Cannabinoid receptor-1 antagonism: a new perspective on treating a murine schistosomal liver fibrosis model

BACKGROUND Formation of schistosomal granulomata surrounding the ova can result in schistosomiasis-associated liver fibrosis (SSLF). The current standard of treatment is praziquantel (PZQ), which cannot effectively reverse SSLF. The role of the cannabinoid (CB) receptor family in liver fibrosis has...

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Main Authors: Yasmine Amr Issa, Samar Nabil El Achy, Rasha Fadly Mady
Format: Article
Language:English
Published: Fundação Oswaldo Cruz (FIOCRUZ)
Series:Memorias do Instituto Oswaldo Cruz
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762019000100338&lng=en&tlng=en
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author Yasmine Amr Issa
Samar Nabil El Achy
Rasha Fadly Mady
author_facet Yasmine Amr Issa
Samar Nabil El Achy
Rasha Fadly Mady
author_sort Yasmine Amr Issa
collection DOAJ
description BACKGROUND Formation of schistosomal granulomata surrounding the ova can result in schistosomiasis-associated liver fibrosis (SSLF). The current standard of treatment is praziquantel (PZQ), which cannot effectively reverse SSLF. The role of the cannabinoid (CB) receptor family in liver fibrosis has recently been highlighted. OBJECTIVES This study aimed to assess the therapeutic effect of CB1 receptor antagonism in reversing SSLF in a murine model of Schistosoma mansoni infection. METHODS One hundred male Swiss albino mice were divided equally into five groups: healthy uninfected control (group I), infected control (group II), PZQ treated (group III), rimonabant (RIM) (SR141716, a CB1 receptor antagonist)-treated (group IV) and group V was treated with combined PZQ and RIM. Liver sections were obtained for histopathological examination, alpha-1 smooth muscle actin (α-SMA) immunostaining and assessment of CB1 receptor expression using real-time polymerase chain reaction (RT-PCR). FINDINGS The most effective reduction in fibrotic marker levels and granuloma load was achieved by combined treatment with PZQ+RIM (group V): CB1 receptor expression (H = 26.612, p < 0.001), number of α-SMA-positive cells (F = 57.086, p < 0.001), % hepatic portal fibrosis (F = 42.849, p < 0.001) and number of granulomata (F = 69.088, p < 0.001). MAIN CONCLUSIONS Combining PZQ with CB1 receptor antagonists yielded the best results in reversing SSLF. To our knowledge, this is the first study to test this regimen in S. mansoni infection.
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spelling doaj.art-57485edccfbf4468b49a90a29c5b9e262023-09-02T16:21:34ZengFundação Oswaldo Cruz (FIOCRUZ)Memorias do Instituto Oswaldo Cruz1678-806011410.1590/0074-02760190062S0074-02762019000100338Cannabinoid receptor-1 antagonism: a new perspective on treating a murine schistosomal liver fibrosis modelYasmine Amr IssaSamar Nabil El AchyRasha Fadly MadyBACKGROUND Formation of schistosomal granulomata surrounding the ova can result in schistosomiasis-associated liver fibrosis (SSLF). The current standard of treatment is praziquantel (PZQ), which cannot effectively reverse SSLF. The role of the cannabinoid (CB) receptor family in liver fibrosis has recently been highlighted. OBJECTIVES This study aimed to assess the therapeutic effect of CB1 receptor antagonism in reversing SSLF in a murine model of Schistosoma mansoni infection. METHODS One hundred male Swiss albino mice were divided equally into five groups: healthy uninfected control (group I), infected control (group II), PZQ treated (group III), rimonabant (RIM) (SR141716, a CB1 receptor antagonist)-treated (group IV) and group V was treated with combined PZQ and RIM. Liver sections were obtained for histopathological examination, alpha-1 smooth muscle actin (α-SMA) immunostaining and assessment of CB1 receptor expression using real-time polymerase chain reaction (RT-PCR). FINDINGS The most effective reduction in fibrotic marker levels and granuloma load was achieved by combined treatment with PZQ+RIM (group V): CB1 receptor expression (H = 26.612, p < 0.001), number of α-SMA-positive cells (F = 57.086, p < 0.001), % hepatic portal fibrosis (F = 42.849, p < 0.001) and number of granulomata (F = 69.088, p < 0.001). MAIN CONCLUSIONS Combining PZQ with CB1 receptor antagonists yielded the best results in reversing SSLF. To our knowledge, this is the first study to test this regimen in S. mansoni infection.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762019000100338&lng=en&tlng=encannabinoid receptor-1(CB1)schistosoma-associated liver fibrosisrimonabant (SR141716)praziquantelalpha smooth muscle actin
spellingShingle Yasmine Amr Issa
Samar Nabil El Achy
Rasha Fadly Mady
Cannabinoid receptor-1 antagonism: a new perspective on treating a murine schistosomal liver fibrosis model
Memorias do Instituto Oswaldo Cruz
cannabinoid receptor-1(CB1)
schistosoma-associated liver fibrosis
rimonabant (SR141716)
praziquantel
alpha smooth muscle actin
title Cannabinoid receptor-1 antagonism: a new perspective on treating a murine schistosomal liver fibrosis model
title_full Cannabinoid receptor-1 antagonism: a new perspective on treating a murine schistosomal liver fibrosis model
title_fullStr Cannabinoid receptor-1 antagonism: a new perspective on treating a murine schistosomal liver fibrosis model
title_full_unstemmed Cannabinoid receptor-1 antagonism: a new perspective on treating a murine schistosomal liver fibrosis model
title_short Cannabinoid receptor-1 antagonism: a new perspective on treating a murine schistosomal liver fibrosis model
title_sort cannabinoid receptor 1 antagonism a new perspective on treating a murine schistosomal liver fibrosis model
topic cannabinoid receptor-1(CB1)
schistosoma-associated liver fibrosis
rimonabant (SR141716)
praziquantel
alpha smooth muscle actin
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762019000100338&lng=en&tlng=en
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AT rashafadlymady cannabinoidreceptor1antagonismanewperspectiveontreatingamurineschistosomalliverfibrosismodel