PMID- 36743305 OWN - NLM STAT- MEDLINE DCOM- 20230207 LR - 20230306 IS - 2235-2988 (Electronic) IS - 2235-2988 (Linking) VI - 13 DP - 2023 TI - Low doses of 3-phenyl-lawsone or meglumine antimoniate delivery by tattooing route are successful in reducing parasite load in cutaneous lesions of Leishmania (Viannia) braziliensis-infected hamsters. PG - 1025359 LID - 10.3389/fcimb.2023.1025359 [doi] LID - 1025359 AB - Current therapeutic ways adopted for the treatment of leishmaniasis are toxic and expensive including parasite resistance is a growing problem. Given this scenario, it is urgent to explore treatment alternatives for leishmaniasis. The aim of this study was to evaluate the effect of 3-phenyl-lawsone (3-PL) naphthoquinone on Leishmania (Viannia) braziliensis infection, both in vitro and in vivo, using two local routes of administration: subcutaneous (higher dose) and tattoo (lower dose). In vitro 3-PL showed low toxicity for macrophages (CC(50) >3200 microM/48h) and activity against intracellular amastigotes (IC(50) = 193 +/- 19 microM/48h) and promastigotes (IC(50) = 116 +/- 26 microM/72h), in which induced increased ROS generation. Additionally, 3-PL up-regulated the production of cytokines such as tumor necrosis factor alpha (TNF-alpha), monocyte chemotactic protein 1 (MCP-1), interleukin-6 (IL-6) and IL-10 in infected macrophages. However, the anti-amastigote action was independent of nitric oxide production. Treatment of hamsters infected with L. (V.) braziliensis from one week after infection with 3-PL by subcutaneous (25 microg/Kg) or tattooing (2.5 microg/Kg) route, during 3 weeks (3 times/week) or 2 weeks (2 times/week) significantly decreased the parasite load (p<0.001) in the lesion. The reduction of parasite load by 3-PL treatment was comparable to reference drug meglumine antimoniate administered by the same routes (subcutaneous 1mg/Kg and tattoo 0.1mg/Kg). In addition, treatment started from five weeks after infection with 3-PL per tattoo also decreased the parasite load. These results show the anti-leishmanial effect of 3-PL against L. (V.) braziliensis and its efficacy by subcutaneous (higher dose) and tattoo (lower dose) routes. In addition, this study shows that drug delivery by tattooing the lesion allows the use of lower doses than the conventional subcutaneous route, which may support the development of a new therapeutic strategy that can be adopted for leishmaniasis. CI - Copyright (c) 2023 Meira, Gomes, Schaeffer, Da Silva, Brito, Siqueira, Inacio, Almeida-Amaral, Da-Cruz, Bezerra-Paiva, Neves, Rodrigues, Dutra, Costa, da Silva and Da-Silva. FAU - Meira, Rafaella de Miranda Villarim AU - Meira RMV AD - Laboratorio de Imunofarmacologia Parasitaria, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil. FAU - Gomes, Sara Lins da Silva AU - Gomes SLDS AD - Laboratorio de Catalise Organica, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil. FAU - Schaeffer, Edgar AU - Schaeffer E AD - Laboratorio de Catalise Organica, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil. FAU - Da Silva, Thayssa AU - Da Silva T AD - Laboratorio de Imunofarmacologia Parasitaria, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil. FAU - Brito, Andreia Carolinne de Souza AU - Brito ACS AD - Laboratorio de Imunofarmacologia Parasitaria, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil. FAU - Siqueira, Larissa Moreira AU - Siqueira LM AD - Laboratorio de Imunofarmacologia Parasitaria, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil. FAU - Inacio, Job Domingos AU - Inacio JD AD - Laboratorio de Bioquimica de Tripanosomatideos, Fundacao Oswaldo Cruz, Rio de Janeiro, Brazil. FAU - Almeida-Amaral, Elmo Eduardo AU - Almeida-Amaral EE AD - Laboratorio de Bioquimica de Tripanosomatideos, Fundacao Oswaldo Cruz, Rio de Janeiro, Brazil. FAU - Da-Cruz, Alda Maria AU - Da-Cruz AM AD - Disciplina de Parasitologia, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil. AD - Laboratorio Interdisciplinar de Pesquisas Medicas, Fundacao Oswaldo Cruz, Rio de Janeiro, Brazil. FAU - Bezerra-Paiva, Milla AU - Bezerra-Paiva M AD - Laboratorio Interdisciplinar de Pesquisas Medicas, Fundacao Oswaldo Cruz, Rio de Janeiro, Brazil. FAU - Neves, Renata Heisler AU - Neves RH AD - Laboratorio de Helmintologia Romero Lascasas Porto, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil. FAU - Rodrigues, Luciana Silva AU - Rodrigues LS AD - Laboratorio de Imunopatologia, Faculdade de Ciencias Medicas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil. FAU - Dutra, Patricia Maria Lourenco AU - Dutra PML AD - Laboratorio de Imunologia do Exercicio, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil. FAU - Costa, Paulo Roberto Ribeiro AU - Costa PRR AD - Laboratorio de Quimica Bioorganica, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil. FAU - da Silva, Alcides Jose Monteiro AU - da Silva AJM AD - Laboratorio de Catalise Organica, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil. FAU - Da-Silva, Silvia Amaral Goncalves AU - Da-Silva SAG AD - Laboratorio de Imunofarmacologia Parasitaria, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230119 PL - Switzerland TA - Front Cell Infect Microbiol JT - Frontiers in cellular and infection microbiology JID - 101585359 RN - 75G4TW236W (Meglumine Antimoniate) RN - TLH4A6LV1W (lawsone) RN - 0 (Antiprotozoal Agents) RN - 0 (Naphthoquinones) SB - IM MH - Cricetinae MH - Animals MH - Meglumine Antimoniate/pharmacology/therapeutic use MH - *Leishmania braziliensis MH - *Tattooing MH - *Antiprotozoal Agents/pharmacology/therapeutic use MH - *Leishmaniasis, Cutaneous/drug therapy/parasitology MH - *Naphthoquinones/pharmacology/therapeutic use MH - Parasite Load PMC - PMC9892647 OTO - NOTNLM OT - 3-phenyl-lawsone OT - Leishmania (Viannia) braziliensis OT - chemotherapy OT - hamster-model OT - subcutaneous OT - tattooing COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/02/07 06:00 MHDA- 2023/02/08 06:00 PMCR- 2023/01/01 CRDT- 2023/02/06 03:52 PHST- 2022/08/22 00:00 [received] PHST- 2023/01/02 00:00 [accepted] PHST- 2023/02/06 03:52 [entrez] PHST- 2023/02/07 06:00 [pubmed] PHST- 2023/02/08 06:00 [medline] PHST- 2023/01/01 00:00 [pmc-release] AID - 10.3389/fcimb.2023.1025359 [doi] PST - epublish SO - Front Cell Infect Microbiol. 2023 Jan 19;13:1025359. doi: 10.3389/fcimb.2023.1025359. eCollection 2023.