The Effects of Polyhexamethylene Biguanide (PHMB) and TLR Agonists Alone or as Polyplex Nanoparticles against <em>Leishmania infantum</em> Promastigotes and Amastigotes

Dogs are the main reservoir for <i>Leishmania infantum,</i> manifesting from a subclinical to a fatal disease. Limited treatments are available, although new antiparasitics and immunomodulators are pursued. Polyhexamethylene biguanide (PHMB) has a broad antimicrobial spectrum, including...

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Main Authors: Pamela Martínez-Orellana, Marta Baxarias, Liam Good, Laia Solano-Gallego
Format: Article
Language:English
Published: MDPI AG 2020-11-01
Series:Veterinary Sciences
Subjects:
Online Access:https://www.mdpi.com/2306-7381/7/4/179
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author Pamela Martínez-Orellana
Marta Baxarias
Liam Good
Laia Solano-Gallego
author_facet Pamela Martínez-Orellana
Marta Baxarias
Liam Good
Laia Solano-Gallego
author_sort Pamela Martínez-Orellana
collection DOAJ
description Dogs are the main reservoir for <i>Leishmania infantum,</i> manifesting from a subclinical to a fatal disease. Limited treatments are available, although new antiparasitics and immunomodulators are pursued. Polyhexamethylene biguanide (PHMB) has a broad antimicrobial spectrum, including antiparasitic activity. Here, we evaluated the potential for Toll-like receptor agonists (TLRa) and PHMB alone, and as polyplex nanoparticles containing PHMB and TLR4 or TLR9 agonists, to selectively kill <i>L. infantum</i>. Susceptibility of <i>L. infantum</i> promastigotes to PHMB, miltefosine, and allopurinol was performed, and the half-maximum inhibitory concentrations (IC<sub>50</sub>) were determined. Then, DH-82 cells were infected and treated with PHMB alone or combined with TLR4a (MPLA-SM) or TLR9a (CpG ODNs) and allopurinol alone. The IC<sub>50</sub> values of <i>L. infantum</i> promastigotes were PHMB (1.495 µM), miltefosine (9.455 µM), and allopurinol (0.124 µM). After infection, treated DH-82 cells displayed a lower percentage (<i>p =</i> 0.0316), intensity (<i>p =</i> 0.0002), and index of infection (<i>p =</i> 0.0022) when compared to non-treated cells. PHMB induced lower percentage of infection alone (<i>p =</i> 0.043), in combination with TLR9a (<i>p =</i> 0.043), and with TLR4a (<i>p =</i> 0.0213). Supernatants were collected and used to measure TNF-α and IL-6 levels. Increased TNF-α was observed after PHMB <i>plus</i> TLR4a, relative to uninfected and infected untreated macrophages (<i>p =</i> 0.043). PHMB combined with TLR4a shows promise as a potential anti-<i>L. infantum</i> drug combination, as well as inducer of proinflammatory response, as demonstrated by decreased infection and increased TNF-α production.
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spelling doaj.art-4efca8acd94248d1a64c4fe75a7cb07f2023-11-20T20:54:42ZengMDPI AGVeterinary Sciences2306-73812020-11-017417910.3390/vetsci7040179The Effects of Polyhexamethylene Biguanide (PHMB) and TLR Agonists Alone or as Polyplex Nanoparticles against <em>Leishmania infantum</em> Promastigotes and AmastigotesPamela Martínez-Orellana0Marta Baxarias1Liam Good2Laia Solano-Gallego3Departament de Medicina i Cirurgia Animals, Facultat de Veterinària, Universitat Autònoma de Barcelona, Bellaterra, 08193 Barcelona, SpainDepartament de Medicina i Cirurgia Animals, Facultat de Veterinària, Universitat Autònoma de Barcelona, Bellaterra, 08193 Barcelona, SpainDepartment of Pathobiology and Population Sciences, The Royal Veterinary College, London NW1 0NH, UKDepartament de Medicina i Cirurgia Animals, Facultat de Veterinària, Universitat Autònoma de Barcelona, Bellaterra, 08193 Barcelona, SpainDogs are the main reservoir for <i>Leishmania infantum,</i> manifesting from a subclinical to a fatal disease. Limited treatments are available, although new antiparasitics and immunomodulators are pursued. Polyhexamethylene biguanide (PHMB) has a broad antimicrobial spectrum, including antiparasitic activity. Here, we evaluated the potential for Toll-like receptor agonists (TLRa) and PHMB alone, and as polyplex nanoparticles containing PHMB and TLR4 or TLR9 agonists, to selectively kill <i>L. infantum</i>. Susceptibility of <i>L. infantum</i> promastigotes to PHMB, miltefosine, and allopurinol was performed, and the half-maximum inhibitory concentrations (IC<sub>50</sub>) were determined. Then, DH-82 cells were infected and treated with PHMB alone or combined with TLR4a (MPLA-SM) or TLR9a (CpG ODNs) and allopurinol alone. The IC<sub>50</sub> values of <i>L. infantum</i> promastigotes were PHMB (1.495 µM), miltefosine (9.455 µM), and allopurinol (0.124 µM). After infection, treated DH-82 cells displayed a lower percentage (<i>p =</i> 0.0316), intensity (<i>p =</i> 0.0002), and index of infection (<i>p =</i> 0.0022) when compared to non-treated cells. PHMB induced lower percentage of infection alone (<i>p =</i> 0.043), in combination with TLR9a (<i>p =</i> 0.043), and with TLR4a (<i>p =</i> 0.0213). Supernatants were collected and used to measure TNF-α and IL-6 levels. Increased TNF-α was observed after PHMB <i>plus</i> TLR4a, relative to uninfected and infected untreated macrophages (<i>p =</i> 0.043). PHMB combined with TLR4a shows promise as a potential anti-<i>L. infantum</i> drug combination, as well as inducer of proinflammatory response, as demonstrated by decreased infection and increased TNF-α production.https://www.mdpi.com/2306-7381/7/4/179TLR4 agonistTLR9 agonistPHMB<i>Leishmania infantum</i>caninemacrophages
spellingShingle Pamela Martínez-Orellana
Marta Baxarias
Liam Good
Laia Solano-Gallego
The Effects of Polyhexamethylene Biguanide (PHMB) and TLR Agonists Alone or as Polyplex Nanoparticles against <em>Leishmania infantum</em> Promastigotes and Amastigotes
Veterinary Sciences
TLR4 agonist
TLR9 agonist
PHMB
<i>Leishmania infantum</i>
canine
macrophages
title The Effects of Polyhexamethylene Biguanide (PHMB) and TLR Agonists Alone or as Polyplex Nanoparticles against <em>Leishmania infantum</em> Promastigotes and Amastigotes
title_full The Effects of Polyhexamethylene Biguanide (PHMB) and TLR Agonists Alone or as Polyplex Nanoparticles against <em>Leishmania infantum</em> Promastigotes and Amastigotes
title_fullStr The Effects of Polyhexamethylene Biguanide (PHMB) and TLR Agonists Alone or as Polyplex Nanoparticles against <em>Leishmania infantum</em> Promastigotes and Amastigotes
title_full_unstemmed The Effects of Polyhexamethylene Biguanide (PHMB) and TLR Agonists Alone or as Polyplex Nanoparticles against <em>Leishmania infantum</em> Promastigotes and Amastigotes
title_short The Effects of Polyhexamethylene Biguanide (PHMB) and TLR Agonists Alone or as Polyplex Nanoparticles against <em>Leishmania infantum</em> Promastigotes and Amastigotes
title_sort effects of polyhexamethylene biguanide phmb and tlr agonists alone or as polyplex nanoparticles against em leishmania infantum em promastigotes and amastigotes
topic TLR4 agonist
TLR9 agonist
PHMB
<i>Leishmania infantum</i>
canine
macrophages
url https://www.mdpi.com/2306-7381/7/4/179
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