Journal of Developing Drugs

Journal of Developing Drugs
Open Access

ISSN: 2329-6631

+44 1478 350008

Research Article - (2014) Volume 3, Issue 2

Anti-Parasite effects of new Thiosemicarbazones and their Products Thiazolidinone including Cellular aspects of Intracellular Elimination of Trypanosoma Cruzi in Vitro

Laís P De Carvalho1, Marco A G B Gomes2, Barbara S Rocha2, Rodrigo R De Oliveira2, Edmilson J Maria2 and Edésio J T De Melo1*
1Laboratory of Cell Biology and Tissue, State University of North Fluminense Darcy Ribeiro Avenue Alberto Lamego, 2000 Cause California, Campos dos Goytacazes, Rio de Janeiro, Brazil, E-mail: ejtm1202@gmail.com
2Chemical Sciences Laboratory, State University of North Fluminense Darcy Ribeiro Avenue Alberto Lamego, 2000 Cause California, Campos dos Goytacazes, Rio de Janeiro, Brazil, E-mail: ejtm1202@gmail.com
*Corresponding Author: Edésio J T De Melo, Laboratory of Cell Biology and Tissue, State University of North Fluminense Darcy Ribeiro Avenue Alberto Lamego, 2000 Cause California, Campos Dos Goytacazes, Rio De Janeiro, Brazil, Tel: (+55) 22 2739-7175 Email: ,

Abstract

Trypanosoma cruzi, agent of Chagas disease in humans, invades and replicates within a wide variety of nucleated mammalian cells until the lysis of the host cells. This study was undertaken to evaluate the cellular features of effect of new compounds of thiosemicarbazone and their thiazolidinone derivate on the multiplication of extra- and intracellular T. cruzi. Most of the compounds interrupted epimastigote proliferation at 1 mM, and above 5 mM led to drastic cytoplasm reduction, nuclear condensation and death. Ultrastructural assays showed that epimastigotes treated with 1 mM of the compounds retained main parasite organelles such as the Golgi complex and the mitochondria, but underwent drastic reduction in cytoplasm volume and led to the formation of blebs on the plasma membrane, suggesting a cell death process by apoptosis. Infected cultures treated for 24 h with the compounds showed similar effects, with drastic decrease in infection and the elimination of intracellular parasite at 1 mM without toxic effects on the host cells. Intracellular amastigotes showed progressive disorganization leading to the rupture and elimination of the parasite. The results strongly suggest that in presence of thiosemicarbazones and their derivate, intracellular amastigotes arrested the proliferation, leading to irreversible ultrastructural disorganization, death, and then elimination. When the intracellular T. cruzi elimination process was analysed, it showed that autophagy was present, in intriguing and new features to futures studies. In addition, our results in vitro also suggest that these compounds are promising molecules against intracellular T. cruzi when compared to the anti-proliferative drugs Hydroxyurea and Benznidazole.

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Keywords: Anti-parasite drug; Thiazolidinone; Thiosemicarbazone; Trypanosoma cruzi

Introduction

The kineto plastid protozoan parasite Trypanosoma cruzi is the causative agent of human Chagas’ disease, and it is endemic in regions of Latin America where it has become a major public health problem, constituting one of the largest parasitic disease burdens [1]. T. cruzi has a complex life cycle in which different developmental forms are present in both vertebrate and invertebrate hosts [2]. Three forms are well described: 1. amastigotes (dividing form found in the cytoplasm of the vertebrate host cell; 2. trypomastigotes (invasive form); and 3. epimastigotes (extracellular and replicating form found in the invertebrate host). In the vertebrate host, the replication of intracellular T. cruzi is responsible for the main pathologies associated with chronic Chagas’ disease [3]. The establishment of the parasite inside the host cells is key to the success of the infection and the progression of the disease. The drugs which are most frequently used for the treatment of Chagas’ disease are nitroheterocyclic compounds: Nitrofuran (Nifurtimox) and nitroimidazoles such as Benznidazole, discovered over three decades ago which induce drastic toxic effects in the vertebrate [1]. New therapeutic compounds are needed, mainly because the major limitation of anti-T. cruzi chemotherapeutics in the chronic phase of Chagas’ disease is their low efficiency [4].

It was previously demonstrated the anti-parasitic effects of Hydroxyurea (HU), a semicarbazone anticancer drug, on the intracellular Toxoplasma gondii, Leishmania amazonensis and T. cruzi in vitro [5]. Hydroxyurea, thiosemicarbazones (TSC) and thiazolidinones (TZN) inhibit the cell cycle in the G1/S phase by inactivating the enzyme ribonucleotide reductase and the synthesis of DNA [6,7], but TSC are 1000 times more potent than Hydroxyurea [8].

Recently, it has demonstrated that TSC and analogue compounds, 4-thiazolidinones (4-TZN), decreased in vitro infection and induced intracellular elimination of T. gondii [9,10]. This study also used TSC substituted at the aryl hydrazone moiety with a nitro substituent at the ortho, meta and para positions, and 4-thiazolidinones (TZN) substituted at the N-3 position with a phenyl, methyl and hydrogen substituent, and with the same groups at the arylhydrazone moiety. These molecular structures have a good cellular perfusion where they target the parasite and interrupt its multiplication. Carvalho et al. [11] showed that after the arrest of intracellular proliferating parasite, the death of T.gondii and its digestion by lysosomes fusion occurs.

Thus, the aim of the present study was to evaluate the effects of these TSC and TZN compounds against extra- and intracellular T. cruzi. Furthermore, we also report the morphological and ultrastructural features of the parasite in the presence of these drugs.

Materials and Methods

Host cells

Vero cells (kidney fibroblasts of the African monkey) were grown in plastic Falcon flasks (25 cm2) containing medium 1152 (Sigma- Aldrich, St. Louis, MO, USA) with 5% foetal calf serum (FCS; Gibco, Grand Island, NY, USA), and were trypsinized when the cell density approached a semi-confluent monolayer. One day before use in the experiments, approximately 3 x 104 cells were placed on Linbro 24-well tissue plates containing a sterile round coverslip, or were placed in 25 cm2 flasks (3-5×105/flasks), and maintained at 37°C overnight in a 5% CO2, 95% air atmosphere.

Parasite cultures and host cell infection

Epimastigotes of T. cruzi (DM28 strain) were cultivated in liver infusion triptase (LIT) medium supplemented with 10% FCS at 28°C. The epimastigotes were incubated at a density of 106 parasites/mL in the compounds for 24-120 h as described below.

Trypomastigotes of T. cruzi (DM28 strain) were obtained from a culture of Vero cells infected for 6-7 days at 37°C. The tripomastigotes were incubated with host cells for 48 h at 37°C in medium supplemented with 5% FCS. All parasites were assumed to have interacted with the cells because the parasite: host cell ratio was 10:1.

Chemistry

The synthesis of TSC (1, 3, 5-9) and TZN (2, 4, 10-14) derivatives followed the method described [12]. The nomenclature of the compounds are the following: compound 1 (benzaldehyde thiosemicarbazone); compound 2 (acid[2-(benzylidene-hidrazone) -4- oxo -1,3-thiazolidin-5-yl] acetic); compound 3 (paranitrobenzaldehyde thiosemicarbazone); compound 4 ([4-chloro- (benzylidene-hidrazone)]-4-oxo-1,3-thiazolidin-5-yl] acetic acid); compound 5 (4-chlorobenzaldehyde 4-phenyl-3-thiosemicarbazone); compound 6 (3,4-dichlorobenzaldehyde 4-phenyl-3- thiosemicarbazone); compound 7 (2-flurobenzaldehyde 4- phenyl-3- thiosemicarbazone); compound 8 (4-flurobenzaldehyde 4- phenyl-3- thiosemicarbazone); compound 9 (3-chlorobenzaldehyde 4- phenyl- 3-thiosemicarbazone); compound 10 (2-[[chlorophenyl methylene] hydrazone] - 4 -oxo-3-phenyl-5-thiazolidene acetic acid); compound 11 (2-[[3,4-dichlorophenyl methylene] hydrazone] - 4 -oxo-3-phenyl- 5-thiazolidene acetic acid); compound 12 ( 2-[[(2-flurophenyl) methylene] hydrazone] - 4 -oxo-3-phenyl-5-thiazolidene acetic acid); compound 13 ( 2- [[(4-flurophenyl) methylene] hydrazone] - 4 -oxo-3- phenyl-5-thiazolidene acetic acid); compound 14 ( 2-[[3-chlorophenyl methylene] hydrazone] - 4 -oxo-3-phenyl-5-thiazolidene acetic acid) (figure 1). Briefly, the TSCs were obtained by reactions between the thiosemicarbazide and the benzaldehydes substituted in acid medium under reflux (yields 57-98%). These products were cyclized with maleic anhydride in dry toluene and N,N-dimethylformamide to TZN derivatives (55-96%). HU obtained from Sigma and Benznidazole (Rochagan), from Roche (USA).

developing-drugs-Structural-synthesized-compounds

Figure 1: Structural representation of the 14 new synthesized compounds and their respective radicals.

Treatment of parasites

Extracellular parasites, Epimastigotes of T. cruzi (DM28 strain), were cultivated as described above and incubated with the drugs for 24-120 h in a range of concentrations from 0.1 to 10 mM.

For morphological analyses, the epimastigote form of T. cruzi was rinsed with PBS, pH 7.2, at 37°C. Parasites were fixed in a solution containing 1% glutaraldehyde, 4% paraformaldehyde, 5 mM CaCl2, and 5% sucrose in 0.1 M-cacodylate buffer, pH 7.2 for 15 min and stained with Giemsa (10% v/v) for 2 hr at room temperature. 1 mL aliquot was spread on a microscopic lamina, dried at 37°C and examined using a Zeiss Axioplan photomicroscope equipped with a 63X objective. The images obtained using Analysis System software (USA). Hydroxyurea (HU) and Benznidazole (BZN) were used as reference drugs. Intracellular parasites. The Infected cultures were incubated for 24 h with TSC and TZN at a concentration range of 0.1- 10 mM. Hydroxyurea and Benznidazole were also used as reference drugs. DMSO solved all drugs and added to DMEM medium. DMSO used at a final concentration of 1% (v/v), which was not toxic for Vero cells or parasites (data not shown). Infected cells were incubated in the presence of HU, BZN and all compounds for 24 h at 37°C. Trypan blue (0.2% w/v) was used to assay the viability of treated and untreated infected cells.

Morphological analyses and quantification

For morphological analyses, infected and treated infected cultures were rinsed with PBS, pH 7.2, at 37°C and then fixed with Bouin’s solution for 15 min and stained with Giemsa solution (10% v/v) for 2 h at room temperature. All preparations were examined using a Zeiss Axioplan photomicroscope equipped with a 63X objective and showed images obtained with the Analysis System software (USA).

At least 300 cells in the same monolayer scored at 40X magnification for each drug and each time tested. The following parameters were analysed in treated and untreated cultures: a) infected cells containing normal intracellular amastigotes, rounded shape; b) uninfected cells; and c) parasites. Finally, the LD50 values of all compounds for host cells and intracellular parasites obtained after 24 h of exposure at the concentration of 0.1-10 mM.

Statistical analysis was performed by two-way ANOVA (Graph Pad Prism). P values of <0.05 were considered to be significant. The data reported here are representative of three experiments performed in quadruplicate.

In order to observe the acidic compartments, untreated or treated infected cultures were incubated with acridine orange (Sigma Chemcal Co.) or Lyso-tracker red (Molecular Probes, Inc. Eugene, OR, USA)- the lysosomes specific probe. Acridine orange (5μg/mL) was added to the medium DMEM 1152 without FCS and added to the cultures for 30 min at 37°C, as previously used by Carvalho and Melo [11]. Lysotracker red (50nM) was added in the medium 1152 without FCS and added to the cultures for 30 min at 37°C. The cultures were washed with medium 1152 and the cells were examined at a Zeiss Axioplan photomicroscope equipped with a 63X objective and showed images obtained with the Analysis System software (USA), 429 and 577 nm UV excitation filter, respectivelly.

The selective marker monodansylcadaverine (MDC) (Sigma Aldrich®) was used for autophagic vacuole detection. For MDC staining, the live infected, treated or untreated cells were incubated with 0.05 mM MDC in PBS for 10 min for subsequent observation in a fluorescence microscope Zeiss Axioplan using UV excitation filter (350 nm) [13].

Ultrastructural analyses

Transmission Electron Microscopy (TEM). For ultrastructural analyses, untreated or treated epimastigotes, or Vero cells infected with parasites were washed with PBS at 37°C and fixed at room temperature in a solution containing 1% glutaraldehyde, 4% paraformaldehyde, 5 mM CaCl2, and 5% sucrose in 0.1 M-cacodylate buffer, pH 7.2. Cells were postfixed for 1 hour in a solution containing 2% OSO4, 0.8% potassium ferrocyanide, and 5 mM CaCl2 in 0.1 M-cacodylate buffer, pH 7.2, rinsed with 0.1 M cacodylate buffer, pH 7.2, dehydrated in acetone and embedded in PolyBed (Polyscience Inc., Germany). Thin sections were stained with uranyl acetate and lead citrate, and were observed with a Zeiss 900 Transmission Electron Microscope at 80 kV acceleration.

Scanning Electron Microscopy (SEM)

For scanning electron microscopy the untreated and treated cells, were fixed in 2.5% (v/v) glutaraldehyde, 4% (v/v) formaldehyde, 5 mM CaCl2 and 5% sucrose dissolved in cacodylate buffer 0.1 M (pH 7.2) at room temperature for 2 h. The samples were postfixed in 1% osmium tetroxide in the same buffer for 1 h, dehydrated in a gradient series of ethanol and immediately critical-point dried in CO2. The dried samples were positioned on a specimen support prior to sputtering with gold. All micrographs were taken with a ZEISS EVO 40 microscope at 15 kV, employing secondary electrons.

Results

Epimastigote

Epimastigotes, the extracellular replicative form of T.cruzi, was exposed to the compounds using different concentrations (0.1-10 mM) and incubation times, as demonstrated in (Tables 1 and 2) respectively. The analysis of epimastigotes toxicity was assessed by parasite elimination (Figure 2).

Epimastigotes treated for 96h (× 10*6 mL)
Compound Control 0.1mM 1mM 5mM 10mM
1 9.5 ± 0.1 1.4 ± 0.07 1 ± 0.05 0.5 ± 0.07 0
2 17 ± 1 9.8 ± 0.07 8 ± 0.07 2 ± 0.4 0
3 22 ± 2 17 ± 1.4 11 ± 1 0.5 ± 0.1 0
4 28 ± 1 24 ± 1 21 ± 1 19 ± 2 0
5 9 ± 0.4 6 ± 0.1 4 ± 0.1 1.2 ± 0.2 0
6 9 ± 0.6 1.6 ± 0.4 1 ± 0.2 0 0
7 8 ± 0.5 5 ± 0.4 1.6 ± 0.1 0 0
8 8 ± 0.2 3.4 ± 0.07 1.6 ± 0.07 0 0
9 12 ± 0.3 1.4 ± 0.3 1.4 ± 0.1 0 0
10 10 ± 0.3 7.4 ± 0.2 3 ± 0.4 1.2 ± 0.2 0
11 10 ± 0.4 7 ± 0.4 3 ± 0.4 1.8 ± 0.2 0
12 10 ± 0.4 7 ± 0.3 3 ± 0.4 1.9 ± 0.4 0
13 9 ± 0.5 1.4 ± 0.1 1 ± 0.1 0 0
14 11 ± 0.7 5 ± 0.2 4 ± 0.1 1.3 ± 0.2 0
HU 36 ± 2 33 ± 1.8 7 ± 0.5 3.6 ± 0.5 2.4 ± 0.1
BZN 14 ± 1.4 0 0 0 0

Table 1: Epimastigotes of Trypanosomacruzi incubated with compounds (1–14), hydroxyurea (HU) and benznidazole (BZN) (96 h) at 28°C and pH 7.2. Each bar represents the standard deviation. Values are mean ± SD (n=3). The toxic effect of treatment was measured by growing the parasites in LIT for 96 h and quantifying cell live.

Epimastigotes treated with 0.1mM for different time (h) (× 10*6)
Compound 0 24 48 72 96 120
1 2.0 ± 0.1 2.1 ± 0.1 2.0 ± 0.1 1.5 ± 0.1 1.4 ± 0.1 1.1 ± 0.1
2 2.0 ± 0.1 4.3 ± 0.1 6.9 ± 0.1 9.1± 0.1 9.8± 0.1 13.5 ± 4.9
3 1.8 ± 0.1 2.6 ± 0.3 5.3 ± 0.1 14.4 ± 0.4 18 ± 1.4 15.5 ± 0.7
4 1.9 ± 0.1 1.8 ± 0.1 4.2 ± 0.5 8.6 ± 0.4 24.3 ± 0.6 25.5 ± 0.7
5 1.7 ± 0.2 2.3 ± 0.1 3.6 ± 1 4.3 ± 0.1 5.8 ± 0.1 7.9 ± 0.1
6 2.2 ± 0.1 2.9 ± 0.3 2 ± 0.8 2.5 ± 0.2 1.6 ± 0.4 1.5 ± 0.5
7 1.9 ± 0.2 2.6 ± 0.1 2.9 ± 1.1 3.5 ± 0.6 5.2 ± 0.4 6.3 ± 0.4
8 1.95 ± 0.2 2.65 ± 0.9 2.45 ± 0.3 3.05 ± 0.1 3.45 ± 0.1 3.65 ± 0.1
9 2.1 ± 0.1 2.7 ± 0.4 2 ± 0 2 ± 0.1 1.4 ± 0.1 1.4 ± 0.3
10 1.9 ± 0.2 2.8 ± 0.3 2.9 ± 1 4.9 ± 0.1 7.3 ± 0.2 7.8 ± 0.2
11 1.9 ± 0.2 2.8 ± 0.3 3.1 ± 0.8 4.7 ± 0.3 7.2± 0.3 8.3 ± 0.9
12 1.9 ± 0.2 3.3 ± 0.3 3.2 ± 1 5.2 ± 1 7.2± 0.4 8.3 ± 0.9
13 2.2 ± 0.1 3 ± 0.1 2 ± 0.8 2.2 ± 0.2 1.4 ± 0.1 1.1 ± 0.1
14 2 ± 0.3 2.3 ± 0.3 4.1 ± 0.1 6.2 ± 0.3 5.1 ± 0.2 3.4 ± 0.6
HU 3.2 ± 0.1 6.0 ± 0.8 10.9 ± 0.6 21.8 ± 1.2 33.7 ± 1.8 46.7 ± 0.8
BZD 2.1 ± 0.1 2.0 ± 0.1 0.7 ± 0.1 0 0 0

Table 2: Treatment of epimastigotes of T. cruzi with 0.1 mM of compounds using different time incubation. Values are mean ± SD (n=3).

developing-drugs-transmission-scanning-microscopy

Figure 2: Light, transmission and scanning microscopy of epimastigotes. (a) Untreated epimastigotes stained with Giemsa showed typical morphology by light microscopy. (b) Normal body ultrastructure when observed by scanning electron microscopy. (c) Epimastigotes treated with 1 mM of compound 1, for 24 h showed loss of cytoplasmic volume and condensation of the parasite. However, normal parasites could also be observed. (d) The loss of cytoplasmic volume and condensation of the parasite demonstrated by scanning electron microscopy. (e) An extracellular parasite with organelles such as the Golgi complex and mitochondria morphologicaly preserved. (f) white arrowhead showed the extracellular features of epimastigotes treated 1mM for 48 h, where unaltered cytoplasm retraction of the parasite (star) with plasmatic membrane blebs formation occurred. Scale bars: A=15 μm; B, D, E, F=0.5 μm; C=10 μm;

The number of epimastigotes decreased after the incubation with the compounds since the concentration of 0.1 mM (Table 1), and led to the almost complete elimination of the parasites at 5 mM (70- 80%), with the exception of compound 4. For compounds 2, 3, 5, 7, 8, 10, 11, 12, and 14 the drastic elimination of parasites occurred after the 1 mM concentration. The complete elimination occurred at 10 mM for all compounds. In order to observe when the elimination occurred, the epimastigotes were only incubated at 0.1 mM, but until 120 hours (Table 2). The compounds 1, 6, 9 and 13, arrested parasites proliferation since the first period of incubation (24 hours) and continuously arrested until 72 hours, when the parasite elimination started and the number of parasites decreased in the cultures. This parasite toxic effect (parasite elimination) was similar to BZN. The anti-proliferative and toxic effects (elimination) of TSC and 4-TZN were mainly more effective than HU, where compounds 1, 6, 9 and 13 also showed drastic parasite reduction liked BNZ effects.

To observe the ultrastructural features of epimastigotes during the actions of the compounds, parasites were incubated with compound 1 at 1 mM for 24 hours (Figure 2). The elongated structure in the untreated parasite observed under light (Figure 2a), transmission (Figure 2e) and scanning electron microscopy (Figure 2b), changed drastically after treatment as can be observed (Figure 2c,d,f). The parasites underwent loss of cytoplasm volume leading to a circular form. However, this drastic morphological effect did not achieve all parasites at same time, since elongated epimastigotes were still noted (Figure 2c, arrow). Although the flagellum elongation did not affect, several blebs occurred in the plasmatic parasite membrane (Figure 2f), suggesting an apoptosis process.

The Vero cells infected with tripomastigotes of T. cruzi for 48 hours at 37°C showed proliferating intracellular amastigotes, an established infection (Figure 3a and 3b). Then, these infected cultures were incubated with different concentrations (0.1-10 mM) of TSC and 4-TZN for 24 hours, and quantitative and morphological analyses were performed to observe the anti-T. cruzi action of the drug.

developing-drugs-thiazolidinone-derivate-intracellular

Figure 3: Effect of thiazolidinone derivate on the multiplication of intracellular T. cruzi. (a) Vero cells infected with T. cruzi. (b) Vero cells treated with 1 mM of compound for 24 h. (c) After incubation very few cells were infected with T. cruzi. (d) Intracellular amastigotes had undergone several processes of disorganization (black arrow) leading to their elimination. White arrows: nucleus. Scale bars: A and B: 100 μm, C and D: 10 μm.

Anti-parasitic effects in the presence of all compounds showed a decrease in infection (Table 3) and elimination of intracellular amastigotes (toxic effects) (Table 3) until 5 mM. At 10 mM, the new compounds, but not HU or BZN, achieved toxic effects on the host cells.

                         % infected cell  treated for 24h            Mean Number of intracellular parasites
Compound Control 0.1mM 1mM 5mM 10mM Control 0.1mM 1mM 5mM 10mM
1 84 ± 12 69 ± 6 37 ± 5 11 ± 5 tox 5063 ± 37 3566 ± 56 1965 ± 45 530 ± 23 tox
2 60 ± 6 62 ± 4 46 ± 7 13 ± 5 tox 999 ± 22 785 ± 124 886 ± 34 560 ± 17 tox
3 22 ± 1 14 ± 2 6 ± 1 5 ± 2 tox 335 ± 13 221 ± 21 67 ± 7 55 ± 14 tox
4 67 ± 3 71 ± 5 46 ± 4 12 ± 4 tox 944 ± 84 846 ± 75 436 ± 91 220 ± 35 tox
5 30 ± 1 25 ± 1 15 ± 1 12 ± 1 tox 981 ± 51 811 ± 19 580 ± 38 215 ± 19 tox
6 30 ± 2 25 ± 1 20 ± 1 14 ± 1 tox 655 ± 28 580 ± 13 422 ± 16 333 ± 13 tox
7 31 ± 1 26 ± 0.9 20 ± 1.5 16 ± 1 tox 844 ± 20 577 ± 15 298 ± 16 214 ± 8 tox
8 41 ± 3 29 ± 3 19.0 ± 2 12 ± 2 tox 900 ± 45 621 ± 31 259 ± 12 133 ± 9.2 tox
9 32 ± 1 26 ± 0.9 20 ± 1.5 16± 1 tox 844 ± 20 577 ± 15 298 ± 16 214 ± 8 tox
10 34 ± 2 27 ± 1 24 ± 2 0 tox 730 ± 48 586 ± 24 481 ± 45 0 tox
11 40 ± 3 29 ± 3 19 ± 2 12 ± 2 tox 900 ± 45 620 ± 81 259 ±11 133 ± 9 tox
12 31 ± 1 23 ± 1 18 ± 2 17 ± 1 tox 690 ± 34 477 ± 35 257 ± 18 222 ± 7 tox
13 81 ± 7 59 ± 8 20 22 tox 830 ± 58 785 ± 48 316 ±25 102 ± 20 tox
14 81 ± 8 59 ± 6 18 tox tox 840 ± 56 774 ± 60 337 ± 28 tox tox
BZN 39 ± 1 32 ± 1 22 ± 1 13 ± 5 8 ± 2 980 ± 39 762 ± 38 487 ± 48 257 ± 11 137 ± 8
HU 88 ± 1 82 ± 1 76 ± 2 14 ± 2 0 1265 ± 13 959 ± 18 759 ± 22 173 ± 39 0

Table 3: Cultures of Vero cells infected with T. cruzi for 48 h and treated with compounds (1–14), HU and BZN for different concentrations. Effects of compounds on the infection and intracellular proliferation of parasite were observed. Values are mean ± SD (n=3).

TSC (compounds 1,3, 5, 6, 7) and 4-TZN (compounds 10, 11, 12) incubated during 24 h decreased drastically the percentage of infection at 1 mM (Table 3). The intracellular amastigotes, when present, were disrupted (Figure 3d). On the other hand, the HU and BZN treatments caused a progressive decrease in infection only after incubation at 5 mM. Even though the treatment with BZN slowly reduced the infection and eliminated the intracellular amastigotes, it was accompanied by high vacuolization in the cytoplasm and the death of the host cells.

The important fact was that the TSC and TZN led to parasite elimination at a low dose and after the infection had been established. None of the compounds used here had drastic cytotoxic effects on the host cell until 5 mM, as demonstrated by the Trypan blue test (data not shown).

To observe the stage and cellular features of intracellular parasite elimination, the compound 1 treatment was used.

Acridine orange, a vital probe indicative of pH acidification, showed increase in fluorescent staining in different areas of the infected host cell cytoplasm including the parasite location (Figure 4, arrowheads). In the same way, the staining with the lysosomes specific probe (Lysotracker red) showed an increased fluorescent pattern in these organelles and the parasite site (Figure 5, arrowheads). These results suggested the involvement of a kind of vacuole digestion process with the lysosomes participation.

developing-drugs-Vero-amastigotes-Acridine

Figure 4: Vero cells infected with amastigotes of T. cruzi for 36 h and stained with Acridine orange. Untreated cells (a and b) and treated with compound 1 at 1 mM for 12 h (c and d). Black arrows show the amastigotes and white arrows the increase of acidification of the cytoplasm. N=nucleus Scale bars: A-D=50 μm.

developing-drugs-amastigotes-stained-LysoTracker

Figure 5: Vero cells infected with amastigotes of T. cruzi for 36 h and stained with LysoTracker Red. Untreated cells (a and b) and treated with compound 1 at 1 mM for 12 h (c and d). Black arrows: parasites and white arrows: the increase staining for lysosomes where the parasite is present N=nucleus Scale bars: A, B=40 μm; C,D=20 μm. Star=parasite in cytoplasmic of host cell.

The analysis of MDC positive staining indicated that in the treated infected host cells, autophagic vacuoles (containing parasite) were present, while in untreated infected cells they did not occur (Figure 6). These results also suggest the involvement of autophagy process with the elimination of intracellular T.cruzi.

developing-drugs-amastigotes-Monodansylcadaverine-Untreated

Figure 6: Vero cells infected with amastigotes of T. cruzi for 36 h and stained with Monodansylcadaverine. Untreated cells (a and b) and treated with compound 1 at 1 mM for 12 h (c and d). Black arrows: amastigotes and white arrows: autophagic vacuoles containing parasites. N=nucleus. Scale bars: A,B=60 μm; C,D=100 μm.

Transmission electron microscopy showed the progressive effects of the compound 1 on parasite morphology and ultrastructure (Figure 7). In untreated cultures (Figure 7a), the cytoplasm contained normal organelles and proliferative amastigotes in the cytoplasm. In the cultures treated with the compound 1 at 1 mM for 24 hours, some intracellular parasites were located inside vacuoles surrounded by double-membrane (Figure 7b,c) and showed drastic morphological alterations or were disrupted (Figure 7d). This parasite disorganization and elimination occurred in an asynchronous manner, suggesting that the drugs target the parasite at different steps from the proliferative cycle.

developing-drugs-infected-amastigotes-destruction

Figure 7: Ultrastructural observations of Vero cells infected with amastigotes of T. cruzi for 72 h. (a) Untreated infected culture. (b, c and d) Infected cells when treated with 1 mM of compound 1 for 24 h showed parasites in different stages of destruction and disruption in the cytoplasm of the host cell. M=Mitochondria, K=kinetoplast, A=amastigote, Star=amastigotes at an advanced stage of destruction. Scale bars: A=2 μm; B,D=1 μm; C=0.5 μm.

However, with BZN, the amastigotes showed variable degrees of alteration, such as cytoplasmic vacuolization, loss of volume in the cytoplasm, and the rupture of the plasma membrane, with drastic and significant consequences to the host cell (data not shown) as also demonstrated [14].

The lethal dose (LD50), the concentration that caused the elimination of 50% of population, was demonstrated (Table 4). Compounds 1, 6, 9, and 13 had similar values to BZN, while compounds 7, 10, 11, 12 had similar lethal dose concentration values to HU. However, compounds 7, 11, and 12 only caused similar lethal dose in extracellular and intracellular parasites.

LD 50 (mM)
Compound Epimastigotes Amastigotes Host cells
1 0.05 0.5 7.4
2 5 1.5 7
3 1 0.5 2.4
4 5.5 0.8 2.4
5 0.8 1.2 8
6 0.08 3 2.5
7 0.3 0.5 7.8
8 0.09 0.5 7.6
9 0.06 0.8 7.9
10 0.5 1.5 7.4
11 0.5 0.5 7.6
12 0.5 0.5 7.4
13 0.06 1 4.3
14 0.08 0.8 3.5
BZN 0.05 3 20
HU 0.5 0.1 >20

Table 4: LD50 values (in mM) for epimastigotes of T. cruzi (extracellular forms) and amastigotes (intracellular forms) treated with thiosemicarbazone and 4-thiazolidinone (1-14) compounds, HU and Benznidazol.

In addition, the results above showed the importance of position and type of the radical inserted in the benzene ring of each compound to quickly arrest extra and intracellular proliferation and induce toxic effects in the parasites. Compounds 5,11 and 12 may be of great interest because they had close action against extracellular and intracellular parasite elimination and low toxic effects on host cells.

Discussion

The treatment of Chagas disease involves two drugs based on the compounds Nifurtimox and Benznidazole. These compounds are relatively effective to the tripomastigotes and amastigotes forms. However, they have some limitations that include a variable action on chronic phase, cytotoxicity and the induction of parasite resistance. For the last case, in the last few years a large number of potential targets of chemotherapy for Chagas’ disease have been described [15]. Nevertheless, little is known about TSC or TZN as anti-parasite actions.

In the present study, it was demonstrated the in vitro efficacy of new thiosemicarbazone compounds against proliferative extra-and intracellular forms of T. cruzi. The TSC scaffold has advantages in the synthesis of new compounds, such as low molecular weight, good hydrogen bond donating and accepting capabilities, and easy, economical synthesis routes. TSC (a Class of Shiff base compounds containing thiourea moiety) are well known for their biological activity as antiparasitics, antibacterial and antitumoral agents [16]. The principal target of TSC involves the inhibition of the ribonucleotide diphosphate reductase (rdr), the arresting DNA synthesis and the cell cycle on G1/S phase [17]. Moreover, TSC can also chelate endogenous metals such Fe (III), forming stable complexes and inhibiting metaldepending enzymes, such as cysteine proteases [18]. This cysteine proteases inhibition with TSC could be through a covalent modification of the cysteine thiol groups via the electrophilic centre (the thione carbon and/or imine carbon) of the thiosemicarbazone moiety [16].

Recent studies have also demonstrated the efficacy of TSC compounds associated with metals, like platinum, against Trypanosoma cruzi, with potent activity against cruzain [19]. Other studies showed that some TSC, such as metronidazole-thiosemicarbazone compounds, were highly effective against Entamoeba histolytica [20] and Plasmodium spp. [21]. In the present study, it was firstly demonstrated the chemical profile of the TSC as anti-T.cruzi action. Despite the wide pharmacological range of this class of compounds, the communal properties of the drugs used here affected both extra- and intracellular T. cruzi. In these compounds used here, there are H, Cl or NO2 groups on the arylhydrazone moiety. This chemical structure showed anti-parasitic effects similar to those described [9,12] tested against intracellular Toxoplasma gondii. In the present study, the compounds 1, 5, 7-9 (TSC), 11 and 12 (TZN) were the most effective ones, as they drastically decreased the infection and eliminated the intracellular parasites at 1 mM. These molecular structures may be a good candidate for in vivo tests.

TZN, like TSC, has broad biological activities involving hypoglycaemic, antineoplastic, anti-inflammatory, antiviral, anticonvulsant, antidiabetic, antimicrobial and antiparasitic [22]. Not only our study, but also others’ have demonstrated the TZN action against protozoans [23,24], virus [25] bacteria and fungi [26] and tumor cell lines [27]. The mechanisms of action of TZN include several anticancer bio targets as peroxisome-proliferating-activated receptors, suppression of cyclins, and depletion of intracellular Ca stores [22].

Nevertheless, while several anticancer and antiparasitic tests using TSC and TZN have been demonstrated for the last few years, little of the cellular structure target was observed [5,10]. Demonstrated that HU, TSC and TZN respectively, were efficient at arresting the multiplication of intracellular Toxoplasma gondii, Leishmania amazonensis and Trypanosoma cruzi, they also demonstrated that a drastic morphological parasite disorganization occurred, which led to parasite elimination, without toxic effects on the host cells [5,10]. In case of T. cruzi, a parasite that replicates within the cytoplasm of the host cell does not interage with the endo cytic pathway of the cell, so there is no knew mechanism for parasite elimination. These results showed that the anti proliferative action of the compounds lead to a development of a mechanism to eliminate the parasite which involves the formation of autophagic vacuole, followed by lysosomes fusion recognition of endocytic pathway and finally, parasite digestion and elimination from the intracellular environment. In the case of intracellular T. gondii treated with TSC or TZN, the parasite was eliminated by a process that involves the fusion of parasitophorous vacuole with lysosomes, as demonstrated [10]. For Trypanosomes intracellular parasites, however, the mechanisms involved with death and elimination in presence of TSC or TZN should be studied. In case of intracellular T. cruzi it can also occur, since in the presence of a low concentration of the compounds, mainly the compound 1, the parasite elimination is more effective. Although the molecular mechanism of action of HU, TSC and TZN is mainly associated with the arrest of the cell cycle [21], it may also involve the inhibition of other metallic proteins associated with metabolic processes [19] and the generation of reactive oxygen radical, an intrinsic metal (e.g. iron) chelating property [28]. The ultrastructural analyses of this work by transmission electron microscopy showed amastigotes inside double-membrane vacuole, indicating the formation of autophagosomes and the positive MDC staining were confirmed the presence of autophagic vacuoles where the parasites are located. Beyond this, the increase of lysosomes as shown by Lysotracker Red assay is evidence of an intravacuolar digestion process that led to the parasite destruction.

Now, it is knew that the traditional trypanocidal drugs act through free radical generation during their metabolism by T. cruzi. The parasite is highly susceptible to the damage induced by these metabolites because its enzymes scavenging for free radicals are absent or have very low activities in the parasite. However, these trypanocidal compounds also induce toxic effects on the host cells. Anyway, oxidative damage is not the key action of BNZ, as the corresponding nitroanion radical was only detected at concentrations much higher than those that killed the parasite. The action of BNZ could involve a covalent bond or other interactions of nitroreduction intermediates with parasite components [29], or binding to DNA, lipids and proteins [30].

Some studies have already explored the morphological features associated with Trypanosoma death in the presence of HU, TSC or TZN [5]. Intracellular parasites [5] T.gondii, L. amazonenesis and T. cruzi were eliminated in presence of HU. A recent study by our group [12] showed that the disorganization and destruction of intracellular Toxoplasma in the presence of HU, TSC and TZN, using nonmacrophage cells, involved fusion between the lysosomes of host cells and the vacuole containing the parasites [12,10]. These cellular aspects demonstrate that the PV becomes permissive to lysosome fusion when the parasite is dead. This event is associated with the elimination of the parasite by the digestive pathway of the host cell-a major molecular mechanism of cell defence against microorganism invasion. In this case, the death and elimination mechanisms involved with amastigotes in the presence of TSC and TZN will be studied.

Taking together, these results indicate that the autophagic process is responsible for the parasite elimination from the host cell.

Overall, the results obtained is considered so far to be promising since they provide interesting data about thio semicarbazones and their specific action on intracellular Trypanosoma cruzi and other trypanosomatids. The efficiency of TSC compounds in interrupting cell multiplication supports the potential extensive application of TSC and TZN to anti-parasite therapy.

Acknowledgements

This work was supported by Fundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro (FAPERJ).

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Citation: Carvalho LP, Gomes MAGB, Rocha BS, de Oliveira RR, Maria EJ, et al. (2014) Anti-Parasite effects of new Thiosemicarbazones and their Products Thiazolidinone including Cellular aspects of Intracellular Elimination of Trypanosoma Cruzi in Vitro. J Develop Drugs 3:126.

Copyright: © 2014 Carvalho LP, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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