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Caballero-Bermejo AF, Ruiz-Antoran B, Ramio-Lluch C, Dueñas-Ruiz A, Pineda Torcuato Á, Homar-Amengual C, Guerrero-González ME, Sancho López A, García-Hernández R, Rodríguez Miranda B, Gispert-Ametller MA, Dueñas-Laita A, Puiguriguer Ferrando J. Clinical features and predictors of delayed neurological syndrome in carbon monoxide poisoning: the AMICO study. Emergencias 2024; 36:116-122. [PMID: 38597618 DOI: 10.55633/s3me/024.2023] [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] [Subscribe] [Scholar Register] [Indexed: 04/11/2024]
Abstract
OBJECTIVES To identify predictors for developing delayed neurological syndrome (DNS) after an initial episode of carbon monoxide (CO) poisoning in the interest of detecting patients most likely to develop DNS so that they can be followed. MATERIAL AND METHODS Retrospective review of cases of CO poisoning treated in the past 10 years in the emergency departments of 4 hospitals in the AMICO study (Spanish acronym for the multicenter analysis of CO poisoning). We analyzed demographic characteristics of the patients and the clinical characteristics of the initial episode. The records of the cohort of patients with available follow-up information were reviewed to find cases of DNS. Data were analyzed by multivariant analysis to determine the relationship to characteristics of the initial exposure to CO. RESULTS A total of 240 cases were identified. The median (interquartile range) age of the patients was 36.2 years (17.6-49.6 years); 108 patients (45.0%) were men, and the poisoning was accidental in 223 cases (92.9%). The median carboxyhemoglobin concentration on presentation was 12.7% (6.2%-18.7%). Follow-up details were available for 44 patients (18.3%). Eleven of those patients (25%) developed DNS. A low initial Glasgow Coma Scale score predicted the development of DNS with an odds ratio (OR) of 0.61 (95% CI, 0.41-0.92) and an area under the receiver operating characteristic curve of 0.876 (95% CI, 0.761-0.990) (P .001). CONCLUSION The initial Glasgow Coma Scale score seems to be a clinical predictor of DNS after CO poisoning. We consider it important to establish follow-up protocols for patients with CO poisoning treated in hospital EDs.
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Affiliation(s)
- Antonio F Caballero-Bermejo
- Servicio de Farmacología Clínica, Hospital Universitario Puerta de Hierro Majadahonda. Instituto de Investigación Sanitaria Puerta de Hierro-Segovia de Arana, Madrid, España. Internal Medicine Department, Mater Misericordiae University Hospital, Dublin, Irlanda
| | - Belén Ruiz-Antoran
- Servicio de Farmacología Clínica, Hospital Universitario Puerta de Hierro Majadahonda. Instituto de Investigación Sanitaria Puerta de Hierro-Segovia de Arana, Madrid, España
| | - Cristina Ramio-Lluch
- Servicio de Urgencias, Hospital Universitari de Girona Doctor Josep Trueta, Girona, España
| | - Antonio Dueñas-Ruiz
- Servicio de Medicina Interna, Hospital HLA Universitario Moncloa, Madrid, España
| | - Álvaro Pineda Torcuato
- Servicio de Urgencias, Hospital Universitario Puerta de Hierro Majadahonda. Instituto de Investigación Sanitaria Puerta de Hierro-Segovia de Arana, Madrid, España
| | | | | | - Aránzazu Sancho López
- Servicio de Farmacología Clínica, Hospital Universitario Puerta de Hierro Majadahonda. Instituto de Investigación Sanitaria Puerta de Hierro-Segovia de Arana, Madrid, España
| | - Raquel García-Hernández
- Servicio de Urgencias, Hospital Universitario Puerta de Hierro Majadahonda. Instituto de Investigación Sanitaria Puerta de Hierro-Segovia de Arana, Madrid, España
| | - Belén Rodríguez Miranda
- Servicio de Urgencias, Hospital Universitario Puerta de Hierro Majadahonda. Instituto de Investigación Sanitaria Puerta de Hierro-Segovia de Arana, Madrid, España
| | | | - Antonio Dueñas-Laita
- Unidad de Toxicología Clínica, Hospital Universitario Río Hortega, Valladolid, España
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Ferrins L, Buskes MJ, Kapteyn MM, Engels HN, Enos SE, Lu C, Klug DM, Singh B, Quotadamo A, Bachovchin K, Tear WF, Spaulding AE, Forbes KC, Bag S, Rivers M, LeBlanc C, Burchfield E, Armand JR, Diaz-Gonzalez R, Ceballos-Perez G, García-Hernández R, Pérez-Moreno G, Bosch-Navarrete C, Gómez-Liñán C, Ruiz-Pérez LM, Gamarro F, González-Pacanowska D, Navarro M, Mensa-Wilmot K, Pollastri MP, Kyle DE, Rice CA. Corrigendum: Identification of novel anti-amoebic pharmacophores from kinase inhibitor chemotypes. Front Microbiol 2023; 14:1304196. [PMID: 37954236 PMCID: PMC10634589 DOI: 10.3389/fmicb.2023.1304196] [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: 09/29/2023] [Accepted: 10/02/2023] [Indexed: 11/14/2023] Open
Abstract
[This corrects the article DOI: 10.3389/fmicb.2023.1149145.].
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Affiliation(s)
- Lori Ferrins
- Department of Chemistry and Chemical Biology, Northeastern University, Boston, MA, United States
| | - Melissa J. Buskes
- Department of Chemistry and Chemical Biology, Northeastern University, Boston, MA, United States
| | - Madison M. Kapteyn
- Center for Tropical and Emerging Global Diseases, University of Georgia, Athens, GA, United States
| | - Hannah N. Engels
- Center for Tropical and Emerging Global Diseases, University of Georgia, Athens, GA, United States
| | - Suzanne E. Enos
- Center for Tropical and Emerging Global Diseases, University of Georgia, Athens, GA, United States
- Department of Pharmaceutical and Biomedical Sciences, College of Pharmacy, University of Georgia, Athens, GA, United States
| | - Chenyang Lu
- Department of Comparative Pathobiology, College of Veterinary Medicine, Purdue University, West Lafayette, IN, United States
| | - Dana M. Klug
- Department of Chemistry and Chemical Biology, Northeastern University, Boston, MA, United States
| | - Baljinder Singh
- Department of Chemistry and Chemical Biology, Northeastern University, Boston, MA, United States
| | - Antonio Quotadamo
- Department of Chemistry and Chemical Biology, Northeastern University, Boston, MA, United States
- Clinical and Experimental Medicine PhD Program, University of Modena and Reggio Emilia, Modena, Italy
| | - Kelly Bachovchin
- Department of Chemistry and Chemical Biology, Northeastern University, Boston, MA, United States
| | - Westley F. Tear
- Department of Chemistry and Chemical Biology, Northeastern University, Boston, MA, United States
| | - Andrew E. Spaulding
- Department of Chemistry and Chemical Biology, Northeastern University, Boston, MA, United States
| | - Katherine C. Forbes
- Department of Chemistry and Chemical Biology, Northeastern University, Boston, MA, United States
| | - Seema Bag
- Department of Chemistry and Chemical Biology, Northeastern University, Boston, MA, United States
| | - Mitch Rivers
- Department of Chemistry and Chemical Biology, Northeastern University, Boston, MA, United States
| | - Catherine LeBlanc
- Department of Chemistry and Chemical Biology, Northeastern University, Boston, MA, United States
| | - Erin Burchfield
- Department of Chemistry and Chemical Biology, Northeastern University, Boston, MA, United States
| | - Jeremy R. Armand
- Department of Chemistry and Chemical Biology, Northeastern University, Boston, MA, United States
| | - Rosario Diaz-Gonzalez
- Instituto de Parasitología y Biomedicina “López-Neyra” Consejo Superior de Investigaciones Científicas (CSIC), Granada, Spain
| | - Gloria Ceballos-Perez
- Instituto de Parasitología y Biomedicina “López-Neyra” Consejo Superior de Investigaciones Científicas (CSIC), Granada, Spain
| | - Raquel García-Hernández
- Instituto de Parasitología y Biomedicina “López-Neyra” Consejo Superior de Investigaciones Científicas (CSIC), Granada, Spain
| | - Guiomar Pérez-Moreno
- Instituto de Parasitología y Biomedicina “López-Neyra” Consejo Superior de Investigaciones Científicas (CSIC), Granada, Spain
| | - Cristina Bosch-Navarrete
- Instituto de Parasitología y Biomedicina “López-Neyra” Consejo Superior de Investigaciones Científicas (CSIC), Granada, Spain
| | - Claudia Gómez-Liñán
- Instituto de Parasitología y Biomedicina “López-Neyra” Consejo Superior de Investigaciones Científicas (CSIC), Granada, Spain
| | - Luis Miguel Ruiz-Pérez
- Instituto de Parasitología y Biomedicina “López-Neyra” Consejo Superior de Investigaciones Científicas (CSIC), Granada, Spain
| | - Francisco Gamarro
- Instituto de Parasitología y Biomedicina “López-Neyra” Consejo Superior de Investigaciones Científicas (CSIC), Granada, Spain
| | - Dolores González-Pacanowska
- Instituto de Parasitología y Biomedicina “López-Neyra” Consejo Superior de Investigaciones Científicas (CSIC), Granada, Spain
| | - Miguel Navarro
- Instituto de Parasitología y Biomedicina “López-Neyra” Consejo Superior de Investigaciones Científicas (CSIC), Granada, Spain
| | - Kojo Mensa-Wilmot
- Department of Molecular and Cellular Biology, Kennesaw State University, Kennesaw, GA, United States
| | - Michael P. Pollastri
- Department of Chemistry and Chemical Biology, Northeastern University, Boston, MA, United States
| | - Dennis E. Kyle
- Center for Tropical and Emerging Global Diseases, University of Georgia, Athens, GA, United States
| | - Christopher A. Rice
- Center for Tropical and Emerging Global Diseases, University of Georgia, Athens, GA, United States
- Department of Pharmaceutical and Biomedical Sciences, College of Pharmacy, University of Georgia, Athens, GA, United States
- Department of Comparative Pathobiology, College of Veterinary Medicine, Purdue University, West Lafayette, IN, United States
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Bosch-Navarrete C, Pérez-Moreno G, Annang F, Diaz-Gonzalez R, García-Hernández R, Rocha H, Gamarro F, Cordón-Obras C, Navarro M, Rodriguez A, Genilloud O, Reyes F, Vicente F, Ruiz-Pérez LM, González-Pacanowska D. Strasseriolides display in vitro and in vivo activity against trypanosomal parasites and cause morphological and size defects in Trypanosoma cruzi. PLoS Negl Trop Dis 2023; 17:e0011592. [PMID: 37713416 PMCID: PMC10529594 DOI: 10.1371/journal.pntd.0011592] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2023] [Revised: 09/27/2023] [Accepted: 08/14/2023] [Indexed: 09/17/2023] Open
Abstract
Neglected diseases caused by kinetoplastid parasites are a health burden in tropical and subtropical countries. The need to create safe and effective medicines to improve treatment remains a priority. Microbial natural products are a source of chemical diversity that provides a valuable approach for identifying new drug candidates. We recently reported the discovery and bioassay-guided isolation of a novel family of macrolides with antiplasmodial activity. The novel family of four potent antimalarial macrolides, strasseriolides A-D, was isolated from cultures of Strasseria geniculata CF-247251, a fungal strain obtained from plant tissues. In the present study, we analyze these strasseriolides for activity against kinetoplastid protozoan parasites, namely, Trypanosoma brucei brucei, Leishmania donovani and Trypanosoma cruzi. Compounds exhibited mostly low activities against T. b. brucei, yet notable growth inhibition and selectivity were observed for strasseriolides C and D in the clinically relevant intracellular T. cruzi and L. donovani amastigotes with EC50 values in the low micromolar range. Compound C is fast-acting and active against both intracellular and trypomastigote forms of T. cruzi. While cell cycle defects were not identified, prominent morphological changes were visualized by differential interference contrast microscopy and smaller and rounded parasites were visualized upon exposure to strasseriolide C. Moreover, compound C lowers parasitaemia in vivo in acute models of infection of Chagas disease. Hence, strasseriolide C is a novel natural product active against different forms of T. cruzi in vitro and in vivo. The study provides an avenue for blocking infection of new cells, a strategy that could additionally contribute to avoid treatment failure.
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Affiliation(s)
- Cristina Bosch-Navarrete
- Instituto de Parasitología y Biomedicina "López-Neyra", Consejo Superior de Investigaciones Científicas (CSIC), Parque Tecnológico Ciencias de la Salud, Granada, Spain
| | - Guiomar Pérez-Moreno
- Instituto de Parasitología y Biomedicina "López-Neyra", Consejo Superior de Investigaciones Científicas (CSIC), Parque Tecnológico Ciencias de la Salud, Granada, Spain
| | - Frederick Annang
- Fundación MEDINA, Parque Tecnológico Ciencias de la Salud, Granada, Spain
| | - Rosario Diaz-Gonzalez
- Instituto de Parasitología y Biomedicina "López-Neyra", Consejo Superior de Investigaciones Científicas (CSIC), Parque Tecnológico Ciencias de la Salud, Granada, Spain
| | - Raquel García-Hernández
- Instituto de Parasitología y Biomedicina "López-Neyra", Consejo Superior de Investigaciones Científicas (CSIC), Parque Tecnológico Ciencias de la Salud, Granada, Spain
| | - Hedy Rocha
- Department of Microbiology, Core Anti-infectives, New York University School of Medicine, New York, New York, United States of America
| | - Francisco Gamarro
- Instituto de Parasitología y Biomedicina "López-Neyra", Consejo Superior de Investigaciones Científicas (CSIC), Parque Tecnológico Ciencias de la Salud, Granada, Spain
| | - Carlos Cordón-Obras
- Instituto de Parasitología y Biomedicina "López-Neyra", Consejo Superior de Investigaciones Científicas (CSIC), Parque Tecnológico Ciencias de la Salud, Granada, Spain
| | - Miguel Navarro
- Instituto de Parasitología y Biomedicina "López-Neyra", Consejo Superior de Investigaciones Científicas (CSIC), Parque Tecnológico Ciencias de la Salud, Granada, Spain
| | - Ana Rodriguez
- Department of Microbiology, Core Anti-infectives, New York University School of Medicine, New York, New York, United States of America
| | - Olga Genilloud
- Fundación MEDINA, Parque Tecnológico Ciencias de la Salud, Granada, Spain
| | - Fernando Reyes
- Fundación MEDINA, Parque Tecnológico Ciencias de la Salud, Granada, Spain
| | - Francisca Vicente
- Fundación MEDINA, Parque Tecnológico Ciencias de la Salud, Granada, Spain
| | - Luis M. Ruiz-Pérez
- Instituto de Parasitología y Biomedicina "López-Neyra", Consejo Superior de Investigaciones Científicas (CSIC), Parque Tecnológico Ciencias de la Salud, Granada, Spain
| | - Dolores González-Pacanowska
- Instituto de Parasitología y Biomedicina "López-Neyra", Consejo Superior de Investigaciones Científicas (CSIC), Parque Tecnológico Ciencias de la Salud, Granada, Spain
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4
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Ferrins L, Buskes MJ, Kapteyn MM, Engels HN, Enos SE, Lu C, Klug DM, Singh B, Quotadamo A, Bachovchin K, Tear WF, Spaulding AE, Forbes KC, Bag S, Rivers M, LeBlanc C, Burchfield E, Armand JR, Diaz-Gonzalez R, Ceballos-Perez G, García-Hernández R, Pérez-Moreno G, Bosch-Navarrete C, Gómez-Liñán C, Ruiz-Pérez LM, Gamarro F, González-Pacanowska D, Navarro M, Mensa-Wilmot K, Pollastri MP, Kyle DE, Rice CA. Identification of novel anti-amoebic pharmacophores from kinase inhibitor chemotypes. Front Microbiol 2023; 14:1149145. [PMID: 37234530 PMCID: PMC10206040 DOI: 10.3389/fmicb.2023.1149145] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2023] [Accepted: 03/29/2023] [Indexed: 05/28/2023] Open
Abstract
Acanthamoeba species, Naegleria fowleri, and Balamuthia mandrillaris are opportunistic pathogens that cause a range of brain, skin, eye, and disseminated diseases in humans and animals. These pathogenic free-living amoebae (pFLA) are commonly misdiagnosed and have sub-optimal treatment regimens which contribute to the extremely high mortality rates (>90%) when they infect the central nervous system. To address the unmet medical need for effective therapeutics, we screened kinase inhibitor chemotypes against three pFLA using phenotypic drug assays involving CellTiter-Glo 2.0. Herein, we report the activity of the compounds against the trophozoite stage of each of the three amoebae, ranging from nanomolar to low micromolar potency. The most potent compounds that were identified from this screening effort were: 2d (A. castellanii EC50: 0.92 ± 0.3 μM; and N. fowleri EC50: 0.43 ± 0.13 μM), 1c and 2b (N. fowleri EC50s: <0.63 μM, and 0.3 ± 0.21 μM), and 4b and 7b (B. mandrillaris EC50s: 1.0 ± 0.12 μM, and 1.4 ± 0.17 μM, respectively). With several of these pharmacophores already possessing blood-brain barrier (BBB) permeability properties, or are predicted to penetrate the BBB, these hits present novel starting points for optimization as future treatments for pFLA-caused diseases.
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Affiliation(s)
- Lori Ferrins
- Department of Chemistry and Chemical Biology, Northeastern University, Boston, MA, United States
| | - Melissa J. Buskes
- Department of Chemistry and Chemical Biology, Northeastern University, Boston, MA, United States
| | - Madison M. Kapteyn
- Center for Tropical and Emerging Global Diseases, University of Georgia, Athens, GA, United States
| | - Hannah N. Engels
- Center for Tropical and Emerging Global Diseases, University of Georgia, Athens, GA, United States
| | - Suzanne E. Enos
- Center for Tropical and Emerging Global Diseases, University of Georgia, Athens, GA, United States
- Department of Pharmaceutical and Biomedical Sciences, College of Pharmacy, University of Georgia, Athens, GA, United States
| | - Chenyang Lu
- Department of Comparative Pathobiology, College of Veterinary Medicine, Purdue University, West Lafayette, IN, United States
| | - Dana M. Klug
- Department of Chemistry and Chemical Biology, Northeastern University, Boston, MA, United States
| | - Baljinder Singh
- Department of Chemistry and Chemical Biology, Northeastern University, Boston, MA, United States
| | - Antonio Quotadamo
- Department of Chemistry and Chemical Biology, Northeastern University, Boston, MA, United States
- Clinical and Experimental Medicine PhD Program, University of Modena and Reggio Emilia, Modena, Italy
| | - Kelly Bachovchin
- Department of Chemistry and Chemical Biology, Northeastern University, Boston, MA, United States
| | - Westley F. Tear
- Department of Chemistry and Chemical Biology, Northeastern University, Boston, MA, United States
| | - Andrew E. Spaulding
- Department of Chemistry and Chemical Biology, Northeastern University, Boston, MA, United States
| | - Katherine C. Forbes
- Department of Chemistry and Chemical Biology, Northeastern University, Boston, MA, United States
| | - Seema Bag
- Department of Chemistry and Chemical Biology, Northeastern University, Boston, MA, United States
| | - Mitch Rivers
- Department of Chemistry and Chemical Biology, Northeastern University, Boston, MA, United States
| | - Catherine LeBlanc
- Department of Chemistry and Chemical Biology, Northeastern University, Boston, MA, United States
| | - Erin Burchfield
- Department of Chemistry and Chemical Biology, Northeastern University, Boston, MA, United States
| | - Jeremy R. Armand
- Department of Chemistry and Chemical Biology, Northeastern University, Boston, MA, United States
| | - Rosario Diaz-Gonzalez
- Instituto de Parasitología y Biomedicina “López-Neyra” Consejo Superior de Investigaciones Científicas (CSIC), Granada, Spain
| | - Gloria Ceballos-Perez
- Instituto de Parasitología y Biomedicina “López-Neyra” Consejo Superior de Investigaciones Científicas (CSIC), Granada, Spain
| | - Raquel García-Hernández
- Instituto de Parasitología y Biomedicina “López-Neyra” Consejo Superior de Investigaciones Científicas (CSIC), Granada, Spain
| | - Guiomar Pérez-Moreno
- Instituto de Parasitología y Biomedicina “López-Neyra” Consejo Superior de Investigaciones Científicas (CSIC), Granada, Spain
| | - Cristina Bosch-Navarrete
- Instituto de Parasitología y Biomedicina “López-Neyra” Consejo Superior de Investigaciones Científicas (CSIC), Granada, Spain
| | - Claudia Gómez-Liñán
- Instituto de Parasitología y Biomedicina “López-Neyra” Consejo Superior de Investigaciones Científicas (CSIC), Granada, Spain
| | - Luis Miguel Ruiz-Pérez
- Instituto de Parasitología y Biomedicina “López-Neyra” Consejo Superior de Investigaciones Científicas (CSIC), Granada, Spain
| | - Francisco Gamarro
- Instituto de Parasitología y Biomedicina “López-Neyra” Consejo Superior de Investigaciones Científicas (CSIC), Granada, Spain
| | - Dolores González-Pacanowska
- Instituto de Parasitología y Biomedicina “López-Neyra” Consejo Superior de Investigaciones Científicas (CSIC), Granada, Spain
| | - Miguel Navarro
- Instituto de Parasitología y Biomedicina “López-Neyra” Consejo Superior de Investigaciones Científicas (CSIC), Granada, Spain
| | - Kojo Mensa-Wilmot
- Department of Molecular and Cellular Biology, Kennesaw State University, Kennesaw, GA, United States
| | - Michael P. Pollastri
- Department of Chemistry and Chemical Biology, Northeastern University, Boston, MA, United States
| | - Dennis E. Kyle
- Center for Tropical and Emerging Global Diseases, University of Georgia, Athens, GA, United States
| | - Christopher A. Rice
- Center for Tropical and Emerging Global Diseases, University of Georgia, Athens, GA, United States
- Department of Pharmaceutical and Biomedical Sciences, College of Pharmacy, University of Georgia, Athens, GA, United States
- Department of Comparative Pathobiology, College of Veterinary Medicine, Purdue University, West Lafayette, IN, United States
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Tagliazucchi L, Perea-Martinez A, Fiorini G, Manzano JI, Genovese F, García-Hernández R, Pinetti D, Gamarro F, Costi MP. Label-Free Mass Spectrometry Proteomics Reveals Different Pathways Modulated in THP-1 Cells Infected with Therapeutic Failure and Drug Resistance Leishmania infantum Clinical Isolates. ACS Infect Dis 2023; 9:470-485. [PMID: 36762976 PMCID: PMC10012269 DOI: 10.1021/acsinfecdis.2c00457] [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] [Indexed: 02/11/2023]
Abstract
As the world is facing increasing difficulties to treat leishmaniasis with current therapies, deeper investigation into the molecular mechanisms responsible for both drug resistance and treatment failure (TF) is essential in drug discovery and development. So far, few available drugs cause severe side effects and have developed several resistance mechanisms. Drug resistance and TF parasite strains from clinical isolates may have acquired altered expression of proteins that characterize specific mechanisms leading to therapy inefficacy. This work aims to identify the biochemical pathways of THP-1 human monocytes infected by different Leishmania infantum clinical isolates from patients with either resistance or with TF outcome, using whole cell differential Mass Spectrometry proteomics. We have adopted network enrichment analysis to integrate the transcriptomics and the proteomic results of infected cells studies. Transferrin receptor C (TFRC) and nucleoside diphosphate kinase 3 (NDK3) were discovered as overexpressed proteins in THP-1 cells infected with paromomycin, antimony, and miltefosine resistant L. infantum lines. The overall achievements represent founding concepts to confirm new targets involved in the parasitic drug resistance and TF mechanisms, and to consider in perspective the importance of a dual host-guest pharmacological approach to treat the acute stage of the disease.
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Affiliation(s)
- Lorenzo Tagliazucchi
- Department of Life Science, University of Modena and Reggio Emilia, Via Campi 103, 41125 Modena, Italy.,Clinical and Experimental Medicine (CEM) Ph.D. Program, University of Modena and Reggio Emilia, Via Campi 287, 41125 Modena, Italy
| | - Ana Perea-Martinez
- Instituto de Parasitología y Biomedicina "López-Neyra" (IPBLN-CSIC), Avda. del Conocimiento 17, 18016 Armilla, Granada, Spain
| | - Greta Fiorini
- Department of Life Science, University of Modena and Reggio Emilia, Via Campi 103, 41125 Modena, Italy
| | - José Ignacio Manzano
- Instituto de Parasitología y Biomedicina "López-Neyra" (IPBLN-CSIC), Avda. del Conocimiento 17, 18016 Armilla, Granada, Spain
| | - Filippo Genovese
- Centro Interdipartimentale Grandi Strumenti (CIGS), University of Modena and Reggio Emilia, Via Campi 213/A, 41125 Modena, Italy
| | - Raquel García-Hernández
- Instituto de Parasitología y Biomedicina "López-Neyra" (IPBLN-CSIC), Avda. del Conocimiento 17, 18016 Armilla, Granada, Spain
| | - Diego Pinetti
- Centro Interdipartimentale Grandi Strumenti (CIGS), University of Modena and Reggio Emilia, Via Campi 213/A, 41125 Modena, Italy
| | - Francisco Gamarro
- Instituto de Parasitología y Biomedicina "López-Neyra" (IPBLN-CSIC), Avda. del Conocimiento 17, 18016 Armilla, Granada, Spain
| | - Maria Paola Costi
- Department of Life Science, University of Modena and Reggio Emilia, Via Campi 103, 41125 Modena, Italy
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Manzano JI, Perea-Martínez A, García-Hernández R, Andrés-León E, Terrón-Camero LC, Poveda JA, Gamarro F. Modulation of Cholesterol Pathways in Human Macrophages Infected by Clinical Isolates of Leishmania infantum. Front Cell Infect Microbiol 2022; 12:878711. [PMID: 35573792 PMCID: PMC9106381 DOI: 10.3389/fcimb.2022.878711] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2022] [Accepted: 04/07/2022] [Indexed: 12/05/2022] Open
Abstract
To increase our understanding of factors contributing to therapeutic failure (TF) in leishmaniasis, we have studied some plasma membrane features of host THP-1 cells infected with clinical isolates of Leishmania infantum from patients with leishmaniasis and TF. The fluorescent probes DPH and TMA-DPH were used to measure changes in membrane fluidity at various depths of the plasma membranes. Steady-state fluorescence anisotropy of DPH embedded in the infected THP-1 membranes showed a significant increase, thereby suggesting a substantial decrease in plasma membrane fluidity relative to controls. Considering that cholesterol affects membrane fluidity and permeability, we determined the cholesterol content in plasma membrane fractions of human macrophages infected with these L. infantum lines and observed a significant increase in cholesterol content that correlates with the measured decrease in plasma membrane fluidity. In order to define the pathways that could explain the increase in cholesterol content, we studied the transcriptomics of the cholesterol-enriched pathways in host THP-1 cells infected with TF clinical isolates by RNA-seq. Specifically, we focused on four enriched Gene Ontology (GO) terms namely cholesterol efflux, cholesterol transport, cholesterol metabolic process and cholesterol storage. Additionally, we analyzed the genes involved in these pathways. Overall, this study shows that these clinical isolates are able to modulate the expression of specific genes in host cells, thereby modifying the cholesterol content in plasma membranes and inducing changes in plasma membrane fluidity that could be associated with the parasite’s ability to survive in the host macrophages, thereby possibly contributing to immune evasion and TF.
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Affiliation(s)
- José Ignacio Manzano
- Instituto de Parasitología y Biomedicina “López-Neyra”, Consejo Superior de Investigaciones Científicas (IPBLN-CSIC), Parque Tecnológico de Ciencias de la Salud, Armilla, Spain
| | - Ana Perea-Martínez
- Instituto de Parasitología y Biomedicina “López-Neyra”, Consejo Superior de Investigaciones Científicas (IPBLN-CSIC), Parque Tecnológico de Ciencias de la Salud, Armilla, Spain
| | - Raquel García-Hernández
- Instituto de Parasitología y Biomedicina “López-Neyra”, Consejo Superior de Investigaciones Científicas (IPBLN-CSIC), Parque Tecnológico de Ciencias de la Salud, Armilla, Spain
| | - Eduardo Andrés-León
- Instituto de Parasitología y Biomedicina “López-Neyra”, Consejo Superior de Investigaciones Científicas (IPBLN-CSIC), Parque Tecnológico de Ciencias de la Salud, Armilla, Spain
| | - Laura C. Terrón-Camero
- Instituto de Parasitología y Biomedicina “López-Neyra”, Consejo Superior de Investigaciones Científicas (IPBLN-CSIC), Parque Tecnológico de Ciencias de la Salud, Armilla, Spain
| | - José Antonio Poveda
- Instituto de Investigación, Desarrollo e Innovación en Biotecnología Sanitaria de Elche (IDiBE), and Instituto de Biología Molecular y Celular (IBMC), Universidad Miguel Hernández, Elche, Spain
| | - Francisco Gamarro
- Instituto de Parasitología y Biomedicina “López-Neyra”, Consejo Superior de Investigaciones Científicas (IPBLN-CSIC), Parque Tecnológico de Ciencias de la Salud, Armilla, Spain
- *Correspondence: Francisco Gamarro,
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7
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Perea-Martínez A, García-Hernández R, Manzano JI, Gamarro F. Transcriptomic Analysis in Human Macrophages Infected with Therapeutic Failure Clinical Isolates of Leishmania infantum. ACS Infect Dis 2022; 8:800-810. [PMID: 35352952 PMCID: PMC9003231 DOI: 10.1021/acsinfecdis.1c00513] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [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] [Indexed: 12/22/2022]
Abstract
Leishmaniasis is one of the neglected tropical diseases with a worldwide distribution, affecting humans and animals. In the absence of an effective vaccine, current treatment is through the use of chemotherapy; however, existing treatments have frequent appearance of drug resistance and therapeutic failure (TF). The identification of factors that contribute to TF in leishmaniasis will provide the basis for a future therapeutic strategy more efficient for the control of this disease. In this article, we have evaluated the transcriptomic changes in the host cells THP-1 after infection with clinical Leishmania infantum isolates from leishmaniasis patients with TF. Our results show that distinct L. infantum isolates differentially modulate host cell response, inducing phenotypic changes that probably may account for parasite survival and TF of patients. Analysis of differential expression genes (DEGs), with a statistical significance threshold of a fold change ≥ 2 and a false discovery rate value ≤ 0.05, revealed a different number of DEGs according to the Leishmanialine. Globally, there was a similar number of genes up- and downregulated in all the infected host THP-1 cells, with exception of Hi-L2221, which showed a higher number of downregulated DEGs. We observed a total of 58 DEGs commonly modulated in all infected host cells, including upregulated (log2FC ≥ 1) and downregulated (log2FC ≤ -1) genes. Based on the results obtained from the analysis of RNA-seq, volcano plot, and GO enrichment analysis, we identified the most significant transcripts of relevance for their possible contribution to the TF observed in patients with leishmaniasis.
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Affiliation(s)
- Ana Perea-Martínez
- Instituto de Parasitología y Biomedicina “López-Neyra”, IPBLN-CSIC, Parque Tecnológico de Ciencias de la Salud, Avda del Conocimiento 17, 18016 Armilla, Granada, Spain
| | - Raquel García-Hernández
- Instituto de Parasitología y Biomedicina “López-Neyra”, IPBLN-CSIC, Parque Tecnológico de Ciencias de la Salud, Avda del Conocimiento 17, 18016 Armilla, Granada, Spain
| | - José Ignacio Manzano
- Instituto de Parasitología y Biomedicina “López-Neyra”, IPBLN-CSIC, Parque Tecnológico de Ciencias de la Salud, Avda del Conocimiento 17, 18016 Armilla, Granada, Spain
| | - Francisco Gamarro
- Instituto de Parasitología y Biomedicina “López-Neyra”, IPBLN-CSIC, Parque Tecnológico de Ciencias de la Salud, Avda del Conocimiento 17, 18016 Armilla, Granada, Spain
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8
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García-Hernández R, Manzano JI, Perea-Martínez A, Gamarro F. New Insights on Drug-Resistant Clinical Isolates of Leishmania infantum-Infected Human Macrophages as Determined by Comparative Transcriptome Analyses. OMICS 2022; 26:165-177. [PMID: 35172107 DOI: 10.1089/omi.2021.0185] [Citation(s) in RCA: 2] [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] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Leishmaniasis is the second most important neglected tropical parasitic disease after malaria. This disease is distributed worldwide and can be present in a variety of clinical forms, depending on the parasite species and host's genetic background. As chemotherapy is the only effective weapon whose effectiveness is limited by the frequent appearance of drug resistance and therapeutic failure, new therapeutic strategies are required. To better understand the factors that contribute to therapeutic failure and drug resistance in leishmaniasis, we studied the transcriptomic changes in host THP-1 cells after infection with clinical Leishmania infantum isolates with different susceptibilities to antileishmanial drugs by RNA-seq. Analysis of the differentially expressed genes (DEGs) in infected host cells revealed variations in DEG numbers in the THP-1-infected cells depending on the Leishmania line. A key conclusion of this study is that the modulation of host cells is Leishmania line dependent. Gene ontology enrichment analyses of DEGs indicated that certain biological processes were modulated in the infected host cells, specifically related to cellular metabolism, immune response, defense response, signaling pathways, and cell proliferation and apoptosis. Furthermore, this study provides new potential therapeutic markers and insights into the THP-1 host transcriptomic changes that occur after late infection with drug-resistant L. infantum clinical isolates.
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Affiliation(s)
| | - José Ignacio Manzano
- Instituto de Parasitología y Biomedicina "López-Neyra" (IPBLN-CSIC), Granada, Spain
| | - Ana Perea-Martínez
- Instituto de Parasitología y Biomedicina "López-Neyra" (IPBLN-CSIC), Granada, Spain
| | - Francisco Gamarro
- Instituto de Parasitología y Biomedicina "López-Neyra" (IPBLN-CSIC), Granada, Spain
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9
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Sánchez-Fernández EM, García-Hernández R, Gamarro F, Arroba AI, Aguilar-Diosdado M, Padrón JM, García Fernández JM, Ortiz Mellet C. Synthesis of sp 2-Iminosugar Selenoglycolipids as Multitarget Drug Candidates with Antiproliferative, Leishmanicidal and Anti-Inflammatory Properties. Molecules 2021; 26:molecules26247501. [PMID: 34946583 PMCID: PMC8705409 DOI: 10.3390/molecules26247501] [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: 11/05/2021] [Revised: 12/05/2021] [Accepted: 12/08/2021] [Indexed: 11/16/2022] Open
Abstract
sp2-Iminosugar glycolipids (sp2-IGLs) represent a consolidated family of glycoconjugate mimetics encompassing a monosaccharide-like glycone moiety with a pseudoamide-type nitrogen replacing the endocyclic oxygen atom of carbohydrates and an axially-oriented lipid chain anchored at the pseudoanomeric position. The combination of these structural features makes them promising candidates for the treatment of a variety of conditions, spanning from cancer and inflammatory disorders to parasite infections. The exacerbated anomeric effect associated to the putative sp2-hybridized N-atom imparts chemical and enzymatic stability to sp2-IGLs and warrants total α-anomeric stereoselectivity in the key glycoconjugation step. A variety of O-, N-, C- and S-pseudoglycosides, differing in glycone configurational patterns and lipid nature, have been previously prepared and evaluated. Here we expand the chemical space of sp2-IGLs by reporting the synthesis of α-d-gluco-configured analogs with a bicyclic (5N,6O-oxomethylidene)nojirimycin (ONJ) core incorporating selenium at the glycosidic position. Structure-activity relationship studies in three different scenarios, namely cancer, Leishmaniasis and inflammation, convey that the therapeutic potential of the sp2-IGLs is highly dependent, not only on the length of the lipid chain (linear aliphatic C12 vs. C8), but also on the nature of the glycosidic atom (nitrogen vs. sulfur vs. selenium). The ensemble of results highlights the α-dodecylseleno-ONJ-glycoside as a promising multitarget drug candidate.
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Affiliation(s)
- Elena M. Sánchez-Fernández
- Department of Organic Chemistry, Faculty of Chemistry, University of Seville, C/Profesor García González 1, 41012 Seville, Spain;
- Correspondence: ; Tel.: +34-954-559-997
| | - Raquel García-Hernández
- Instituto de Parasitología y Biomedicina “López-Neyra”, Parque Tecnológico de Ciencias de la Salud, 18016 Granada, Spain; (R.G.-H.); (F.G.)
| | - Francisco Gamarro
- Instituto de Parasitología y Biomedicina “López-Neyra”, Parque Tecnológico de Ciencias de la Salud, 18016 Granada, Spain; (R.G.-H.); (F.G.)
| | - Ana I. Arroba
- Research Unit, Biomedical Research and Innovation Institute of Cádiz, Puerta del Mar University Hospital, Av/Ana de Viya 21, 11009 Cádiz, Spain; (A.I.A.); (M.A.-D.)
| | - Manuel Aguilar-Diosdado
- Research Unit, Biomedical Research and Innovation Institute of Cádiz, Puerta del Mar University Hospital, Av/Ana de Viya 21, 11009 Cádiz, Spain; (A.I.A.); (M.A.-D.)
| | - José M. Padrón
- BioLab, Instituto Universitario de Bio-Orgánica Antonio González, Universidad de La Laguna, C/Astrofísico Francisco Sánchez 2, 38206 La Laguna, Spain;
| | - José M. García Fernández
- Instituto de Investigaciones Químicas, CSIC-University of Seville, Américo Vespucio 49, 41092 Sevilla, Spain;
| | - Carmen Ortiz Mellet
- Department of Organic Chemistry, Faculty of Chemistry, University of Seville, C/Profesor García González 1, 41012 Seville, Spain;
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10
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Espinosa-González AM, Estrella-Parra EA, Nolasco-Ontiveros E, García-Bores AM, García-Hernández R, López-Urrutia E, Campos-Contreras JE, González-Valle MDR, Benítez-Flores JDC, Céspedes-Acuña CL, Alarcón-Enos J, Rivera-Cabrera JC, Avila-Acevedo JG. Hyptis mociniana: phytochemical fingerprint and photochemoprotective effect against UV-B radiation-induced erythema and skin carcinogenesis. Food Chem Toxicol 2021; 151:112095. [PMID: 33689855 DOI: 10.1016/j.fct.2021.112095] [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] [Received: 01/06/2021] [Revised: 02/19/2021] [Accepted: 02/22/2021] [Indexed: 10/22/2022]
Abstract
Skin cancer is a public health problem due to its high incidence. Ultraviolet radiation (UVR) is the main etiological agent of this disease. Photochemoprotection involves the use of substances to avoid damage caused by UV exposure. The aim of this work was to determine the phytochemical fingerprint and photochemoprotective effect against UVB radiation-induced skin damage such as erythema and carcinogenesis of H. mociniana methanolic extract (MEHm). The chemical composition of the MEHm was analysed by LC/ESI-MS/MS. Three quercetin derivatives, two pectinolides, and two caffeic acid derivatives were identified in the methanolic extract. MEHm has antioxidant effect and it is not cytotoxic in HaCaT cells. Phytochemicals from H. mociniana have a photochemopreventive effect because they absorb UV light and protect HaCaT cells from UVR-induced cell death. Also, in SKH-1 mice -acute exposure-, it decreased erythema formation, modulating the inflammatory response, reduced the skin damage according to histological analysis and diminished p53 expression. Finally, MEHm protects from photocarcinogenesis by reducing the incidence and multiplicity of skin carcinomas in SKH-1 mice exposed chronically to UVB radiation.
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Affiliation(s)
- A M Espinosa-González
- Laboratorio de Fitoquímica, UBIPRO, FES-Iztacala, Universidad Nacional Autónoma de México, Av. De Los Barrios No.1, Los Reyes Iztacala, Tlalnepantla, 54090, Estado de México, México.
| | - E A Estrella-Parra
- Laboratorio de Fitoquímica, UBIPRO, FES-Iztacala, Universidad Nacional Autónoma de México, Av. De Los Barrios No.1, Los Reyes Iztacala, Tlalnepantla, 54090, Estado de México, México.
| | - E Nolasco-Ontiveros
- Laboratorio de Fitoquímica, UBIPRO, FES-Iztacala, Universidad Nacional Autónoma de México, Av. De Los Barrios No.1, Los Reyes Iztacala, Tlalnepantla, 54090, Estado de México, México.
| | - A M García-Bores
- Laboratorio de Fitoquímica, UBIPRO, FES-Iztacala, Universidad Nacional Autónoma de México, Av. De Los Barrios No.1, Los Reyes Iztacala, Tlalnepantla, 54090, Estado de México, México.
| | - R García-Hernández
- Laboratorio de Fitoquímica, UBIPRO, FES-Iztacala, Universidad Nacional Autónoma de México, Av. De Los Barrios No.1, Los Reyes Iztacala, Tlalnepantla, 54090, Estado de México, México.
| | - E López-Urrutia
- Laboratorio de Genómica Funcional Del Cáncer, UBIMED, FES-Iztacala, Universidad Nacional Autónoma de México, Av. De Los Barrios No.1, Los Reyes Iztacala, Tlalnepantla, 54090, Estado de México, México.
| | - J E Campos-Contreras
- Laboratorio de Bioquímica Molecular, UBIPRO, FES-Iztacala, Universidad Nacional Autónoma de México, Av. De Los Barrios No.1, Los Reyes Iztacala, Tlalnepantla, 54090, Estado de México, México.
| | - M Del R González-Valle
- Laboratorio de Histología, UMF, FES-Iztacala, Universidad Nacional Autónoma de México, Av. De Los Barrios No.1, Los Reyes Iztacala, Tlalnepantla, 54090, Estado de México, México.
| | - J Del C Benítez-Flores
- Laboratorio de Histología, UMF, FES-Iztacala, Universidad Nacional Autónoma de México, Av. De Los Barrios No.1, Los Reyes Iztacala, Tlalnepantla, 54090, Estado de México, México.
| | - C L Céspedes-Acuña
- Laboratorio de Fitoquímica-Ecológica, Grupo de Química y Biotecnología de Productos Naturales Bioactivos, Departamento de Ciencias Básicas, Facultad de Ciencias, Universidad Del Bio Bio, Avenida Andrés Bello, 3780000, Chillan, Chile.
| | - J Alarcón-Enos
- Laboratorio de Fitoquímica-Ecológica, Grupo de Química y Biotecnología de Productos Naturales Bioactivos, Departamento de Ciencias Básicas, Facultad de Ciencias, Universidad Del Bio Bio, Avenida Andrés Bello, 3780000, Chillan, Chile.
| | - J C Rivera-Cabrera
- Laboratorio de Cromatografía de Líquidos, Departamento de Farmacología, Escuela Médico Militar, Cda, Palomas s/n, Lomas de San Isidro, 11200, Ciudad de México, México.
| | - J G Avila-Acevedo
- Laboratorio de Fitoquímica, UBIPRO, FES-Iztacala, Universidad Nacional Autónoma de México, Av. De Los Barrios No.1, Los Reyes Iztacala, Tlalnepantla, 54090, Estado de México, México.
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11
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García-Hernández R, Espigares-López M, Miralles-Aguiar F, Gámiz-Sánchez R, Arroyo Fernández F, Pernia Romero A, Torres L, Calderón Seoane E. Immunomodulation using CONVEHY® for COVID-19: from the storm to the cytokine anticyclone. Revista Española de Anestesiología y Reanimación (English Edition) 2021. [PMCID: PMC7883705 DOI: 10.1016/j.redare.2020.08.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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12
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García-Hernández R, Espigares-López MI, Miralles-Aguiar F, Gámiz-Sánchez R, Arroyo Fernández FJ, Pernia Romero A, Torres LM, Calderón Seoane E. Immunomodulation using CONVEHY® for COVID-19: from the storm to the cytokine anticyclone. ACTA ACUST UNITED AC 2020; 68:107-112. [PMID: 33455739 PMCID: PMC7456301 DOI: 10.1016/j.redar.2020.08.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2020] [Revised: 08/03/2020] [Accepted: 08/04/2020] [Indexed: 11/19/2022]
Affiliation(s)
- R García-Hernández
- Especialista en Anestesiología y Reanimación. Coordinador de la Unidad de Reanimación Postquirúrgica. Servicio de Anestesiología y Reanimación. Hospital Universitario Puerta del Mar, España.
| | - M I Espigares-López
- Especialista en Anestesiología y Reanimación. Servicio de Anestesiología y Reanimación. Hospital Universitario Puerta del Mar, España
| | - F Miralles-Aguiar
- Especialista en Anestesiología y Reanimación. Especialista en Medicina Intensiva. Servicio de Anestesiología y Reanimación. Hospital Universitario Puerta del Mar, España
| | - R Gámiz-Sánchez
- Especialista en Anestesiología y Reanimación. Especialista en Medicina Interna. Coordinadora de la Unidad de Reanimación Postquirúrgica. Servicio de Anestesiología y Reanimación. Hospital Universitario Puerta del Mar, España
| | - F J Arroyo Fernández
- Especialista en Anestesiología y Reanimación. Servicio de Anestesiología y Reanimación. Hospital Universitario Puerta del Mar, España
| | - A Pernia Romero
- Especialista en Anestesiología y Reanimación. Jefe de Sección. Servicio de Anestesiología y Reanimación. Hospital Universitario Puerta del Mar, España
| | - L M Torres
- Especialista en Anestesiología y Reanimación. Jefe de servicio. Servicio de Anestesiología y Reanimación. Hospital Universitario Puerta del Mar, España
| | - E Calderón Seoane
- Especialista en Anestesiología y Reanimación. Servicio de Anestesiología y Reanimación. Hospital Universitario Puerta del Mar, España
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13
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Klug DM, Diaz-Gonzalez R, DeLano TJ, Mavrogiannaki EM, Buskes MJ, Dalton RM, Fisher JK, Schneider KM, Hilborne V, Fritsche MG, Simpson QJ, Tear WF, Devine WG, Pérez-Moreno G, Ceballos-Pérez G, García-Hernández R, Bosch-Navarrete C, Ruiz-Pérez LM, Gamarro F, González-Pacanowska D, Martinez-Martinez MS, Manzano-Chinchon P, Navarro M, Pollastri MP, Ferrins L. Structure-property studies of an imidazoquinoline chemotype with antitrypanosomal activity. RSC Med Chem 2020; 11:950-959. [PMID: 33479690 PMCID: PMC7496307 DOI: 10.1039/d0md00103a] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2020] [Accepted: 06/12/2020] [Indexed: 02/03/2023] Open
Abstract
Human African trypanosomiasis is a neglected tropical disease (NTD) that is fatal if left untreated. Although approximately 13 million people live in moderate- to high-risk areas for infection, current treatments are plagued by problems with safety, efficacy, and emerging resistance. In an effort to fill the drug development pipeline for HAT, we have expanded previous work exploring the chemotype represented by the compound NEU-1090, with a particular focus on improvement of absorption, distribution, metabolism and elimination (ADME) properties. These efforts resulted in several compounds with substantially improved aqueous solubility, although these modifications typically resulted in a loss of trypanosomal activity. We herein report the results of our investigation into the antiparasitic activity, toxicity, and ADME properties of this class of compounds in the interest of informing the NTD drug discovery community and avoiding duplication of effort.
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Affiliation(s)
- Dana M Klug
- Department of Chemistry & Chemical Biology , Northeastern University , 360 Huntington Avenue , Boston , MA 02115 , USA .
| | - Rosario Diaz-Gonzalez
- Instituto de Parasitología y Biomedicina "López-Neyra" Consejo Superior de Investigaciones Cientificas , Granada 18016 , Spain
| | - Travis J DeLano
- Department of Chemistry & Chemical Biology , Northeastern University , 360 Huntington Avenue , Boston , MA 02115 , USA .
| | - Eftychia M Mavrogiannaki
- Department of Chemistry & Chemical Biology , Northeastern University , 360 Huntington Avenue , Boston , MA 02115 , USA .
| | - Melissa J Buskes
- Department of Chemistry & Chemical Biology , Northeastern University , 360 Huntington Avenue , Boston , MA 02115 , USA .
| | - Raeann M Dalton
- Department of Chemistry & Chemical Biology , Northeastern University , 360 Huntington Avenue , Boston , MA 02115 , USA .
| | - John K Fisher
- Department of Chemistry & Chemical Biology , Northeastern University , 360 Huntington Avenue , Boston , MA 02115 , USA .
| | - Katherine M Schneider
- Department of Chemistry & Chemical Biology , Northeastern University , 360 Huntington Avenue , Boston , MA 02115 , USA .
| | - Vivian Hilborne
- Department of Chemistry & Chemical Biology , Northeastern University , 360 Huntington Avenue , Boston , MA 02115 , USA .
| | - Melanie G Fritsche
- Department of Chemistry & Chemical Biology , Northeastern University , 360 Huntington Avenue , Boston , MA 02115 , USA .
| | - Quillon J Simpson
- Department of Chemistry & Chemical Biology , Northeastern University , 360 Huntington Avenue , Boston , MA 02115 , USA .
| | - Westley F Tear
- Department of Chemistry & Chemical Biology , Northeastern University , 360 Huntington Avenue , Boston , MA 02115 , USA .
| | - William G Devine
- Department of Chemistry & Chemical Biology , Northeastern University , 360 Huntington Avenue , Boston , MA 02115 , USA .
| | - Guiomar Pérez-Moreno
- Instituto de Parasitología y Biomedicina "López-Neyra" Consejo Superior de Investigaciones Cientificas , Granada 18016 , Spain
| | - Gloria Ceballos-Pérez
- Instituto de Parasitología y Biomedicina "López-Neyra" Consejo Superior de Investigaciones Cientificas , Granada 18016 , Spain
| | - Raquel García-Hernández
- Instituto de Parasitología y Biomedicina "López-Neyra" Consejo Superior de Investigaciones Cientificas , Granada 18016 , Spain
| | - Cristina Bosch-Navarrete
- Instituto de Parasitología y Biomedicina "López-Neyra" Consejo Superior de Investigaciones Cientificas , Granada 18016 , Spain
| | - Luis Miguel Ruiz-Pérez
- Instituto de Parasitología y Biomedicina "López-Neyra" Consejo Superior de Investigaciones Cientificas , Granada 18016 , Spain
| | - Francisco Gamarro
- Instituto de Parasitología y Biomedicina "López-Neyra" Consejo Superior de Investigaciones Cientificas , Granada 18016 , Spain
| | - Dolores González-Pacanowska
- Instituto de Parasitología y Biomedicina "López-Neyra" Consejo Superior de Investigaciones Cientificas , Granada 18016 , Spain
| | | | - Pilar Manzano-Chinchon
- Tres Cantos Medicines Development Campus , DDW and CIB , GlaxoSmithKline , Tres Cantos , Spain
| | - Miguel Navarro
- Instituto de Parasitología y Biomedicina "López-Neyra" Consejo Superior de Investigaciones Cientificas , Granada 18016 , Spain
| | - Michael P Pollastri
- Department of Chemistry & Chemical Biology , Northeastern University , 360 Huntington Avenue , Boston , MA 02115 , USA .
| | - Lori Ferrins
- Department of Chemistry & Chemical Biology , Northeastern University , 360 Huntington Avenue , Boston , MA 02115 , USA .
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14
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Tear WF, Bag S, Diaz-Gonzalez R, Ceballos-Pérez G, Rojas-Barros DI, Cordon-Obras C, Pérez-Moreno G, García-Hernández R, Martinez-Martinez MS, Ruiz-Perez LM, Gamarro F, Gonzalez Pacanowska D, Caffrey CR, Ferrins L, Manzano P, Navarro M, Pollastri MP. Selectivity and Physicochemical Optimization of Repurposed Pyrazolo[1,5- b]pyridazines for the Treatment of Human African Trypanosomiasis. J Med Chem 2020; 63:756-783. [PMID: 31846577 PMCID: PMC6985937 DOI: 10.1021/acs.jmedchem.9b01741] [Citation(s) in RCA: 7] [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] [Indexed: 01/01/2023]
Abstract
![]()
From
a high-throughput screen of 42 444 known human kinases
inhibitors, a pyrazolo[1,5-b]pyridazine scaffold
was identified to begin optimization for the treatment of human African
trypanosomiasis. Previously reported data for analogous compounds
against human kinases GSK-3β, CDK-2, and CDK-4 were leveraged
to try to improve the selectivity of the series, resulting in 23a which showed selectivity for T. b. brucei over these three human enzymes. In parallel, properties known to
influence the absorption, distribution, metabolism, and excretion
(ADME) profile of the series were optimized resulting in 20g being progressed into an efficacy study in mice. Though 20g showed toxicity in mice, it also demonstrated CNS penetration in
a PK study and significant reduction of parasitemia in four out of
the six mice.
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Affiliation(s)
- Westley F Tear
- Department of Chemistry & Chemical Biology , Northeastern University , 360 Huntington Avenue , Boston , Massachusetts 02115 , United States
| | - Seema Bag
- Department of Chemistry & Chemical Biology , Northeastern University , 360 Huntington Avenue , Boston , Massachusetts 02115 , United States
| | - Rosario Diaz-Gonzalez
- Instituto de Parasitología y Biomedicina "López-Neyra", Consejo Superior de Investigaciones Cientificas (CSIC) , Granada 18016 , Spain
| | - Gloria Ceballos-Pérez
- Instituto de Parasitología y Biomedicina "López-Neyra", Consejo Superior de Investigaciones Cientificas (CSIC) , Granada 18016 , Spain
| | - Domingo I Rojas-Barros
- Instituto de Parasitología y Biomedicina "López-Neyra", Consejo Superior de Investigaciones Cientificas (CSIC) , Granada 18016 , Spain
| | - Carlos Cordon-Obras
- Instituto de Parasitología y Biomedicina "López-Neyra", Consejo Superior de Investigaciones Cientificas (CSIC) , Granada 18016 , Spain
| | - Guiomar Pérez-Moreno
- Instituto de Parasitología y Biomedicina "López-Neyra", Consejo Superior de Investigaciones Cientificas (CSIC) , Granada 18016 , Spain
| | - Raquel García-Hernández
- Instituto de Parasitología y Biomedicina "López-Neyra", Consejo Superior de Investigaciones Cientificas (CSIC) , Granada 18016 , Spain
| | | | - Luis Miguel Ruiz-Perez
- Instituto de Parasitología y Biomedicina "López-Neyra", Consejo Superior de Investigaciones Cientificas (CSIC) , Granada 18016 , Spain
| | - Francisco Gamarro
- Instituto de Parasitología y Biomedicina "López-Neyra", Consejo Superior de Investigaciones Cientificas (CSIC) , Granada 18016 , Spain
| | - Dolores Gonzalez Pacanowska
- Instituto de Parasitología y Biomedicina "López-Neyra", Consejo Superior de Investigaciones Cientificas (CSIC) , Granada 18016 , Spain
| | - Conor R Caffrey
- Center for Discovery and Innovation in Parasitic Diseases, Skaggs School of Pharmacy and Pharmaceutical Sciences , University of California San Diego , 9500 Gilman Drive , La Jolla , California 92093 , United States
| | - Lori Ferrins
- Department of Chemistry & Chemical Biology , Northeastern University , 360 Huntington Avenue , Boston , Massachusetts 02115 , United States
| | - Pilar Manzano
- Tres Cantos Medicines Development Campus, DDW and CIB , GlaxoSmithKline , Tres Cantos 28760 , Spain
| | - Miguel Navarro
- Instituto de Parasitología y Biomedicina "López-Neyra", Consejo Superior de Investigaciones Cientificas (CSIC) , Granada 18016 , Spain
| | - Michael P Pollastri
- Department of Chemistry & Chemical Biology , Northeastern University , 360 Huntington Avenue , Boston , Massachusetts 02115 , United States
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15
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Klug DM, Tschiegg L, Diaz R, Rojas-Barros D, Perez-Moreno G, Ceballos G, García-Hernández R, Martinez-Martinez MS, Manzano P, Ruiz LM, Caffrey CR, Gamarro F, Pacanowska DG, Ferrins L, Navarro M, Pollastri MP. Hit-to-Lead Optimization of Benzoxazepinoindazoles As Human African Trypanosomiasis Therapeutics. J Med Chem 2019; 63:2527-2546. [PMID: 31670951 DOI: 10.1021/acs.jmedchem.9b01506] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Human African trypanosomiasis (HAT) is a neglected tropical disease caused by infection with either of two subspecies of the parasite Trypanosoma brucei. Due to a lack of economic incentive to develop new drugs, current treatments have severe limitations in terms of safety, efficacy, and ease of administration. In an effort to develop new HAT therapeutics, we report the structure-activity relationships around T. brucei for a series of benzoxazepinoindazoles previously identified through a high-throughput screen of human kinase inhibitors, and the subsequent in vivo experiments for HAT. We identified compound 18, which showed an improved kinase selectivity profile and acceptable pharmacokinetic parameters, as a promising lead. Although treatment with 18 cured 60% of mice in a systemic model of HAT, the compound was unable to clear parasitemia in a CNS model of the disease. We also report the results of cross-screening these compounds against T. cruzi, L. donovani, and S. mansoni.
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Affiliation(s)
- Dana M Klug
- Department of Chemistry & Chemical Biology, Northeastern University, 360 Huntington Avenue, Boston, Massachusetts 02115, United States
| | - Laura Tschiegg
- Department of Chemistry & Chemical Biology, Northeastern University, 360 Huntington Avenue, Boston, Massachusetts 02115, United States
| | - Rosario Diaz
- Instituto de Parasitología y Biomedicina "López-Neyra", Consejo Superior de Investigaciones Cientificas (CSIC), Granada 18016, Spain
| | - Domingo Rojas-Barros
- Instituto de Parasitología y Biomedicina "López-Neyra", Consejo Superior de Investigaciones Cientificas (CSIC), Granada 18016, Spain
| | - Guiomar Perez-Moreno
- Instituto de Parasitología y Biomedicina "López-Neyra", Consejo Superior de Investigaciones Cientificas (CSIC), Granada 18016, Spain
| | - Gloria Ceballos
- Instituto de Parasitología y Biomedicina "López-Neyra", Consejo Superior de Investigaciones Cientificas (CSIC), Granada 18016, Spain
| | - Raquel García-Hernández
- Instituto de Parasitología y Biomedicina "López-Neyra", Consejo Superior de Investigaciones Cientificas (CSIC), Granada 18016, Spain
| | - Maria Santos Martinez-Martinez
- Diseases of the Developing World (DDW), Tres Cantos Medicines Development Campus, GlaxoSmithKline, Tres Cantos 28760, Spain
| | - Pilar Manzano
- Diseases of the Developing World (DDW), Tres Cantos Medicines Development Campus, GlaxoSmithKline, Tres Cantos 28760, Spain
| | - Luis Miguel Ruiz
- Instituto de Parasitología y Biomedicina "López-Neyra", Consejo Superior de Investigaciones Cientificas (CSIC), Granada 18016, Spain
| | - Conor R Caffrey
- Center for Discovery and Innovation in Parasitic Diseases, Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California, San Diego, 9500 Gilman Drive, La Jolla, California 92093, United States
| | - Francisco Gamarro
- Instituto de Parasitología y Biomedicina "López-Neyra", Consejo Superior de Investigaciones Cientificas (CSIC), Granada 18016, Spain
| | - Dolores Gonzalez Pacanowska
- Instituto de Parasitología y Biomedicina "López-Neyra", Consejo Superior de Investigaciones Cientificas (CSIC), Granada 18016, Spain
| | - Lori Ferrins
- Department of Chemistry & Chemical Biology, Northeastern University, 360 Huntington Avenue, Boston, Massachusetts 02115, United States
| | - Miguel Navarro
- Instituto de Parasitología y Biomedicina "López-Neyra", Consejo Superior de Investigaciones Cientificas (CSIC), Granada 18016, Spain
| | - Michael P Pollastri
- Department of Chemistry & Chemical Biology, Northeastern University, 360 Huntington Avenue, Boston, Massachusetts 02115, United States
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16
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Sánchez-Fernández EM, García-Moreno MI, Arroba AI, Aguilar-Diosdado M, Padrón JM, García-Hernández R, Gamarro F, Fustero S, Sánchez-Aparicio JE, Masgrau L, García Fernández JM, Ortiz Mellet C. Synthesis of polyfluoroalkyl sp 2-iminosugar glycolipids and evaluation of their immunomodulatory properties towards anti-tumor, anti-leishmanial and anti-inflammatory therapies. Eur J Med Chem 2019; 182:111604. [PMID: 31425910 DOI: 10.1016/j.ejmech.2019.111604] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2019] [Revised: 07/27/2019] [Accepted: 08/07/2019] [Indexed: 12/27/2022]
Abstract
Immunomodulatory glycolipids, among which α-galactosylceramide (KRN7000) is an iconic example, have shown strong therapeutic potential in a variety of conditions ranging from cancer and infection to autoimmune or neurodegenerative diseases. A main difficulty for those channels is that they often provoke a cytokine storm comprising both pro- and anti-inflammatory mediators that antagonize each other and negatively affect the immune response. The synthesis of analogues with narrower cytokine secretion-inducing capabilities is hampered by the intrinsic difficulty at controlling the stereochemical outcome in glycosidation reactions, particularly if targeting the α-anomer, which seriously hampers drug optimization strategies. Here we show that replacing the monosaccharide glycone by a sp2-iminosugar glycomimetic moiety allows accessing N-linked sp2-iminosugar glycolipids (sp2-IGLs) with total α-stereocontrol in a single step with no need of protecting groups or glycosidation promotors. The lipid tail has been then readily tailored by incorporating polyfluoroalkyl segments of varied lengths in view of favouring binding to the lipid binding site of the master p38 mitogen activated protein kinase (p38 MAPK), thereby polarizing the immune response in a cell-context dependent manner. The compounds have been evaluated for their antiproliferative, anti-leishmanial and anti-inflammatory activities in different cell assays. The size of the fluorous segment was found to be critical for the biological activity, probably by regulating the aggregation and membrane-crossing properties, whereas the hydroxylation profile (gluco or galacto-like) was less relevant. Biochemical and computational data further support a mechanism of action implying binding to the allosteric lipid binding site of p38 MAPK and subsequent activation of the noncanonical autophosphorylation route. The ensemble of results provide a proof of concept of the potential of sp2-IGLs as immunoregulators.
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Affiliation(s)
- Elena M Sánchez-Fernández
- Department of Organic Chemistry, Faculty of Chemistry, University of Seville, C/ Profesor García González 1, 41012, Seville, Spain.
| | - Ma Isabel García-Moreno
- Department of Organic Chemistry, Faculty of Chemistry, University of Seville, C/ Profesor García González 1, 41012, Seville, Spain
| | - Ana I Arroba
- Biomedical Research and Innovation Institute of Cádiz (INiBICA) Research Unit, Puerta del Mar University Hospital, Av/ Ana de Viya 21, 11009, Cádiz, Spain; Research Unit, Jerez University Hospital, Carretera Circunvalación s/n, 11407, Jerez de la Frontera, Spain.
| | - Manuel Aguilar-Diosdado
- Biomedical Research and Innovation Institute of Cádiz (INiBICA) Research Unit, Puerta del Mar University Hospital, Av/ Ana de Viya 21, 11009, Cádiz, Spain; Research Unit, Jerez University Hospital, Carretera Circunvalación s/n, 11407, Jerez de la Frontera, Spain
| | - José M Padrón
- BioLab, Instituto Universitario de Bio-Orgánica "Antonio González" (IUBO AG), Centro de Investigaciones Biomédicas de Canarias (CIBICAN), Universidad de la Laguna, PO BOX 456, 38200, La Laguna, Spain
| | - Raquel García-Hernández
- Instituto de Parasitología y Biomedicina "López Neyra", IPBLN-CSIC, Parque Tecnológico de Ciencias de la Salud, 18016, Granada, Spain
| | - Francisco Gamarro
- Instituto de Parasitología y Biomedicina "López Neyra", IPBLN-CSIC, Parque Tecnológico de Ciencias de la Salud, 18016, Granada, Spain
| | - Santos Fustero
- Department of Organic Chemistry, Universidad de Valencia, 46100, Burjassot, Spain
| | | | - Laura Masgrau
- Department of Chemistry, Universitat Autònoma de Barcelona, 08193, Bellaterra, Spain
| | - José Manuel García Fernández
- Instituto de Investigaciones Químicas (IIQ), CSIC - Universidad de Sevilla, C/ Américo Vespucio 49, Isla de la Cartuja, 41092, Sevilla, Spain
| | - Carmen Ortiz Mellet
- Department of Organic Chemistry, Faculty of Chemistry, University of Seville, C/ Profesor García González 1, 41012, Seville, Spain.
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17
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Sánchez-Fernández EM, García-Moreno MI, García-Hernández R, Padrón JM, García Fernández JM, Gamarro F, Ortiz Mellet C. Thiol-ene "Click" Synthesis and Pharmacological Evaluation of C-Glycoside sp 2-Iminosugar Glycolipids. Molecules 2019; 24:E2882. [PMID: 31398901 PMCID: PMC6720825 DOI: 10.3390/molecules24162882] [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] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2019] [Revised: 08/05/2019] [Accepted: 08/07/2019] [Indexed: 12/30/2022] Open
Abstract
The unique stereoelectronic properties of sp2-iminosugars enable their participation in glycosylation reactions, thereby behaving as true carbohydrate chemical mimics. Among sp2-iminosugar conjugates, the sp2-iminosugar glycolipids (sp2-IGLs) have shown a variety of interesting pharmacological properties ranging from glycosidase inhibition to antiproliferative, antiparasitic, and anti-inflammatory activities. Developing strategies compatible with molecular diversity-oriented strategies for structure-activity relationship studies was therefore highly wanted. Here we show that a reaction sequence consisting in stereoselective C-allylation followed by thiol-ene "click" coupling provides a very convenient access to α-C-glycoside sp2-IGLs. Both the glycone moiety and the aglycone tail can be modified by using sp2-iminosugar precursors with different configurational profiles (d-gluco or d-galacto in this work) and varied thiols, as well as by oxidation of the sulfide adducts (to the corresponding sulfones in this work). A series of derivatives was prepared in this manner and their glycosidase inhibitory, antiproliferative and antileishmanial activities were evaluated in different settings. The results confirm that the inhibition of glycosidases, particularly α-glucosidase, and the antitumor/leishmanicidal activities are unrelated. The data are also consistent with the two later activities arising from the ability of the sp2-IGLs to interfere in the immune system response in a cell line and cell context dependent manner.
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Affiliation(s)
- Elena M Sánchez-Fernández
- Department of Organic Chemistry, Faculty of Chemistry, University of Seville, C/Profesor García González 1, 41012 Seville, Spain.
| | - M Isabel García-Moreno
- Department of Organic Chemistry, Faculty of Chemistry, University of Seville, C/Profesor García González 1, 41012 Seville, Spain
| | - Raquel García-Hernández
- Instituto de Parasitología y Biomedicina "López-Neyra", IPBLN-CSIC, Parque Tecnológico de Ciencias de la Salud, 18016 Granada, Spain
| | - José M Padrón
- BioLab, Instituto Universitario de Bio-Orgánica Antonio González (IUBO AG), Centro de Investigaciones Biomédicas de Canarias (CIBCAN), Universidad de La Laguna, 38206 La Laguna, Spain
| | - José M García Fernández
- Instituto de Investigaciones Químicas (IIQ), CSIC - University of Sevilla, Avda. Américo Vespucio 49, 41092 Sevilla, Spain
| | - Francisco Gamarro
- Instituto de Parasitología y Biomedicina "López-Neyra", IPBLN-CSIC, Parque Tecnológico de Ciencias de la Salud, 18016 Granada, Spain
| | - Carmen Ortiz Mellet
- Department of Organic Chemistry, Faculty of Chemistry, University of Seville, C/Profesor García González 1, 41012 Seville, Spain.
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García-Hernández R, Espigares-López MI, García-Palacios MV, Gámiz Sánchez R, Miralles-Aguiar F, Calderón Seoane E, Pernia Romero A, Torres LM. A pilot study into the use of Continuous Venous Hyperfiltration to manage patients in a critical state with dysregulated inflammation. ACTA ACUST UNITED AC 2019; 66:370-380. [PMID: 31084978 DOI: 10.1016/j.redar.2019.03.007] [Citation(s) in RCA: 2] [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] [Received: 01/03/2019] [Revised: 03/17/2019] [Accepted: 03/19/2019] [Indexed: 12/29/2022]
Abstract
INTRODUCTION Haemofiltration paradigms used to manage critically ill patients with a dysregulated inflammatory response (DIR) assess kidney function to monitor its onset, adaptation, and completion. A Continuous Venous Hyperfiltration (CONVEHY) protocol is presented, in which a non-specific adsorption membrane (AN69-ST-Heparin Grafted) is used with citrate as an anticoagulant and substitution fluid. CONVEHY uses tools readily available to achieve kidney related and non-related objectives, and it is guided by the monitoring of pathophysiological responses. OBJECTIVES To compare the response to an AN69-ST-HG membrane when heparin (He, n=5: Standard protocol) or citrate (Ci, n=6: CONVEHY protocol) was used to evaluate whether a larger study into the benefits of this protocol would be feasible. MATERIALS AND METHODS In a retrospective pilot study, the benefits of the CONVEHY protocol to manage patients with a DIR in a surgical critical care unit (CCUs) were assessed by evaluating the SOFA (Sequential Organ Failure Assessment) (He 11 ± 2.35; Ci 11 ± 3.63: p=0.54) and APACHE II (He 28.60 ± 9.40; Ci 24 ± 8.46: p=0.93) scores. RESULTS Nights in hospital (He 35.2 ± 16.3 nights; Ci 9 ± 2.53: p=0.004), hospital admission after discharge from the CCUs (He 40.25 ± 21.82; Ci 13.2 ± 4.09: p=0.063), patients hospitalised >20 days (He 80%; Ci 0%: p=0.048), days requiring mechanical ventilation (He 16 ± 5.66; Ci 4 ± 1.72: p=0.004), and the predicted (55.39 ± 26.13%) versus real mortality in both groups (9.1%: p=0.004). CONCLUSIONS The CONVEHY protocol improves the clinical responses of patients with DIR, highlighting the potential value of performing larger and confirmatory studies.
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Affiliation(s)
- R García-Hernández
- Facultativo especialista de Área de Anestesiología y Reanimación, H.U. Puerta del Mar, Cádiz, España.
| | - M I Espigares-López
- Facultativo especialista de Área de Anestesiología y Reanimación, H.U. Puerta del Mar, Cádiz, España
| | - M V García-Palacios
- Facultativo especialista de Área de Medicina Preventiva, H.U. Puerta del Mar, Cádiz, España
| | - R Gámiz Sánchez
- Facultativo especialista de Área de Anestesiología y Reanimación, H.U. Puerta del Mar, Cádiz, España
| | - F Miralles-Aguiar
- Residente de Anestesiología y Reanimación. Médico especialista en Medicina Intensiva. H.U. Puerta del Mar, Cádiz, España
| | - E Calderón Seoane
- Facultativo especialista de Área de Anestesiología y Reanimación, H.U. Puerta del Mar, Cádiz, España
| | - A Pernia Romero
- Facultativo especialista de Área de Anestesiología y Reanimación, H.U. Puerta del Mar, Cádiz, España
| | - L M Torres
- Facultativo especialista de Área de Anestesiología y Reanimación, H.U. Puerta del Mar, Cádiz, España
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19
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Rastrojo A, García-Hernández R, Vargas P, Camacho E, Corvo L, Imamura H, Dujardin JC, Castanys S, Aguado B, Gamarro F, Requena JM. Genomic and transcriptomic alterations in Leishmania donovani lines experimentally resistant to antileishmanial drugs. Int J Parasitol Drugs Drug Resist 2018; 8:246-264. [PMID: 29689531 PMCID: PMC6039315 DOI: 10.1016/j.ijpddr.2018.04.002] [Citation(s) in RCA: 42] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/24/2017] [Revised: 03/10/2018] [Accepted: 04/10/2018] [Indexed: 12/20/2022]
Abstract
Leishmaniasis is a serious medical issue in many countries around the World, but it remains largely neglected in terms of research investment for developing new control and treatment measures. No vaccines exist for human use, and the chemotherapeutic agents currently used are scanty. Furthermore, for some drugs, resistance and treatment failure are increasing to alarming levels. The aim of this work was to identify genomic and trancriptomic alterations associated with experimental resistance against the common drugs used against VL: trivalent antimony (SbIII, S line), amphotericin B (AmB, A line), miltefosine (MIL, M line) and paromomycin (PMM, P line). A total of 1006 differentially expressed transcripts were identified in the S line, 379 in the A line, 146 in the M line, and 129 in the P line. Also, changes in ploidy of chromosomes and amplification/deletion of particular regions were observed in the resistant lines regarding the parental one. A series of genes were identified as possible drivers of the resistance phenotype and were validated in both promastigotes and amastigotes from Leishmania donovani, Leishmania infantum and Leishmania major species. Remarkably, a deletion of the gene LinJ.36.2510 (coding for 24-sterol methyltransferase, SMT) was found to be associated with AmB-resistance in the A line. In the P line, a dramatic overexpression of the transcripts LinJ.27.T1940 and LinJ.27.T1950 that results from a massive amplification of the collinear genes was suggested as one of the mechanisms of PMM resistance. This conclusion was reinforced after transfection experiments in which significant PMM-resistance was generated in WT parasites over-expressing either gene LinJ.27.1940 (coding for a D-lactate dehydrogenase-like protein, D-LDH) or gene LinJ.27.1950 (coding for an aminotransferase of branched-chain amino acids, BCAT). This work allowed to identify new drivers, like SMT, the deletion of which being associated with resistance to AmB, and the tandem D-LDH-BCAT, the amplification of which being related to PMM resistance.
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Affiliation(s)
- Alberto Rastrojo
- Centro de Biología Molecular "Severo Ochoa" (CSIC-UAM), Universidad Autónoma de Madrid, Madrid, Spain
| | | | - Paola Vargas
- Instituto de Parasitología y Biomedicina ''López-Neyra'' (IPBLN-CSIC), Granada, Spain
| | - Esther Camacho
- Centro de Biología Molecular "Severo Ochoa" (CSIC-UAM), Universidad Autónoma de Madrid, Madrid, Spain
| | - Laura Corvo
- Centro de Biología Molecular "Severo Ochoa" (CSIC-UAM), Universidad Autónoma de Madrid, Madrid, Spain
| | - Hideo Imamura
- Department of Biomedical Sciences, Institute of Tropical Medicine, Antwerp, Belgium
| | - Jean-Claude Dujardin
- Department of Biomedical Sciences, Institute of Tropical Medicine, Antwerp, Belgium
| | - Santiago Castanys
- Instituto de Parasitología y Biomedicina ''López-Neyra'' (IPBLN-CSIC), Granada, Spain
| | - Begoña Aguado
- Centro de Biología Molecular "Severo Ochoa" (CSIC-UAM), Universidad Autónoma de Madrid, Madrid, Spain
| | - Francisco Gamarro
- Instituto de Parasitología y Biomedicina ''López-Neyra'' (IPBLN-CSIC), Granada, Spain.
| | - Jose M Requena
- Centro de Biología Molecular "Severo Ochoa" (CSIC-UAM), Universidad Autónoma de Madrid, Madrid, Spain.
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20
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Ponte-Sucre A, Gamarro F, Dujardin JC, Barrett MP, López-Vélez R, García-Hernández R, Pountain AW, Mwenechanya R, Papadopoulou B. Drug resistance and treatment failure in leishmaniasis: A 21st century challenge. PLoS Negl Trop Dis 2017; 11:e0006052. [PMID: 29240765 PMCID: PMC5730103 DOI: 10.1371/journal.pntd.0006052] [Citation(s) in RCA: 489] [Impact Index Per Article: 69.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
Abstract
Reevaluation of treatment guidelines for Old and New World leishmaniasis is urgently needed on a global basis because treatment failure is an increasing problem. Drug resistance is a fundamental determinant of treatment failure, although other factors also contribute to this phenomenon, including the global HIV/AIDS epidemic with its accompanying impact on the immune system. Pentavalent antimonials have been used successfully worldwide for the treatment of leishmaniasis since the first half of the 20th century, but the last 10 to 20 years have witnessed an increase in clinical resistance, e.g., in North Bihar in India. In this review, we discuss the meaning of “resistance” related to leishmaniasis and discuss its molecular epidemiology, particularly for Leishmania donovani that causes visceral leishmaniasis. We also discuss how resistance can affect drug combination therapies. Molecular mechanisms known to contribute to resistance to antimonials, amphotericin B, and miltefosine are also outlined. Chemotherapy is central to the control and management of leishmaniasis. Antimonials remain the primary drugs against different forms of leishmaniasis in several regions. However, resistance to antimony has necessitated the use of alternative medications, especially in the Indian subcontinent (ISC). Compounds, notably the orally available miltefosine (MIL), parenteral paromomycin, and amphotericin B (AmB), are increasingly used to treat leishmaniasis. Although treatment failure (TF) has been observed in patients treated with most anti-leishmanials, its frequency of appearance may be important in patients treated with MIL, which has replaced antimonials within the kala-azar elimination program in the ISC. AmB is highly efficacious, and the associated toxic effects—when administered in its free deoxycholate form—are somewhat ameliorated in its liposomal formulation. Regrettably, laboratory experimentation has demonstrated a risk of resistance towards AmB as well. The rise of drug resistance impacts treatment outcome, and understanding its causes, spread, and impact will help us manage the risks it imposes. Here, we review the problem of TF in leishmaniasis and the contribution of drug resistance to the problem. Molecular mechanisms causing resistance to anti-leishmanials are discussed along with the appropriate use of additional available drugs, as well as the urgent need to consolidate strategies to monitor drug efficacy, epidemiological surveillance, and local policies. Coordination of these activities in national and international programs against leishmaniasis might represent a successful guide to further research and prevention activities.
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Affiliation(s)
- Alicia Ponte-Sucre
- Department of Physiological Sciences, Laboratory of Molecular Physiology, Institute of Experimental Medicine, Luis Razetti School of Medicine, Universidad Central de Venezuela, Caracas, Venezuela
- * E-mail: (BP); (APS)
| | - Francisco Gamarro
- Department of Biochemistry and Molecular Pharmacology, Instituto de Parasitología y Biomedicina López-Neyra, Spanish National Research Council (IPBLN-CSIC), Granada, Spain
| | - Jean-Claude Dujardin
- Molecular Parasitology Unit, Department of Biomedical Sciences, Institute of Tropical Medicine, Antwerp, Belgium
| | - Michael P. Barrett
- Wellcome Centre for Molecular Parasitology, Institute of Infection, Immunity and Inflammation, University of Glasgow, Glasgow, United Kingdom
| | - Rogelio López-Vélez
- Department of Infectious Diseases, National Referral Unit for Tropical Diseases, Ramón y Cajal University Hospital, Madrid, Spain
| | - Raquel García-Hernández
- Department of Biochemistry and Molecular Pharmacology, Instituto de Parasitología y Biomedicina López-Neyra, Spanish National Research Council (IPBLN-CSIC), Granada, Spain
| | - Andrew W. Pountain
- Wellcome Centre for Molecular Parasitology, Institute of Infection, Immunity and Inflammation, University of Glasgow, Glasgow, United Kingdom
| | - Roy Mwenechanya
- Department of Biomedical Sciences, School of Veterinary Medicine, University of Zambia, Lusaka, Zambia
| | - Barbara Papadopoulou
- Research Center in Infectious Diseases, CHU de Quebec Research Center and Department of Microbiology-Infectious Disease and Immunology, University Laval, Quebec, Canada
- * E-mail: (BP); (APS)
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21
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Pham T, Walden M, Butler C, Diaz-Gonzalez R, Pérez-Moreno G, Ceballos-Pérez G, Gomez-Pérez V, García-Hernández R, Zecca H, Krakoff E, Kopec B, Ichire O, Mackenzie C, Pitot M, Ruiz LM, Gamarro F, González-Pacanowska D, Navarro M, Dounay AB. Novel 1,2-dihydroquinazolin-2-ones: Design, synthesis, and biological evaluation against Trypanosoma brucei. Bioorg Med Chem Lett 2017; 27:3629-3635. [PMID: 28729055 DOI: 10.1016/j.bmcl.2017.07.032] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [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: 06/08/2017] [Accepted: 07/10/2017] [Indexed: 11/16/2022]
Abstract
In 2014, a published report of the high-throughput screen of>42,000 kinase inhibitors from GlaxoSmithKline against T. brucei identified 797 potent and selective hits. From this rich data set, we selected NEU-0001101 (1) for hit-to-lead optimization. Through our preliminary compound synthesis and SAR studies, we have confirmed the previously reported activity of 1 in a T. brucei cell proliferation assay and have identified alternative groups to replace the pyridyl ring in 1. Pyrazole 24 achieves improvements in both potency and lipophilicity relative to 1, while also showing good in vitro metabolic stability. The SAR developed on 24 provides new directions for further optimization of this novel scaffold for anti-trypanosomal drug discovery.
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Affiliation(s)
- ThanhTruc Pham
- Colorado College, Department of Chemistry and Biochemistry, 14 E. Cache La Poudre, Colorado Springs, CO 80903, United States
| | - Madeline Walden
- Colorado College, Department of Chemistry and Biochemistry, 14 E. Cache La Poudre, Colorado Springs, CO 80903, United States
| | - Christopher Butler
- Colorado College, Department of Chemistry and Biochemistry, 14 E. Cache La Poudre, Colorado Springs, CO 80903, United States
| | - Rosario Diaz-Gonzalez
- Instituto de Parasitología y Biomedicina "López-Neyra" Consejo Superior de Investigaciones Científicas (CSIC), Granada 18100, Spain
| | - Guiomar Pérez-Moreno
- Instituto de Parasitología y Biomedicina "López-Neyra" Consejo Superior de Investigaciones Científicas (CSIC), Granada 18100, Spain
| | - Gloria Ceballos-Pérez
- Instituto de Parasitología y Biomedicina "López-Neyra" Consejo Superior de Investigaciones Científicas (CSIC), Granada 18100, Spain
| | - Veronica Gomez-Pérez
- Instituto de Parasitología y Biomedicina "López-Neyra" Consejo Superior de Investigaciones Científicas (CSIC), Granada 18100, Spain
| | - Raquel García-Hernández
- Instituto de Parasitología y Biomedicina "López-Neyra" Consejo Superior de Investigaciones Científicas (CSIC), Granada 18100, Spain
| | - Henry Zecca
- Colorado College, Department of Chemistry and Biochemistry, 14 E. Cache La Poudre, Colorado Springs, CO 80903, United States
| | - Emma Krakoff
- Colorado College, Department of Chemistry and Biochemistry, 14 E. Cache La Poudre, Colorado Springs, CO 80903, United States
| | - Brian Kopec
- Colorado College, Department of Chemistry and Biochemistry, 14 E. Cache La Poudre, Colorado Springs, CO 80903, United States
| | - Ogar Ichire
- Colorado College, Department of Chemistry and Biochemistry, 14 E. Cache La Poudre, Colorado Springs, CO 80903, United States
| | - Caden Mackenzie
- Colorado College, Department of Chemistry and Biochemistry, 14 E. Cache La Poudre, Colorado Springs, CO 80903, United States
| | - Marika Pitot
- Colorado College, Department of Chemistry and Biochemistry, 14 E. Cache La Poudre, Colorado Springs, CO 80903, United States
| | - Luis Miguel Ruiz
- Instituto de Parasitología y Biomedicina "López-Neyra" Consejo Superior de Investigaciones Científicas (CSIC), Granada 18100, Spain
| | - Francisco Gamarro
- Instituto de Parasitología y Biomedicina "López-Neyra" Consejo Superior de Investigaciones Científicas (CSIC), Granada 18100, Spain
| | - Dolores González-Pacanowska
- Instituto de Parasitología y Biomedicina "López-Neyra" Consejo Superior de Investigaciones Científicas (CSIC), Granada 18100, Spain
| | - Miguel Navarro
- Instituto de Parasitología y Biomedicina "López-Neyra" Consejo Superior de Investigaciones Científicas (CSIC), Granada 18100, Spain
| | - Amy B Dounay
- Colorado College, Department of Chemistry and Biochemistry, 14 E. Cache La Poudre, Colorado Springs, CO 80903, United States.
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García-Hernández R, Gómez-Pérez V, Castanys S, Gamarro F. Fitness of Leishmania donovani parasites resistant to drug combinations. PLoS Negl Trop Dis 2015; 9:e0003704. [PMID: 25849149 PMCID: PMC4388546 DOI: 10.1371/journal.pntd.0003704] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [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: 01/16/2015] [Accepted: 03/15/2015] [Indexed: 12/15/2022] Open
Abstract
Drug resistance represents one of the main problems for the use of chemotherapy to treat leishmaniasis. Additionally, it could provide some advantages to Leishmania parasites, such as a higher capacity to survive in stress conditions. In this work, in mixed populations of Leishmania donovani parasites, we have analyzed whether experimentally resistant lines to one or two combined anti-leishmanial drugs better support the stress conditions than a susceptible line expressing luciferase (Luc line). In the absence of stress, none of the Leishmania lines showed growth advantage relative to the other when mixed at a 1:1 parasite ratio. However, when promastigotes from resistant lines and the Luc line were mixed and exposed to different stresses, we observed that the resistant lines are more tolerant of different stress conditions: nutrient starvation and heat shock-pH stress. Further to this, we observed that intracellular amastigotes from resistant lines present a higher capacity to survive inside the macrophages than those of the control line. These results suggest that resistant parasites acquire an overall fitness increase and that resistance to drug combinations presents significant differences in their fitness capacity versus single-drug resistant parasites, particularly in intracellular amastigotes. These results contribute to the assessment of the possible impact of drug resistance on leishmaniasis control programs. Chemotherapy is currently the only treatment option for leishmaniasis, a neglected tropical disease produced by the protozoan parasite Leishmania. However, first-line drugs have different types of limitations including toxicity, price, efficacy and mainly emerging resistance. The WHO has recently recommended a combined therapy in order to extend the life expectancy of these compounds. The emergence and spread of Leishmania antimonial-resistant parasites have led to a high rate of antimonial failure in India and have raised questions about the selection and propagation risk of drug resistant parasites. The spread of drug-resistant parasites in the field probably depends on their transmission potential, which is influenced by, among other factors, the relative fitness of drug-resistant versus drug-susceptible parasites. In light of this, we have designed experimental studies to determine whether Leishmania donovani parasites resistant to single and combinations of anti-leishmanial drugs present any advantages in their ability to bear the different stress conditions versus a susceptible L. donovani line. Our results suggest that resistant parasites acquire an overall fitness increase and that resistance to drug combinations presents significant differences in their fitness capacity, particularly in intracellular amastigotes.
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Affiliation(s)
- Raquel García-Hernández
- Instituto de Parasitología y Biomedicina “López-Neyra”, IPBLN-CSIC, Parque Tecnológico de Ciencias de la Salud, Granada, Spain
| | - Verónica Gómez-Pérez
- Instituto de Parasitología y Biomedicina “López-Neyra”, IPBLN-CSIC, Parque Tecnológico de Ciencias de la Salud, Granada, Spain
| | - Santiago Castanys
- Instituto de Parasitología y Biomedicina “López-Neyra”, IPBLN-CSIC, Parque Tecnológico de Ciencias de la Salud, Granada, Spain
| | - Francisco Gamarro
- Instituto de Parasitología y Biomedicina “López-Neyra”, IPBLN-CSIC, Parque Tecnológico de Ciencias de la Salud, Granada, Spain
- * E-mail:
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23
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Sánchez-Fernández EM, Gómez-Pérez V, García-Hernández R, García Fernández JM, Plata GB, Padrón JM, Ortiz Mellet C, Castanys S, Gamarro F. Antileishmanial activity of sp2-iminosugar derivatives. RSC Adv 2015. [DOI: 10.1039/c5ra02627j] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
Abstract
sp2-iminosugar S-linked pseudoglycosides selectively inhibit growth of the intracellular form of Leishmania donovani.
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Affiliation(s)
| | - Verónica Gómez-Pérez
- Instituto de Parasitología y Biomedicina “López-Neyra”
- IPBLN-CSIC
- Parque Tecnológico de Ciencias de la Salud
- 18016-Granada
- Spain
| | - Raquel García-Hernández
- Instituto de Parasitología y Biomedicina “López-Neyra”
- IPBLN-CSIC
- Parque Tecnológico de Ciencias de la Salud
- 18016-Granada
- Spain
| | | | - Gabriela B. Plata
- BioLab
- Instituto Universitario de Bio-Orgánica “Antonio González”
- Centro de Investigaciones Biomédicas de Canarias
- Universidad de La Laguna
- La Laguna
| | - José M. Padrón
- BioLab
- Instituto Universitario de Bio-Orgánica “Antonio González”
- Centro de Investigaciones Biomédicas de Canarias
- Universidad de La Laguna
- La Laguna
| | - Carmen Ortiz Mellet
- Departamento de Química Orgánica
- Facultad de Química
- Universidad de Sevilla
- Spain
| | - Santiago Castanys
- Instituto de Parasitología y Biomedicina “López-Neyra”
- IPBLN-CSIC
- Parque Tecnológico de Ciencias de la Salud
- 18016-Granada
- Spain
| | - Francisco Gamarro
- Instituto de Parasitología y Biomedicina “López-Neyra”
- IPBLN-CSIC
- Parque Tecnológico de Ciencias de la Salud
- 18016-Granada
- Spain
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24
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Annang F, Pérez-Moreno G, García-Hernández R, Cordon-Obras C, Martín J, Tormo JR, Rodríguez L, de Pedro N, Gómez-Pérez V, Valente M, Reyes F, Genilloud O, Vicente F, Castanys S, Ruiz-Pérez LM, Navarro M, Gamarro F, González-Pacanowska D. High-throughput screening platform for natural product-based drug discovery against 3 neglected tropical diseases: human African trypanosomiasis, leishmaniasis, and Chagas disease. ACTA ACUST UNITED AC 2014; 20:82-91. [PMID: 25332350 DOI: 10.1177/1087057114555846] [Citation(s) in RCA: 56] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
African trypanosomiasis, leishmaniasis, and Chagas disease are 3 neglected tropical diseases for which current therapeutic interventions are inadequate or toxic. There is an urgent need to find new lead compounds against these diseases. Most drug discovery strategies rely on high-throughput screening (HTS) of synthetic chemical libraries using phenotypic and target-based approaches. Combinatorial chemistry libraries contain hundreds of thousands of compounds; however, they lack the structural diversity required to find entirely novel chemotypes. Natural products, in contrast, are a highly underexplored pool of unique chemical diversity that can serve as excellent templates for the synthesis of novel, biologically active molecules. We report here a validated HTS platform for the screening of microbial extracts against the 3 diseases. We have used this platform in a pilot project to screen a subset (5976) of microbial extracts from the MEDINA Natural Products library. Tandem liquid chromatography-mass spectrometry showed that 48 extracts contain potentially new compounds that are currently undergoing de-replication for future isolation and characterization. Known active components included actinomycin D, bafilomycin B1, chromomycin A3, echinomycin, hygrolidin, and nonactins, among others. The report here is, to our knowledge, the first HTS of microbial natural product extracts against the above-mentioned kinetoplastid parasites.
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Affiliation(s)
- F Annang
- Fundación MEDINA, Parque Tecnológico de Ciencias de la Salud, Armilla (Granada), Spain
| | - G Pérez-Moreno
- Instituto de Parasitología y Biomedicina "López-Neyra," Consejo Superior de Investigaciones Científicas, Parque Tecnológico de Ciencias de la Salud, Armilla (Granada), Spain
| | - R García-Hernández
- Instituto de Parasitología y Biomedicina "López-Neyra," Consejo Superior de Investigaciones Científicas, Parque Tecnológico de Ciencias de la Salud, Armilla (Granada), Spain
| | - C Cordon-Obras
- Instituto de Parasitología y Biomedicina "López-Neyra," Consejo Superior de Investigaciones Científicas, Parque Tecnológico de Ciencias de la Salud, Armilla (Granada), Spain
| | - J Martín
- Fundación MEDINA, Parque Tecnológico de Ciencias de la Salud, Armilla (Granada), Spain
| | - J R Tormo
- Fundación MEDINA, Parque Tecnológico de Ciencias de la Salud, Armilla (Granada), Spain
| | - L Rodríguez
- Fundación MEDINA, Parque Tecnológico de Ciencias de la Salud, Armilla (Granada), Spain
| | - N de Pedro
- Fundación MEDINA, Parque Tecnológico de Ciencias de la Salud, Armilla (Granada), Spain
| | - V Gómez-Pérez
- Instituto de Parasitología y Biomedicina "López-Neyra," Consejo Superior de Investigaciones Científicas, Parque Tecnológico de Ciencias de la Salud, Armilla (Granada), Spain
| | - M Valente
- Instituto de Parasitología y Biomedicina "López-Neyra," Consejo Superior de Investigaciones Científicas, Parque Tecnológico de Ciencias de la Salud, Armilla (Granada), Spain
| | - F Reyes
- Fundación MEDINA, Parque Tecnológico de Ciencias de la Salud, Armilla (Granada), Spain
| | - O Genilloud
- Fundación MEDINA, Parque Tecnológico de Ciencias de la Salud, Armilla (Granada), Spain
| | - F Vicente
- Fundación MEDINA, Parque Tecnológico de Ciencias de la Salud, Armilla (Granada), Spain
| | - S Castanys
- Instituto de Parasitología y Biomedicina "López-Neyra," Consejo Superior de Investigaciones Científicas, Parque Tecnológico de Ciencias de la Salud, Armilla (Granada), Spain
| | - L M Ruiz-Pérez
- Instituto de Parasitología y Biomedicina "López-Neyra," Consejo Superior de Investigaciones Científicas, Parque Tecnológico de Ciencias de la Salud, Armilla (Granada), Spain
| | - M Navarro
- Instituto de Parasitología y Biomedicina "López-Neyra," Consejo Superior de Investigaciones Científicas, Parque Tecnológico de Ciencias de la Salud, Armilla (Granada), Spain
| | - F Gamarro
- Instituto de Parasitología y Biomedicina "López-Neyra," Consejo Superior de Investigaciones Científicas, Parque Tecnológico de Ciencias de la Salud, Armilla (Granada), Spain
| | - D González-Pacanowska
- Instituto de Parasitología y Biomedicina "López-Neyra," Consejo Superior de Investigaciones Científicas, Parque Tecnológico de Ciencias de la Salud, Armilla (Granada), Spain
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García-Hernández R, Manzano JI, Castanys S, Gamarro F. Leishmania donovani develops resistance to drug combinations. PLoS Negl Trop Dis 2012; 6:e1974. [PMID: 23285310 PMCID: PMC3527373 DOI: 10.1371/journal.pntd.0001974] [Citation(s) in RCA: 83] [Impact Index Per Article: 6.9] [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: 07/06/2012] [Accepted: 11/03/2012] [Indexed: 01/31/2023] Open
Abstract
Drug combinations for the treatment of leishmaniasis represent a promising and challenging chemotherapeutic strategy that has recently been implemented in different endemic areas. However, the vast majority of studies undertaken to date have ignored the potential risk that Leishmania parasites could develop resistance to the different drugs used in such combinations. As a result, this study was designed to elucidate the ability of Leishmania donovani to develop experimental resistance to anti-leishmanial drug combinations. The induction of resistance to amphotericin B/miltefosine, amphotericin B/paromomycin, amphotericin B/SbIII, miltefosine/paromomycin, and SbIII/paromomycin was determined using a step-wise adaptation process to increasing drug concentrations. Intracellular amastigotes resistant to these drug combinations were obtained from resistant L. donovani promastigote forms, and the thiol and ATP levels and the mitochondrial membrane potential of the resistant lines were analysed. Resistance to drug combinations was obtained after 10 weeks and remained in the intracellular amastigotes. Additionally, this resistance proved to be unstable. More importantly, we observed that promastigotes/amastigotes resistant to one drug combination showed a marked cross-resistant profile to other anti-leishmanial drugs. Additionally, the thiol levels increased in resistant lines that remained protected against the drug-induced loss of ATP and mitochondrial membrane potential. We have therefore demonstrated that different resistance patterns can be obtained in L. donovani depending upon the drug combinations used. Resistance to the combinations miltefosine/paromomycin and SbIII/paromomycin is easily obtained experimentally. These results have been validated in intracellular amastigotes, and have important relevance for ensuring the long-term efficacy of drug combinations. Leishmania is a protozoan parasite that infects human macrophages to produce the neglected tropical disease known as leishmaniasis. Chemotherapy is currently the only treatment option for leishmaniasis. First-line therapies include pentavalent antimonials, except in some regions in the Indian subcontinent, the liposomal formulation of amphotericin B, miltefosine and paromomycin. The WHO has recently recommended a combined therapy in order to extend the life expectancy of these compounds. However, resistance could be induced in Leishmania if this approach is not applied in a controlled and regulated way, thus resulting in a rapid loss of efficacy of not one but two therapeutic options. In light of this, we have designed relevant experimental studies in order to determine whether Leishmania parasites are able to develop resistance to the different potential anti-leishmanial drug combinations that will be used in the near future. The results obtained could help us to predict the success of drug combination therapy. Experimental resistance of Leishmania donovani promastigotes to drug combinations was obtained after 10 weeks and remained in the intracellular amastigotes. We therefore conclude that L. donovani can easily develop resistance to drug combinations mainly miltefosine/paromomycin and SbIII/paromomycin. These results have been validated in intracellular amastigotes and are of considerable interest for future prediction of the success of drug combination therapy.
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Affiliation(s)
- Raquel García-Hernández
- Instituto de Parasitología y Biomedicina “López-Neyra”, IPBLN-CSIC, Parque Tecnológico de Ciencias de la Salud, Granada, Spain
| | - José Ignacio Manzano
- Instituto de Parasitología y Biomedicina “López-Neyra”, IPBLN-CSIC, Parque Tecnológico de Ciencias de la Salud, Granada, Spain
| | - Santiago Castanys
- Instituto de Parasitología y Biomedicina “López-Neyra”, IPBLN-CSIC, Parque Tecnológico de Ciencias de la Salud, Granada, Spain
| | - Francisco Gamarro
- Instituto de Parasitología y Biomedicina “López-Neyra”, IPBLN-CSIC, Parque Tecnológico de Ciencias de la Salud, Granada, Spain
- * E-mail:
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26
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Manzano JI, Carvalho L, García-Hernández R, Poveda JA, Ferragut JA, Castanys S, Gamarro F. Uptake of the antileishmania drug tafenoquine follows a sterol-dependent diffusion process in Leishmania. J Antimicrob Chemother 2011; 66:2562-5. [PMID: 21846675 DOI: 10.1093/jac/dkr345] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
OBJECTIVES The present study was designed to elucidate the mechanism of tafenoquine uptake in Leishmania and its sterol dependence. METHODS Because tafenoquine is a fluorescent compound, spectrofluorimetric analysis allowed us to monitor its uptake by Leishmania promastigotes and intracellular amastigotes, and to evaluate the effect of temperature, energy and H+ gradient on drug entry. The influence of sterols on tafenoquine uptake in Leishmania parasites was determined in experiments using sterol-depleting agents such as methyl-β-cyclodextrin or cholesterol oxidase. RESULTS Tafenoquine exhibited fast entry kinetics into Leishmania in an energy-independent, but pH- and temperature-dependent, non-saturable process. Furthermore, sterol depletion decreased tafenoquine uptake. CONCLUSIONS These findings suggest that Leishmania takes up tafenoquine by a diffusion process and that decreases in membrane sterol content may induce a decrease in drug uptake.
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Affiliation(s)
- José Ignacio Manzano
- Instituto de Parasitología y Biomedicina López-Neyra, CSIC (IPBLN-CSIC), Parque Tecnológico de Ciencias de la Salud, Avda. del Conocimiento s/n, 18100 Armilla, Granada, Spain
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27
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Pérez-Victoria I, Pérez-Victoria FJ, Roldán-Vargas S, García-Hernández R, Carvalho L, Castanys S, Gamarro F, Morales JC, Pérez-Victoria JM. Non-reducing trisaccharide fatty acid monoesters: Novel detergents in membrane biochemistry. Biochimica et Biophysica Acta (BBA) - Biomembranes 2011; 1808:717-26. [DOI: 10.1016/j.bbamem.2010.11.031] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/27/2010] [Revised: 11/18/2010] [Accepted: 11/22/2010] [Indexed: 11/30/2022]
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Campos-Salinas J, Cabello-Donayre M, García-Hernández R, Pérez-Victoria I, Castanys S, Gamarro F, Pérez-Victoria JM. A new ATP-binding cassette protein is involved in intracellular haem trafficking in Leishmania. Mol Microbiol 2011; 79:1430-44. [PMID: 21255121 DOI: 10.1111/j.1365-2958.2010.07531.x] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
The characterization of LABCG5, a new intracellular ATP-binding cassette protein in Leishmania donovani, is described. Unlike other ABCG half-transporters, LABCG5 is not involved in either drug resistance or phospholipid efflux. However, we provide evidence suggesting that this protein is involved in intracellular haem trafficking. Thus, downregulation of LABCG5 function produced upon overexpression of an inactive version of the protein caused a dramatic growth arrest unless a haemin supplement was added or the mutated gene was eliminated. Supplementation with haemoglobin, an upstream metabolite normally sufficient to meet parasite haem requirements, was unable to rescue the growth defect phenotype. Haemoglobin endocytosis was not hampered in dominant-negative parasites and neither was haem uptake, a process that we show here to be dependent on a specific transporter. In contrast, LABCG5 function was required for the correct intracellular trafficking of haemoglobin-bound porphyrins to the mitochondria, not affecting the routing of free haem. Finally, LABCG5 binds haem through hydrophobic and electrostatic interactions. Altogether, these data suggest that LABCG5 is involved in the salvage of the haem released after the breakdown of internalized haemoglobin. As Leishmania is auxotrophic for haem, the pharmacological targeting of this route could represent a novel approach to control fatal visceral leishmaniasis.
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Affiliation(s)
- Jenny Campos-Salinas
- Instituto de Parasitología y Biomedicina 'López-Neyra', CSIC, Parque Tecnológico de Ciencias de la Salud, Avda. del Conocimiento s/n, 18100 Armilla, Granada, Spain
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García-Hernández R, Moraleda-Muñoz A, Castañeda-García A, Pérez J, Muñoz-Dorado J. Myxococcus xanthus Pph2 is a manganese-dependent protein phosphatase involved in energy metabolism. J Biol Chem 2009; 284:28720-8. [PMID: 19706604 PMCID: PMC2781417 DOI: 10.1074/jbc.m109.015248] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [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: 04/30/2009] [Revised: 08/19/2009] [Indexed: 12/15/2022] Open
Abstract
The multicellular behavior of the myxobacterium Myxococcus xanthus requires the participation of an elevated number of signal-transduction mechanisms to coordinate the cell movements and the sequential changes in gene expression patterns that lead to the morphogenetic and differentiation events. These signal-transduction mechanisms are mainly based on two-component systems and on the reversible phosphorylation of protein targets mediated by eukaryotic-like protein kinases and phosphatases. Among all these factors, protein phosphatases are the elements that remain less characterized. Hence, we have studied in this work the physiological role and biochemical activity of the protein phosphatase of the family PPP (phosphoprotein phosphatases) designated as Pph2, which is forming part of the same operon as the two-component system phoPR1. We have demonstrated that this operon is induced upon starvation in response to the depletion of the cell energy levels. The increase in the expression of the operon contributes to an efficient use of the scarce energy resources available for developing cells to ensure the completion of the life cycle. In fact, a Deltapph2 mutant is defective in aggregation, sporulation yield, morphology of the myxospores, and germination efficiency. The yeast two-hybrid technology has shown that Pph2 interacts with the gene products of MXAN_1875 and 5630, which encode a hypothetical protein and a glutamine synthetase, respectively. Because Pph2 exhibits Ser/Thr, and to some extent Tyr, Mn(2+)-dependent protein phosphatase activity, it is expected that this function is accomplished by dephosphorylation of the specific protein substrates.
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Affiliation(s)
- Raquel García-Hernández
- From the Departamento de Microbiología, Facultad de Ciencias, Universidad de Granada, E-18071 Granada, Spain
| | - Aurelio Moraleda-Muñoz
- From the Departamento de Microbiología, Facultad de Ciencias, Universidad de Granada, E-18071 Granada, Spain
| | - Alfredo Castañeda-García
- From the Departamento de Microbiología, Facultad de Ciencias, Universidad de Granada, E-18071 Granada, Spain
| | - Juana Pérez
- From the Departamento de Microbiología, Facultad de Ciencias, Universidad de Granada, E-18071 Granada, Spain
| | - José Muñoz-Dorado
- From the Departamento de Microbiología, Facultad de Ciencias, Universidad de Granada, E-18071 Granada, Spain
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Carrero-Lérida J, Moraleda-Muñoz A, García-Hernández R, Pérez J, Muñoz-Dorado J. PhoR1-PhoP1, a third two-component system of the family PhoRP from Myxococcus xanthus: role in development. J Bacteriol 2005; 187:4976-83. [PMID: 15995213 PMCID: PMC1169532 DOI: 10.1128/jb.187.14.4976-4983.2005] [Citation(s) in RCA: 7] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
The pair PhoR1-PhoP1 is the third two-component system of the family PhoRP reported in M. xanthus. PhoR1 is a histidine kinase anchored to the membrane through a transmembrane domain located in the amino-terminal portion of the protein. As a result, 93% of the protein is located in the cytoplasm. This topology is unusual in the PhoR-type histidine kinases. PhoP1 is a response regulator with a helix-loop-helix motif typical of the DNA-binding proteins. Although the operon phoPR1 is expressed during vegetative growth, it peaks during development. The expression levels of this operon are higher in phosphate-containing media than in those in which the nutrient is absent. A deletion mutant in this system exhibits a delay in aggregation and the formation of fruiting bodies larger than those of the wild-type strain. The expression of the operon is autoregulated. This system is also partially responsible for the expression of Mg-independent acid and neutral phosphatases, but it is not required for the expression of alkaline phosphatases.
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Affiliation(s)
- Juana Carrero-Lérida
- Departamento de Microbiología, Instituto de Biotecnología, Facultad de Ciencias, Universidad de Granada, Spain
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