Indexed: 12/24/2022]
Abstract
Tetradenia riparia (Lamiaceae) is a well-known herbal medicine with a variety of useful properties, including its acaricidal effect. This experiment was carried out to study the bioacaricidal activity of T. riparia essential oil (EO) against engorged females of Rhipicephalus (Boophilus) microplus (Acari; Ixodidae). For this purpose, nine serial concentrations (12.50%, 6.25%, 3.75%, 1.80%, 0.90%, 0.45%, 0.22%, 0.11%, and 0.056% w/v) of T. riparia were used for the adult immersion test (AIT). For the larval packet test (LPT), we used 14 serial concentrations (100.00%, 50.00%, 25.00%, 12.50%, 6.25%, 3.65%, 1.82%, 0.91%, 0.45%, 0.228%, 0.114%, 0.057%, 0.028%, and 0.014% w/v). The results for AIT showed 100.00% and 2.05% mortality, 19.00 and 90.20% for the total number of eggs, egg-laying inhibition of 0.00% and 90.20%, hatchability inhibition of 0.00% and 70.23%, and product effectiveness of 100.00% and 2.89%, respectively. The AIT indicated that the LC(50) and LC(99.9), calculated using the Probit test, were for mortality (%) 0.534g/mL (0.436-0.632) and 1.552g/mL (1.183-1.92); for total number of eggs were 0.449g/mL (0.339-0.558) and 1.76g/mL (1.27-2.248); and for hatchability inhibition were 0.114g/mL (0.0-0.31) and 2.462g/mL (1.501-3.422), respectively. Larvae between 14 and 21days old were fasted and placed in each envelope. Bioassays were performed at 27°±1°C, RH⩾80%. Larval mortality was observed 24h after treatment and showed 10.60-100% mortality in the LPT bioassay. The LPT showed that the LC(50) and LC(99.9) were 1.222g/mL (0.655-1.788) and 11.382g/mL (7.84-14.91), respectively. A positive correlation between T. riparia EO concentration and tick control, was observed by the strong acaricidal effects against R. (B.) microplus, and the mortality rate of ticks was dose-dependent. Our results showed that T. riparia is a promising candidate as an acaricide against resistant strains of R. (B.) microplus.
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Affiliation(s)
- Zilda Cristiani Gazim
- Departamento de Farmácia, Universidade Estadual de Maringá, Av. Colombo s/n(o), Maringá, PR, Brazil
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Oliveira DMD, Lonardoni MVC, Teodoro U, Silveira TGV. Comparison of different primes for PCR-based diagnosis of cutaneous leishmaniasis. Braz J Infect Dis 2011. [DOI: 10.1590/s1413-86702011000300004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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Lonardoni MVC, Oliveira ÉA, Celidônio FA, Silveira TGV. Evaluation of HIV-Leishmania co-infection in patients from the northwestern Paraná State, Brazil. Acta Sci Health Sci 2011. [DOI: 10.4025/actascihealthsci.v33i1.6976] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Oliveira DM, Reinhold-Castro KR, Bernal MVZ, de Oliveira Legriffon CM, Lonardoni MVC, Teodoro U, Silveira TGV. Natural Infection ofNyssomyia neivaibyLeishmania (Viannia) spp. in the State of Paraná, Southern Brazil, Detected by Multiplex Polymerase Chain Reaction. Vector Borne Zoonotic Dis 2011; 11:137-43. [DOI: 10.1089/vbz.2009.0218] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Diego Molina Oliveira
- Postgraduate Program in Health Sciences, Universidade Estadual de Maringá, Maringá, Paraná, Brazil
| | | | | | | | | | - Ueslei Teodoro
- Departamento de Análises Clínicas, Universidade Estadual de Maringá, Maringá, Paraná, Brazil
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Curti MCDM, Silveira TGV, Arraes SMAA, Bertolini DA, Zanzarini PD, Venazzi EAS, Fernandes ACS, Teixeira JJV, Lonardoni MVC. Epidemiological and clinical characteristics of cutaneous leishmaniasis and their relationship with the laboratory data, south of Brazil. Braz J Infect Dis 2011. [DOI: 10.1590/s1413-86702011000100003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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