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Effect of dexamethasone on albendazole cysticidal activity in experimental cysticercosis by Taenia crassiceps in BALB/c mice: In vitro and in vivo evaluation
Abstract
Taenia solium is a parasite whose larvae (cysticerci) can locate in the central nervous system of humans and cause neurocysticercosis (NC). The introduction of cysticidal drugs such as albendazole (ABZ) for the treatment of NC has significantly improved its prognosis. However, treatment is not always effective, and the high levels of corticosteroids used to prevent inflammatory complications in this disease could be, partly, the cause of this observation. In this context, this study investigated, using the experimental mouse model of intraperitoneal infection with Taenia crassiceps, the influence of corticosteroid administration on the therapeutic efficacy of ABZ. We evaluated and compared the effects of ABZ, dexamethasone (DXM) and their combination (ABZ + DXM) on cyst viability, both in vitro and in vivo. Serum levels of IL-4, IFN-gamma, IL-6 and IL-10 were evaluated in the in vivo study. Results showed that the treatment with ABZ, in vitro and in vivo, was associated with a high number of parasites deaths. Concomitant treatment with DXM did not alter ABZ in vitro cysticidal activity but reduced its effectiveness significantly in the in vivo experimental model. Cytokine serum levels did not change significantly in treated mice compared to the controls. The results of this study are relevant as they indicate a negative effect of corticosteroids on the efficacy of cysticidal therapy. In human neurocysticercosis, control of inflammation is of great importance to most patients in order to avoid complications. Corticosteroids are generally used for this purpose and the results of this study demonstrate the need to find other therapeutic strategies. Further studies are needed to better understand the mechanisms involved.
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“using corticosteroids in experimental cysticercosis by Taenia crassiceps negatively affected the efficacy of cysticidal activity of albendazole [164]”
From Albendazole and Mebendazole as Anti-Parasitic and Anti-Cancer Agents: an Update (2021) · cites this paper as [164]
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Cited by
Sorted by citations
Albendazole and Mebendazole as Anti-Parasitic and Anti-Cancer Agents: an Update
Chai, J.-Y., Jung, B.-K., & Hong, S.-J. (2021) · The Korean Journal of Parasitology · doi:10.3347/kjp.2021.59.3.189 · Cited by 286
Metadata
- Authors
- Palomares-Alonso, F., Toledo, A., Palencia Hernández, G., Jung-Cook, H., & Fleury, A.
- Affiliations
- Instituto Nacional de Neurología y Neurocirugía (MX)
- Corresponding author
- Fleury, Agnès
- Venue
- Experimental Parasitology
- Publisher
- Elsevier BV
- Published
- 2020-01
- Volume
- 208
- Pages
- 107801
- ISSN
- 0014-4894 (ISSN-L)
- OpenAlex
- W2987763648
- Cited by
- 20
- References
- 0
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 5 · 2022: 3 · 2021: 4 · 2020: 5
- FWCI
- 2.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Experimental Parasitology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Immunology and Microbiology › Parasitology › Parasitic infections in humans and animals
- Life Sciences › Immunology and Microbiology › Parasitology › Helminth infection and control
- Life Sciences › Immunology and Microbiology › Parasitology › Parasites and Host Interactions
- Keywords
- dexamethasone, albendazole, Taenia crassiceps, cysticercosis, neurocysticercosis, corticosteroids, cysticidal activity, drug interactions, cytokines, inflammation, antiparasitic treatment
- MeSH terms
- Animals, Anthelmintics, Anti-Inflammatory Agents, Cysticercosis, Dexamethasone, Drug Interactions, Enzyme-Linked Immunosorbent Assay, Female, Interferon-gamma, Mice, Inbred BALB C, Taenia, Albendazole, Interleukin-4, Interleukin-6, Interleukin-10, Mice
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- Palomares-Alonso, F., Toledo, A., Palencia Hernández, G., Jung-Cook, H., & Fleury, A. (2020). Effect of dexamethasone on albendazole cysticidal activity in experimental cysticercosis by Taenia crassiceps in BALB/c mice: In vitro and in vivo evaluation. Experimental Parasitology. https://doi.org/10.1016/j.exppara.2019.107801