1. Can letrozole be repurposed for the treatment of visceral leishmaniasis?
- Author
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Ribeiro JM, Teixeira EdM, Alves LL, Alves ÉAR, Pascoal-Xavier MA, Santi AMM, Oliveira E, Guimarães PPG, Teixeira-Carvalho A, Murta SMF, Peruhype-Magalhães V, and Souza-Fagundes EM
- Subjects
- Animals, Humans, Mice, Antiprotozoal Agents pharmacology, Antiprotozoal Agents therapeutic use, Macrophages drug effects, Macrophages parasitology, Female, THP-1 Cells, Mice, Inbred BALB C, Interferon-gamma, Interleukin-12 metabolism, Monocytes drug effects, Monocytes parasitology, Parasite Load, Spleen parasitology, Spleen drug effects, Transforming Growth Factor beta metabolism, Leishmaniasis, Visceral drug therapy, Leishmaniasis, Visceral parasitology, Leishmania infantum drug effects, Letrozole therapeutic use, Letrozole pharmacology, Drug Repositioning, Interleukin-10 metabolism, Tumor Necrosis Factor-alpha metabolism
- Abstract
Visceral leishmaniasis, caused by Leishmania infantum in New World countries, is the most serious and potentially fatal form of leishmaniasis, if left untreated. There are currently no effective prophylactic measures, and therapeutic options are limited. Therefore, we investigated whether the aromatase inhibitor letrozole (LET), which is already used to treat breast cancer, has an antileishmanial activity and/or immunomodulatory potential and therefore may be used to treat L. infantum infection. LET was active against L. infantum promastigote and amastigote life cycle stages in an i n vitro infection model using human THP-1 cell-derived macrophages. In human peripheral blood leukocytes ex vivo , LET reduced the internalized forms of L. infantum by classical monocytes and activated neutrophils. Concomitantly, LET stimulated the production of IL-12/TNF-α and decreased the production of IL-10/TGF-β by peripheral blood phagocytes, while in T and B cells, it promoted the production of TNF-α/IFN-γ and decreased that of IL-10. In a murine infection model, LET significantly reduced the parasite load in the liver after just 5 days and in the spleen after 15 days. During in vivo treatment with LET, the production of TNF-α/IFN-γ also increased. In addition, the proportion of developing granulomas decreased and that of mature granulomas increased in the liver, while there was no significant change in organ architecture in the spleen. Based on these data, repositioning of LET may be promising for the treatment of visceral leishmaniasis in humans., Competing Interests: The authors declare no conflict of interest.
- Published
- 2024
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