Efficacy of netropsin dihydrochloride against the viability, cytopathogenicity and hemolytic activity of Trichomonas vaginalis clinical isolates

Trichomonas vaginalis (T. vaginalis) is a common sexually transmitted infection, affecting the urogenital tract. Trichomoniasis is customarily treated with metronidazole (MTZ). MTZ is known to cause undesirable side effects and there is several reports on MTZ resistant T. vaginalis. Thus, the presen...

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Veröffentlicht in:Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy 2019-12, Vol.25 (12), p.955-964
Hauptverfasser: Abou Gamra, Maha Marzouk, Kamel, Hanan Hussein, Ezz Eldin, Hayam Mohamed, Taha Zahran, Fatima Mohamed
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container_issue 12
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container_title Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy
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creator Abou Gamra, Maha Marzouk
Kamel, Hanan Hussein
Ezz Eldin, Hayam Mohamed
Taha Zahran, Fatima Mohamed
description Trichomonas vaginalis (T. vaginalis) is a common sexually transmitted infection, affecting the urogenital tract. Trichomoniasis is customarily treated with metronidazole (MTZ). MTZ is known to cause undesirable side effects and there is several reports on MTZ resistant T. vaginalis. Thus, the present study aimed to in-vitro evaluate the activity of DNA minor groove binder drug ''Netropsin dihydrochloride'' against metronidazole-sensitive T. vaginalis isolates (G and U isolates) and resistant T. vaginalis isolate (ATCC50138) (R isolate). Netropsin was tested at concentrations ranging from 3.5 to 200 μg/ml. It showed effectiveness against all isolates with MLC of 12.5 μg/ml for G and U isolates and of 25 μg/ml for R isolate. Cytotoxicity assay of isolates exposed to the respective MLC of netropsin for 42 h showed a highly significant reduction in the death percentage of MCDK cell line as compared to the effect elicited by drug free controls. The hemolytic activity was evaluated by hemolytic assay and by monitoring the interaction of T. vaginalis isolates with human erythrocytes by inverted microscopy and scanning electron microscopy. The hemolytic assay showed (0%) hemolysis of RBCs incubated with T. vaginalis isolates treated with the corresponding MLC of netropsin for 24 h. Scanning electron microscopy revealed cytoskeletal deformities of netropsin treated isolates. Taken together, these observations suggest that netropsin is a promising therapy for T. vaginalis infection affecting its viability, virulence, cytopathogenic and hemolytic activity with a mechanism of action that might overcome T. vaginalis resistance to metronidazole.
doi_str_mv 10.1016/j.jiac.2019.05.015
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Trichomoniasis is customarily treated with metronidazole (MTZ). MTZ is known to cause undesirable side effects and there is several reports on MTZ resistant T. vaginalis. Thus, the present study aimed to in-vitro evaluate the activity of DNA minor groove binder drug ''Netropsin dihydrochloride'' against metronidazole-sensitive T. vaginalis isolates (G and U isolates) and resistant T. vaginalis isolate (ATCC50138) (R isolate). Netropsin was tested at concentrations ranging from 3.5 to 200 μg/ml. It showed effectiveness against all isolates with MLC of 12.5 μg/ml for G and U isolates and of 25 μg/ml for R isolate. Cytotoxicity assay of isolates exposed to the respective MLC of netropsin for 42 h showed a highly significant reduction in the death percentage of MCDK cell line as compared to the effect elicited by drug free controls. The hemolytic activity was evaluated by hemolytic assay and by monitoring the interaction of T. vaginalis isolates with human erythrocytes by inverted microscopy and scanning electron microscopy. The hemolytic assay showed (0%) hemolysis of RBCs incubated with T. vaginalis isolates treated with the corresponding MLC of netropsin for 24 h. Scanning electron microscopy revealed cytoskeletal deformities of netropsin treated isolates. 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The hemolytic activity was evaluated by hemolytic assay and by monitoring the interaction of T. vaginalis isolates with human erythrocytes by inverted microscopy and scanning electron microscopy. The hemolytic assay showed (0%) hemolysis of RBCs incubated with T. vaginalis isolates treated with the corresponding MLC of netropsin for 24 h. Scanning electron microscopy revealed cytoskeletal deformities of netropsin treated isolates. 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Kamel, Hanan Hussein ; Ezz Eldin, Hayam Mohamed ; Taha Zahran, Fatima Mohamed</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c380t-8f004a164bff89fef662c2e243536b994632808353111a95d94360dc95b249d63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Animals</topic><topic>Anti-Bacterial Agents - pharmacology</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>DNA minor groove binder</topic><topic>Dogs</topic><topic>Drug Resistance</topic><topic>Female</topic><topic>Hemolysis - immunology</topic><topic>Humans</topic><topic>Madin Darby Canine Kidney Cells</topic><topic>MCDK cell line</topic><topic>Metronidazole - pharmacology</topic><topic>Metronidazole - therapeutic use</topic><topic>Metronidazole resistance</topic><topic>Netropsin</topic><topic>Netropsin - pharmacology</topic><topic>Netropsin - therapeutic use</topic><topic>Parasitic Sensitivity Tests</topic><topic>Scanning electron microscopy</topic><topic>T. vaginalis</topic><topic>Trichomonas vaginalis - drug effects</topic><topic>Trichomonas vaginalis - immunology</topic><topic>Trichomonas vaginalis - isolation &amp; 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Trichomoniasis is customarily treated with metronidazole (MTZ). MTZ is known to cause undesirable side effects and there is several reports on MTZ resistant T. vaginalis. Thus, the present study aimed to in-vitro evaluate the activity of DNA minor groove binder drug ''Netropsin dihydrochloride'' against metronidazole-sensitive T. vaginalis isolates (G and U isolates) and resistant T. vaginalis isolate (ATCC50138) (R isolate). Netropsin was tested at concentrations ranging from 3.5 to 200 μg/ml. It showed effectiveness against all isolates with MLC of 12.5 μg/ml for G and U isolates and of 25 μg/ml for R isolate. Cytotoxicity assay of isolates exposed to the respective MLC of netropsin for 42 h showed a highly significant reduction in the death percentage of MCDK cell line as compared to the effect elicited by drug free controls. The hemolytic activity was evaluated by hemolytic assay and by monitoring the interaction of T. vaginalis isolates with human erythrocytes by inverted microscopy and scanning electron microscopy. The hemolytic assay showed (0%) hemolysis of RBCs incubated with T. vaginalis isolates treated with the corresponding MLC of netropsin for 24 h. Scanning electron microscopy revealed cytoskeletal deformities of netropsin treated isolates. Taken together, these observations suggest that netropsin is a promising therapy for T. vaginalis infection affecting its viability, virulence, cytopathogenic and hemolytic activity with a mechanism of action that might overcome T. vaginalis resistance to metronidazole.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>31189504</pmid><doi>10.1016/j.jiac.2019.05.015</doi><tpages>10</tpages></addata></record>
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subjects Animals
Anti-Bacterial Agents - pharmacology
Anti-Bacterial Agents - therapeutic use
DNA minor groove binder
Dogs
Drug Resistance
Female
Hemolysis - immunology
Humans
Madin Darby Canine Kidney Cells
MCDK cell line
Metronidazole - pharmacology
Metronidazole - therapeutic use
Metronidazole resistance
Netropsin
Netropsin - pharmacology
Netropsin - therapeutic use
Parasitic Sensitivity Tests
Scanning electron microscopy
T. vaginalis
Trichomonas vaginalis - drug effects
Trichomonas vaginalis - immunology
Trichomonas vaginalis - isolation & purification
Trichomonas vaginalis - pathogenicity
Trichomonas Vaginitis - drug therapy
Trichomonas Vaginitis - parasitology
Trophozoites - drug effects
Trophozoites - immunology
Vagina - parasitology
title Efficacy of netropsin dihydrochloride against the viability, cytopathogenicity and hemolytic activity of Trichomonas vaginalis clinical isolates
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