Effect of 2, 6-Dichlorobenzonitrile on Amoebicidal Activity of Multipurpose Contact Lens Disinfecting Solutions

Eun-Kyung Moon1, Seungeun Lee2, Fu-Shi Quan1,3

  • 1Department of Medical Zoology, Kyung Hee University School of Medicine, Seoul 02447, Korea.

Insights

Multipurpose contact lens disinfecting solutions (MPDS) show limited efficacy against Acanthamoeba cysts. Adding 2,6-dichlorobenzonitrile (DCB) enhanced activity against immature cysts, suggesting DCB as a potential adjuvant for MPDS.

Area of Science:

  • Ophthalmology
  • Microbiology
  • Parasitology

Background:

  • Multipurpose contact lens disinfecting solutions (MPDS) are crucial for contact lens hygiene.
  • Current MPDS exhibit insufficient efficacy against Acanthamoeba cysts, a significant cause of microbial keratitis.
  • 2,6-dichlorobenzonitrile (DCB), a cellulose synthesis inhibitor, shows potential in inhibiting Acanthamoeba encystation.

Purpose of the Study:

  • To evaluate the potential of 2,6-dichlorobenzonitrile (DCB) as an agent to enhance the amoebicidal activity of MPDS against Acanthamoeba cysts.
  • To assess the efficacy of commercial MPDS, alone and in combination with DCB, against both mature and immature Acanthamoeba cysts.

Main Methods:

  • Eight commercial MPDS were tested for amoebicidal activity against Acanthamoeba cysts.
  • The efficacy of MPDS combined with 100 μM DCB was evaluated against mature and immature cysts.
  • Cytotoxicity of DCB and its mixtures with MPDS was assessed on human corneal epithelial cells.

Main Results:

  • All tested MPDS showed inadequate activity against mature Acanthamoeba cysts.
  • MPDS solutions e, f, and h demonstrated activity against immature cysts.
  • Combining MPDS with 100 μM DCB enhanced amoebicidal activity against immature cysts, particularly for solutions d, e, f, and h.
  • Solution d showed improved amoebicidal activity upon DCB addition.
  • No cytotoxicity was observed in human corneal epithelial cells treated with DCB or DCB-MPDS mixtures.

Conclusions:

  • DCB shows promise in enhancing the amoebicidal efficacy of MPDS against Acanthamoeba immature cysts.
  • DCB may serve as a valuable adjuvant to improve contact lens disinfection protocols.
  • Further research is warranted to explore DCB's role in combating Acanthamoeba infections related to contact lens wear.

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