Efficacy of the Benznidazole+Posaconazole combination therapy in parasitemia reduction: An experimental murine model of acute Chagas
Abstract INTRODUCTION: Benznidazole (BZL) and Nifurtimox (NFX) are the pharmacological treatment for acute phase Chagas Disease (CD); however, therapy resistance and residual mortality development remain important unresolved issues. Posaconazole (POS) has shown a trypanocidal effect in vivo and in v...
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ftdoajarticles:oai:doaj.org/article:4ab07ba1b55340d4b2b9000768c518f7 2023-05-15T15:09:26+02:00 Efficacy of the Benznidazole+Posaconazole combination therapy in parasitemia reduction: An experimental murine model of acute Chagas Luis Eduardo Echeverría Clara Isabel González Julio Cesar Mantilla Hernandez Martha Lucia Díaz Javier Eduardo Nieto Luis Alberto López-Romero Julián David Rivera Edwin Uriel Suárez Sergio Alejandro Gómez Ochoa Lyda Z. Rojas Carlos A. Morillo https://doi.org/10.1590/0037-8682-0477-2019 https://doaj.org/article/4ab07ba1b55340d4b2b9000768c518f7 EN eng Sociedade Brasileira de Medicina Tropical (SBMT) http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822020000100307&lng=en&tlng=en https://doaj.org/toc/0037-8682 https://doaj.org/toc/1678-9849 0037-8682 1678-9849 doi:10.1590/0037-8682-0477-2019 https://doaj.org/article/4ab07ba1b55340d4b2b9000768c518f7 Revista da Sociedade Brasileira de Medicina Tropical, Vol 53 wistar rats chagas disease trypanocidal benznidazole and posaconazole Arctic medicine. Tropical medicine RC955-962 article ftdoajarticles https://doi.org/10.1590/0037-8682-0477-2019 2022-12-31T02:52:50Z Abstract INTRODUCTION: Benznidazole (BZL) and Nifurtimox (NFX) are the pharmacological treatment for acute phase Chagas Disease (CD); however, therapy resistance and residual mortality development remain important unresolved issues. Posaconazole (POS) has shown a trypanocidal effect in vivo and in vitro. Thus, this study aimed at comparing the T. Cruzi parasitic load-reducing effect of the combination of BZL+POS against that of monotherapy with either, during acute phase CD, in an experimental murine model. METHODS Nineteen Wistar rats were randomly allocated to four groups and inoculated with the trypomastigotes of T. cruzi strain´s JChVcl1. The rats were administered anti-parasites from day 20-29 post-infection. The Pizzi and Brener method was used for parasitemia measurement. Longitudinal data analysis for the continuous outcome of repeated measures was performed using parasitemia as the outcome measured at days 20, 22, 24, 27, and 29 post-infection. RESULTS All four groups had similar parasitic loads (p=0.143) prior to therapy initiation. Among the three treatment groups, the BZL+POS (n=5) group showed the highest mean parasitic load reduction (p=0.000) compared with the control group. Likewise, the BZL+POS group rats showed an earlier therapeutic effect and were the only ones without parasites in their myocardial samples. CONCLUSIONS: Treatment of acute phase CD with BZL+POS was more efficacious at parasitemia and myocardial injury reduction, compared with monotherapy with either. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista da Sociedade Brasileira de Medicina Tropical 53 |
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wistar rats chagas disease trypanocidal benznidazole and posaconazole Arctic medicine. Tropical medicine RC955-962 |
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wistar rats chagas disease trypanocidal benznidazole and posaconazole Arctic medicine. Tropical medicine RC955-962 Luis Eduardo Echeverría Clara Isabel González Julio Cesar Mantilla Hernandez Martha Lucia Díaz Javier Eduardo Nieto Luis Alberto López-Romero Julián David Rivera Edwin Uriel Suárez Sergio Alejandro Gómez Ochoa Lyda Z. Rojas Carlos A. Morillo Efficacy of the Benznidazole+Posaconazole combination therapy in parasitemia reduction: An experimental murine model of acute Chagas |
topic_facet |
wistar rats chagas disease trypanocidal benznidazole and posaconazole Arctic medicine. Tropical medicine RC955-962 |
description |
Abstract INTRODUCTION: Benznidazole (BZL) and Nifurtimox (NFX) are the pharmacological treatment for acute phase Chagas Disease (CD); however, therapy resistance and residual mortality development remain important unresolved issues. Posaconazole (POS) has shown a trypanocidal effect in vivo and in vitro. Thus, this study aimed at comparing the T. Cruzi parasitic load-reducing effect of the combination of BZL+POS against that of monotherapy with either, during acute phase CD, in an experimental murine model. METHODS Nineteen Wistar rats were randomly allocated to four groups and inoculated with the trypomastigotes of T. cruzi strain´s JChVcl1. The rats were administered anti-parasites from day 20-29 post-infection. The Pizzi and Brener method was used for parasitemia measurement. Longitudinal data analysis for the continuous outcome of repeated measures was performed using parasitemia as the outcome measured at days 20, 22, 24, 27, and 29 post-infection. RESULTS All four groups had similar parasitic loads (p=0.143) prior to therapy initiation. Among the three treatment groups, the BZL+POS (n=5) group showed the highest mean parasitic load reduction (p=0.000) compared with the control group. Likewise, the BZL+POS group rats showed an earlier therapeutic effect and were the only ones without parasites in their myocardial samples. CONCLUSIONS: Treatment of acute phase CD with BZL+POS was more efficacious at parasitemia and myocardial injury reduction, compared with monotherapy with either. |
format |
Article in Journal/Newspaper |
author |
Luis Eduardo Echeverría Clara Isabel González Julio Cesar Mantilla Hernandez Martha Lucia Díaz Javier Eduardo Nieto Luis Alberto López-Romero Julián David Rivera Edwin Uriel Suárez Sergio Alejandro Gómez Ochoa Lyda Z. Rojas Carlos A. Morillo |
author_facet |
Luis Eduardo Echeverría Clara Isabel González Julio Cesar Mantilla Hernandez Martha Lucia Díaz Javier Eduardo Nieto Luis Alberto López-Romero Julián David Rivera Edwin Uriel Suárez Sergio Alejandro Gómez Ochoa Lyda Z. Rojas Carlos A. Morillo |
author_sort |
Luis Eduardo Echeverría |
title |
Efficacy of the Benznidazole+Posaconazole combination therapy in parasitemia reduction: An experimental murine model of acute Chagas |
title_short |
Efficacy of the Benznidazole+Posaconazole combination therapy in parasitemia reduction: An experimental murine model of acute Chagas |
title_full |
Efficacy of the Benznidazole+Posaconazole combination therapy in parasitemia reduction: An experimental murine model of acute Chagas |
title_fullStr |
Efficacy of the Benznidazole+Posaconazole combination therapy in parasitemia reduction: An experimental murine model of acute Chagas |
title_full_unstemmed |
Efficacy of the Benznidazole+Posaconazole combination therapy in parasitemia reduction: An experimental murine model of acute Chagas |
title_sort |
efficacy of the benznidazole+posaconazole combination therapy in parasitemia reduction: an experimental murine model of acute chagas |
publisher |
Sociedade Brasileira de Medicina Tropical (SBMT) |
url |
https://doi.org/10.1590/0037-8682-0477-2019 https://doaj.org/article/4ab07ba1b55340d4b2b9000768c518f7 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista da Sociedade Brasileira de Medicina Tropical, Vol 53 |
op_relation |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822020000100307&lng=en&tlng=en https://doaj.org/toc/0037-8682 https://doaj.org/toc/1678-9849 0037-8682 1678-9849 doi:10.1590/0037-8682-0477-2019 https://doaj.org/article/4ab07ba1b55340d4b2b9000768c518f7 |
op_doi |
https://doi.org/10.1590/0037-8682-0477-2019 |
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Revista da Sociedade Brasileira de Medicina Tropical |
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