High-Throughput Screening of Entamoeba Identifies Compounds Which Target Both Life Cycle Stages and Which Are Effective Against Metronidazole Resistant Parasites
2018
Neglected tropical diseases, especially those caused by parasites, are significantly underserved by current
drug developmentefforts, mostly due to the high costs and low economic returns. One method for lowering the costs of drug discovery and development for these diseases is to
repurpose
drugs developedfor other indications. Here, we present the results of a screen of five
repurposeddrug libraries to identify potential new
lead compoundsto treat amebiasis, a disease that affects tens of millions of people and causes ~100,000 deaths annually. E. histolytica, the causative agent of amebiasis, has two major life cycle stages, the trophozoite and the cyst. The current primary treatment for amebiasis,
nitroimidazolecompounds, do not eliminate parasites from the colonic lumen, necessitating a multi-drug treatment regimen. We aimed to address this problem by screening against both life stages, with the aim of identifying a single drug that targets both. We successfully identified eleven compounds with activity against both cysts and trophozoites, as well as multiple compounds that killed trophozoites with improved efficacy over existing drugs. Two
lead compounds(
anisomycinand
prodigiosin) were further characterized for activity against
metronidazoleresistant parasites and mature cysts.
Anisomycinand
prodigiosinwere both able to kill
metronidazoleresistant parasites while
prodigiosinand its analog
obatoclax, were active against mature cysts. This work confirms the feasibility of identifying drugs that target both
Entamoebatrophozoites and cysts, and is an important step towards developing improved treatment regimens for
Entamoebainfection.
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