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Updated: Feb 3, 2026

Ultrastructural Expansion Microscopy in Three In Vitro Life Cycle Stages of Trypanosoma cruzi
Published on: May 12, 2023
Indirubin derivatives are potent and selective anti-Trypanosoma cruzi agents
Antonia Efstathiou1, Cássio Santana Meira2,3, Nicolas Gaboriaud-Kolar4
1a Molecular Parasitology Lab, Dpt of Microbiology , Hellenic Pasteur Institute , Athens , Greece.
Abstract:
Current treatment for combatting Chagas disease, a life-threatening illness caused by the kinetoplastid protozoan parasite Trypanosoma cruzi is inadequate, and thus the discovery of new antiparasitic compounds is of prime importance. Previous studies identified the indirubins, a class of ATP kinase inhibitors, as potent growth inhibitors of the related kinetoplastid Leishmania. Herein, we evaluated the inhibitory activity of a series of 69 indirubin analogues screened against T. cruzi trypomastigotes and intracellular amastigotes. Seven indirubins were identified as potent T. cruzi inhibitors (low μΜ, nM range). Cell death analysis of specific compounds [3'oxime-6-bromoindirubin(6-BIO) analogues 10, 11 and 17, bearing a bulky extension on the oxime moiety and one 7 substituted analogue 32], as evaluated by electron microscopy and flow cytometry, showed a different mode of action between compound 32 compared to the three 6-BIO oxime- substituted indirubins, suggesting that indirubins may kill the parasite by different mechanisms dependent on their substitution. Moreover, the efficacy of four compounds that show the most potent anti-parasitic effect in both trypomastigotes and intracellular amastigotes (10, 11, 17, 32), was evaluated in a mouse model of T. cruzi infection. Compound 11 (3'piperazine-6-BIO) displayed the best in vivo efficacy (1/6 mortality, 94.5% blood parasitaemia reduction, 12 dpi) at a dose five times reduced over the reference drug benznidazole (20 mg/kg vs100 mg/kg). We propose 3'piperazine-6-BIO as a potential lead for the development of new treatments of Chagas disease.
Insights
New indirubin analogues show promise for treating Chagas disease. Compound 11 (3'piperazine-6-BIO) demonstrated significant in vivo efficacy, offering a potential new therapeutic lead for this neglected tropical disease.
Area of Science:
- Medicinal Chemistry
- Parasitology
- Drug Discovery
Background:
- Current Chagas disease treatments are inadequate, necessitating novel antiparasitic compounds.
- Indirubins, known ATP kinase inhibitors, have shown inhibitory activity against related kinetoplastids like Leishmania.
- This study explores indirubin analogues as potential agents against Trypanosoma cruzi.
Purpose of the Study:
- To evaluate the antiparasitic activity of a series of indirubin analogues against Trypanosoma cruzi.
- To investigate the mechanism of action and in vivo efficacy of promising compounds.
- To identify potential lead compounds for Chagas disease drug development.
Main Methods:
- Screening of 69 indirubin analogues against T. cruzi trypomastigotes and intracellular amastigotes.
- Cell death analysis using electron microscopy and flow cytometry for selected compounds.
- In vivo efficacy testing in a mouse model of Chagas disease for the most potent compounds.
Main Results:
- Seven indirubin analogues exhibited potent T. cruzi inhibitory activity in the low μM and nM ranges.
- Distinct modes of action were observed between different indirubin substitution patterns.
- Compound 11 (3'piperazine-6-BIO) showed the best in vivo efficacy, reducing mortality and parasitaemia at a lower dose than benznidazole.
Conclusions:
- Indirubin analogues represent a promising class of compounds for Chagas disease treatment.
- Compound 11 (3'piperazine-6-BIO) demonstrates significant potential as a lead compound for developing new Chagas disease therapies.
- Further research into indirubin derivatives could yield effective treatments for this life-threatening illness.
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