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J El-On

Publications and source records attributed to J El-On.

At least 37 records · Page 2Linked to original sources

Leishmania tropica: protective response in C3H mice vaccinated with excreted factor crosslinked with the synthetic adjuvant, muramyl dipeptide.

Excreted factor, an immunosuppressive, acidic polysaccharide released by promastigotes of Leishmania tropica major in culture, was chemically crosslinked to the synthetic adjuvant muramyl dipeptide via the bifunctional imidoester dimethyladipimidate and poly-L-lysine. This conjugate, an uncrosslinked mixture of the components, or each of the components alone were injected one to three times into different groups of 8- to 12-week-old C3H mice. The mice were challenged 2 weeks after the last injection with 2 X 10(6) promastigotes of L. t. major in the base of the tail. For the next 5 weeks, the animals were monitored for number of parasites and size of the lesion which developed at the site of the challenge. Mice receiving one intraperitoneal injection of the conjugate were partially protected against challenge. Treated animals had higher initial parasite numbers but showed a more rapid clearing of the parasites. Furthermore, the treated animals developed smaller lesions that healed quicker than did those of the control groups. Multiple injections, or injection into a footpad, rather than intraperitoneally, reduced the ability to elicit a protective response. On the other hand, muramyl dipeptide injected into a footpad was partially protective. Antibody production to excreted factor, which was measured by indirect hemagglutination of sensitized erythrocytes, was detected after challenge in mice which had received conjugate or conjugate components. A delayed hypersensitivity reaction (measured by skin testing) was not detected in any of the groups prior to challenge.

Acetylmuramyl-Alanyl-Isoglutamine↗

Growth inhibition of Leishmania tropica amastigotes in vitro by rifampicin combined with amphotericin B.

Rifampicin and Amphotericin B (AMB) were studied separately and in combination to determine their effect in vitro on intracellular Leishmania tropica amastigotes. On the fourth day of treatment, rifampicin at 200 micrograms ml-1 or AMB at 0.15 microgram ml-1 reduced the parasites' survival index (PSI) to 10% compared with the untreated control. In combination, there was a significant synergistic effect at several concentrations. The synergistic therapeutic effects were not accompanied by toxicity to the host cells, although each drug alone caused cellular degeneration in the ultrastructure of the parasites with the formation of large autophagic-like vacuoles, while the combination increased the percentage of degenerate cells.

Amphotericin B↗

Development of topical treatment for cutaneous leishmaniasis caused by Leishmania major in experimental animals.

Topical treatment, with drug-containing ointments, of cutaneous leishmaniasis caused by Leishmania major in BALB/c mice was studied. Twenty chemotherapeutic agents having potential or established antileishmanial activity were formulated in different ointment and cream bases. Only 15% paromomycin sulfate with 12% methylbenzethonium chloride, 12% benzethonium chloride, 12% cetalkonium chloride, or 12% dimethyl sulfoxide, all incorporated in white soft paraffin (United Kingdom patent application no. 2117237A), were completely effective. Topical treatment twice daily for 6 or more days caused total elimination of the parasites and healing of the lesion in all treated mice. All the other antileishmanial compounds, including sodium stibogluconate, pentamidine, amphotericin B, emetine hydrochloride, metronidazole, co-trimoxazole, allopurinol, and rifampin, either showed a slight effect on the parasites or were highly toxic to the animal host at the concentrations tested.

Administration, Topical↗

Comparison of the effect of various stimuli on the leishmaniacidal capacity of human monocytes in vitro.

Leishmania organisms are obligate intracellular parasites of mammalian mononuclear phagocytes in vivo. In order to study the interactions of these parasites and mononuclear phagocytes, we have used a model of infection of Leishmania major in human monocytes in vitro. The presence of intracellular parasites did not alter the normal secretion of lysozyme or result in increased secretion of prostaglandin E2 (PGE2) or superoxide anion by the monocytes. Addition of concanavalin A (Con A), which binds to a specific membrane receptor, zymosan particles or endotoxin to infected monocyte monolayers, resulted in the expected increase in PGE2 secretion. In addition, the production of superoxide by infected monocytes treated with phorbol myristate acetate was not different from control uninfected cultures. Despite this evidence of biochemical activation, neither endotoxin, zymosan nor Con A had any parasiticidal effect on the intracellular parasites. In contrast, Con A-induced lymphokines from human mononuclear cells resulted in an increased killing of the intracellular amastigotes. These studies have shown that the induction of leishmaniacidal capacity of human monocytes is dependent on the type of stimulus used to induce activation.

Cells, Cultured↗

Leishmanial excreted factors (EFs): purification by affinity chromatography.

Leishmania species grown in culture excrete a polyanionic, carbohydrate-rich factor (EF) which binds to antibodies produced in rabbits against the parent Leishmania species. EF, previously purified by physical and chemical methods, was purified by affinity chromatography on a Ricinus lectin column. The purified samples were characterised and analysed. The results show a notable proportion of galactose in EF and clarify the reasons for its polyanionic properties. Heterogenicity of EF is demonstrated and discussed.

Amino Acids↗

Binding of Leishmania promastigotes to macrophages.

Leishmania tropica promastigotes are easily attached to and engulfed by C3H peritoneal macrophages in vitro at 37 degrees C. Different sugars at 0.3-0.5 M inhibited in vitro the attachment of L. tropica promastigotes to C3H peritoneal macrophages with lactose (Gal-beta [1 leads to 4]Glc) being the most efficient. Inhibition of attachment is also affected by pre-treatment of promastigotes with galactose oxidase. Oligosaccharides extending from promastigote and amastigote cell surfaces contain an important proportion of non-reducing galactose as does the carbohydrate-rich factor (EF) excreted by promastigotes of L. tropica and L. donovani. This study suggests that Leishmania, an obligatory intracellular parasite, uses as a means of entering the host cell a cellular mechanism similar to that used in the removal of damaged cells from blood circulation. This mechanism is assumed to take advantage of the exposed sugars, particularly the exposed non-reducing galactose, on the parasite surface during the stage of attachment. Once the parasite is inside the cell, the EF it produces might have a protective function, being inhibitory to some of the host cell lysosomal enzymes.

Agglutination↗

Leishmania tropica and Leishmania donovani: solid phase radioimmunoassay using leishmanial excreted factor.

A radioimmunoassay for the quantitative determination of anti-leishmanial excreted factor (EF) antibody in rabbit sera was developed. The assay, using Leishmania tropica and Leishmania donovani promastigotes EF, purified by either extraction with phenol followed by fractionation on a Sephadex G-100 column or by the dissociation of EF antibody complexes, was shown to be sensitive and reproducible. Using monospecific anti-EF antibodies, levels of as low as 0.06-0.12 micrograms/ml of anti-EF IgG could be detected. The specificity of the assay was assessed by inhibition with homologous and heterologous EF. Only minor cross-reactivity with heterologous EF was observed, and as little as 2.5 micrograms/ml of EF could be detected. Sera from kala-azar patients showed only 1.8-3.1 times more anti-EF activity, as compared with uninfected controls. No specificity was observed with sera from kala-azar patients with regard to the type of EF used. Almost the same activity was obtained with both EF from L. tropica and L. donovani. No anti-EF antibodies were detected in sera from patients with cutaneous leishmaniasis.

Animals↗

Cutaneous leishmaniasis: treatment with ketoconazole.

A 17-year-old boy with an eight-month history of cutaneous leishmaniasis on the left earlobe was treated with ketoconazole for a period of four weeks. The patient showed excellent improvement both clinically and protozoologically. Ketoconazole, a new imidazole bound covalently to piperazine, has been developed as a broad spectrum antimycotic agent and appears to be a good antileishmanial drug.

Adolescent↗

Chemotherapeutic activity of rifampicin on leishmanial amastigotes and promastigotes in vitro.

Rifampicin reduced the in vitro growth of Leishmania tropica major promastigotes and amastigotes: 100 micrograms/ml reducing the growth of amastigotes on Day 2 and 250 to 500 micrograms/ml reducing the growth of promastigotes on Day 1. A distinct effect of solvents was noted. Methanol, dimethylsulfoxide and Tween 80 appeared to increase drug effectiveness. Pretreatment of L. tropica major promastigotes with 200 micrograms/ml rifampicin for 3 days had no effect on either macrophage engulfment of the treated promastigotes or their transformation into amastigotes. Intracellular amastigotes treated for only 3 days recovered and 8-day treatment with 100 micrograms/ml rifampicin was insufficient to totally eliminate the amastigotes. The promastigotes of different strains of Leishmania showed different sensitivities to rifampicin, L. aethiopica being more sensitive than L. donovani, L. tropica minor and L. tropica major.

Dimethyl Sulfoxide↗

Rifampicin treatment of cutaneous leishmaniasis.

In a small-scale preliminary trial of oral rifampicin treatment was considered successful in six out of eight cutaneous leishmaniasis patients and probably effective in a seventh. The in vitro effect of rifampicin on leishmania organisms concerns inhibition of mitochondrial function or replication. The need for protozoological control in the assessment of treatment is stressed.

Adolescent↗

Antiparasitic structure-activity relationships of congocidine derivatives.

Several congocidine analogs were synthesized and tested for in vivo activity against Trypanosoma congolense and in vitro activity against amastigotes of Leishmania tropica. The tripyrrole derivative, beta-([N-methyl-4-[N-methyl-4-(guanidinoacetamido)pyrrole-2-carboxamido]pyrrole -2-carboxamido]pyrrole-2-carboxamido)butyroamidine dihydrochloride, was less toxic and more active than congocidine. The guanidinoacetyl moiety appears to be a structural requirement for antiparasitic activity in the congocidine series.

Animals↗

Coagglutination and indirect hemagglutination in the detection of an excreted immunologically active substance from Leishmania.

The methods of coagglutination and indirect hemagglutination were used to detect the production of the immunologically active excreted factor (EF) of Leishmania. Staphylococci, rich in protein A and sensitized with specific anti-Leishmania antibodies, coagglutinated with supernatant fractions of cultures, thus enabling continuous monitoring of the excretion of EF by multiplying parasites. Papain-treated human red blood cells, sensitized with crude or purified EF, also agglutinated with the coagglutination reagent. The sensitized papain-treated red blood cells may be employed in indirect hemagglutination to detect specific antibodies to Leishmania in rabbit and human sera. As the EF is specific for each Leishmania serotype group, coagglutination and indirect hemagglutination offer the possibility of rapid, easy, sensitive and specific diagnostic tools in the determinations of both antigen and antibody in specimens from suspected cases of leishmaniasis.

Animals↗

Polyamines and the growth of leishmanial parasites.

The relation between the grown of leishmanial parasites and polyamine biosynthesis was studied. Polyamines, mainly putrescine and spermidine, accumulated in macrophages infected with Leishmania tropica major promastigotes grown in vitro. Similar results were obtained, when tissues of BALB/C mice infected with L. tropica major were examined. A consistent increase in cellular putrescine and spermidine levels was observed in infected skin and spleen. With the accumulation of putrescine, a concomitant increase in ornithine decarboxylase activity was detected in growing leishmanial promastigotes and in macrophages supporting the growth of leishmanial amastigotes. An increase in the activity of ornithine decarboxylase was also observed in Leishmania-infected skin and spleen from BALB/C mice.

Animals↗