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Published on: July 11, 2025
Artemisinins for schistosomiasis and beyond
Jürg Utzinger1, Shu-Hua Xiao, Marcel Tanner
1Swiss Tropical Institute, Department of Public Health and Epidemiology PO Box, CH-4002 Basel, Switzerland. juerg.utzinger@unibas.ch
Summary
Artemisinins show promise for treating schistosomiasis, a widespread parasitic disease. This review highlights their potential as an alternative control option beyond praziquantel.
Area of Science:
- Parasitology
- Tropical Medicine
- Pharmacology
Background:
- Schistosomiasis affects over 200 million people globally, with morbidity impacting over half.
- Current morbidity control relies heavily on praziquantel, hindering development of new treatments.
- Praziquantel's efficacy and low cost have limited research into alternative schistosomiasis control methods.
Purpose of the Study:
- To review the antischistosomal activity of artemisinins.
- To summarize preclinical and clinical findings on artemisinin efficacy and safety.
- To explore artemisinins' potential in combination therapy and against other fluke infections and cancer.
Main Methods:
- Review of preclinical studies on artemisinins' antischistosomal effects.
- Analysis of clinical trial data on artemisinin safety and efficacy.
- Examination of artemisinin-based combination therapy in co-infected children.
Main Results:
- Preclinical studies demonstrate artemisinins possess antischistosomal activity.
- Clinical trials confirm the safety and efficacy of artemisinins.
- Artemisinins show promise against intestinal and liver flukes and cancer cells.
Conclusions:
- Artemisinins represent a promising alternative for schistosomiasis control.
- Further research into artemisinin-based therapies could advance treatment options.
- Artemisinins exhibit broad-spectrum activity beyond schistosomiasis, including potential anticancer properties.
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