Afrah A. Sadek
l-Karkh III, Baghdad Education Directorate, Baghdad, Iraq
ABSTRACT
This study evaluated the effect of some pharmacological agents on the in vitro survival of protoscolices, which were obtained from sheep naturally infected with the metacestode stage of Echinococcus granulosus. Oxfendazole (OFZ) at a dose of 0.05 mg/ml was tested singly and then combined with Praziquantel (PZQ) at 4 mg/ml and Albendazole (ABZ) at 1 mg/ml by this study. Amongst all these drugs, OFZ revealed maximum lethality among them. Just within five minutes of exposure, when applied alone, it produced an 85.63% mortality rate compared to 17.21% for OFZ+ABZ, 15.10% in the case of OFZ+PZQ, and only 13.09% for ABZ+PZQ—mortality rates rising up to 99.04%, 71.63%, and 40.19% as well as 31.09%, respectively after only half-an-hour exposure time recorded; within thirty-five minutes one hundred percent mortality was achieved with OFZ used singly while other combinations took about forty minutes two hours and three hours. These results consolidate the potential OFZ as a strong protoscolicidal agent in the future possible therapy against hydatid disease. It can be used after laboratory testing for its side effects on lab models of hydatid disease.
KEYWORDS
Echinococcus granulosus, Oxfendazole, In vitro analysis, Antiparasitic agents
REFERENCES
1) Al-Obaidi, H.S.; Salman, A.A. & Arziak, Z. (2008). Epidemiology of hydatid cyst with experimental trial of the anti-parasitic activity of ivermectin in compare to other common antiparasitic drug, Tikrit Med. J., 14(1): 1-11.
2) Alyousif, M.S.; Al-Abodi, H.R.; Almohammed, H.; Alanazi, A.D.; Mahmoudvand, H.; Shalamzari, M.H.; Salimikia, I. (2021). Chemical composition, apoptotic activity, and antiparasitic effects of Ferula macrecolea essential oil against Echinococcus granulosus protoscoleces. Molecules, 26, 888: 1-10. DOI:10.3390/molecules26040888.
3) Blanton, R.E.; Wachira, T.M.; Zeyhle, E.E.; Njoroge, E.M.; Magambo, J.K. & Schantz, P.M. (1998). Oxfendazole treatment for cystic hydatid disease in naturally infected animals. Antimicrob. Agents Chemother., 42(3): 601-605.
4) Chai, J.-Y. (2013). Paraziquantel treatment in trematode and cestode infections: An update. Infect. Chemother., 45(1): 32-43. DOI:10.3947/ic.2013.45.1.32.
5) Chrieki, M. (2002). Echinococcosis: An emerging parasite in the immigrant population. Amer. Fam. Physician, 66(5): 817-820.
6) Cotting,J.; Zeugin, T.; Steiger, U. & Reichen, J. (1990). Albendazole kinetics in patients with echinococcosis: Delayed absorption and impaired elimination in cholestasis. Eur. J. Clin. Pharmacol., 38: 605-608. DOI:10.1007/ BF00278590.
7) Dayan, A.D. (2003). Albendazole, mebendazole and praziquantel: Review of non-clinical toxicity and pharmacokinetics. Acta Trop., 86(2-3): 141-159.
8) Dueger, E.L.; Moro, P.L. & Gilman, R.H. (1999). Oxfendazole treatment of sheep with naturally acquired hydatid disease. Antimicrob. Agents Chemother., 43(9): 2263-2267. DOI: 10.1128/AAC.43.9.2263.
9) El-Harti, J.; Ansar, M. & Taoufik, J. (2014). Albendazole and its analogues. Int. J. Pharm. Sci. Res., 5(3): 102-107.
10) Erzurumlu, K.; Özdemir, M.; Mihmanli, M. & Cevikbas, U. (1995). The effect of intraoperative mebendazole-albendazole applications on the hepatobiliary system. Eur. Surg. Res., 27(5): 340-345.
11) Filice, C.; Brunetti, E.; D’Andrea, F. & Filice, G. (1997). Minimal invasive treatment for hydatid cysts: PAIR (puncture aspiration, injection, reaspiration) – state of the arte. WHO/CTD/STP/97-103.
12) Gavidia, C.M.; Gonzales, A.E.; Barron, E.A.; Ninaquispe, B.; Liamosas, M.; Verastegui, M.R.; Robinson, C. & Gilman, R.H. (2010). Evaluation of oxfendazole paraziquantel and albendazole against cystic echinococcosis: Arandomized clinical trial in naturally infected sheep, Plos Negl. Trop. Dis., 4: e616. DOI:10.1371/journal.pntd.0000616.
13) Gavidia, C.M.; Gonzales, A.E.; Lopera, L.; Jayashi, C.; Angelats, R.; Barron, E.A.; Ninaquispe, B.; Villarreal, L.; Garcia, H.H.; Verastegui, M.R. & Gilman, R.H. (2009). Evaluation of nitazoxanide and oxfendazole efficacy against cystic echinococcosis in naturally infected sheep. Am. J. Trop. Med. Hyg., 80(3): 367-372.
14) Hameed, N.M.; Al-Tae, A.A. & Hamada, T.A. (2010). In vitro evaluation of the activity of Aspergillus niger extract on the viability of protoscolices of hydatid disease, Tikrit Med. J., 16(2): 156-168.
15) Ingold, K.; Bigler, P.; Thomann, W.; Gavaliero, T.; Gottstein, B. & Hemphill, A. (1999). Efficacies of albendazole sulfoxide and albendazole sulfone against in vitro-cultivated Echinococcus multilocularis metacestodes. Antimicrob. Agents Chemother., 43(5): 1052-1061. DOI:10.1128/AAC.43.5.1052.
16) Kern, P. (2003). Echinococcus granulosus infection: Clinical presentation, medical treatment and outcome. Langenbecks Arch. Surg., 388: 413-420. DOI:10.1007/s00423-003-0418-y388: 413-20.
17) Khuroo, M.S.; Wani, N.A.; Javid, G.; Khan, B.A.; Yattoo, G.N.; Shah, A.H. & Jeelani, S.G. (1997). Percutaneous drainage compared with surgery for hepatic cysts. New Engl. J. Med., 337(13): 881-887. DOI: 10.1056/ NEJM199709253371303.
18) Morris, D.L.; Chinnery, J.B.; Georgiou, G.; Stamatakis, G. & Golematis, B. (1987). Penetration of albendazole sulphoxide into hydatid cysts. Gut, 28: 75-80.
19) Nasr, W.T.; Saadeh, H.A.; Mubarak, M.S. & Abdel-Hafez, S.K. (2014). In vitro activity of novel metronidazole derivatives on larval stage of Echinococcus granulosus. Jordan J. Biol. Sci., 7(3): 187-194.
20) Njoroge, E.; Mbithi, P.; Wachira, T.; Gathuma, J.; Gathura, P.; Maitho, T.E.; Magambo, J. & Zeyhle, E. (2005). Comparative study of albendazole and oxfendazole in the treatment of cystic echinococcosis in sheep and goats. Int. J. Appl. Res. Vet. Med., 3(2): 97-101.
21) Palomares, F.; Palencia, G.; Pérez, R.; González-Esquivel, D.; Castro, N. & Cook, H.J. (2004). In vitro effects of albendazole sulfoxide and praziquantel against Taenia solium and Taenia crassiceps cysts. Antimicrob. Agents Chemother., 48(6): 2302-2304. DOI:10.1128/AAC.48.6.2302-2304.2004.
22) Pérez-Molina, J.; Díaz-Menéndez, M.; Gallego, J.I.; Norman, F.; Monge-Maillo, B.; Ayala, A.P. & López-Vélez, R. (2011). Evaluation of nitazoxanide for the treatment of disseminated cystic echinoccosis: Report of five cases and literature review. Am. J. Trop. Med. Hyg., 84(2): 351-356. DOI:10.4269/ ajtmh.2011.10-0513.
23) Pérez-Serrano, J.; Casado, N.; Denegri, G. & Rodriguez-Caabeiro, F. (1994). The effects of albendazole and albendazole sulphoxide combination–therapy on Echinococcus granulosus in vitro. Int. J. Parasitol., 24(2): 219-224. DOI: 10.1016/0020-7519(94)90029-9.
24) Pérez-Serrano, J.; Martínez, J.; Denegri, G.; Casado, N.; Bodega, G. & Rodríguez-Caabeiro, F. (2001). In vitro effect of albendazole and albendazole-sulphoxide on 70 and 60 KDa heat shock proteins in Echinococcus granlosus protoscolices. Rev. Ibérica Parasitol., 61: 67-71.
25) Razmi, G.R.; Hashemi Tabar, G.R. & Maleki, M. (2009). In vitro effect of albendazole and mebendazole on hydatid cyst of mice. Arch. Razi. Inst., 64(1): 45-50.
26) Schwabe, C.W.; Hadidian, L. & Koussa, M. (1963). Host-parasite relationships in echinococcosis scolices. IX. In vitro survival of hydatid scolices and the effects of drugs upon scolex respiration. Am. J. Trop. Med. Hyg., 12: 338-345.
27) Smyth, J.D. (1985). In vitro culture of Echinococcus spp. Proc. 13th Int. Cong. Hydatidol., Madrid: 84-89.
28) Smyth, J.D. & Barret, N.J. (1980). Procedures for testing the viability of human hydatid cysts following surgical removal, especially after chemotherapy. Trans. Roy. Soc. Trop. Med. Hyg., 74: 849-852.
29) Taylor, D.H. & Morris, D.L. (1989). Combination chemotherapy is more effective in postspillage prophylaxis for hydatid disease than either albendazole or praziquantel alone. Br. J. Surg., 76(9): 954. DOI:10.1002/bjs.1800760927.
30) Urrea-Paris, M.A.; Moreno, M.J.; Casado, N. & Rodriguez-Caabeiro, F. (2000). In vitro effect of praziquantel and albendazole combination therapy on the larval stage of Echinococcus granulosus. Parasitol. Res., 86(12): 957-964. DOI:10.1007/pl00008526.
31) Walker, M.; Bazz, A.; Dematteis, S.; Stettler, M.; Gottstein, B.; Schaller, J. & Hemphill, A. (2004). Isolation and characterization of a secretory component of Echinococcus multilocularis metacestodes potentially involved in modulating the host parasite interface. Infect. Immun., 72(1): 527-536. DOI:10.1128/IAI.72.1.527-536.2004.
32) Wangoo, A.; Ganguly, N.K. & Mahajan, R.C. (1989). Phagocytic function monocytes in murine model of Echinococcus granulosis of human origin. Indian J. Med. Res., 89: 40-42.
33) WHO (2014). Oxfendazole: Safety summary for veterinary use on dogs, cats, cattle, sheep, goats, swine, horses and poultry. Poisoning, intoxication, overdose, antidote: 1-5.
