In vitro amoebicidal effect of Aloe vera ethanol extract and honey against Acanthamoeba spp. cysts

This study evaluated in vitro effect of different concentrations of Aloe vera ( A. vera ) ethanol extract and honey against Acanthamoeba spp. cysts in comparison with chlorhexidine (the drug of choice for treatment of Acanthamoeba infection) at different incubation periods. Four different concentrat...

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Veröffentlicht in:Journal of parasitic diseases 2021-03, Vol.45 (1), p.159-168
Hauptverfasser: Kadry, Ghada Mohamed, Ismail, Mousa A. M., El-Sayed, Nagwa Mostafa, El-Kholy, Hanan S., El-Akkad, Dina M. Hamdy
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container_title Journal of parasitic diseases
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creator Kadry, Ghada Mohamed
Ismail, Mousa A. M.
El-Sayed, Nagwa Mostafa
El-Kholy, Hanan S.
El-Akkad, Dina M. Hamdy
description This study evaluated in vitro effect of different concentrations of Aloe vera ( A. vera ) ethanol extract and honey against Acanthamoeba spp. cysts in comparison with chlorhexidine (the drug of choice for treatment of Acanthamoeba infection) at different incubation periods. Four different concentrations of the tested agents were used, 100, 200, 400, and 600 μg/ml for A. vera ethanol extract and 25, 50, 100, and 200 μg/ml for honey. Isolated Acanthamoeba spp. cysts from keratitis patients were incubated with different concentrations of the tested agents as well as chlorhexidine 0.02% (drug control) for different incubation periods (24, 48, 72 h). After each incubation period, the effect of A. vera extract and honey against Acanthamoeba cysts was assessed by counting the number of viable cysts, determining the inhibitory percentage and detecting the morphological alternations of treated cysts compared to non-treated and drug controls. Both A. vera ethanol extract and honey showed a concentration and time-dependent effect on the viability of Acanthamoeba cysts. In comparison with chlorhexidine (the drug control), A. vera ethanol extract possessed a potent cysticidal activity at all tested concentrations throughout different incubation periods, except for concentration 100 μg/ml which recorded the lower inhibitory effect. With increasing the dose of A. vera ethanol extract to 200, 400, 600 µg/ml, the recorded inhibitory percentages of Acanthamoeba cysts viability were 82.3%, 92.9% and 97.9% respectively, after 72 h compared to 76.3% of chlorhexidine. Similarly, honey at concentrations of 50–100 µg/ml gave higher inhibitory effect of 59% and 76.7%, respectively compared to chlorhexidine which showed an inhibitory percentage of 55.7% after 24 h. Meanwhile, the lowest tested concentration of honey (25 µg/ml) gave an inhibitory effect by 47.7–67% which was less than that of chlorhexidine throughout different incubation periods. With increasing the dose of honey to 200 µg/ml, the inhibitory effect was 98.9% after 72 h higher than that of chlorhexidine (76.9%). Using a scanning electron microscope, Acanthamoeba cysts treated by A. vera ethanol extract showed alternations in their shapes with flattening, collapsing, and laceration of their walls. Also, treated cysts by honey were highly distorted and difficult to identify because most of them were shrinkage and collapsed to a tiny size. On the other hand, chlorhexidine showed less structural and morphological changes
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M. ; El-Sayed, Nagwa Mostafa ; El-Kholy, Hanan S. ; El-Akkad, Dina M. Hamdy</creator><creatorcontrib>Kadry, Ghada Mohamed ; Ismail, Mousa A. M. ; El-Sayed, Nagwa Mostafa ; El-Kholy, Hanan S. ; El-Akkad, Dina M. Hamdy</creatorcontrib><description>This study evaluated in vitro effect of different concentrations of Aloe vera ( A. vera ) ethanol extract and honey against Acanthamoeba spp. cysts in comparison with chlorhexidine (the drug of choice for treatment of Acanthamoeba infection) at different incubation periods. Four different concentrations of the tested agents were used, 100, 200, 400, and 600 μg/ml for A. vera ethanol extract and 25, 50, 100, and 200 μg/ml for honey. Isolated Acanthamoeba spp. cysts from keratitis patients were incubated with different concentrations of the tested agents as well as chlorhexidine 0.02% (drug control) for different incubation periods (24, 48, 72 h). After each incubation period, the effect of A. vera extract and honey against Acanthamoeba cysts was assessed by counting the number of viable cysts, determining the inhibitory percentage and detecting the morphological alternations of treated cysts compared to non-treated and drug controls. Both A. vera ethanol extract and honey showed a concentration and time-dependent effect on the viability of Acanthamoeba cysts. In comparison with chlorhexidine (the drug control), A. vera ethanol extract possessed a potent cysticidal activity at all tested concentrations throughout different incubation periods, except for concentration 100 μg/ml which recorded the lower inhibitory effect. With increasing the dose of A. vera ethanol extract to 200, 400, 600 µg/ml, the recorded inhibitory percentages of Acanthamoeba cysts viability were 82.3%, 92.9% and 97.9% respectively, after 72 h compared to 76.3% of chlorhexidine. Similarly, honey at concentrations of 50–100 µg/ml gave higher inhibitory effect of 59% and 76.7%, respectively compared to chlorhexidine which showed an inhibitory percentage of 55.7% after 24 h. Meanwhile, the lowest tested concentration of honey (25 µg/ml) gave an inhibitory effect by 47.7–67% which was less than that of chlorhexidine throughout different incubation periods. With increasing the dose of honey to 200 µg/ml, the inhibitory effect was 98.9% after 72 h higher than that of chlorhexidine (76.9%). Using a scanning electron microscope, Acanthamoeba cysts treated by A. vera ethanol extract showed alternations in their shapes with flattening, collapsing, and laceration of their walls. Also, treated cysts by honey were highly distorted and difficult to identify because most of them were shrinkage and collapsed to a tiny size. On the other hand, chlorhexidine showed less structural and morphological changes of Acanthamoeba cysts. A. vera ethanol extract and honey had considerable cysticidal effects on Acanthamoeba cysts. 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M.</creatorcontrib><creatorcontrib>El-Sayed, Nagwa Mostafa</creatorcontrib><creatorcontrib>El-Kholy, Hanan S.</creatorcontrib><creatorcontrib>El-Akkad, Dina M. Hamdy</creatorcontrib><title>In vitro amoebicidal effect of Aloe vera ethanol extract and honey against Acanthamoeba spp. cysts</title><title>Journal of parasitic diseases</title><addtitle>J Parasit Dis</addtitle><addtitle>J Parasit Dis</addtitle><description>This study evaluated in vitro effect of different concentrations of Aloe vera ( A. vera ) ethanol extract and honey against Acanthamoeba spp. cysts in comparison with chlorhexidine (the drug of choice for treatment of Acanthamoeba infection) at different incubation periods. Four different concentrations of the tested agents were used, 100, 200, 400, and 600 μg/ml for A. vera ethanol extract and 25, 50, 100, and 200 μg/ml for honey. Isolated Acanthamoeba spp. cysts from keratitis patients were incubated with different concentrations of the tested agents as well as chlorhexidine 0.02% (drug control) for different incubation periods (24, 48, 72 h). After each incubation period, the effect of A. vera extract and honey against Acanthamoeba cysts was assessed by counting the number of viable cysts, determining the inhibitory percentage and detecting the morphological alternations of treated cysts compared to non-treated and drug controls. Both A. vera ethanol extract and honey showed a concentration and time-dependent effect on the viability of Acanthamoeba cysts. In comparison with chlorhexidine (the drug control), A. vera ethanol extract possessed a potent cysticidal activity at all tested concentrations throughout different incubation periods, except for concentration 100 μg/ml which recorded the lower inhibitory effect. With increasing the dose of A. vera ethanol extract to 200, 400, 600 µg/ml, the recorded inhibitory percentages of Acanthamoeba cysts viability were 82.3%, 92.9% and 97.9% respectively, after 72 h compared to 76.3% of chlorhexidine. Similarly, honey at concentrations of 50–100 µg/ml gave higher inhibitory effect of 59% and 76.7%, respectively compared to chlorhexidine which showed an inhibitory percentage of 55.7% after 24 h. Meanwhile, the lowest tested concentration of honey (25 µg/ml) gave an inhibitory effect by 47.7–67% which was less than that of chlorhexidine throughout different incubation periods. With increasing the dose of honey to 200 µg/ml, the inhibitory effect was 98.9% after 72 h higher than that of chlorhexidine (76.9%). Using a scanning electron microscope, Acanthamoeba cysts treated by A. vera ethanol extract showed alternations in their shapes with flattening, collapsing, and laceration of their walls. Also, treated cysts by honey were highly distorted and difficult to identify because most of them were shrinkage and collapsed to a tiny size. On the other hand, chlorhexidine showed less structural and morphological changes of Acanthamoeba cysts. A. vera ethanol extract and honey had considerable cysticidal effects on Acanthamoeba cysts. They may give promising results for treatment of Acanthamoeba keratitis.</description><subject>Acanthamoeba</subject><subject>Aloe vera</subject><subject>Chlorhexidine</subject><subject>Cysts</subject><subject>Drug dosages</subject><subject>Ethanol</subject><subject>Health Promotion and Disease Prevention</subject><subject>Honey</subject><subject>Infectious Diseases</subject><subject>Keratitis</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Morphology</subject><subject>Original</subject><subject>Original Article</subject><subject>Scanning electron microscopy</subject><issn>0971-7196</issn><issn>0975-0703</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kUlvHCEQhZGVKN7yB3yIkHLxpZ1iaZZLpJEVL5IlX-wzommYaasHJtAz8vz7YI-XJAefQLyvXlXxEDohcEYA5I9CqGC6AQoNEKppo_bQAWjZNiCBfXq-k0YSLfbRYSkPAG19V1_QPmOSCw7kAHXXEW-GKSdsl8l3gxt6O2IfgncTTgHPxuTxxmeL_bSwMVXtccq2ijb2eJGi32I7t0MsE545Gyv05GNxWa3OsNuWqRyjz8GOxX99OY_Q_cWvu_Or5ub28vp8dtM4prRqnBAMnJOi47r3AIqEtiedIq0MjIVecUWpdl1dJ3DZQ4UIF7LXrQblHGNH6OfOd7Xulr53PtZBR7PKw9LmrUl2MP8qcViYedoYqWn9SVoNTl8Mcvq99mUyy6E4P442-rQuhrbAhOBa8Yp-_w99SOsc63qGcs01IaIVlaI7yuVUSvbhbRgC5ilCs4vQ1AjNc4RG1aJvf6_xVvKaWQXYDihVinOf33t_YPsHHaOnAg</recordid><startdate>20210301</startdate><enddate>20210301</enddate><creator>Kadry, Ghada Mohamed</creator><creator>Ismail, Mousa A. 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M.</creatorcontrib><creatorcontrib>El-Sayed, Nagwa Mostafa</creatorcontrib><creatorcontrib>El-Kholy, Hanan S.</creatorcontrib><creatorcontrib>El-Akkad, Dina M. Hamdy</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of parasitic diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kadry, Ghada Mohamed</au><au>Ismail, Mousa A. M.</au><au>El-Sayed, Nagwa Mostafa</au><au>El-Kholy, Hanan S.</au><au>El-Akkad, Dina M. Hamdy</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>In vitro amoebicidal effect of Aloe vera ethanol extract and honey against Acanthamoeba spp. cysts</atitle><jtitle>Journal of parasitic diseases</jtitle><stitle>J Parasit Dis</stitle><addtitle>J Parasit Dis</addtitle><date>2021-03-01</date><risdate>2021</risdate><volume>45</volume><issue>1</issue><spage>159</spage><epage>168</epage><pages>159-168</pages><issn>0971-7196</issn><eissn>0975-0703</eissn><abstract>This study evaluated in vitro effect of different concentrations of Aloe vera ( A. vera ) ethanol extract and honey against Acanthamoeba spp. cysts in comparison with chlorhexidine (the drug of choice for treatment of Acanthamoeba infection) at different incubation periods. Four different concentrations of the tested agents were used, 100, 200, 400, and 600 μg/ml for A. vera ethanol extract and 25, 50, 100, and 200 μg/ml for honey. Isolated Acanthamoeba spp. cysts from keratitis patients were incubated with different concentrations of the tested agents as well as chlorhexidine 0.02% (drug control) for different incubation periods (24, 48, 72 h). After each incubation period, the effect of A. vera extract and honey against Acanthamoeba cysts was assessed by counting the number of viable cysts, determining the inhibitory percentage and detecting the morphological alternations of treated cysts compared to non-treated and drug controls. Both A. vera ethanol extract and honey showed a concentration and time-dependent effect on the viability of Acanthamoeba cysts. In comparison with chlorhexidine (the drug control), A. vera ethanol extract possessed a potent cysticidal activity at all tested concentrations throughout different incubation periods, except for concentration 100 μg/ml which recorded the lower inhibitory effect. With increasing the dose of A. vera ethanol extract to 200, 400, 600 µg/ml, the recorded inhibitory percentages of Acanthamoeba cysts viability were 82.3%, 92.9% and 97.9% respectively, after 72 h compared to 76.3% of chlorhexidine. Similarly, honey at concentrations of 50–100 µg/ml gave higher inhibitory effect of 59% and 76.7%, respectively compared to chlorhexidine which showed an inhibitory percentage of 55.7% after 24 h. Meanwhile, the lowest tested concentration of honey (25 µg/ml) gave an inhibitory effect by 47.7–67% which was less than that of chlorhexidine throughout different incubation periods. With increasing the dose of honey to 200 µg/ml, the inhibitory effect was 98.9% after 72 h higher than that of chlorhexidine (76.9%). Using a scanning electron microscope, Acanthamoeba cysts treated by A. vera ethanol extract showed alternations in their shapes with flattening, collapsing, and laceration of their walls. Also, treated cysts by honey were highly distorted and difficult to identify because most of them were shrinkage and collapsed to a tiny size. On the other hand, chlorhexidine showed less structural and morphological changes of Acanthamoeba cysts. A. vera ethanol extract and honey had considerable cysticidal effects on Acanthamoeba cysts. They may give promising results for treatment of Acanthamoeba keratitis.</abstract><cop>New Delhi</cop><pub>Springer India</pub><pmid>33746401</pmid><doi>10.1007/s12639-020-01292-8</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-6880-2147</orcidid><oa>free_for_read</oa></addata></record>
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source Springer Nature - Complete Springer Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Acanthamoeba
Aloe vera
Chlorhexidine
Cysts
Drug dosages
Ethanol
Health Promotion and Disease Prevention
Honey
Infectious Diseases
Keratitis
Medicine
Medicine & Public Health
Morphology
Original
Original Article
Scanning electron microscopy
title In vitro amoebicidal effect of Aloe vera ethanol extract and honey against Acanthamoeba spp. cysts
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