Infection rate by TOXOPLASMA GONDII in free-range and broiler chickens in the states of Rio Grande do Norte and Paraíba, Brazil

Toxoplasmosis is a zoonosis caused by Toxoplasma gondii, a protozoan that has a cosmopolitan geographic distribution and low specificity for intermediate hosts. Domestic chickens are among the most important hosts in toxoplasmosis epidemiology, since they are potential sources of infection for humans, in addition to indicating environmental contamination by protozoa. In this work, we studied the prevalence of T. gondii infection in chickens in different breeding systems from distinct mesoregions of Rio Grande do Norte and Paraiba States: broiler chickens from commercial farms and free-range chickens from small farms. Indirect fluorescent antibody test (IFAT) and ELISA techniques were used for detecting specific antibodies in blood samples from the birds. There were no seropositive samples among the broilers tested, indicating that intensive management limited the chances of infection for these animals. Among the free-range chickens, the frequency of IgG anti-T. gondii detected by IFAT and ELISA were 37.9% and 40.4% respectively. Among the seropositive samples by IFAT, 33 (27.1%) were positive at a dilution of 1:16; in 1:32, 31 (25.4%); in 1:64, 24 (19.7%); 15 (12.3%) in 1:128, and 19 presented titers greater than or equal to 1:256 (15.6%). The substantial concordance observed between IFAT and ELISA signifies these methods are effective methodologies for the diagnosis of avian toxoplasmosis. The high prevalence of specific antibodies among poultry in the studied region highlights the potential risk of T. gondii transmission to humans through consumption of infected meat.

Toxoplasma gondii infection damages the perineuronal nets in a murine model

BACKGROUND Behavioral and neurochemical alterations associated with toxoplasmosis may be influenced by the persistence of tissue cysts and activation of an immune response in the brain of Toxoplasma gondii-infected hosts. The cerebral extracellular matrix is organised as perineuronal nets (PNNs) that are both released and ensheath by some neurons and glial cells. There is evidences to suggest that PNNs impairment is a pathophysiological mechanism associated with neuropsychiatric conditions. However, there is a lack of information regarding the impact of parasitic infections on the PNNs integrity and how this could affect the host's behavior. OBJECTIVES In this context, we aimed to analyse the impact of T. gondii infection on cyst burden, PNNs integrity, and possible effects in the locomotor activity of chronically infected mice. METHODS We infected mice with T. gondii ME-49 strain. After thirty days, we assessed locomotor performance of animals using the open field test, followed by evaluation of cysts burden and PNNs integrity in four brain regions (primary and secondary motor cortices, prefrontal and somesthetic cortex) to assess the PNNs integrity using Wisteria floribunda agglutinin (WFA) labeling by immunohistochemical analyses. FINDINGS AND MAIN CONCLUSIONS Our findings revealed a random distribution of cysts in the brain, the disruption of PNNs surrounding neurons in four areas of the cerebral cortex and hyperlocomotor behavior in T. gondii-infected mice. These results can contribute to elucidate the link toxoplasmosis with the establishment of neuroinflammatory response in neuropsychiatric disorders and to raise a discussion about the mechanisms related to changes in brain connectivity, with possible behavioral repercussions during chronic T. gondii infection.

The influence of salt intake on the course of experimental toxoplasmosis in outbred or inbred mouse strains

Many environmental factors contribute to an effective immune response against Toxoplasma gondii (Tg) infection, among which diet is important in triggering the immune response of the host to infection. Emerging reports suggest that salt intake undermines the regulatory mechanisms mediated by innate and adaptive immune cells. Unfortunately, the impact of an Intermediate Salt Diet (ISD) on the pathogenesis and immune response to toxoplasmosis remains unclear. The purpose of this study was to evaluate the susceptibility profile to an ISD (NaCl 2%) of two mouse strains (outbred Swiss and inbred C57BL6) infected by the ME49 strain of Tg. Our data confirm an antagonistic susceptibility to oral Tg infection among the two mouse strains. Sodium intake induced the highest mortality in C57BL6 compared to Swiss mice in the infected groups. A simultaneous ISD with the infection did not induce significant differences in body weight in either mouse strains. Both mouse strains showed an antagonistic response to a sodium intake diet on the number of parasite brain cysts. An increased number of brain cysts in C57BL6 ISD-Tg animals were noted while Swiss ISD-Tg animals presented a decrease in the number of brain cysts compared to NSD-Tg (Normal Salt Diet) for both mouse strains. Furthermore, sodium intake caused a significant reduction in the specific humoral immune response against Tg in inbred C57BL6 mice. Thus, our data reveal that an ISD affects the humoral immune response in the murine model and influences the course of Tg infection.

Pathogenicity and phenotypic sulfadiazine resistance of Toxoplasma gondii isolates obtained from livestock in northeastern Brazil

Toxoplasma gondii is the causative protozoan agent of toxoplasmosis, which is a common infection that is widely distributed worldwide. Studies revealed stronger clonal strains in North America and Europe and genetic diversity in South American strains. Our study aimed to differentiate the pathogenicity and sulfadiazine resistance of three T. gondii isolates obtained from livestock intended for human consumption. The cytopathic effects of the T. gondii isolates were evaluated. The pathogenicity was determined by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) using a CS3 marker and in a rodent model in vivo. Phenotypic sulfadiazine resistance was measured using a kinetic curve of drug activity in Swiss mice. IgM and IgG were measured by ELISA, and the dihydropteroate synthase (DHPS) gene sequence was analysed. The cytopathic effects and the PCR-RFLP profiles from chickens indicated a different infection source. The Ck3 isolate displayed more cytopathic effects in vitro than the Ck2 and ME49 strains. Additionally, the Ck2 isolate induced a differential humoral immune response compared to ME49. The Ck3 and Pg1 isolates, but not the Ck2 isolate, showed sulfadiazine resistance in the sensitivity assay. We did not find any DHPS gene polymorphisms in the mouse samples. These atypical pathogenicity and sulfadiazine resistance profiles were not previously reported and served as a warning to local health authorities.

Occurrence of anti-Toxoplasma gondii antibodies in meat and dairy goat herds in Rio Grande do Norte, Brazil / Ocorrência de anticorpos anti-Toxoplasma gondii em rebanhos caprinos de corte e leiteiros do Rio Grande do Norte, Brasil

Toxoplasmosis is caused by Toxoplasma gondii, which is the main causative agent of abortion in small ruminants. Goats are among the animals that are most susceptible to this protozoon, and the disease that it causes leads to significant economic losses and has implications for public health, since presence of the parasite in products of goat origin is one of the main sources of human infection. Because of the significant economic impact, there is an urgent need to study the prevalence of T. gondii infection among goats in Sertão do Cabugi, which is the largest goat-producing region in Rio Grande do Norte. In the present study, the ELISA assay was used to test 244 serum samples from nine farms, located in four different municipalities in the Sertão do Cabugi region, which is an important goat-rearing region. The results showed that the prevalence of anti-T. gondii antibodies was 47.1% and that there was a significant association between positivity and the variables of age (≥ 34 months), location (Lajes, Angicos and Afonso Bezerra) and farm (all the farms). The avidity test was applied to all the 115 ELISA-positive samples to distinguish between acute and chronic infection. One hundred and three samples (89.6%) displayed high-avidity antibodies, thus indicating that most of the animals presented chronic infection, with a consequent great impact on the development of the goat production system and a risk to human health.

A toxoplasmose é causada pelo Toxoplasma gondii, principal agente causador de aborto em pequenos ruminantes. Os caprinos são uns dos animais mais suscetíveis a esse protozoário, levando a perdas econômicas significativas e implicações para a saúde pública, uma vez que a presença do parasito em produtos de origem caprina é uma das principais fontes de infecção humana. Devido ao impacto econômico significativo torna-se urgente estudar a prevalência da infecção, pelo T. gondii, entre caprinos do Sertão do Cabugi, a maior região produtora de caprinos no Rio Grande do Norte. O presente estudo utilizou o ELISA para testar 244 amostras de soro de 9 fazendas, situadas em 4 diferentes cidades na região do Sertão do Cabugi; uma importante região de criação de cabras. Os resultados mostraram uma prevalência de 47,1% para anticorpos anti- T. gondii e uma significativa associação entre a positividade e as variáveis idade (≥ 34 meses), localização (Lajes, Angicos e Afonso Bezerra e propriedade (todas as fazendas). O teste de avidez foi aplicado a todas as 115 amostras positivas pelo ELISA para discriminar entre infecção aguda e crônica. Cento e três amostras (89,6%) apresentaram anticorpos de alta avidez; indicando que a maioria dos animais estavam em infecção crônica, gerando um grande impacto sobre o desenvolvimento do sistema de produção em cabras e um risco para a saúde humana.

In vitro and in vivo antimalarial activity and cytotoxicity of extracts, fractions and a substance isolated from the Amazonian plant Tachia grandiflora (Gentianaceae)

Tachia sp. are used as antimalarials in the Amazon Region and in vivo antimalarial activity of a Tachia sp. has been previously reported. Tachia grandiflora Maguire and Weaver is an Amazonian antimalarial plant and herein its cytotoxicity and antimalarial activity were investigated. Spectral analysis of the tetraoxygenated xanthone decussatin and the iridoid aglyone amplexine isolated, respectively, from the chloroform fractions of root methanol and leaf ethanol extracts was performed. In vitro inhibition of the growth of Plasmodium falciparum Welch was evaluated using optical microscopy on blood smears. Crude extracts of leaves and roots were inactive in vitro. However, chloroform fractions of the root and leaf extracts [half-maximal inhibitory concentration (IC50) = 10.5 and 35.8 µg/mL, respectively] and amplexine (IC50= 7.1 µg/mL) were active in vitro. Extracts and fractions were not toxic to type MRC-5 human fibroblasts (IC50> 50 µg/mL). Water extracts of the roots of T. grandiflora administered by mouth were the most active extracts in the Peters 4-day suppression test in Plasmodium berghei-infected mice. At 500 mg/kg/day, these extracts exhibited 45-59% inhibition five to seven days after infection. T. grandiflora infusions, fractions and isolated substance have potential as antimalarials.

Papel do colesterol exógeno nos mecanismos de adaptação de Leishmania spp a condições de estresse metabólico e farmacológico / Role of exogenous cholesterol in Leishmania spp adaptation mechanisms to conditions of metabolic and pharmacological stress

Os tripanossomatídeos não sintetizam o colesterol e sim esteróis com o esqueleto ergostano, porém um percentual significativo de colesterol exógeno é encontrado em todas as espécies de Leishmania, sugerindo um papel biológico para esta molécula. Esta tese tem como objetivo estudar a importância do uso de colesterol para Leishmania spp. em várias situações, avaliando o potencial deste sistema como um possível alvo farmacológico. A atividade dos inibidores de biossíntese de ergosterol associado com inibidores de transporte de colesterol derivado de LDL, foi avaliada em promastigotas e amastigotas intracelulares. A associação entre LBqT01 e cetoconazol, miconazol ou terbinafina mostrou sinergia. A associação entre a imipramina ou progesterona e cetoconazol ou terbinafina indicaram um efeito aditivo. O cetoconazol e miconazol demonstraram uma diminuição de até duas vezes o valor de IC50 nas formas amastigotas, quando combinado com os inibidores de transporte de colesterol. Foi observado também alteração da biossíntese de ergosterol após tratamento dos parasitos com os inibidores de transporte de colesterol, demonstrado por CG/MS. A combinação de LBqT01 e cetoconazol mostrou ser mais ativa in vivo do que cada fármaco individualmente. Estudamos também o mecanismo de resistência desses inibidores, avaliando a modulação de enzimas da via de biossíntese de esteróis e a utilização de colesterol exógeno pelos parasitos. Promastigotas de Leishmania amazonensis, Leishmania braziliensis e Leishmania guyanensis foram cultivadas com concentrações crescentes de sinvastatina, terbinafina e miconazol. Estes inibidores mostraram um índice de resistência de 2,5 - 8 vezes. A resistência cruzada também foi avaliada, com estes inibidores e fármacos de referência (miltefosina, anfotericina B e antimônio trivalente)...

The trypanosomes do not synthesize cholesterol sterols but with ergostane skeleton, buta significant percentage of exogenous cholesterol is found in all species of Leishmania,suggesting a biological role for this molecule. This work aims to study the importanceof use cholesterol to Leishmania spp. in several cases, evaluating the potential of thesystem as a possible drug target. The activity of the inhibitors of ergosterol biosynthesisinhibitors associated with transport of LDL cholesterol derivative was evaluated inintracellular amastigotes and promastigotes. The association between LBqT01 andketoconazole, miconazole or terbinafine showed synergy. The association betweenimipramine or progesterone, and ketoconazole, or terbinafine indicated an additiveeffect. The ketoconazole and miconazole showed a reduction of up to twice the IC50value in amastigotes when combined with the inhibitors of cholesterol transport. Changeof ergosterol biosynthesis of parasites after treatment with inhibitors of cholesteroltransport as demonstrated by GC/MS was also observed. The combination of LBqT01and ketoconazole was more active in vivo than either drug individually. We also studiedthe mechanism of resistance of these inhibitors by evaluating the modulation ofenzymes of the sterol biosynthesis pathway and use of exogenous cholesterol byparasites. Promastigotes of Leishmania amazonensis, Leishmania braziliensis andLeishmania guyanensis were cultured with increasing concentrations of simvastatin,terbinafine and miconazole. These inhibitors showed resistance index from 2.5 to 8times. Cross-resistance was evaluated with these inhibitors and reference drugs(miltefosine, amphotericin B and trivalent antimony)...

The stepwise selection for ketoconazole resistance induces upregulation of C14-demethylase (CYP51) in Leishmania amazonensis

Ketoconazole is a clinically safe antifungal agent that also inhibits the growth of Leishmania spp. A study was undertaken to determine whether Leishmania parasites are prone to becoming resistant to ketoconazole by upregulating C14-demethylase after stepwise pharmacological pressure. Leishmania amazonensis promastigotes [inhibitory concentration (IC)50 = 2 µM] were subjected to stepwise selection with ketoconazole and two resistant lines were obtained, La8 (IC50 = 8 µM) and La10 (IC50 = 10 µM). As a result, we found that the resistance level was directly proportional to the C14-demethylase mRNA expression level; we also observed that expression levels were six and 12 times higher in La8 and La10, respectively. This is the first demonstration that L. amazonensis can up-regulate C14-demethylase in response to drug pressure and this report contributes to the understanding of the mechanisms of parasite resistance.

Biological activity of neosergeolide and isobrucein B (and two semi-synthetic derivatives) isolated from the Amazonian medicinal plant Picrolemma sprucei (Simaroubaceae)

In the present study, in vitro techniques were used to investigate a range of biological activities of known natural quassinoids isobrucein B (1) and neosergeolide (2), known semi-synthetic derivative 1,12-diacetylisobrucein B (3), and a new semi-synthetic derivative, 12-acetylneosergeolide (4). These compounds were evaluated for general toxicity toward the brine shrimp species Artemia franciscana, cytotoxicity toward human tumour cells, larvicidal activity toward the dengue fever mosquito vector Aedes aegypti, haemolytic activity in mouse erythrocytes and antimalarial activity against the human malaria parasite Plasmodium falciparum. Compounds 1 and 2 exhibited the greatest cytotoxicity against all the tumor cells tested (IC50 = 5-27 µg/L) and against multidrug-resistant P. falciparum K1 strain (IC50 = 1.0-4.0 g/L) and 3 was only cytotoxic toward the leukaemia HL-60 strain (IC50 = 11.8 µg/L). Quassinoids 1 and 2 (LC50 = 3.2-4.4 mg/L) displayed greater lethality than derivative 4 (LC50 = 75.0 mg/L) toward A. aegypti larvae, while derivative 3 was inactive. These results suggest a novel application for these natural quassinoids as larvicides. The toxicity toward A. franciscana could be correlated with the activity in several biological models, a finding that is in agreement with the literature. Importantly, none of the studied compounds exhibited in vitro haemolytic activity, suggesting specificity of the observed cytotoxic effects. This study reveals the biological potential of quassinoids 1 and 2 and to a lesser extent their semi-synthetic derivatives for their in vitro antimalarial and cytotoxic activities.

Avaliação da utilização de colesterol exógeno por Leishmania amazonensis como possível alvo farmacológico / Evaluation of the use of exogenous cholesterol by Leishmania amazonensis as possible pharmacological target

Todos os fármacos atualmente em uso para o tratamento da leishmaniose apresentam restrições, como toxicidade, graves efeitos colaterais, custo elevado, administração parenteral ou teratogenicidade. Desta forma, o desenvolvimento de fármacos mais eficazes e seletivos é de suma importância e a identificação de vias metabólicas exclusivas do parasito que possam ser usadas como alvo pode ser um ponto de partida interessante. Acredita-se que a leishmania não dependa da utilização do colesterol exógeno para sua sobrevivência, uma vez que sintetiza seus próprios esteróis. Porém, apesar disso, um percentual expressivo de colesterol é encontrado em suas membranas sendo, em alguns casos, o esterol majoritário indicando um papel biológico para essa molécula. O presente trabalho visa estudar a importância para a L. amazonensis da utilização do colesterol proveniente do soro, em diversas situações, avaliando o potencial desse sistema como um possível alvo farmacológico. A atividade dos inibidores da biossíntese do ergosterol (cetoconazol, miconazol, terbinafina e sinvastatina) foi avaliada, na presença de soro normal ou deslipidado. Foi observada que a privação das lipoproteínas do soro potencializa o efeito dos inibidores do ergosterol. Os promastigotas tratados com esses inibidores mostraram diferenças na sua composição lipídica, com acúmulo de colesterol nas células tratadas, principalmente, com cetoconazol e miconazol, indicando um possível mecanismo de compensação da leishmania, para suprir a inibição do ergosterol. Experimentos com LDL-I125, no qual tanto a leishmania tratada com cetoconazol, quanto a tratada com sinvastatina, que inibe o início da via de biossíntese de ergosterol, aumentaram a captação da LDL. A suramina, um inibidor da captação de LDL, mostrou uma diminuição do conteúdo de colesterol da leishmania e, em associação com a sinvastatina, obteve um efeito sinérgico, mostrando que o conteúdo da LDL, principalmente colesterol, pode estar envolvido na manutenção da integridade da membrana da célula. Em adição, a resistência ao cetoconazol induzida in vitro foi estudada. Foi observada uma relação direta entre o aumento da expressão gênica da C14-desmetilase com o nível de resistência induzido em promastigotas de L. amazonensis, sugerindo que esse seja o principal mecanismo de resistência a essa classe de fármacos. De uma maneira geral, a análise dos resultados como um todo sugere que o colesterol desempenhe um importante papel na atividade dos inibidores da biossíntese do ergosterol e que o bloqueio da sua utilização pode ser um possível alvo farmacológico.

In vitro inhibition of Plasmodium falciparum by substances isolated from Amazonian antimalarial plants

In the present study, a quassinoid, neosergeolide, isolated from the roots and stems of Picrolemma sprucei (Simaroubaceae), the indole alkaloids ellipticine and aspidocarpine, isolated from the bark of Aspidosperma vargasii and A. desmanthum (Apocynaceae), respectively, and 4-nerolidylcatechol, isolated from the roots of Pothomorphe peltata (Piperaceae), all presented significant in vitro inhibition (more active than quinine and chloroquine) of the multi-drug resistant K1 strain of Plasmodium falciparum. Neosergeolide presented activity in the nanomolar range. This is the first report on the antimalarial activity of these known, natural compounds. This is also the first report on the isolation of aspidocarpine from A. desmanthum. These compounds are good candidates for pre-clinical tests as novel lead structures with the aim of finding new antimalarial prototypes and lend support to the traditional use of the plants from which these compounds are derived.

The search for new antimalarial drugs from plants used to treat fever and malaria or plants ramdomly selected: a review

In this review we discuss the ongoing situation of human malaria in the Brazilian Amazon, where it is endemic causing over 610,000 new acute cases yearly, a number which is on the increase. This is partly a result of drug resistant parasites and new antimalarial drugs are urgently needed. The approaches we have used in the search of new drugs during decades are now reviewed and include ethnopharmocology, plants randomly selected, extracts or isolated substances from plants shown to be active against the blood stage parasites in our previous studies. Emphasis is given on the medicinal plant Bidens pilosa, proven to be active against the parasite blood stages in tests using freshly prepared plant extracts. The anti-sporozoite activity of one plant used in the Brazilian endemic area to prevent malaria is also described, the so called "Indian beer" (Ampelozizyphus amazonicus, Rhamnaceae). Freshly prepared extracts from the roots of this plant were totally inactive against blood stage parasites, but active against sporozoites of Plasmodium gallinaceum or the primary exoerythrocytic stages reducing tissue parasitism in inoculated chickens. This result will be of practical importance if confirmed in mammalian malaria. Problems and perspectives in the search for antimalarial drugs are discussed as well as the toxicological and clinical trials to validate some of the active plants for public health use in Brazil