Monitoring Cutaneous Leishmaniasis Lesions in Mice Undergoing Topical Miltefosine Treatment

A study was conducted on BALB/c mice infected with <i>Leishmania (Leishmania) amazonensis</i> to analyse the effects of 0.5% miltefosine (MTF) hydrogel treatment on cutaneous leishmaniasis (CL) lesions. The mice were treated for 25 days topically, and lesion sizes, parasite loads, histop...

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Main Authors: Laura Fernanda Neira, Julio Cesar Mantilla, Patricia Escobar
Format: Article
Language:English
Published: MDPI AG 2023-11-01
Series:Scientia Pharmaceutica
Subjects:
Online Access:https://www.mdpi.com/2218-0532/91/4/54
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author Laura Fernanda Neira
Julio Cesar Mantilla
Patricia Escobar
author_facet Laura Fernanda Neira
Julio Cesar Mantilla
Patricia Escobar
author_sort Laura Fernanda Neira
collection DOAJ
description A study was conducted on BALB/c mice infected with <i>Leishmania (Leishmania) amazonensis</i> to analyse the effects of 0.5% miltefosine (MTF) hydrogel treatment on cutaneous leishmaniasis (CL) lesions. The mice were treated for 25 days topically, and lesion sizes, parasite loads, histopathology, ultrastructure, cytokines including interleukin 4 (IL-4), tumour necrosis factor alfa (TNFα), interferon gamma (IFNγ), IL-10, and vascular endothelial growth factor (VEGF) profiles were evaluated on days 0, 12, 25, and 85. After 12 days of treatment, the lesion sizes and parasite numbers decreased. By day 60 post treatment, there were no lesions and only a few parasites. At day 25, there was a temporary papillomatosis reaction, an increase in mast cells, a few giant cells, and granulomas, and a decrease in diffuse inflammatory infiltrate and parasites. Transmission electron microscopy (TEM) examination showed early ultrastructural changes, including macrophages without parasites and vacuoles containing electrodense material. At the different evaluated times, the cytokine regulation indexes (ICRs) decreased for IL-4, TNFα, and VEGF. According to the study, the 0.5% MTF hydrogel was effective and showed positive results from the early stages of usage. The MTF directly targeted parasites, downregulated the release of IL-4, TNFα, and VEGF, increased mast cell production, and induced granuloma reaction during evaluation periods.
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spelling doaj.art-7fb16867732b42ee977484d13675c72c2023-12-22T14:39:54ZengMDPI AGScientia Pharmaceutica0036-87092218-05322023-11-019145410.3390/scipharm91040054Monitoring Cutaneous Leishmaniasis Lesions in Mice Undergoing Topical Miltefosine TreatmentLaura Fernanda Neira0Julio Cesar Mantilla1Patricia Escobar2Centro de Investigación en Enfermedades Tropicales (CINTROP-UIS), Departamento de Ciencias Básicas, Escuela de Medicina, Universidad Industrial de Santander, Bucaramanga 680002, ColombiaPAT-UIS, Departamento de Patología, Escuela de Medicina, Universidad Industrial de Santander, Bucaramanga 68002, ColombiaCentro de Investigación en Enfermedades Tropicales (CINTROP-UIS), Departamento de Ciencias Básicas, Escuela de Medicina, Universidad Industrial de Santander, Bucaramanga 680002, ColombiaA study was conducted on BALB/c mice infected with <i>Leishmania (Leishmania) amazonensis</i> to analyse the effects of 0.5% miltefosine (MTF) hydrogel treatment on cutaneous leishmaniasis (CL) lesions. The mice were treated for 25 days topically, and lesion sizes, parasite loads, histopathology, ultrastructure, cytokines including interleukin 4 (IL-4), tumour necrosis factor alfa (TNFα), interferon gamma (IFNγ), IL-10, and vascular endothelial growth factor (VEGF) profiles were evaluated on days 0, 12, 25, and 85. After 12 days of treatment, the lesion sizes and parasite numbers decreased. By day 60 post treatment, there were no lesions and only a few parasites. At day 25, there was a temporary papillomatosis reaction, an increase in mast cells, a few giant cells, and granulomas, and a decrease in diffuse inflammatory infiltrate and parasites. Transmission electron microscopy (TEM) examination showed early ultrastructural changes, including macrophages without parasites and vacuoles containing electrodense material. At the different evaluated times, the cytokine regulation indexes (ICRs) decreased for IL-4, TNFα, and VEGF. According to the study, the 0.5% MTF hydrogel was effective and showed positive results from the early stages of usage. The MTF directly targeted parasites, downregulated the release of IL-4, TNFα, and VEGF, increased mast cell production, and induced granuloma reaction during evaluation periods.https://www.mdpi.com/2218-0532/91/4/54cutaneous leishmaniasiscytokineselectron microscopyhistopathological patternstopical miltefosine
spellingShingle Laura Fernanda Neira
Julio Cesar Mantilla
Patricia Escobar
Monitoring Cutaneous Leishmaniasis Lesions in Mice Undergoing Topical Miltefosine Treatment
Scientia Pharmaceutica
cutaneous leishmaniasis
cytokines
electron microscopy
histopathological patterns
topical miltefosine
title Monitoring Cutaneous Leishmaniasis Lesions in Mice Undergoing Topical Miltefosine Treatment
title_full Monitoring Cutaneous Leishmaniasis Lesions in Mice Undergoing Topical Miltefosine Treatment
title_fullStr Monitoring Cutaneous Leishmaniasis Lesions in Mice Undergoing Topical Miltefosine Treatment
title_full_unstemmed Monitoring Cutaneous Leishmaniasis Lesions in Mice Undergoing Topical Miltefosine Treatment
title_short Monitoring Cutaneous Leishmaniasis Lesions in Mice Undergoing Topical Miltefosine Treatment
title_sort monitoring cutaneous leishmaniasis lesions in mice undergoing topical miltefosine treatment
topic cutaneous leishmaniasis
cytokines
electron microscopy
histopathological patterns
topical miltefosine
url https://www.mdpi.com/2218-0532/91/4/54
work_keys_str_mv AT laurafernandaneira monitoringcutaneousleishmaniasislesionsinmiceundergoingtopicalmiltefosinetreatment
AT juliocesarmantilla monitoringcutaneousleishmaniasislesionsinmiceundergoingtopicalmiltefosinetreatment
AT patriciaescobar monitoringcutaneousleishmaniasislesionsinmiceundergoingtopicalmiltefosinetreatment