Luis José López-Méndeza,
Francisca Palomares-Alonsob,
Iliana González-Hernándezb,
Helgi Jung-Cookbc,
Neyra Citlali Cabrera-Quiñonesd and
Patricia Guadarrama*d
aUniversidad Autónoma Metropolitana Unidad Xochimilco, Calzada del Hueso 1100, Villa Quietud, Coyoacán, 04960, CDMX, Mexico
bLaboratorio de Neuropsicofarmacología, Instituto Nacional de Neurología y Neurocirugía, 14269, CDMX, Mexico
cFacultad de Química, Departamento de Farmacia, Universidad Nacional Autónoma de México, 04510, CDMX, Mexico
dInstituto de Investigaciones en Materiales, Universidad Nacional Autónoma de México, 04510, CDMX, Mexico. E-mail: patriciagua@materiales.unam.mx
First published on 17th August 2022
The improvement of permeation of drugs across parasites' membranes to promote their diffusion component represents a challenge to achieve better therapeutic effects, including the avoidance of drug resistance. In the context of medicinal chemistry, suitable structural modifications can be made, either on a drug or a nanocarrier, to trigger different mechanisms that promote the influx across membranes. This study aimed to demonstrate the potential of a set of dendritic derivatives of β-cyclodextrin (m2G, h2G, and m3G) as nanocarriers, based on their physicochemical and biological behavior in terms of (i) stability, monitored by 1H NMR at pH 7 for seven days, (ii) ability to complex, and subsequently release around 50–80% of the cargo molecule (albendazole) in a biphasic medium and (iii) the absence of in vitro cysticidal effect in cysticercus cultures. The albendazole/nanocarrier inclusion complexes (ICs) were proved in the T. crassiceps model. According to the EC50 values related to the cysticidal activity of albendazole, either free or complexed, the potency of this drug in the ICs experienced a significant increase, which may be attributed to the enhancement of its solubility but also to a better permeation mediated by the amphiphilic dendritic moieties, which ultimately positively impacts the diffusion of this drug through the tegument of the cysticerci. Additional considerations akin to synthetic ease of the dendritic nanocarriers, and production cost, along with the obtained outcomes, allowed us to place m2G followed by m3G as the best options to be considered for further in vivo assays.
For drugs like Albendazole (ABZ), nanocarrier-mediated administration is widely justified since its poor solubility restricts the formulation options.4 ABZ is a broad-spectrum anthelminthic extensively used,5 despite its low aqueous solubility. Due to its physicochemical features, ABZ belongs to class II from biopharmaceutical classification system (BCS).6 This drug requires higher solubility in biological fluids to be absorbed into biological membranes. ABZ frequently fails in treatments of systemic infections such as neurocysticercosis,7 due to its erratic absorption in the gastrointestinal tract.
Diverse molecular nanoplatforms have been proposed to improve the aqueous solubility and bioavailability of ABZ.8–11 Nevertheless, it remains a challenge for materials science since its performance to cross biological membranes has not reached a desirable status.
Combining molecular platforms appears as an interesting strategy to form unconventional nanocarriers with the potential to improve the biopharmaceutical properties of drugs such as ABZ. The resulting materials should meet some requisites like high-water solubility, low cytotoxicity, stability under physiological conditions, high loading capacity, ease to obtain, and low cost.
Two attractive molecular platforms broadly used in the pharmaceutical industry are cyclodextrins (CDs) and dendrimers. CDs are cone-shaped truncated macrocycles, well-known for hosting hydrophobic molecules within their non-polar cavities forming ICs.
Their potential has been widely utilized in the pharmaceutical industry.12–14 Among CDs, βCD with seven glucose units is the most used for its size versatility, innocuity, and low cost.15 Dendrimers, otherwise, are monodisperse structures that have climbed positions towards advanced clinical phases.16
Their “lego-like” construction allows multiple derivatizations, including targeting.17,18 Particularly, polyester-type dendrimers obtained from bis-MPA (2,2-bis(hydroxymethyl)propionic acid) monomer19 have attracted attention for their high-water solubility, biodegradability, biocompatibility, nontoxicity, and low cost of production.20 We recently reported the combination of these two molecular platforms by synthesizing a set of nanocarriers based on polyester dendritic derivatives of βCD.21 Their performance, in terms of drug loading and solubility improvement, was a function of the degree of βCD substitution on its primary face (mono- or hepta-) and the dendron generation (from first to the third generation), taking ABZ as a drug model. The mono-substituted derivatives of the second and third generation, along with the second generation hepta-substituted derivative, shown in Fig. 1 as m2G, h2G, and m3G, exhibited the best compromise between performance and cost, with similar drug loading, around ten times higher, compared with commercial cyclodextrins.22–24 Given the potential of the above-mentioned molecular systems, the purpose of this study was to evaluate relevant physicochemical and in vitro biological aspects to demonstrate their feasibility as nanocarriers and be able to establish the basis to select the most useable one to improve the biopharmaceutical properties of ABZ.
The physicochemical evaluation comprised, in the first place, the stability of m2G, m3G, and h2G at physiological pH (7.4) for seven days, using 1H NMR as a monitoring tool. Similar degradation times have been reported as meaningful for related carrier systems based on bis-MPA dendrons.25 ABZ/nanocarrier interactions were investigated by NMR, following the 1H ABZ signals in ICs formed in situ. The physicochemical information concerning the release behavior of the nanocarriers was appraised by the construction of time-dependent ABZ release profiles, using the data from extraction experiments in a biphasic medium (octanol–water).
Regarding the biological performance of the nanocarriers, we conducted in vitro assays aimed to study their capability to interact with cellular membranes and promote the diffusion of ABZ as drug model. The permeation of the nanocarriers was correlated to the diffusion of ABZ from the ICs in the vesicular fluid of T. crassiceps cysts. The generated outcomes from both physicochemical and biological assays allowed us to demonstrate the role of the dendritic moieties in the improvement of the performance of drugs such as ABZ.
Fig. 2 Stability study at physiological conditions. 1H NMR spectra of m2G, m3G and h2G in DMSO-d6. Comparison between the initial and final time (7 days). |
Under the experimental conditions, nanocarrier m2G exhibited the most noticeable changes in the 1H NMR spectra at around 1.0 ppm, corresponding to the dendritic methyl groups signal, suggesting that the degradation process may begin with the hydrolysis of the peripheral ester bonds at this pH value. The new chemical environment also affected the signals at around 4 ppm, corresponding to the dendritic methylene groups. Previous reports based on MALDI-TOF MS studies demonstrated that the initial step of degradation of polyester dendrimers is the cleavage of the ester bonds, with the loss of fragments corresponding to the benign bis-MPA scaffold.25 Even though only slight broadenings were observed in the NMR signals of m3G and, to a lesser extent, in the case of h2G, they occurred in the same chemical shift regions, thus confirming the ester bonds as the most probable cleavage sites of the structures. The higher degradability of m2G may be related to the fewer number of ester bonds to be cleaved, compared with the other containers with different numbers of ester bonds, proportionally higher.
Fig. 3 1H NMR spectra in DMSO-d6:D2O (3:1) of ABZ in ICs with m2G (ABZ-m2G), m3G (ABZ-m3G) and h2G (ABZ-h2G). |
The chemical shifting of the ABZ signals, as the first evidence of the ABZ inclusion, were registered as Δδ (ppm) as shown in Table 1.
ABZ 1H | Free ABZ | ABZ-m2G | ABZ-m3G | ABZ-h2G |
---|---|---|---|---|
δ | Δδ | Δδ | Δδ | |
H-a | 0.88 | 0.03 | 0.01 | 0.04 |
H-b | 1.48 | −0.04 | 0.03 | −0.02 |
H-c | 2.82 | −0.03 | 0.07 | — |
H-d | 7.39 | −0.1 | 0.11 | 0.03 |
H-e | 7.11 | −0.01 | 0.18 | −0.01 |
H-f | 7.33 | −0.04 | 0.17 | −0.03 |
The magnitude of the calculated Δδ (ppm) resembled the values reported for this type of ICs.26 By analyzing the magnitude of this parameter, particularly for the aromatic protons of ABZ, there are notorious differences that allowed us to characterize the nanocarriers in terms of their performance interacting with this drug. As the ΔδABZ-m3G values for protons d, e, and f are the highest, m3G must complex ABZ more efficiently, in comparison with the other two nanocarriers. Moreover, the sign interpretation of Δδ establishes that a negative value accounts for a shielding effect by electronic currents, resulting in upfield shifts, while positive values correspond to a deshielding scenario that shifts the signals downfield. In this sense, the protons of ABZ in ABZ-m3G complex were deshielding, suggesting predominant participation of the third generation dendrons present in this nanocarrier, during the complexation process, while in the case of the other two nanocarriers, though slight, the shielding of the protons point to more assistance of the βCD cavity to form the ICs.
Bearing in mind the structural variables imposed on nanocarriers, m2G and h2G sharing the same dendritic generation, exhibited similar complexing behavior, regardless of the different degree of substitution (-mono or -hepta). Presumably, the flexibility and the number of interaction sites (e.g., to form hydrogen bonds) of the second generation dendrons are not sufficient to contact with the ABZ molecule, and therefore the participation of βCD is promoted. In the case of m3G, the third-generation dendron seems to have a suitable number interacting groups and the flexibility to “surround” the ABZ molecule in a more efficient manner. This information is relevant in terms of nanocarriers design.
To model release profiles of ABZ, we adapted an extraction system on a biphasic medium (octanol–water), usually applied to obtain partition coefficients,29 incorporating the transference time of the drug between the aqueous and the organic phase as a variable.
The addition of time as a variable during the experiments allowed us to consider dynamics (dissociation-association) involved in these types of supramolecular structures.
As shown in Fig. 4, the total percentage of ABZ extracted from the ICs towards the organic phase varies over time, following different profiles depending on the nanocarrier.
Fig. 4 Release profiles by extraction experiments over time of ABZ on a biphasic medium (octanol–water). Each point represents the mean of percentage of ABZ found in the organic phase ±SD n = 3. |
In all the cases occurred the release of ABZ towards the organic phase, evidencing the functional response of m2G, m3G and h2G as nanocarriers to deliver the drug in a medium emulating the hydrophobicity of cell membranes.
The release profiles for all the ICs after 1 hour allowed us to establish the following order in terms of ABZ release percentage: ABZ-m3G (79.8%) > ABZ-m2G (68.7%) > ABZ-h2G (50.1%).
This result is in line with the observations by 1H NMR revealing specific interactions between ABZ and each nanocarrier. As expected, the particular interactions present in each system promoted a differentiated migration toward the organic phase.30 The mono-substituted nanocarriers m2G and m3G represent a suitable compromise between synthetic effort and release profiles in a time range typical for oral administration (depending on the drug, from 20 minutes to over an hour).
The highest release percentage of m3G might be promoted by the competition of interactions of the third-generation dendron, starting with ABZ, as was circumscribed by NMR, to end with the solvent molecules after solvation in the organic phase.
The nanocarrier h2G exhibited the highest retention of ABZ in the organic phase, supporting the observations by NMR about the predominant role of the βCD cavity, not of the dendrons, complexing this drug and isolating it from the medium.
Taking advantage of the presence of the amphiphilic dendritic moieties on the nanocarriers, we evaluated the assisted diffusion of ABZ contained in ICs (ABZ-m2G, ABZ-m3G and ABZ-h2G) across the tegument of T. crassiceps cysticerci, consisting of outer tegument and inner basement membrane.33
From different incubation times were calculated the percentages of ABZ in vesicular fluid, related to ABZ in the culture medium (Fig. 5).
Even though either free ABZ, or ABZ from the ICs exhibited a rapid diffusion toward vesicular fluid (more than 20% after 15 minutes), as the experiment proceeded, the percentage of diffused ABZ from the ICs was significantly higher (p < 0.05). This tendency was maintained up to 8 hours of incubation, resulting in the following percentages of ABZ found in vesicular fluid: free ABZ (24.65%), ABZ-m2G (45.26%), ABZ-m3G (42.00%), and ABZ-h2G (49.23%). It can be seen that the percentage of ABZ in ABZ-h2G was slightly higher in comparison with the other nanocarriers, however no statistical differences between the ICs were found (p > 0.05).
The enhanced diffusion of ABZ, mediated by the dendritic nanocarriers, may be discussed in terms of the macromolecular therapy concepts. Beyond the evident impact of high molecular weights onto permeation, the covalent construction of m2G, m3G, and h2G guarantees a defined distribution of the neutral hydroxyl groups at the surface that may be benefiting their permeation by precise and collective interactions with biological counterparts, like membranes.34–37
The amphiphilicity of dendritic nanocarriers represents a further contribution to the nanocarriers behavior. Considering that biological membranes are composed of amphiphilic molecules (phospholipids/cholesterol in aqueous media), the hydrophobic/hydrophilic balance of m2G, m3G, and h2G seems to favor their permanence in the environment of the bilayer, either onto the surface or penetrating the cellular membrane.
The transport of ABZ, assisted by the nanocarriers, resulted in a more successful diffusion of this drug.
To quantify the cysticidal effect of ABZ were constructed concentration–response curves for this drug, both free and contented in the ICs (Fig. 7). In all the cases the activity was concentration-dependent.
Fig. 7 Cysticidal activity. Concentration-response curves of free ABZ and ABZ in ICs. Each point represents the mean ± SE. n = 6. |
The EC50 values, either for free or complexed ABZ, were determined and shown in Table 2. These values, related to the drug concentrations required for 50% mortality, demonstrated that the assistance of the dendritic nanocarriers transporting ABZ potentiated its intrinsic activity nearly double.
It is well-known that the poor ABZ aqueous solubility restricts its efficacy. As the diffusive contribution depends on the drug solubility,39,40 the enhancement of the ABZ solubility, in the presence of the dendritic nanocarriers, improved its diffusion through the tegument of the cysts, thus impacting its potency positively. Similar outcomes for ABZ have been reported to improve its solubility-efficacy duo, using different molecular platforms.
The biological response of ABZ in the ICs is also attributable to the permeation increase, as discussed before, which promotes its diffusion more efficiently. Analyzing the dendritic structural parameters of each nanocarrier, all of them are different. With βCD as a constant, each container differs on the number of hydroxyl peripheral groups, and the sterical hindrance imposed by different size generations or degree of substitution on βCD. Despite these differences, a high correlation (R = 0.9787) was observed by plotting the free or complexed ABZ cysticidal efficacy based on EC50 values versus the percentage of this drug found in the vesicular fluid (Fig. 8).
Fig. 8 Indirect carrier structure-ABZ activity relationship. Correlation at 8 h between diffusion and cysticidal activity of ABZ. |
The fact that the three ICs are in a common region on the graph allow us to presume that the sum of the structural effects in each case results in a comparable impact on the cysticidal activity of ABZ. The observed correlation hence may be described as an indirect carrier structure-ABZ activity relationship.
Even though the biological performance of free ABZ was significantly different from ABZ carried in the ICs, the small differences observed for complexed ABZ in the ICs did not allow choosing the best option with this criterion.
In this context, the selection of the most suitable nanocarrier for further in vivo assays might consider other indicators such as the synthetic ease, mainly based on the reaction time, low-cost of production, in terms of quantities of the raw materials, degradability at physiological conditions, and release ability of ABZ. A qualitative ranking of the nanocarriers considering these indicators is provided in Table 3, where a numerical scale (from 1 to 3) were established, where 1 and 3 are the worst and the best qualifications respectively.
Nanocarrier | Synthetic ease | Low-cost production | Degradability | Release of ABZ | Total Score |
---|---|---|---|---|---|
m2G | 3 | 3 | 3 | 2 | 11 |
m3G | 2 | 2 | 2 | 3 | 9 |
h2G | 1 | 1 | 1 | 1 | 4 |
Under these considerations, m2G gathers the most favorable qualification, but the overall performance of m3G also makes it a suitable candidate. Therefore, these two platforms may be the most appropriate for subsequent biological evaluations as ABZ carriers.
Respectively, the experiments of NMR and ILM demonstrated relevant characteristics of the nanocarriers like their degradability under physiological conditions, and their harmless toward the biological model of T. crassiceps cysts.
The NMR tracking of interactions between ABZ and nanocarriers allowed us to suggest different host–guest interactions, depending on the nanocarrier. These observations were in line with the results obtained from the modeled-release experiment, where was evident a differentiated migration toward the organic phase.
The enhanced diffusion of the complexed ABZ crossing the tegument of T. crassiceps cysticerci evidenced the role of the amphiphilic dendrons to mediate the drug passage through cellular membranes. Furthermore, we observed a high correlation between the ABZ diffusion and its cysticidal activity, which is indirectly related to a better permeation promoted by the dendritic nanocarriers.
The EC50 values allowed us to conclude that the potency of free ABZ was the lowest throughout the entire concentration range under study. The ABZ solubility enhancement, along with the improved permeation mediated by the dendritic nanocarriers, resulted in an increase in the cysticidal effect of the complexed ABZ.
Even though in vivo assays are required to confirm the efficacy and safety of the dendritic nanocarriers, the in vitro results place these materials as very promising molecular containers to improve the solubility, permeation, and, consequently, the potency of ABZ or potentially of any other hydrophobic drug.
For in vitro assays was used Dulbecco's modified Eagle's medium–high glucose (DMEM) from Sigma-Aldrich Chemical Co (St. Louis, MO, USA). DMEM was supplemented with 10% fetal calf serum, 2 mM L-glutamine, 8 mg dL−1 of gentamicin sulfate and 200000 IU dL−1 of penicillin G sodium (Gibco, Milpitas, CA, USA). Dimethyl sulfoxide (DMSO; J.T. Baker, Mexico, México; assay 99%) was analytical reagent grade.
Taenia crassiceps cysts T. crassiceps cysticerci (ORF strain) were obtained from female BALB/c mice, experimentally infected according to a procedure previously described.41 Briefly, mice were killed by cervical dislocation and the cysts were extracted from the peritoneal cavity and washed three times with 0.9% sterile saline solution. For the experiments were selected cysts from 2–3 mm, no budding, with a translucent membrane and exhibiting intact bladder surface. The protocol was approved by the Institutional Committee for Handling and Animal Care of Instituto Nacional de Neurología y Neurocirugía (registration number 51/15) and was conducted under the Mexican Official Regulations (NOM-062-ZOO-1999).
Equipment NMR spectra were recorded on Bruker Avance spectrometer (400 MHz for 1H and 100 MHz for 13C) at 25 °C. UV-vis spectra were recorded on a spectrophotometer model UV300 UNICAM with a quartz cell of 1 cm path length. All measurements were carried out at room temperature.
The concentration of ABZ in the vesicular fluid was determined using LC-MS/MS. The system consisted of an Agilent 1100 HPLC (quaternary pump and autosampler) (Palo Alto, CA, USA) coupled to an ABSciex 3200 QTrap linear ion trap quadrupole mass spectrometer (ABSciex, Darmstadt, Germany) with an electrospray ionization (ESI) interface, which was operated in the positive ionization mode. Data acquisition and processing were performed using the Analyst software 1.6.2 version (Applied Biosystems, Foster City, CA, USA), and quantitative analysis was performed using MultiQuant software version 3.0 (Applied Biosystems, Foster City, CA, USA).
Preparation of inclusion complexes (ABZ/nanocarrier) and quantification of ABZ. In a round-bottom flask was dissolved the corresponding nanocarrier (0.045 mmol) in 3 mL of water and were added 0.090 mmol of ABZ to the solution. The resulting suspensions were vigorously stirred at 50 °C for 5 days, and subsequently filtered and lyophilized to obtain the corresponding IC. To quantify the complexed ABZ was prepared a calibration curve from a 7.54 mM stock solution of ABZ in methanol, diluting to obtain 8 points with concentrations in the range 0.02–0.11 mM. These solutions were analyzed by UV-vis at 298 nm. Subsequently, 5.0 mg of each IC were diluted in methanol, in a 5 mL volumetric flask. The resulting solutions were analyzed by UV-vis, and the obtained absorbances were interpolated into the calibration curve (Fig. S1†). The experiment was performed in triplicate for each IC. The amount of ABZ found on each IC was expressed as mg of ABZ per mmol of nanocarrier.
1H NMR study of the ICs formed in situ. The NMR technique, extensively used for studying ICs,43 was chosen to identify interaction sites between nanocarriers and ABZ. 1H NMR experiments were conducted at room temperature. First, a solvent mixture DMSO-d6:D2O in a ratio of 3:1 was prepared and used for the preparation of ABZ and each nanocarrier solutions. The spectrum of free ABZ was acquired from a 2 mM solution, taking 0.5 mL as the initial volume. Thereafter, the addition of a 40 mM solution (0.150 mL) of the corresponding nanocarrier, under vigorous stirring for 1 minute, allowed us the in situ formation of ICs, and their posterior analysis by 1H NMR.
The percentage of ABZ found in the organic phase was calculated with eqn (1).
%ABZ in the organic phase = CABZo*100/CABZi | (1) |
A cumulative percentage of released ABZ in the organic phase was obtained and plotted versus time. The assays were performed in triplicate.
In vitro assay on T. crassiceps cysticerci. The nanocarriers' ability to assist the permeation in the cysticerci was indirectly evaluated by the quantification of ABZ diffused from the ICs to vesicular fluid. To ensure a reliable quantification of ABZ, we used an initial concentration higher than the IC50 value (0.45 μM). A stock solution of ABZ (3.8 mM in DMSO) was serially diluted in distilled water to obtain a working solution of ABZ 3.8 μM in DMEM. The same serial dilutions were performed for ICs in water to achieve an equivalent net concentration of ABZ of 3.8 μM. Cell-culture flasks were carefully filled with 5 mL of either ABZ or ICs solutions. Then, 50 cysts were deposited into each flask and incubated at 37 °C in a 5% CO2 atmosphere, and 98% of relative humidity. The cysts were incubated at 0.25, 1, 2, 4, and 8 h, each one by triplicate.
After incubation, the cysts were washed three times with sterile 0.9% saline solution, placed in Petri dishes and ruptured individually using a needle. The released vesicular fluid from each dish was collected using a Pasteur pipette and transferred to centrifuge tubes to be centrifuged at 3000 rpm for 10 minutes. The supernatant culture medium and the vesicular fluid were stored at −70 °C until analyzed.
Quantification of ABZ in vesicular fluid and culture medium. To quantify the ABZ able to diffuse into the cellular environment, the samples of the in vitro assay on T. crassiceps cysticerci were analyzed by LC-MS/MS spectrometry.
Aliquots of 100 μL either from the vesicular fluid or culture medium, were transferred to assay tubes and spiked with 100 μL of carbamazepine (internal standard, IS, 0.2 mg mL−1). ABZ was extracted using 5 mL of a mixture of ether:dichloromethane:chloroform (60:30:10, v/v/v) with vortex-shaking for 5 minutes. Then, samples were centrifuged at 3000 rpm for 20 minutes, and frozen at −70 °C for 20 minutes. The organic supernatants were transferred to clean tubes and evaporated to dryness at 60 °C under a nitrogen stream. The dried extracts were reconstituted with 50 μL of mobile phase and a volume of 10 μL was injected into the chromatographic system. The detection limit of the method was 2.5 × 10−2 μg mL−1 ABZ, and the assay range was 2.5–8.0 × 10−2 μg mL−1.
The chromatographic separation was performed on a Gemini C18 analytical column (150 × 4.6 mm, 5 μm, Phenomenex, Torrance, CA, USA) attached to a pre-column (Phenomenex C18 ODS). A mixture of methanol and 20 mM formic acid in water (70:30 v/v) was used as a mobile phase, applying a flow rate of 0.7 mL min−1. ABZ and the IS, were detected in the positive ionization mode with electrospray ionization (ESI) using the following mass spectrometer settings: curtain gas 20 psi, ion spray voltage 5500 V, capillary temperature 600 °C, nebulization gas 50 psi, heating gas 40 psi. Quantification was performed using multiple reaction monitoring of the following transitions: m/z: 266.3 → 234 for ABZ and 237.2 → 194.1 for the IS.
Table 4 shows the optimum MS parameters for ABZ and IS. The percentage of ABZ found in vesicular fluid was calculated using the eqn (2):
ABZ in vesicular fluid (%) = (CABZb * 100)/ (CABZa) | (2) |
Cysticidal activity on T. crassiceps Stock solutions of ABZ and ICs were prepared in DMSO and water respectively, with ABZ equivalent concentrations of 3.7 mM (1 mg mL−1). Aliquots of 0.1 mL of the stock solutions were taken and diluted with water to obtain the working solutions of 100 μg mL−1 of ABZ or ICs.
Different aliquots of the working solutions were taken to prepare the solutions of ABZ or ICs in DMEM to achieve the following concentrations: 0.06, 0.11, 0.23, 0.45, 0.90, 1.81, 3.62 and 7.24 μM. DMSO 0.19% in DMEM was prepared as negative control. Also, each nanocarrier without ABZ (m2G, m3G, and h2G) was dissolved in water at the maximum concentration used in the study (7.24 μM) to evaluate its effect on the parasite. Twenty-four well cell culture flat-bottom microplates (NUNC, Denmark) were used for the assay. Ten cysts were placed into each well and were filled with a final volume of 2 mL of DMEM containing ABZ, ICs or the control. The microplates were incubated at 37 °C with 5% CO2 atmosphere and 98% of relative humidity for 11 days. The culture medium was changed every two days. The parasites were observed every day, and the mortality was registered using an inverted light microscope (ILM) ICM 405 (Carl Zeiss Inc., USA). The criteria to assess parasite mortality were loss of vesicular fluid, paralysis of the membrane and collapse of parasites.42 On day 12, the mortality of parasites was established using the Trypan Blue exclusion test (Louis, K.S., Siegel, A.C., 2011). To evaluate the effect of each treatment in vitro, a sample of living cysts was extracted on day 12 and observed under the microscope. Parasite morphological changes, including alterations in shape and size, were identified by ILM after washing them with 0.9% saline solution.
The values of EC50 (effective concentration of each compound to kill 50% of the cysts), and 95% confidence limits, were calculated by the concentration–response curves using the Hill's equation and the GraphPad software (Prism, version 8 for Windows, U.S.A.). All treatments were performed in sextuplicate.
Footnote |
† Electronic supplementary information (ESI) available. See https://doi.org/10.1039/d2ra03314c |
This journal is © The Royal Society of Chemistry 2022 |