51. Pathogen- and Host-Directed Antileishmanial Effects Mediated by Polyhexanide (PHMB)
- Author
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Liam Good, Tobias A. Oelschlaeger, Lorenz Meinel, Kantaraja Chindera, Rebuma Firdessa, Nor Fadhilah Kamaruzzaman, Nina Hecht, Bianca Röger, Martina Schultheis, Heidrun Moll, Maria Cecilia Amstalden, and Tessa Lühmann
- Subjects
lcsh:Arctic medicine. Tropical medicine ,CpG Oligodeoxynucleotide ,lcsh:RC955-962 ,Biguanides ,Polyhexanide ,Microbiology ,Mice ,chemistry.chemical_compound ,Cutaneous leishmaniasis ,medicine ,Animals ,Leishmania major ,ddc:610 ,Amastigote ,Cells, Cultured ,Mice, Inbred BALB C ,biology ,lcsh:Public aspects of medicine ,Public Health, Environmental and Occupational Health ,lcsh:RA1-1270 ,Antimicrobial ,biology.organism_classification ,medicine.disease ,Leishmania ,Infectious Diseases ,Oligodeoxyribonucleotides ,chemistry ,Drug delivery ,Female ,Research Article - Abstract
Background Cutaneous leishmaniasis (CL) is a neglected tropical disease caused by protozoan parasites of the genus Leishmania. CL causes enormous suffering in many countries worldwide. There is no licensed vaccine against CL, and the chemotherapy options show limited efficacy and high toxicity. Localization of the parasites inside host cells is a barrier to most standard chemo- and immune-based interventions. Hence, novel drugs, which are safe, effective and readily accessible to third-world countries and/or drug delivery technologies for effective CL treatments are desperately needed. Methodology/Principal Findings Here we evaluated the antileishmanial properties and delivery potential of polyhexamethylene biguanide (PHMB; polyhexanide), a widely used antimicrobial and wound antiseptic, in the Leishmania model. PHMB showed an inherent antileishmanial activity at submicromolar concentrations. Our data revealed that PHMB kills Leishmania major (L. major) via a dual mechanism involving disruption of membrane integrity and selective chromosome condensation and damage. PHMB’s DNA binding and host cell entry properties were further exploited to improve the delivery and immunomodulatory activities of unmethylated cytosine-phosphate-guanine oligodeoxynucleotides (CpG ODN). PHMB spontaneously bound CpG ODN, forming stable nanopolyplexes that enhanced uptake of CpG ODN, potentiated antimicrobial killing and reduced host cell toxicity of PHMB. Conclusions Given its low cost and long history of safe topical use, PHMB holds promise as a drug for CL therapy and delivery vehicle for nucleic acid immunomodulators., Author Summary Intracellular pathogens are difficult to kill because their localization inside host cells provides protection against immunity and chemotherapies. Thus, successful treatment of diseases caused by intracellular pathogens may need combination therapies and effective delivery systems. Cutaneous leishmaniasis (CL) is caused by intracellular protozoan pathogens of the genus Leishmania. CL is a long established global problem, yet there are no suitable vaccine or chemotherapy options. We found that the well-tolerated cationic polymer PHMB is able to directly kill Leishmania major (L. major) and to enhance host-directed killing by improving the delivery of immunomodulatory nucleic acids. The study exemplifies parallel host- and pathogen-directed killing of an intracellular pathogen in the presence of effective drug delivery platforms. This general strategy holds great promise for therapy of a range of diseases caused by intracellular pathogens.
- Published
- 2015