Protein undernutrition reduces the efficacy of praziquantel in a murine model of Schistosoma mansoni infection.

<h4>Background</h4>Undernutrition and schistosomiasis are public health problems and often occur in low and middle-income countries. Protein undernutrition can alter the host-parasite environment system and aggravate the course of schistosomiasis. This study aimed to assess the impact of...

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Main Authors: Joseph Bertin Kadji Fassi, Hermine Boukeng Jatsa, Ulrich Membe Femoe, Valentin Greigert, Julie Brunet, Catherine Cannet, Christian Mérimé Kenfack, Nestor Gipwe Feussom, Emilienne Tienga Nkondo, Ahmed Abou-Bacar, Alexander Wilhelm Pfaff, René Kamgang, Pierre Kamtchouing, Louis-Albert Tchuem Tchuenté
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-07-01
Series:PLoS Neglected Tropical Diseases
Online Access:https://doi.org/10.1371/journal.pntd.0010249
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author Joseph Bertin Kadji Fassi
Hermine Boukeng Jatsa
Ulrich Membe Femoe
Valentin Greigert
Julie Brunet
Catherine Cannet
Christian Mérimé Kenfack
Nestor Gipwe Feussom
Emilienne Tienga Nkondo
Ahmed Abou-Bacar
Alexander Wilhelm Pfaff
René Kamgang
Pierre Kamtchouing
Louis-Albert Tchuem Tchuenté
author_facet Joseph Bertin Kadji Fassi
Hermine Boukeng Jatsa
Ulrich Membe Femoe
Valentin Greigert
Julie Brunet
Catherine Cannet
Christian Mérimé Kenfack
Nestor Gipwe Feussom
Emilienne Tienga Nkondo
Ahmed Abou-Bacar
Alexander Wilhelm Pfaff
René Kamgang
Pierre Kamtchouing
Louis-Albert Tchuem Tchuenté
author_sort Joseph Bertin Kadji Fassi
collection DOAJ
description <h4>Background</h4>Undernutrition and schistosomiasis are public health problems and often occur in low and middle-income countries. Protein undernutrition can alter the host-parasite environment system and aggravate the course of schistosomiasis. This study aimed to assess the impact of a low-protein diet on the efficacy of praziquantel.<h4>Methodology/principal findings</h4>Thirty-day-old mice were fed with a low-protein diet, and 40 days later, they were individually infected with fifty Schistosoma mansoni cercariae. A 28-day-treatment with praziquantel at 100 mg/kg for five consecutive days followed by distilled water begins on the 36th day post-infection. Mice were sacrificed on the 64th day post-infection. We determined the parasitological burden, liver and intestine histomorphometry, liver injury, and immunomodulation parameters. Praziquantel treatment of infected mice fed with a standard diet (IN-PZQ) resulted in a significant reduction of worm and egg burdens and a normalization of iron and calcium levels. The therapy also improved schistosomiasis-induced hepatopathy and oxidative stress. The anti-inflammatory and immunomodulatory activities of praziquantel were also significant in these mice. When infected mice receiving the low-protein diet were treated with praziquantel (ILP-PZQ), the body weight loss and hepatomegaly were not alleviated, and the worm and liver egg burdens were significantly higher than those of IN-PZQ mice (P < 0.001). The treatment did not reduce the increased activities of ALT and γ-GGT, the high malondialdehyde concentration, and the liver granuloma volume. The iron and calcium levels were not ameliorated and differed from those of IN-PZQ mice (P < 0.001 and P < 0.05). Moreover, in these mice, praziquantel treatment did not reverse the high level of IL-5 and the low mRNA expression of CCL3/MIP-1α and CXCL-10/IP-10 induced by S. mansoni infection.<h4>Conclusion/significance</h4>These results demonstrated that a low-protein diet reduced the schistosomicidal, antioxidant, anti-inflammatory, and immunomodulatory activities of praziquantel.
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spelling doaj.art-3149d5eff8d84c358fcf90244b13afbd2022-12-22T03:59:16ZengPublic Library of Science (PLoS)PLoS Neglected Tropical Diseases1935-27271935-27352022-07-01167e001024910.1371/journal.pntd.0010249Protein undernutrition reduces the efficacy of praziquantel in a murine model of Schistosoma mansoni infection.Joseph Bertin Kadji FassiHermine Boukeng JatsaUlrich Membe FemoeValentin GreigertJulie BrunetCatherine CannetChristian Mérimé KenfackNestor Gipwe FeussomEmilienne Tienga NkondoAhmed Abou-BacarAlexander Wilhelm PfaffRené KamgangPierre KamtchouingLouis-Albert Tchuem Tchuenté<h4>Background</h4>Undernutrition and schistosomiasis are public health problems and often occur in low and middle-income countries. Protein undernutrition can alter the host-parasite environment system and aggravate the course of schistosomiasis. This study aimed to assess the impact of a low-protein diet on the efficacy of praziquantel.<h4>Methodology/principal findings</h4>Thirty-day-old mice were fed with a low-protein diet, and 40 days later, they were individually infected with fifty Schistosoma mansoni cercariae. A 28-day-treatment with praziquantel at 100 mg/kg for five consecutive days followed by distilled water begins on the 36th day post-infection. Mice were sacrificed on the 64th day post-infection. We determined the parasitological burden, liver and intestine histomorphometry, liver injury, and immunomodulation parameters. Praziquantel treatment of infected mice fed with a standard diet (IN-PZQ) resulted in a significant reduction of worm and egg burdens and a normalization of iron and calcium levels. The therapy also improved schistosomiasis-induced hepatopathy and oxidative stress. The anti-inflammatory and immunomodulatory activities of praziquantel were also significant in these mice. When infected mice receiving the low-protein diet were treated with praziquantel (ILP-PZQ), the body weight loss and hepatomegaly were not alleviated, and the worm and liver egg burdens were significantly higher than those of IN-PZQ mice (P < 0.001). The treatment did not reduce the increased activities of ALT and γ-GGT, the high malondialdehyde concentration, and the liver granuloma volume. The iron and calcium levels were not ameliorated and differed from those of IN-PZQ mice (P < 0.001 and P < 0.05). Moreover, in these mice, praziquantel treatment did not reverse the high level of IL-5 and the low mRNA expression of CCL3/MIP-1α and CXCL-10/IP-10 induced by S. mansoni infection.<h4>Conclusion/significance</h4>These results demonstrated that a low-protein diet reduced the schistosomicidal, antioxidant, anti-inflammatory, and immunomodulatory activities of praziquantel.https://doi.org/10.1371/journal.pntd.0010249
spellingShingle Joseph Bertin Kadji Fassi
Hermine Boukeng Jatsa
Ulrich Membe Femoe
Valentin Greigert
Julie Brunet
Catherine Cannet
Christian Mérimé Kenfack
Nestor Gipwe Feussom
Emilienne Tienga Nkondo
Ahmed Abou-Bacar
Alexander Wilhelm Pfaff
René Kamgang
Pierre Kamtchouing
Louis-Albert Tchuem Tchuenté
Protein undernutrition reduces the efficacy of praziquantel in a murine model of Schistosoma mansoni infection.
PLoS Neglected Tropical Diseases
title Protein undernutrition reduces the efficacy of praziquantel in a murine model of Schistosoma mansoni infection.
title_full Protein undernutrition reduces the efficacy of praziquantel in a murine model of Schistosoma mansoni infection.
title_fullStr Protein undernutrition reduces the efficacy of praziquantel in a murine model of Schistosoma mansoni infection.
title_full_unstemmed Protein undernutrition reduces the efficacy of praziquantel in a murine model of Schistosoma mansoni infection.
title_short Protein undernutrition reduces the efficacy of praziquantel in a murine model of Schistosoma mansoni infection.
title_sort protein undernutrition reduces the efficacy of praziquantel in a murine model of schistosoma mansoni infection
url https://doi.org/10.1371/journal.pntd.0010249
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