Primary amoebic meningoencephalitis
is caused by the free-living
amoeba Naegleria fowleri. The lack
of standardized treatment has significantly contributed to the high
fatality rates observed in reported cases. Therefore, this study aims
to explore the anti-Naegleria activity
of eight synthesized cyanoacrylamides and 5-iminopyrrol-2-ones. Notably,
QOET-109, QOET-111, QOET-112, and QOET-114 exhibited a higher selectivity
index against Naegleria compared to
those of the rest of the compounds. Subsequently, these chemicals
were assessed against the resistant stage of N. fowleri, demonstrating activity similar to that observed in the vegetative
stage. Moreover, characteristic events of programmed cell death were
evidenced, including chromatin condensation, increased plasma membrane
permeability, mitochondrial damage, and heightened oxidative stress,
among others. Finally, this research demonstrated the in vitro activity of the cyanoacrylamide and 5-iminopyrrol-2-one molecules,
as well as the induction of metabolic event characteristics of regulated
cell death in Naegleria fowleri.