*Corresponding Author: Phone: (614) .edu. Δ Author Contributions: G.G., K.J.P., and D.A. contributed equally to this work Supporting Information The Supporting Information is available free of charge on the ACS Publications website at DOI: 10.1021/acsinfecdis.5b00081. Procedures and spectral data for the stepwise synthesis of pentalinonsterol (PDF)
NotesThe authors declare no competing financial interest.
HHS Public AccessAuthor manuscript ACS Infect Dis. Author manuscript; available in PMC 2017 December 15.
Author Manuscript Author Manuscript Author Manuscript Author ManuscriptVisceral leishmaniasis (VL), caused by the protozoan parasite Leishmania donovani, is a global health problem affecting millions of people worldwide. Treatment of VL largely depends on therapeutic drugs such as pentavalent antimonials, amphotericin B, and others, which have major drawbacks due to drug resistance, toxicity, and high cost. In this study, for the first time, we have successfully demonstrated the synthesis and antileishmanial activity of the novel sterol pentalinonsterol (PEN), which occurs naturally in the root of a Mexican medicinal plant, Pentalinon andrieuxii. In the experimental BALB/c mouse model of VL induced by infection with L. donovani, intravenous treatment with liposome-encapsulated PEN (2.5 mg/kg) led to a significant reduction in parasite burden in the liver and spleen. Furthermore, infected mice treated with liposomal PEN showed a strong host-protective TH 1 immune response characterized by IFN-γ production and formation of matured hepatic granulomas. These results indicate that PEN could be developed as a novel drug against VL.
Graphical abstractKeywords visceral leishmaniasis; liposome; novel sterol synthesis; antileishmanial Visceral leishmaniasis (VL) is caused by the obligate intracellular parasites Leishmania donovani and Leishmania infantum chagasi via transmission by a sand fly vector. Half a million people are infected with VL, and over 60 000 succumb to the disease annually. The WHO classifies VL as a neglected tropical disease of global health concern. As a potentially life-threatening disease, VL is characterized by parasitic invasion of the blood and reticuloendothelial system, which affects internal organs such as the spleen, liver, and bone marrow. 1 There are currently no licensed vaccines, and chemotherapy is the mainstay to combat the disease. Generally, treatments utilize antileishmanial drugs such as sodium stibogluconate (SSG), pentamidine, amphotericin B (AmpB), liposomal AmpB, miltefosine, and others. 2 These drugs suffer from significant drawbacks, including the need for parenteral routes of administration, poor patient compliance due to long treatment lengths and toxicity, and/or high cost, which limit their use in disease-endemic regions. For more than 50 years, the most common treatment has been antimony, which has potentially cardiotoxic side effects. 3 Additionally, AmpB has been associated with nephrotoxicity. 4 The only promising oral treatment, miltefosine (Impavido, ...