Nanomedicine-based strategies to improve treatment of cutaneous leishmaniasis

Author:

Goonoo Nowsheen1,Laetitia Huët Marie Andrea1ORCID,Chummun Itisha1,Karuri Nancy2,Badu Kingsley3,Gimié Fanny4,Bergrath Jonas5ORCID,Schulze Margit5ORCID,Müller Mareike6,Bhaw-Luximon Archana1ORCID

Affiliation:

1. Biomaterials, Drug Delivery and Nanotechnology Unit, Center for Biomedical and Biomaterials Research, University of Mauritius, Réduit 80837, Mauritius

2. Department of Chemical Engineering, Dedan Kimathi University of Technology, Private Bag 10143 – Dedan Kimathi, Nyeri, Kenya

3. Vector-borne Infectious Disease Group, Theoretical and Applied Biology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana

4. Animalerie, Plateforme de recherche CYROI, 2 rue Maxime Rivière, 97490 Sainte Clotilde, Ile de La Réunion, France

5. Department of Natural Sciences, University of Applied Sciences Bonn-Rhein-Sieg, Heisenbergstrasse 16, D-53359 Rheinbach, Germany

6. Physical Chemistry I & Research Center of Micro- and Nanochemistry and (Bio)Technology (Cμ), Department of Chemistry and Biology, University of Siegen, Adolf-Reichwein-Strasse 2, 57076 Siegen, Germany

Abstract

Nanomedicine strategies were first adapted and successfully translated to clinical application for diseases, such as cancer and diabetes. These strategies would no doubt benefit unmet diseases needs as in the case of leishmaniasis. The latter causes skin sores in the cutaneous form and affects internal organs in the visceral form. Treatment of cutaneous leishmaniasis (CL) aims at accelerating wound healing, reducing scarring and cosmetic morbidity, preventing parasite transmission and relapse. Unfortunately, available treatments show only suboptimal effectiveness and none of them were designed specifically for this disease condition. Tissue regeneration using nano-based devices coupled with drug delivery are currently being used in clinic to address diabetic wounds. Thus, in this review, we analyse the current treatment options and attempt to critically analyse the use of nanomedicine-based strategies to address CL wounds in view of achieving scarless wound healing, targeting secondary bacterial infection and lowering drug toxicity.

Funder

BMBF

Higher Education Commission Mauritius

Publisher

The Royal Society

Subject

Multidisciplinary

Reference213 articles.

1. Cutaneous leishmaniasis

2. World Health Organization. 2021 Leishmaniasis. See https://www.who.int/news-room/fact-sheets/detail/leishmaniasis (accessed on 29 September 2021).

3. Cutaneous Leishmaniasis: Recent Developments in Diagnosis and Management

4. Centers for Disease Control and Prevention. 2015 Practical Guide for Specimen Collection and Reference Diagnosis of Leishmaniasis 1–4. See https://www.cdc.gov/parasites/leishmaniasis/resources/pdf/cdc_-diagnosis_guide_leishmaniasis_2015.pdf.

5. Two separate growth phases during the development of Leishmania in sand flies: implications for understanding the life cycle

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