Drug Repurposing in Chagas Disease: Chloroquine Potentiates Benznidazole Activity against Trypanosoma cruzi In Vitro and In Vivo

Author:

Pandey Ramendra P.12,Nascimento Marilda Savoia23,Franco Caio Haddad4,Bortoluci Karina5,Silva Marcelo Nunes6,Zingales Bianca6,Gibaldi Daniel7,Castaño Barrios Leda7,Lannes-Vieira Joseli7,Cariste Leonardo Moro8,Vasconcelos Jose Ronnie89ORCID,Moraes Carolina Borsoi4,Freitas-Junior Lucio H.4,Kalil Jorge12,Alcântara Laura123,Cunha-Neto Edecio12

Affiliation:

1. Laboratory of Immunology, Heart Institute, School of Medicine, University of São Paulo, São Paulo, Brazil

2. School of Medicine, University of São Paulo, São Paulo, Brazil

3. Institute of Tropical Medicine of São Paulo, São Paulo, Brazil

4. Department of Microbiology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil

5. Department of Pharmacology, Federal University of São Paulo, São Paulo, Brazil

6. Department of Biochemistry, Institute of Chemistry, University of São Paulo, São Paulo, Brazil

7. Institute Oswaldo Cruz—Fiocruz, Rio de Janeiro, Brazil

8. Recombinant Vaccines Laboratory, Department of Biosciences, Federal University of São Paulo, São Paulo, Brazil

9. Department of Microbiology, Immunology, and Parasitology, Federal University of São Paulo (UNIFESP), São Paulo, Brazil

Abstract

Drug combinations and drug repurposing have emerged as promising strategies to develop novel treatments for infectious diseases, including Chagas disease. In this study, we aimed to investigate whether the repurposed drugs chloroquine (CQ) and colchicine (COL), known to inhibit Trypanosoma cruzi infection in host cells, could boost the anti- T. cruzi effect of the trypanocidal drug benznidazole (BZN), increasing its therapeutic efficacy while reducing the dose needed to eradicate the parasite. The combination of BZN and COL exhibited cytotoxicity to infected cells and low antiparasitic activity.

Funder

Fundação de Amparo à Pesquisa do Estado de São Paulo

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior

Conselho Nacional de Desenvolvimento Científico e Tecnológico

Fundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference63 articles.

1. World Health Organization. 2022. Chagas disease (also known as American trypanosomiasis). World Health Organization Geneva Switzerland. https://www.who.int/news-room/fact-sheets/detail/chagas-disease-(american-trypanosomiasis).

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