Liposomal Ellagic Acid Alleviates Cyclophosphamide-Induced Toxicity and Eliminates the Systemic <i>Cryptococcus neoformans</i> Infection in Leukopenic Mice

<i>Cryptococcus neoformans</i> infections rose sharply due to rapid increase in the numbers of immunocompromised individuals in recent years. Treatment of Cryptococcosis in immunocompromised persons is largely very challenging and hopeless. Hence, this study aimed to determine the activi...

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Main Authors: Masood Alam Khan, Arif Khan, Mohd Azam, Khaled S. Allemailem, Faris Alrumaihi, Ahmad Almatroudi, Fahad A. Alhumaydhi, Faizul Azam, Shaheer Hasan Khan, Syeda Fauzia Farheen Zofair, Sumbul Ahmad, Hina Younus
Format: Article
Language:English
Published: MDPI AG 2021-06-01
Series:Pharmaceutics
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Online Access:https://www.mdpi.com/1999-4923/13/6/882
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author Masood Alam Khan
Arif Khan
Mohd Azam
Khaled S. Allemailem
Faris Alrumaihi
Ahmad Almatroudi
Fahad A. Alhumaydhi
Faizul Azam
Shaheer Hasan Khan
Syeda Fauzia Farheen Zofair
Sumbul Ahmad
Hina Younus
author_facet Masood Alam Khan
Arif Khan
Mohd Azam
Khaled S. Allemailem
Faris Alrumaihi
Ahmad Almatroudi
Fahad A. Alhumaydhi
Faizul Azam
Shaheer Hasan Khan
Syeda Fauzia Farheen Zofair
Sumbul Ahmad
Hina Younus
author_sort Masood Alam Khan
collection DOAJ
description <i>Cryptococcus neoformans</i> infections rose sharply due to rapid increase in the numbers of immunocompromised individuals in recent years. Treatment of Cryptococcosis in immunocompromised persons is largely very challenging and hopeless. Hence, this study aimed to determine the activity of ellagic acid (EA) in the treatment of <i>C. neoformans</i> in cyclophosphamide injected leukopenic mice. A liposomal formulation of ellagic acid (Lip-EA) was prepared and characterized, and its antifungal activity was assessed in comparison to fluconazole (FLZ). The efficacy of the drug treatment was tested by assessing survival rate, fungal burden, and histological analysis in lung tissues. The safety of the drug formulations was tested by investigating hepatic, renal function, and antioxidant levels. The results of the present work demonstrated that Lip-EA, not FLZ, effectively eliminated <i>C. neoformans</i> infection in the leukopenic mice. Mice treated with Lip-EA (40 mg/kg) showed 70% survival rate and highly reduced fungal burden in their lung tissues, whereas the mice treated with FLZ (40 mg/kg) had 20% survival rate and greater fungal load in their lungs. Noteworthy, Lip-EA treatment alleviated cyclophosphamide-induced toxicity and restored hepatic and renal function parameters. Moreover, Lip-EA treatment restored the levels of superoxide dismutase and reduced glutathione and catalase in the lung tissues. The effect of FLZ or EA or Lip-EA against <i>C. neoformans</i> infection was assessed by the histological analysis of lung tissues. Lip-EA effectively reduced influx of inflammatory cells, thickening of alveolar walls, congestion, and hemorrhage. The findings of the present study suggest that Lip-EA may prove to be a promising therapeutic formulation against <i>C. neoformans</i> in immunocompromised persons.
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spelling doaj.art-cd2f14299b9b40e1ab4c84ba8e15bd8d2023-11-22T00:08:44ZengMDPI AGPharmaceutics1999-49232021-06-0113688210.3390/pharmaceutics13060882Liposomal Ellagic Acid Alleviates Cyclophosphamide-Induced Toxicity and Eliminates the Systemic <i>Cryptococcus neoformans</i> Infection in Leukopenic MiceMasood Alam Khan0Arif Khan1Mohd Azam2Khaled S. Allemailem3Faris Alrumaihi4Ahmad Almatroudi5Fahad A. Alhumaydhi6Faizul Azam7Shaheer Hasan Khan8Syeda Fauzia Farheen Zofair9Sumbul Ahmad10Hina Younus11Department of Basic Health Sciences, College of Applied Medical Sciences, Qassim University, Buraydah 51452, Saudi ArabiaDepartment of Basic Health Sciences, College of Applied Medical Sciences, Qassim University, Buraydah 51452, Saudi ArabiaDepartment of Medical Laboratories, College of Applied Medical Sciences, Qassim University, Buraydah 51452, Saudi ArabiaDepartment of Medical Laboratories, College of Applied Medical Sciences, Qassim University, Buraydah 51452, Saudi ArabiaDepartment of Medical Laboratories, College of Applied Medical Sciences, Qassim University, Buraydah 51452, Saudi ArabiaDepartment of Medical Laboratories, College of Applied Medical Sciences, Qassim University, Buraydah 51452, Saudi ArabiaDepartment of Medical Laboratories, College of Applied Medical Sciences, Qassim University, Buraydah 51452, Saudi ArabiaDepartment of Pharmaceutical Chemistry & Pharmacognosy, Unaizah College of Pharmacy, Qassim University, Buraydah 51452, Saudi ArabiaInterdisciplinary Biotechnology Unit, Faculty of Life Sciences, Aligarh Muslim University, Aligarh 202002, IndiaInterdisciplinary Biotechnology Unit, Faculty of Life Sciences, Aligarh Muslim University, Aligarh 202002, IndiaInterdisciplinary Biotechnology Unit, Faculty of Life Sciences, Aligarh Muslim University, Aligarh 202002, IndiaInterdisciplinary Biotechnology Unit, Faculty of Life Sciences, Aligarh Muslim University, Aligarh 202002, India<i>Cryptococcus neoformans</i> infections rose sharply due to rapid increase in the numbers of immunocompromised individuals in recent years. Treatment of Cryptococcosis in immunocompromised persons is largely very challenging and hopeless. Hence, this study aimed to determine the activity of ellagic acid (EA) in the treatment of <i>C. neoformans</i> in cyclophosphamide injected leukopenic mice. A liposomal formulation of ellagic acid (Lip-EA) was prepared and characterized, and its antifungal activity was assessed in comparison to fluconazole (FLZ). The efficacy of the drug treatment was tested by assessing survival rate, fungal burden, and histological analysis in lung tissues. The safety of the drug formulations was tested by investigating hepatic, renal function, and antioxidant levels. The results of the present work demonstrated that Lip-EA, not FLZ, effectively eliminated <i>C. neoformans</i> infection in the leukopenic mice. Mice treated with Lip-EA (40 mg/kg) showed 70% survival rate and highly reduced fungal burden in their lung tissues, whereas the mice treated with FLZ (40 mg/kg) had 20% survival rate and greater fungal load in their lungs. Noteworthy, Lip-EA treatment alleviated cyclophosphamide-induced toxicity and restored hepatic and renal function parameters. Moreover, Lip-EA treatment restored the levels of superoxide dismutase and reduced glutathione and catalase in the lung tissues. The effect of FLZ or EA or Lip-EA against <i>C. neoformans</i> infection was assessed by the histological analysis of lung tissues. Lip-EA effectively reduced influx of inflammatory cells, thickening of alveolar walls, congestion, and hemorrhage. The findings of the present study suggest that Lip-EA may prove to be a promising therapeutic formulation against <i>C. neoformans</i> in immunocompromised persons.https://www.mdpi.com/1999-4923/13/6/882<i>C. neoformans</i>fluconazoleellagic acidliposomesleukopenia
spellingShingle Masood Alam Khan
Arif Khan
Mohd Azam
Khaled S. Allemailem
Faris Alrumaihi
Ahmad Almatroudi
Fahad A. Alhumaydhi
Faizul Azam
Shaheer Hasan Khan
Syeda Fauzia Farheen Zofair
Sumbul Ahmad
Hina Younus
Liposomal Ellagic Acid Alleviates Cyclophosphamide-Induced Toxicity and Eliminates the Systemic <i>Cryptococcus neoformans</i> Infection in Leukopenic Mice
Pharmaceutics
<i>C. neoformans</i>
fluconazole
ellagic acid
liposomes
leukopenia
title Liposomal Ellagic Acid Alleviates Cyclophosphamide-Induced Toxicity and Eliminates the Systemic <i>Cryptococcus neoformans</i> Infection in Leukopenic Mice
title_full Liposomal Ellagic Acid Alleviates Cyclophosphamide-Induced Toxicity and Eliminates the Systemic <i>Cryptococcus neoformans</i> Infection in Leukopenic Mice
title_fullStr Liposomal Ellagic Acid Alleviates Cyclophosphamide-Induced Toxicity and Eliminates the Systemic <i>Cryptococcus neoformans</i> Infection in Leukopenic Mice
title_full_unstemmed Liposomal Ellagic Acid Alleviates Cyclophosphamide-Induced Toxicity and Eliminates the Systemic <i>Cryptococcus neoformans</i> Infection in Leukopenic Mice
title_short Liposomal Ellagic Acid Alleviates Cyclophosphamide-Induced Toxicity and Eliminates the Systemic <i>Cryptococcus neoformans</i> Infection in Leukopenic Mice
title_sort liposomal ellagic acid alleviates cyclophosphamide induced toxicity and eliminates the systemic i cryptococcus neoformans i infection in leukopenic mice
topic <i>C. neoformans</i>
fluconazole
ellagic acid
liposomes
leukopenia
url https://www.mdpi.com/1999-4923/13/6/882
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