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Chemosensitization of Trypanosoma congolense strains resistant to isometamidium chloride by tetracyclines and enrofloxacin

Because of the development of resistance in trypanosomes to trypanocidal drugs, the livelihood of millions of livestock keepers in sub-Saharan Africa is threatened now more than ever. The existing compounds have become virtually useless and pharmaceutical companies are not keen on investing in the d...

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Published in:PLoS neglected tropical diseases 2010-09, Vol.4 (9), p.e828-e828
Main Authors: Delespaux, Vincent, Vitouley, Hervé Sèna, Marcotty, Tanguy, Speybroeck, Niko, Berkvens, Dirk, Roy, Krisna, Geerts, Stanny, Van den Bossche, Peter
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cited_by cdi_FETCH-LOGICAL-c623t-ab25d6e1f2ef4befa8e7aa2651c7333c69184d2b90fb1773c80c0855cad357203
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description Because of the development of resistance in trypanosomes to trypanocidal drugs, the livelihood of millions of livestock keepers in sub-Saharan Africa is threatened now more than ever. The existing compounds have become virtually useless and pharmaceutical companies are not keen on investing in the development of new trypanocides. We may have found a breakthrough in the treatment of resistant trypanosomal infections, through the combination of the trypanocide isometamidium chloride (ISM) with two affordable veterinary antibiotics. In a first experiment, groups of mice were inoculated with Trypanosoma congolense strains resistant to ISM and either left untreated or treated with (i) tetracycline, (ii) ISM or (iii) the combination of the antibiotic and the trypanocide. Survival analysis showed that there was a significant effect of treatment and resistance to treatment on the survival time. The groups treated with ISM (with or without antibiotic) survived significantly longer than the groups that were not treated with ISM (P
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The existing compounds have become virtually useless and pharmaceutical companies are not keen on investing in the development of new trypanocides. We may have found a breakthrough in the treatment of resistant trypanosomal infections, through the combination of the trypanocide isometamidium chloride (ISM) with two affordable veterinary antibiotics. In a first experiment, groups of mice were inoculated with Trypanosoma congolense strains resistant to ISM and either left untreated or treated with (i) tetracycline, (ii) ISM or (iii) the combination of the antibiotic and the trypanocide. Survival analysis showed that there was a significant effect of treatment and resistance to treatment on the survival time. The groups treated with ISM (with or without antibiotic) survived significantly longer than the groups that were not treated with ISM (P&lt;0.01). The group treated with the combination trypanocide/antibiotic survived significantly longer than the group treated with ISM (P&lt;0.01). In a second experiment, groups of cattle were inoculated with the same resistant trypanosome strain and treated with (i) ISM, (ii) ISM associated with oxytetracycline or (iii) ISM associated with enrofloxacine. All animals treated with ISM became parasitaemic. In the groups treated with ISM-oxytetracycline and ISM-enrofloxacine, 50% of the animals were cured. Animals from the groups treated with a combination trypanocide/antibiotic presented a significantly longer prepatent period than animals treated with ISM (p&lt;0.001). The impact of the disease on the haematocrit was low in all ISM treated groups. Yet, it was lower in the groups treated with the combination trypanocide/antibiotic (p&lt;0.01). 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identifier ISSN: 1935-2735
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subjects Animals
Antibiotics
Antiprotozoal Agents - administration & dosage
Antiprotozoal Agents - pharmacology
Cattle
Disease Models, Animal
Drug dosages
Drug resistance
Drug Resistance - drug effects
Drug Therapy, Combination - methods
Experiments
Fluoroquinolones - administration & dosage
Fluoroquinolones - pharmacology
Glossina
Infectious Diseases/Antimicrobials and Drug Resistance
Infectious Diseases/Protozoal Infections
Infectious Diseases/Tropical and Travel-Associated Diseases
Livestock
Mice
Parasitemia - drug therapy
Parasitemia - parasitology
Pharmaceutical industry
Phenanthridines - administration & dosage
Phenanthridines - pharmacology
Rural areas
Rural development
Survival Analysis
Tetracyclines - administration & dosage
Tetracyclines - pharmacology
Treatment Outcome
Tropical diseases
Trypanosoma
Trypanosoma congolense
Trypanosoma congolense - drug effects
Trypanosomiasis, African - drug therapy
Trypanosomiasis, African - parasitology
title Chemosensitization of Trypanosoma congolense strains resistant to isometamidium chloride by tetracyclines and enrofloxacin
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