Navegando por Autor "Soeiro, Maria de Nazaré Correia"

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Avaliação da atividade anti-Trypanosoma cruzi in vitro e in vivo da miltefosina em combinação com compostos nitro-heterocíclicos e com derivados azólicos.
(2019) Mota, Suianne Letícia Antunes; Bahia, Maria Terezinha; Bahia, Maria Terezinha; Reis, Alexandre Barbosa; Diniz, Lívia de Figueiredo; Soeiro, Maria de Nazaré Correia; Mosqueira, Vanessa Carla Furtado
A terapia combinada e o reposicionamento de fármacos ganharam atenção como uma possível estratégia para superar as deficiências do atual arsenal terapêutico para a doença de Chagas. O objetivo deste estudo foi avaliar o efeito anti-Trypanosoma cruzi da miltefosina em associação com compostos nitroheterocíclicos (benznidazol e metabólito sulfona do fexinidazol) e com derivados azólicos (posaconazol e ravuconazol). Para evitar efeitos tóxicos a citotoxicidade dos compostos (isolados ou combinados) para as linhagens celulares H9c2 e J774 foi avaliada. Não foi observada citotoxicidade destes compostos para as células hospedeiras nas concentrações próximas ao IC90 de cada fármaco isolado ou em combinação. Em seguida, o efeito in vitro da miltefosina em combinação com compostos nitro- heterocíclicos ou derivados azólicos contra amastigotas das cepas Y e colombiana foi avaliado em um ensaio de 72h, utilizando as mesmas linhagens celulares. Não foi observada uma marcante influência da cepa do parasito nos valores de IC50 ou IC90 para miltefosina e para os compostos nitro-heterocíclicos, sendo o valor de IC50 no máximo 3,4 vezes maior quando células H9c2 foram infectadas pela cepa colombiana e o IC90 no máximo 2.0 vezes. De forma diferente, os valores de IC50 do ravuzonazol e do posaconazol foram 23 e 11,7 vezes maiores para a cepa colombiana, em relação à cepa Y, respectivamente. Os valores de IC90 foram 4.26 e 7.66 vezes maiores para a cepa colombiana quando as células infectadas foram tratadas com ravuconazol e posaconazol, respectivamente. Os valores de IC50 e IC90 não foram influenciados pela célula hospedeira. As interações foram classificadas como aditivas para todas as combinações de drogas avaliadas (somas das concentrações inibitórias fracionárias - ∑ICF> 0,5). No entanto, é importante notar que os valores de ΣFIC para as combinações miltefosina/compostos nitro-heterocíclicos foram sempre <1,0. Diferentemente, os resultados de ΣFIC>1 foram observados na maioria dos experimentos realizados com miltefosina/derivados azólicos. Não foi observada a influência da cepa do parasito ou da célula hospedeira no tipo de interação entre os diferentes compostos. Em seguida, camundongos infectados pela cepa Y foram tratados com 10 doses de 40 mg/kg de miltefosina administradas em dias consecutivos ou alternados e com 20 doses de 50 e 100mg/kg de benznidazol administradas em dias consecutivos. Os fármacos foram administrados em monoterapia e em combinação nas mesmas doses. O tratamento com miltefosina e benznidazol a 50mg/kg em monoterapia levaram à supressão transitória da parasitemia. Os mesmos resultados podem ser observados entre animais tratados com 40mg/kg de miltefosina (dias consecutivos) em combinação com 50mg/kg de benznidazol. No entanto, o tratamento com a mesma dose de miltefosina, administrada em dias alternados, e 50mg/kg de benznidazol foi capaz de curar 62,5% dos animais. A administração de uma dose mais elevada de benznidazol (100mg/kg) e 40mg/kg de miltefosina aumenta significativamente a taxa de cura: 87,5% entre camundongos tratados com miltefosina em dias consecutivos e 100% naqueles que receberam o fármaco em dias em dias alternados. Estes resultados mostram uma interação positiva entre a miltefosina e o benznidazol. No entanto é necessário a avaliação da sua eficácia contra a infecção induzida por outras cepas do parasito, bem como no tratamento da fase crônica da infecção.
In vitro and in vivo experimental models for drug screening and development for Chagas disease.
(2010) Romanha, Alvaro José; Castro, Solange Lisboa de; Soeiro, Maria de Nazaré Correia; Vieira, Joseli Lannes; Ribeiro, Isabela; Silva, André Talvani Pedrosa da; Bourdin, Bernadette; Blum, Bethania; Olivieri, Bianca; Zani, Carlos Leomar; Spadafora, Carmenza; Chiari, Egler; Chatelain, Eric; Chaves, Gabriela; Calzada, José Eduardo; Bustamante, Juan Manuel; Freitas Junior, Lucio Holanda Godim de; Romero, Luz I.; Bahia, Maria Terezinha; Lotrowska, Michel; Soares, Milena Botelho Pereira; Andrade, Sonia Gumes; Lotrowska, Tanya; Degrave, Wim; Andrade, Zilton de Araújo
Chagas disease, a neglected illness, affects nearly 12-14 million people in endemic areas of Latin America. Al¬though the occurrence of acute cases sharply has declined due to Southern Cone Initiative efforts to control vector transmission, there still remain serious challenges, including the maintenance of sustainable public policies for Chagas disease control and the urgent need for better drugs to treat chagasic patients. Since the introduction of benznidazole and nifurtimox approximately 40 years ago, many natural and synthetic compounds have been as¬sayed against Trypanosoma cruzi, yet only a few compounds have advanced to clinical trials. This reflects, at least in part, the lack of consensus regarding appropriate in vitro and in vivo screening protocols as well as the lack of biomarkers for treating parasitaemia. The development of more effective drugs requires (i) the identification and validation of parasite targets, (ii) compounds to be screened against the targets or the whole parasite and (iii) a panel of minimum standardised procedures to advance leading compounds to clinical trials. This third aim was the topic of the workshop entitled Experimental Models in Drug Screening and Development for Chagas Disease, held in Rio de Janeiro, Brazil, on the 25th and 26th of November 2008 by the Fiocruz Program for Research and Technological Development on Chagas Disease and Drugs for Neglected Diseases Initiative. During the meeting, the minimum steps, requirements and decision gates for the determination of the efficacy of novel drugs for T. cruzi control were evaluated by interdisciplinary experts and an in vitro and in vivo flowchart was designed to serve as a general and standardised protocol for screening potential drugs for the treatment of Chagas disease.
Phenotypic screening of novel aromatic amidines against Trypanosoma cruzi.
(2016) Silva, Marianne Rocha Simões; Gama, Aline Nefertiti Silva da; Araújo, Julianna Siciliano de; Batista, Marcos Meuser; Silva, Patrícia Bernardino da; Bahia, Maria Terezinha; Barreto, Rubem Figueiredo Sadok Menna; Pavão., Beatriz Philot; Green, Julius; Farahay, Abdelbaset A.; Kumar, Arvind; Boykin, David Wilson; Soeiro, Maria de Nazaré Correia
The current treatment of Chagas disease (CD), based on nifurtimox and benznidazole (Bz), is unsatisfactory. In this context, we performed the phenotypic in vitro screening of novel mono- and diamidines and drug interaction assays with selected compounds. Ten novel amidines were tested for their activities against bloodstream trypomastigote (BT) and amastigote forms of Trypanosoma cruzi (Y and Tulahuen strains) and their toxicities for mammalian host cells (L929 cells and cardiac cells). Seven of 10 molecules were more active than Bz against BT, with the most active compound being the diamidine DB2267 (50% effective concentration [EC50] 0.23 M; selectivity index 417), which was 28-fold more active and about 3 times more selective than the standard drug. Five of the six monoamidines were also more active than Bz. The combination of DB2267 and DB2236 in fixed-ratio proportions showed an additive effect (sum of fractional inhibitory concentrations<4) on BT. Interestingly, when intracellular forms were exposed to DB2267, its activity was dependent on the parasite strain, being effective (EC50 0.87 0.05 M) against a discrete typing unit (DTU) II strain (strain Y) but not against a representative DTU VI strain (strain Tulahuen) even when different vehicles ( -cyclodextrin and dimethyl sulfoxide) were used. The intrinsic fluorescence of several diamidines allowed their uptake to be studied. Testing of the uptake of DB2236 (inactive) and DB2267 (active) by amastigotes of the Y strain showed that the two compounds were localized intracellularly in different compartments: DB2236 in the cytoplasm and DB2267 in the nucleus. Our present data encourage further studies regarding the activities of amidines and provide information which will help with the identification of novel agents for the treatment of CD.
Repurposing strategies for Chagas disease therapy : the effect of imatinib and derivatives against Trypanosoma cruzi.
(2019) Silva, Marianne Rocha Simões; Araújo, Julianna Siciliano de; Peres, Raiza Brandão; Silva, Patrícia Bernardino da; Batista, Marcos Meuser; Azevedo, Liviane Dias de; Bastos, Mônica Macedo; Bahia, Maria Terezinha; Boechat, Núbia; Soeiro, Maria de Nazaré Correia
Chagas disease (CD) is a neglected parasitic condition endemic in the Americas caused by Trypanosoma cruzi. Patients present an acute phase that may or not be symptomatic, followed by lifelong chronic stage, mostly indeterminate, or with cardiac and/or digestive progressive lesions. Benznidazole (BZ) and nifurtimox are the only drugs approved for treatment but not effective in the late chronic phase and many strains of the parasite are naturally resistant. New alternative therapy is required to address this serious public health issue. Repositioning and combination represent faster, and cheaper trial strategies encouraged for neglected diseases. The effect of imatinib (IMB), a tyrosine kinase inhibitor designed for use in neoplasias, was assessed in vitro on T. cruzi and mammalian host cells. In comparison with BZ, IMB was moderately active against different strains and forms of the parasite. The combination IMB + BZ in fixed-ratio proportions was additive. Novel 14 derivatives of IMB were screened and a 3,2-difluoro-2-phenylacetamide (3e) was as potent as BZ on T. cruzi but had low selectivity index. The results demonstrate the importance of phenotypic assays, encourage the improvement of IMB derivatives to reach selectivity and testify to the use of repurposing and combination in drug screening for CD.