In:
PLOS Pathogens, Public Library of Science (PLoS), Vol. 17, No. 6 ( 2021-6-2), p. e1009601-
Abstract:
Onchocerciasis (river blindness), caused by the filarial worm Onchocerca volvulus , is a neglected tropical disease mostly affecting sub-Saharan Africa and is responsible for 〉 1.3 million years lived with disability. Current control relies almost entirely on ivermectin, which suppresses symptoms caused by the first-stage larvae (microfilariae) but does not kill the long-lived adults. Here, we evaluated emodepside, a semi-synthetic cyclooctadepsipeptide registered for deworming applications in companion animals, for activity against adult filariae ( i . e ., as a macrofilaricide). We demonstrate the equivalence of emodepside activity on SLO-1 potassium channels in Onchocerca volvulus and Onchocerca ochengi , its sister species from cattle. Evaluation of emodepside in cattle as single or 7-day treatments at two doses (0.15 and 0.75 mg/kg) revealed rapid activity against microfilariae, prolonged suppression of female worm fecundity, and macrofilaricidal effects by 18 months post treatment. The drug was well tolerated, causing only transiently increased blood glucose. Female adult worms were mostly paralyzed; however, some retained metabolic activity even in the multiple high-dose group. These data support ongoing clinical development of emodepside to treat river blindness.
Type of Medium:
Online Resource
ISSN:
1553-7374
DOI:
10.1371/journal.ppat.1009601
DOI:
10.1371/journal.ppat.1009601.g001
DOI:
10.1371/journal.ppat.1009601.g002
DOI:
10.1371/journal.ppat.1009601.g003
DOI:
10.1371/journal.ppat.1009601.g004
DOI:
10.1371/journal.ppat.1009601.g005
DOI:
10.1371/journal.ppat.1009601.g006
DOI:
10.1371/journal.ppat.1009601.g007
DOI:
10.1371/journal.ppat.1009601.g008
DOI:
10.1371/journal.ppat.1009601.t001
DOI:
10.1371/journal.ppat.1009601.t002
DOI:
10.1371/journal.ppat.1009601.s001
Language:
English
Publisher:
Public Library of Science (PLoS)
Publication Date:
2021
detail.hit.zdb_id:
2205412-1
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