Bumped kinase inhibitor 1369 is effective against Cystoisospora suis in vivo and in vitro

Cystoisosporosis is a leading diarrheal disease in suckling piglets. With the confirmation of resistance against the only available drug toltrazuril, there is a substantial need for novel therapeutics to combat the infection and its negative effects on animal health. In closely related apicomplexan...

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Main Authors: Aruna Shrestha, Kayode K. Ojo, Florian Koston, Bärbel Ruttkowski, Rama S.R. Vidadala, Carlie S. Dorr, Edelmar D. Navaluna, Grant R. Whitman, Kayleigh F. Barrett, Lynn K. Barrett, Matthew A. Hulverson, Ryan Choi, Samantha A. Michaels, Dustin J. Maly, Andrew Hemphill, Wesley C. Van Voorhis, Anja Joachim
Format: Article
Language:English
Published: Elsevier 2019-08-01
Series:International Journal for Parasitology: Drugs and Drug Resistance
Online Access:http://www.sciencedirect.com/science/article/pii/S2211320719300454
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author Aruna Shrestha
Kayode K. Ojo
Florian Koston
Bärbel Ruttkowski
Rama S.R. Vidadala
Carlie S. Dorr
Edelmar D. Navaluna
Grant R. Whitman
Kayleigh F. Barrett
Lynn K. Barrett
Matthew A. Hulverson
Ryan Choi
Samantha A. Michaels
Dustin J. Maly
Andrew Hemphill
Wesley C. Van Voorhis
Anja Joachim
author_facet Aruna Shrestha
Kayode K. Ojo
Florian Koston
Bärbel Ruttkowski
Rama S.R. Vidadala
Carlie S. Dorr
Edelmar D. Navaluna
Grant R. Whitman
Kayleigh F. Barrett
Lynn K. Barrett
Matthew A. Hulverson
Ryan Choi
Samantha A. Michaels
Dustin J. Maly
Andrew Hemphill
Wesley C. Van Voorhis
Anja Joachim
author_sort Aruna Shrestha
collection DOAJ
description Cystoisosporosis is a leading diarrheal disease in suckling piglets. With the confirmation of resistance against the only available drug toltrazuril, there is a substantial need for novel therapeutics to combat the infection and its negative effects on animal health. In closely related apicomplexan species, bumped kinase inhibitors (BKIs) targeting calcium-dependent protein kinase 1 (CDPK1) were shown to be effective in inhibiting host-cell invasion and parasite growth. Therefore, the gene coding for Cystoisospora suis CDPK1 (CsCDPK1) was identified and cloned to investigate activity and thermal stabilization of the recombinant CsCDPK1 enzyme by BKI 1369. In this comprehensive study, the efficacy, safety and pharmacokinetics of BKI 1369 in piglets experimentally infected with Cystoisospora suis (toltrazuril-sensitive, Wien-I and toltrazuril-resistant, Holland-I strains) were determined in vivo and in vitro using an established animal infection model and cell culture, respectively. BKI 1369 inhibited merozoite proliferation in intestinal porcine epithelial cells-1 (IPEC-1) by at least 50% at a concentration of 40 nM, and proliferation was almost completely inhibited (>95%) at 200 nM. Nonetheless, exposure of infected cultures to 200 nM BKI 1369 for five days did not induce structural alterations in surviving merozoites as confirmed by transmission electron microscopy. Five-day treatment with BKI 1369 (10 mg/kg BW twice a day) effectively suppressed oocyst excretion and diarrhea and improved body weight gains in treated piglets without obvious side effects for both toltrazuril-sensitive, Wien-I and resistant, Holland-I C. suis strains. The plasma concentration of BKI 1369 in piglets increased to 11.7 μM during treatment, suggesting constant drug accumulation and exposure of parasites to the drug. Therefore, oral applications of BKI 1369 could potentially be a therapeutic alternative against porcine cystoisosporosis. For use in pigs, future studies on BKI 1369 should be directed towards ease of drug handling and minimizing treatment frequencies. Keywords: Cystoisosporosis, CsCDPK1, Efficacy, Pharmacokinetics, Safety
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spelling doaj.art-a1a719e47d4b426fa88a60a6c691ec342022-12-22T01:14:46ZengElsevierInternational Journal for Parasitology: Drugs and Drug Resistance2211-32072019-08-0110919Bumped kinase inhibitor 1369 is effective against Cystoisospora suis in vivo and in vitroAruna Shrestha0Kayode K. Ojo1Florian Koston2Bärbel Ruttkowski3Rama S.R. Vidadala4Carlie S. Dorr5Edelmar D. Navaluna6Grant R. Whitman7Kayleigh F. Barrett8Lynn K. Barrett9Matthew A. Hulverson10Ryan Choi11Samantha A. Michaels12Dustin J. Maly13Andrew Hemphill14Wesley C. Van Voorhis15Anja Joachim16Institute of Parasitology, Department of Pathobiology, University of Veterinary Medicine, Veterinärplatz 1, A-1210, Vienna, Austria; Corresponding author. Veterinärplatz 1, A-1210, Vienna, Austria.Center for Emerging and Reemerging Infectious Diseases, Division of Allergy and Infectious Diseases, Department of Medicine, University of Washington, 750 Republican Street, Seattle, WA, 98109, USAInstitute of Parasitology, Department of Pathobiology, University of Veterinary Medicine, Veterinärplatz 1, A-1210, Vienna, AustriaInstitute of Parasitology, Department of Pathobiology, University of Veterinary Medicine, Veterinärplatz 1, A-1210, Vienna, AustriaDepartment of Chemistry, University of Washington, Seattle, WA, 98195, USACenter for Emerging and Reemerging Infectious Diseases, Division of Allergy and Infectious Diseases, Department of Medicine, University of Washington, 750 Republican Street, Seattle, WA, 98109, USACenter for Emerging and Reemerging Infectious Diseases, Division of Allergy and Infectious Diseases, Department of Medicine, University of Washington, 750 Republican Street, Seattle, WA, 98109, USACenter for Emerging and Reemerging Infectious Diseases, Division of Allergy and Infectious Diseases, Department of Medicine, University of Washington, 750 Republican Street, Seattle, WA, 98109, USACenter for Emerging and Reemerging Infectious Diseases, Division of Allergy and Infectious Diseases, Department of Medicine, University of Washington, 750 Republican Street, Seattle, WA, 98109, USACenter for Emerging and Reemerging Infectious Diseases, Division of Allergy and Infectious Diseases, Department of Medicine, University of Washington, 750 Republican Street, Seattle, WA, 98109, USACenter for Emerging and Reemerging Infectious Diseases, Division of Allergy and Infectious Diseases, Department of Medicine, University of Washington, 750 Republican Street, Seattle, WA, 98109, USACenter for Emerging and Reemerging Infectious Diseases, Division of Allergy and Infectious Diseases, Department of Medicine, University of Washington, 750 Republican Street, Seattle, WA, 98109, USACenter for Emerging and Reemerging Infectious Diseases, Division of Allergy and Infectious Diseases, Department of Medicine, University of Washington, 750 Republican Street, Seattle, WA, 98109, USADepartment of Chemistry, University of Washington, Seattle, WA, 98195, USAInstitute of Parasitology, Vetsuisse Faculty, University of Bern, Länggasstrasse 122, 3012, Bern, SwitzerlandCenter for Emerging and Reemerging Infectious Diseases, Division of Allergy and Infectious Diseases, Department of Medicine, University of Washington, 750 Republican Street, Seattle, WA, 98109, USAInstitute of Parasitology, Department of Pathobiology, University of Veterinary Medicine, Veterinärplatz 1, A-1210, Vienna, AustriaCystoisosporosis is a leading diarrheal disease in suckling piglets. With the confirmation of resistance against the only available drug toltrazuril, there is a substantial need for novel therapeutics to combat the infection and its negative effects on animal health. In closely related apicomplexan species, bumped kinase inhibitors (BKIs) targeting calcium-dependent protein kinase 1 (CDPK1) were shown to be effective in inhibiting host-cell invasion and parasite growth. Therefore, the gene coding for Cystoisospora suis CDPK1 (CsCDPK1) was identified and cloned to investigate activity and thermal stabilization of the recombinant CsCDPK1 enzyme by BKI 1369. In this comprehensive study, the efficacy, safety and pharmacokinetics of BKI 1369 in piglets experimentally infected with Cystoisospora suis (toltrazuril-sensitive, Wien-I and toltrazuril-resistant, Holland-I strains) were determined in vivo and in vitro using an established animal infection model and cell culture, respectively. BKI 1369 inhibited merozoite proliferation in intestinal porcine epithelial cells-1 (IPEC-1) by at least 50% at a concentration of 40 nM, and proliferation was almost completely inhibited (>95%) at 200 nM. Nonetheless, exposure of infected cultures to 200 nM BKI 1369 for five days did not induce structural alterations in surviving merozoites as confirmed by transmission electron microscopy. Five-day treatment with BKI 1369 (10 mg/kg BW twice a day) effectively suppressed oocyst excretion and diarrhea and improved body weight gains in treated piglets without obvious side effects for both toltrazuril-sensitive, Wien-I and resistant, Holland-I C. suis strains. The plasma concentration of BKI 1369 in piglets increased to 11.7 μM during treatment, suggesting constant drug accumulation and exposure of parasites to the drug. Therefore, oral applications of BKI 1369 could potentially be a therapeutic alternative against porcine cystoisosporosis. For use in pigs, future studies on BKI 1369 should be directed towards ease of drug handling and minimizing treatment frequencies. Keywords: Cystoisosporosis, CsCDPK1, Efficacy, Pharmacokinetics, Safetyhttp://www.sciencedirect.com/science/article/pii/S2211320719300454
spellingShingle Aruna Shrestha
Kayode K. Ojo
Florian Koston
Bärbel Ruttkowski
Rama S.R. Vidadala
Carlie S. Dorr
Edelmar D. Navaluna
Grant R. Whitman
Kayleigh F. Barrett
Lynn K. Barrett
Matthew A. Hulverson
Ryan Choi
Samantha A. Michaels
Dustin J. Maly
Andrew Hemphill
Wesley C. Van Voorhis
Anja Joachim
Bumped kinase inhibitor 1369 is effective against Cystoisospora suis in vivo and in vitro
International Journal for Parasitology: Drugs and Drug Resistance
title Bumped kinase inhibitor 1369 is effective against Cystoisospora suis in vivo and in vitro
title_full Bumped kinase inhibitor 1369 is effective against Cystoisospora suis in vivo and in vitro
title_fullStr Bumped kinase inhibitor 1369 is effective against Cystoisospora suis in vivo and in vitro
title_full_unstemmed Bumped kinase inhibitor 1369 is effective against Cystoisospora suis in vivo and in vitro
title_short Bumped kinase inhibitor 1369 is effective against Cystoisospora suis in vivo and in vitro
title_sort bumped kinase inhibitor 1369 is effective against cystoisospora suis in vivo and in vitro
url http://www.sciencedirect.com/science/article/pii/S2211320719300454
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