Repurposing in vitro approaches for screening anti-parasitic drugs against the brain-eating amoeba Naegleria fowleri

Naegleria fowleri is both a pathogenic and a free-living microbial eukaryote, responsible for the development of primary amoebic meningoencephalitis (PAM) in humans. PAM is a rapid, severe and fatal underestimated infectious disease, which has been reported in countries with warmer climates. The maj...

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Main Authors: Rubén Martín-Escolano, Lyto Yiangou, Eleanna Kazana, Gary K. Robinson, Martin Michaelis, Anastasios D. Tsaousis
Format: Article
Language:English
Published: Elsevier 2021-12-01
Series:International Journal for Parasitology: Drugs and Drug Resistance
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S221132072100052X
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author Rubén Martín-Escolano
Lyto Yiangou
Eleanna Kazana
Gary K. Robinson
Martin Michaelis
Anastasios D. Tsaousis
author_facet Rubén Martín-Escolano
Lyto Yiangou
Eleanna Kazana
Gary K. Robinson
Martin Michaelis
Anastasios D. Tsaousis
author_sort Rubén Martín-Escolano
collection DOAJ
description Naegleria fowleri is both a pathogenic and a free-living microbial eukaryote, responsible for the development of primary amoebic meningoencephalitis (PAM) in humans. PAM is a rapid, severe and fatal underestimated infectious disease, which has been reported in countries with warmer climates. The major drawbacks with PAM are the lack of effective therapies and delay in diagnosis. The current frontline treatment presents a low rate of recovery (5%) and severe adverse effects. For example, many drug candidates lack efficacy, since they do not effectively cross the blood-brain-barrier. Consequently, more effective drugs are urgently needed. Herein, we report a new in vitro method suitable for medium- and high-throughput drug discovery assays, using the closely related Naegleria gruberi as a model. We have subsequently used this method to screen a library of 1175 Food and Drug Administration-approved drugs. As a result, we present three drugs (camptothecin, pyrimethamine, and terbinafine) that can be repurposed, and are anticipated to readily cross the blood-brain-barrier with activity against Naegleria species in therapeutically achievable concentrations. Successively, we integrated several in vitro assays that resulted in identifying fast-acting and high amoebicidal drugs. In conclusion, we present a new approach for the identification of anti-Naegleria drugs along with three potential drug candidates for further development for the treatment of PAM.
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spelling doaj.art-7e8082d5333045b99e7ac7c59f5981232022-12-21T18:44:19ZengElsevierInternational Journal for Parasitology: Drugs and Drug Resistance2211-32072021-12-0117204212Repurposing in vitro approaches for screening anti-parasitic drugs against the brain-eating amoeba Naegleria fowleriRubén Martín-Escolano0Lyto Yiangou1Eleanna Kazana2Gary K. Robinson3Martin Michaelis4Anastasios D. Tsaousis5Laboratory of Molecular & Evolutionary Parasitology, RAPID Group, School of Biosciences, University of Kent, Canterbury, CT2 7NJ, UKLaboratory of Molecular & Evolutionary Parasitology, RAPID Group, School of Biosciences, University of Kent, Canterbury, CT2 7NJ, UK; School of Biosciences, University of Kent, Canterbury, CT2 7NJ, UKLaboratory of Molecular & Evolutionary Parasitology, RAPID Group, School of Biosciences, University of Kent, Canterbury, CT2 7NJ, UKSchool of Biosciences, University of Kent, Canterbury, CT2 7NJ, UKSchool of Biosciences, University of Kent, Canterbury, CT2 7NJ, UK; Corresponding author.Laboratory of Molecular & Evolutionary Parasitology, RAPID Group, School of Biosciences, University of Kent, Canterbury, CT2 7NJ, UK; School of Biosciences, University of Kent, Canterbury, CT2 7NJ, UK; Corresponding author. Laboratory of Molecular & Evolutionary Parasitology, RAPID Group, School of Biosciences, University of Kent, Canterbury, CT2 7NJ, UK.Naegleria fowleri is both a pathogenic and a free-living microbial eukaryote, responsible for the development of primary amoebic meningoencephalitis (PAM) in humans. PAM is a rapid, severe and fatal underestimated infectious disease, which has been reported in countries with warmer climates. The major drawbacks with PAM are the lack of effective therapies and delay in diagnosis. The current frontline treatment presents a low rate of recovery (5%) and severe adverse effects. For example, many drug candidates lack efficacy, since they do not effectively cross the blood-brain-barrier. Consequently, more effective drugs are urgently needed. Herein, we report a new in vitro method suitable for medium- and high-throughput drug discovery assays, using the closely related Naegleria gruberi as a model. We have subsequently used this method to screen a library of 1175 Food and Drug Administration-approved drugs. As a result, we present three drugs (camptothecin, pyrimethamine, and terbinafine) that can be repurposed, and are anticipated to readily cross the blood-brain-barrier with activity against Naegleria species in therapeutically achievable concentrations. Successively, we integrated several in vitro assays that resulted in identifying fast-acting and high amoebicidal drugs. In conclusion, we present a new approach for the identification of anti-Naegleria drugs along with three potential drug candidates for further development for the treatment of PAM.http://www.sciencedirect.com/science/article/pii/S221132072100052XNaegleriaBrain-eating amoebaPAMDrug screeningDrug repurposing
spellingShingle Rubén Martín-Escolano
Lyto Yiangou
Eleanna Kazana
Gary K. Robinson
Martin Michaelis
Anastasios D. Tsaousis
Repurposing in vitro approaches for screening anti-parasitic drugs against the brain-eating amoeba Naegleria fowleri
International Journal for Parasitology: Drugs and Drug Resistance
Naegleria
Brain-eating amoeba
PAM
Drug screening
Drug repurposing
title Repurposing in vitro approaches for screening anti-parasitic drugs against the brain-eating amoeba Naegleria fowleri
title_full Repurposing in vitro approaches for screening anti-parasitic drugs against the brain-eating amoeba Naegleria fowleri
title_fullStr Repurposing in vitro approaches for screening anti-parasitic drugs against the brain-eating amoeba Naegleria fowleri
title_full_unstemmed Repurposing in vitro approaches for screening anti-parasitic drugs against the brain-eating amoeba Naegleria fowleri
title_short Repurposing in vitro approaches for screening anti-parasitic drugs against the brain-eating amoeba Naegleria fowleri
title_sort repurposing in vitro approaches for screening anti parasitic drugs against the brain eating amoeba naegleria fowleri
topic Naegleria
Brain-eating amoeba
PAM
Drug screening
Drug repurposing
url http://www.sciencedirect.com/science/article/pii/S221132072100052X
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