Novel Azoles as Antiparasitic Remedies against Brain-Eating Amoebae

Ayaz Anwar1, Mohammad Ridwane Mungroo1, Simal Khan2

  • 1Department of Biological Sciences, School of Science and Technology, Sunway University, Petaling Jaya, Selangor 47500, Malaysia.

Insights

Novel azole compounds show potent activity against brain-eating amoebae, *Naegleria fowleri* and *Balamuthia mandrillaris*. Conjugating these compounds with silver nanoparticles further enhanced their amoebicidal and amoebistatic properties.

Area of Science:

  • Medicinal Chemistry
  • Parasitology
  • Nanotechnology

Background:

  • *Balamuthia mandrillaris* and *Naegleria fowleri* are protozoan pathogens causing central nervous system infections with high mortality rates (>95%).
  • Developing effective treatments against these amoebae is crucial, and exploring clinically relevant drug analogues like azoles is a promising strategy.

Purpose of the Study:

  • To synthesize novel benzimidazole, indazole, and tetrazole derivatives based on the azole class.
  • To evaluate the synthesized compounds' amoebicidal and amoebistatic activities against *N. fowleri* and *B. mandrillaris*.
  • To investigate the effect of conjugating these compounds with silver nanoparticles (AgNPs) on their anti-amoebic efficacy.

Main Methods:

  • Synthesis of six novel heterocyclic compounds belonging to the benzimidazole, indazole, and tetrazole families.
  • In vitro testing of synthesized compounds for amoebicidal and amoebistatic activity against *N. fowleri* and *B. mandrillaris*.
  • Characterization and evaluation of compounds conjugated with silver nanoparticles for enhanced anti-amoebic effects.
  • Cytotoxicity assays to assess the safety of compounds against human cells.

Main Results:

  • The synthetic heterocyclic compounds demonstrated significant amoebicidal activity (up to 72% against *N. fowleri*, 65% against *B. mandrillaris*) and amoebistatic activity (up to 75% against *N. fowleri*, 70% against *B. mandrillaris*).
  • Conjugation with silver nanoparticles markedly increased the amoebicidal activity, with improvements of up to 46% against *B. mandrillaris* and 36% against *N. fowleri*.
  • The compounds exhibited minimal cytotoxicity against human cells, indicating a favorable safety profile.

Conclusions:

  • Azole-based heterocyclic compounds show potent anti-amoebic activity against *Naegleria fowleri* and *Balamuthia mandrillaris*.
  • Conjugation with silver nanoparticles significantly enhances the anti-amoebic efficacy of these azole derivatives.
  • These findings suggest that azole-AgNP conjugates represent a promising therapeutic strategy for treating infections caused by these devastating brain-eating amoebae.

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