Enfermedad de Chagas, alternativas emergentes para la búsqueda de tratamientos tripanocidas
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Enfermedad de Chagas, Trypanosoma cruzi, tratamiento, productos naturales, reposicionamiento de fármacosResumo
Trypanosoma cruzi es el agente etiológico de la enfermedad de Chagas también conocida como tripanosomiasis americana, enfermedad que hace parte del grupo de enfermedades tropicales desatendidas. El tratamiento de la infección se basa únicamente en dos fármacos: Nifurtimox y Benznidazol. Ambos fármacos son controvertidos debido a que presentan varios problemas asociados a la toxicidad del medicamento, al tiempo de tratamiento y a la presencia de aislados con diferente grado de susceptibilidad, entre otras. Por tanto, se hace necesario la búsqueda de nuevas alternativas para el tratamiento de la ECh. Aproximaciones como el uso de productos naturales etnobotánicos y el reposicionamiento de fármacos ya existentes, pueden ser fuente de nuevas alternativas para el desarrollo a futuro de tratamientos que sean inocuos y efectivos. Esta revisión proporciona las principales características de la enfermedad de Chagas. Adicionalmente, presenta dos aproximaciones metodológicas para la búsqueda de nuevos compuestos tripanocidas.
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Referências
Alrajhi, A. A., Ibrahim, E. A., De Vol, E. B., Khairat, M., Faris, R. M., & Maguire, J. H. (2002). Fluconazole for the Treatment of Cutaneous Leishmaniasis Caused by Leishmania major . New England Journal of Medicine, 346(12), 891–895. https://doi.org/10.1056/nejmoa011882
Beer, M. F., Frank, F. M., Germán Elso, O., Ernesto Bivona, A., Cerny, N., Giberti, G., Luis Malchiodi, E., Susana Martino, V., Alonso, M. R., Patricia Sülsen, V., & Cazorla, S. I. (2016). Trypanocidal and leishmanicidal activities of flavonoids isolated from Stevia satureiifolia var. satureiifolia. Pharmaceutical Biology, 54(10), 2188–2195. https://doi.org/10.3109/13880209.2016.1150304
Bern, C. (2015). Chagas’ Disease. New England Journal of Medicine, 373(5), 456–466. https://doi.org/10.1056/NEJMra1410150
Bern, C., Montgomery, S. P., Herwaldt, B. L., Marin-neto, J. A., Maguire, J. H., Acquatella, H., Morillo, C., Gilman, R. H., Reyes, P. A., & Salvatella, R. (2007). Evaluation and Treatment of Chagas Disease in the United States A Systematic Review. Clinical Review, 298(18), 2171–2181. https://academic.oup.com/cid/article-lookup/doi/10.1086/605091
Bonney, K. M., Luthringer, D. J., Kim, S. A., Garg, N. J., & Engman, D. M. (2019). Pathology and pathogenesis of Chagas heart disease. Annu. Rev. Pathol. Mech. Dis., 14, 421–447.
Burki, T. (2011). Production of drugs for Chagas disease predicted to fall short. The Lancet Infectious Diseases, 11(12), 901–902. https://doi.org/10.1016/S1473-3099(11)70327-9
Bustamante, J. M., & Tarleton, R. L. (2014). Potential new clinical therapies for Chagas disease. Expert Review of Clinical Pharmacology, 7(3), 317–325. https://doi.org/10.1586/17512433.2014.909282
Castro, J. A., deMecca, M. M., & Bartel, L. C. (2006). Toxic Side Effects of Drugs Used to Treat Chagas’ Disease (American Trypanosomiasis). Human & Experimental Toxicology, 25(8), 471–479. https://doi.org/10.1191/0960327106het653oa
De Mesquita, M. L., Desrivot, J., Bories, C., Fournet, A., De Paula, J. E., Grellier, P., & Espindola, L. S. (2005). Antileishmanial and trypanocidal activity of Brazilian Cerrado plants. Memorias Do Instituto Oswaldo Cruz, 100(7), 783–787. https://doi.org/10.1590/S0074-02762005000700019
Dias, J. C. P., Coura, J. R., & Yasuda, M. A. S. (2014). The present situation, challenges, and perspectives regarding the production and utilization of effective drugs against human Chagas disease. In Revista da Sociedade Brasileira de Medicina Tropical (Vol. 47, Issue 1). https://doi.org/10.1590/0037-8682-0248-2013
Frank, F. M., Ulloa, J., Cazorla, S. I., Maravilla, G., Malchiodi, E. L., Grau, A., Martino, V., Catalán, C., & Muschietti, L. V. (2013). Trypanocidal activity of Smallanthus sonchifolius: Identification of active sesquiterpene lactones by bioassay-guided fractionation. Evidence-Based Complementary and Alternative Medicine. https://doi.org/10.1155/2013/627898
Kessler, R. L., Soares, M. J., Probst, C. M., Auré, M., Krieger, L., & Goldberg, A. C. (2013). Trypanosoma cruzi Response to Sterol Biosynthesis Inhibitors: Morphophysiological Alterations Leading to Cell Death. PLoS ONE, 8(1). https://doi.org/10.1371/journal.pone.0055497
Lidani, K. C. F., Andrade, F. A., Bavia, L., Damasceno, F. S., Beltrame, M. H., Messias-Reason, I. J., & Sandri, T. L. (2019). Chagas Disease: From Discovery to a Worldwide Health Problem. Frontiers in Public Health, 7(July), 1–13. https://doi.org/10.3389/fpubh.2019.00166
Lionta, E., Spyrou, G., Vassilatis, D. K., & Cournia, Z. (2014). Structure-based virtual screening for drug discovery: principles, applications and recent advances. Current Topics in Medicinal Chemistry, 14(16), 1923–1938. https://doi.org/10.2174/1568026614666140929124445
Lopera Valle, J. S., Rojas Jiménez, S., & Mejía Ochoa, M. (2013). Actividad tripanocida de plantas latinoamericanas, una futura alternativa terapéutica para la Enfermedad de Chagas. Rev. Ibero-Latinoam. Parasitol., 72(72), 22–30.
Manne-Goehler, J., Umeh, C. A., Montgomery, S. P., & Wirtz, V. J. (2016). Estimating the Burden of Chagas Disease in the United States. PLoS Neglected Tropical Diseases, 10(11), 1–7. https://doi.org/10.1371/journal.pntd.0005033
Marín, C., Ramírez-Macías, I., López-Céspedes, A., Olmo, F., Villegas, N., Díaz, J. G., Rosales, M. J., Gutiérrez-Sánchez, R., & Sánchez-Moreno, M. (2011). In vitro and in vivo trypanocidal activity of flavonoids from Delphinium staphisagria against chagas disease. Journal of Natural Products, 74(4), 744–750. https://doi.org/10.1021/np1008043
Mejía-Jaramillo, A. M., Fernández, G. J., Montilla, M., Nicholls, R. S., & Triana-Chávez, O. (2012). Sensibilidad al benzonidazol de cepas de Trypanosoma cruzi sugiere la circulación de cepas naturalmente resistentes en Colombia. Biomédica, Revista Del Instituto Nacional de Salud., 32(2), 196–205. https://doi.org/10.1590/S0120-41572012000300007
Momeni, A. Z., Aminjavaheri, M., & Omidghaemi, M. R. (2003). Treatment of cutaneous leishmaniasis with ketoconazole cream. Journal of Dermatological Treatment, 14(1), 26–29. https://doi.org/10.1080/09546630305552
Ndjonka, D., Rapado, L. N., Silber, A. M., Liebau, E., & Wrenger, C. (2013). Natural products as a source for treating neglected parasitic diseases. In International Journal of Molecular Sciences (Vol. 14, Issue 2). https://doi.org/10.3390/ijms14023395
Nosengo, N. (2016). New tricks for old drugs. Nature, 534(7607), 314–316. https://doi.org/10.1038/534314a
Ogungbe, I. V., & Setzer, W. N. (2016). The Potential of Secondary Metabolites from Plants as Drugs or Leads against Protozoan Neglected Diseases-Part III: In-Silico Molecular Docking Investigations. Molecules, 21(10), 1–48. https://doi.org/10.3390/molecules21101389
Patterson, S., & Wyllie, S. (2014). Nitro drugs for the treatment of trypanosomatid diseases: Past, present, and future prospects. Trends in Parasitology, 30(6), 289–298. https://doi.org/10.1016/j.pt.2014.04.003
Pérez-Molina, J. A., & Molina, I. (2017). Chagas disease. The Lancet, 6736(17), 1–13. https://doi.org/10.1016/S0140-6736(17)31612-4
Pérez-Molina, J. A., & Molina, I. (2018). Chagas disease. The Lancet, 391(10115), 82–94. https://doi.org/10.1016/S0140-6736(17)31612-4
Pushpakom, S., Iorio, F., Eyers, P. A., Escott, K. J., Hopper, S., Wells, A., Doig, A., Guilliams, T., Latimer, J., McNamee, C., Norris, A., Sanseau, P., Cavalla, D., & Pirmohamed, M. (2019). Drug repurposing: progress, challenges and recommendations. Nature Reviews. Drug Discovery, 18(1), 41–58. https://doi.org/10.1038/nrd.2018.168
Rassi, A., Rassi, A., & Marcondes de Rezende, J. (2012). American Trypanosomiasis (Chagas Disease). Infectious Disease Clinics of North America, 26(2), 275–291. https://doi.org/10.1016/j.idc.2012.03.002
Rassi, A., Rassi, A., & Marin-Neto, J. A. (2010). Chagas disease. The Lancet, 375(9723), 1388–1402. https://doi.org/10.1016/S0140-6736(10)60061-X
Ribeiro, A. L., Nunes, M. P., Teixeira, M. M., & Rocha, M. O. C. (2012). Diagnosis and management of Chagas disease and cardiomyopathy. Nature Reviews Cardiology, 9(10), 576–589. https://doi.org/10.1038/nrcardio.2012.109
Rodriguez, J. B., Falcone, B. N., & Szajnman, S. H. (2016). Detection and treatment of Trypanosoma cruzi: a patent review (2011-2015). Expert Opinion on Therapeutic Patents, 26(9), 993–1015. https://doi.org/10.1080/13543776.2016.1209487
Sánchez-Valdéz, F. J., Padilla, A., Wang, W., Orr, D., & Tarleton, R. L. (2018). Spontaneous dormancy protects Trypanosoma cruzi during extended drug exposure. ELife, 7, e34039. https://doi.org/10.7554/eLife.34039
Shikanai-Yasuda, M. A., & Carvalho, N. B. (2012). Oral transmission of chagas disease. Clinical Infectious Diseases, 54(6), 845–852. https://doi.org/10.1093/cid/cir956
Sülsen, V. P., Puente, V., Papademetrio, D., Batlle, A., Martino, V. S., Frank, F. M., & Lombardo, M. E. (2016). Mode of action of the sesquiterpene lactones psilostachyin and psilostachyin C on Trypanosoma cruzi. PLoS ONE, 11(3), 1–14. https://doi.org/10.1371/journal.pone.0150526
Sundar, S., & Jaya, C. (2010). Liposomal amphotericin B and leishmaniasis: Dose and response. Journal of Global Infectious Diseases, 2(2), 159–166. https://doi.org/10.4103/0974-777x.62886
Trochine, A., Creek, D. J., Faral-Tello, P., Barrett, M. P., & Robello, C. (2014). Benznidazole Biotransformation and Multiple Targets in Trypanosoma cruzi Revealed by Metabolomics. PLoS Neglected Tropical Diseases, 8(5). https://doi.org/10.1371/journal.pntd.0002844
Urbina, J. A. (2010). Specific chemotherapy of Chagas disease: Relevance, current limitations and new approaches. Acta Tropica, 115(1–2), 55–68. https://doi.org/10.1016/j.actatropica.2009.10.023
Urbina, J. A. (2015). Recent clinical trials for the etiological treatment of chronic chagas disease: Advances, challenges and perspectives. Journal of Eukaryotic Microbiology, 62(1), 149–156. https://doi.org/10.1111/jeu.12184
Valencia, L., Muñoz, D. L., Robledo, S. M., & Echeverri, F. (2011). Actividad tripanocida y citotóxica de extractos de plantas Colombianas. Biomédica, 31, 552–559. https://doi.org/10.1590/S0120-41572011000400010
Willett, P. (2006). Similarity-based virtual screening using 2D fingerprints. Drug Discovery Today, 11(23), 1046–1053. https://doi.org/10.1016/j.drudis.2006.10.005
World Health Organization. (2015). Weekly epidemiological record (WER). Who, 90(6), 33–40. https://doi.org/10.1016/j.actatropica.2012.04.013.
World Health Organization. (2021). Chagas disease (also known as American tripanosomiasis) fact sheet, 1 April 2021.
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Copyright (c) 2021 Daniel Andrés Pardo Rodríguez, Jorge Eliecer Robles Camargo, Claudia Liliana Cuervo Patiño
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